Healthcare Resource Network


Key topics

The Healthcare Resource Network brings together agencies, clinicians, and individuals who provide healthcare services and support the overall mental and physical health of veterans. Our goal is to connect and share information and resources among service providers about accessing healthcare services, as well as research/insights into acute/chronic conditions veterans experience at higher rates.

  • Developing a living document resource to streamline access to needed medical services and address social determinants of heath

  • Supporting the development of a coordinated care network to facilitate efficient referrals and warm handoffs (Brighton Marine has been piloting Coordinated Veterans Services using the UniteUS network platform, which is now part of a broader network of service and social care providers via Unite Massachusetts)

  • Proactively identifying veterans in need of services supporting their health, diagnosis, and treatment of medical conditions

  • Leveraging community partnerships, opportunities for collaboration, and taking data-driven approaches to identify, understand, and address key health issues

  • Breaking down institutional barriers and information silos to ensure service members, veterans, and their families receive the care they need when they need it

  • Increasing the number of veterans enrolled in and using VA Medical Centers & Vet Centers, Home Base, Forge VFR, and other healthcare services when they need them

  • Forming groups to organize and facilitate health summits/discussions on relevant topics, research, and issues and gather/share information and resources on this page, as well as on the Wellness, Moral Injury & Suicide Prevention & Response resource pages

Dylan Katz and Cate Fortier are the Co-Chairs for the Healthcare Resource Network. This contingent includes clinicians and organizations providing clinical services to veterans in outpatient, inpatient, or group settings. Service providers tend to focus on some aspect of the overall health of veterans and their families by providing preventive care, medical, or mental health treatment, as well as those conducting relevant research and data collection.

  • Our Moral Injury Community Summit & Discussion on March 16, 2022 was organized by Dr. Wesley Sanders and Cliff Coy of the Health & Wellness Resource Networks. For more information about moral injury and the summit, visit our Moral Injury page.

  • On January 19, 2022, the Veterans Collaborative hosted a virtual Food Security Summit. For more information, visit our Food Security page.

  • On November 17, 2021, the Health & Wellness Resource Network organized a meeting/workshop focused on holiday stress and resources available for veterans and families navigating it.

  • On December 9, 2020 the Health & Wellness Resource Network organized a meeting/workshop around holiday stress and resources available to veterans and families navigating it.

  • The Health & Wellness Resource Network met virtually on August 12, 2020 to gather resources available during COVID-19.

  • On November 21, 2018, the Veterans collaborative organized a summit on Healthcare Access & Issues Impacting Service Members, Veterans & Families, hosted by Tufts Health Plan. This summit focused on health-related topics and access issues impacting service members, veterans and their families with presentations by:

    – Tufts Health Plan

    – Dana Montalto, Veterans Legal Clinic of Harvard Law School's Legal Services Center

    – Jayson C. Gilberti, CEO of MVPvets and Retired Army Colonel

    – Tom Leonard, US Family Health Plan (Tricare)

  • On March 1, 2017, the Greater Boston Veterans Collaborative organized a Healthcare Summit, hosted by the VA Boston Healthcare System at the Jamaica Plain Campus with networking at Canary Square.

    We heard from researchers with the RAND Corporation about the findings of their Massachusetts Veterans Survey, funded by the Klarman Family Foundation and conducted by Carrie Farmer and Terri Tanielian.

    The survey explores the needs of Massachusetts veterans, service members, and their families around health and healthcare, education, employment, housing, and other areas. Our Needs Assessment page has more information.

    We also heard from researchers with the VA’s National Center for PTSD, from Dr. Stacey Whitbourne of the VA’s Million Veteran Program, and Dr. Melissa Amick about the TRACTS / STEP-Home, and TBI initiatives.

The Center for Disease Control’s Suicide Prevention Strategies for Communities support a public health approach to suicide prevention that uses data to drive decision-making; implements and evaluates multiple prevention strategies to enhance resilience and improve well-being based on the best available evidence; and works to prevent people from becoming suicidal.

In November 2023, the U.S. Department of Health and Human Services issued a Call to Action to catalyze efforts at the community level to build cross-sector partnerships to respond to the “critical need to develop well-coordinated systems of health and social care to better address social needs that can impact health.”

The call is a companion to the U.S. Playbook to Address Social Determinants of Health and highlights the role of community care hubs in facilitating community-based partnerships across sectors to develop and sustain the community-based infrastructure that is necessary to improve coordination between health and social care providers.

Developed by Swords to Plowshares, TOOLBOX.vet is an online library that aims to better equip advocates and providers with the tools they need to connect with veterans of all ages and assist them:


Healthcare Network Directory


Transportation to Medical Appointments

The Massachusetts Executive Office of Veterans Services (EOVS) maintains a list of various transportation services available to veterans in Massachusetts.

  • DAV Department of Massachusetts operates a fleet of vehicles to provide free transportation to VA medical facilities for injured and ill veterans to fill the gap created when the federal government terminated its travel program.

The DAV Transportation Network is staffed by volunteers; it is unable to cover every community. Use the DAV Hospital Service Coordinator Directory to contact your nearest Hospital Service Coordinator (HSC) for information or assistance.

  • Terry R. Mate, DAV Hospital Service Coordinator, VA Boston Healthcare System, 940 Belmont St, Bldg 3, Rm A-632

    (617) 295-7001

  • Terry R. Mate, DAV Hospital Service Coordinator, VA Boston Healthcare System, 150 S Huntington Ave, Rm D-126, Boston

    (617) 295-7001

  • Terry R. Mate, DAV Hospital Service Coordinator, VA Boston Healthcare System, 1400 VFW Pkwy, G C 124, West Roxbury

    (617) 295-7001

  • Terry R. Mate, DAV Hospital Service Coordinator, VA Bedford Healthcare System, DAV Office, 200 Springs Rd, Bldg 4, Rm B05, Bedford

    (617) 295-7001

  • Leo Vance, DAV Hospital Service Coordinator, VA Central Western MA Healthcare System, 421 N Main St, Bldg 1, Rm 1079, Leeds

    (413) 582-3078

Become a Volunteer Driver! Complete this application and state that you would like to become a DAV Transportation Network Volunteer Driver in the comment section. For more information, contact Terry Mate by email or at (617) 295-7001.

  • The idea of service to VA Bedford came through conversations between MeVa Transit and Merrimack Valley Veterans Collaborative vision committee members identifying a transportation service gap across the Merrimack Valley region for Veterans and their families who needed to access care. MeVa Transit was perfectly positioned to close this gap with their Medi MeVa van service and joined the MVVC’s September meeting with an idea of a service plan going forward.

    “As public transit professionals, MeVa was able to quickly design a program that would immediately address the need presented by the local veteran services community. We have created a program that is easy to use, without forcing our Veterans and their families to fill out excessive paperwork to access this service. Veterans and their families just have to call our offices to get set up in our reservation system,” said Amy Jenkins, Director of miniMeVa services at MeVa Transit.

Merrimack Valley Transit’s Medi MeVa is a no cost curb-to-curb transportation service. Starting in January 2024, it will be offered to VA Bedford on Wednesdays & Fridays for Veterans and their families who reside in:

  • Amesbury, Andover, Boxford, Georgetown, Groveland, Haverhill, Lawrence, Merrimac, Methuen, Newbury/Byfield, Newburyport, North Andover, North Reading, Rowley, Salisbury, and West Newbury.

Rides to VA Bedford will be available with one trip to Bedford in the morning and one returning in the afternoon. The hours are flexible and will vary depending on appointment times and demand. Click here to download the brochure.


Healthcare Options in Massachusetts

Under Chapter 58 of the Acts of 2006, all adult Massachusetts residents are required to have health insurance. Residents are asked to verify their health insurance coverage on their tax return and residents who do not have insurance face financial penalties.

VA healthcare qualifies as creditable insurance coverage––anyone who has served in the military is encouraged to apply to determine their eligibility and Priority Group for low- or potentially no-cost care prior to signing up for other options that may be more costly. 

Service Members & Retirees

    • Massachusetts is part of TRICARE’s Eastern Region, where Humana Military provides health care services for TRICARE health plans, pharmacy, and dental benefits. Plans include TRICARE Prime, Prime Remote, Prime Overseas, Prime Remote Overseas, and the TRICARE US Family Health Plan; TRICARE Select, Select Overseas, and Reserve Select; TRICARE For Life; TRICARE Retired Reserve; and TRICARE Young Adult.

    • TRICARE For Life is a benefit available only to retired military and their families. It includes processing of all TRICARE claims for those eligible for both TRICARE and Medicare.

    • US Family Health Plan of Southern New England is a TRICARE Prime option available for family members of active-duty service members and retired service members under 65 and their family members. The plan offers extras like chiropractic care and discounts on acupuncture, gyms, and eyewear.

    National Guard and Reservists’ report experiencing unexpected changes with their TRICARE plans (and associated network of providers) unexpectedly, and experiencing delays updating their status when they transition to/from active duty, which impacts the plans they are eligible for. Beneficiaries should try to maintain current information in DEERS.

    If you or a service member you work with is having challenges navigating TRICARE and/or coverage changes, or you have questions about what to expect, you can contact Mark Wasnock with our Healthcare Resource Network for support understanding the various plans/issues.


Dental Care Options

The r/VeteransBenefits subreddit’s Knowledge Base was created by veterans helping veterans help themselves. The wiki covers just about anything veterans need to understand and access VA benefits, including VA Dental Benefits outlined below. Veterans without dental coverage may be able to access care through low- and no-cost clinics.

  • Veterans who are rated as 100% service-connected, who have a compensable service-connected dental disability, or who meet other requirements are eligible to receive VA Dental Care from the VA, including through the VA Community Care Network.

    For veterans who are not eligible for free VA dental care, the VA offers the VA Dental Insurance Program. VADIP offers discounted private dental insurance for VA-enrolled veterans and current and surviving spouses and dependent children of service members and veterans who are enrolled in CHAMPVA.

    • VADIP plans are offered through Delta Dental and MetLife. After selecting a plan, eligible beneficiaries can enroll online through the plan’s website.

  • Dental coverage through TRICARE is also separate from medical coverage and your plan depends on who you are and whether you are on active duty.

    • Service members on active duty (including Guard and Reserves activated for more than 30 days in a row) are covered by active duty dental benefits.

    • Families of active duty service members and Guard and Reserves not activated can enroll in the TRICARE Dental Program at any time.

    • Retired service members, families, and survivors may be eligible for FEDVIP Dental.

    • Survivors may also be covered by the TRICARE Dental Program Survivor Benefit.

    • Adult children enrolled in TRICARE Young Adult are not eligible for dental benefits.

  • Other dental insurance options and resources for accessing dental and hygiene clinics that provide reduced cost oral health care are also available in Massachusetts.

The Forsyth Dental Hygiene Clinics in Boston and Worcester are accepting patients for high-quality oral health education and preventive services delivered by students supervised by professional dental hygiene faculty and staff. Veterans can receive free risk assessments for cavities, oral cancer, and periodontal disease, as well as a preventive care, x-rays, and oral health education. Miscellaneous services are available for a fee.



VA Healthcare Eligibility

  • VA may assign you to Priority Group 1 if you have a 50–100% service-connected disability, are rated as unemployable, or received the Medal of Honor. The 2023 Copays for Priority Group 1 are:

    • Urgent Care: $0 for first 3 visits in each calendar year, $30 for additional visits during the same calendar year.

    • Outpatient Primary Care: $0

    • Outpatient Specialty Care: $0

    • Outpatient Tests: $0

    • Inpatient Care: $0

    • Medications: $0

  • VA may assign you to Priority Group 2 if you have a 30–40% service-connected disability. The 2023 Copays for Priority Group 2 are:

    • Urgent Care: $0 for first 3 visits in each calendar year, $30 for additional visits during the same calendar year.

    • Outpatient Primary Care: $0

    • Outpatient Specialty Care: $0

    • Outpatient Tests: $0

    • Inpatient Care: $0

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and over the counter medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply. If your income falls at or below the limits for receiving free medications, provide your income information to the VA to determine if you qualify to have your copays waived.

  • VA may assign you to Priority Group 3 if you:

    • are a former POW or received the Purple Heart;

    • were discharged for a disability that was caused by or made worse by your active duty service;

    • have a 10–20% service-connected disability rating; or

    • were awarded special eligibility classification under Title 38, U.S.C § 1151, because you have a disability that was found to have resulted from your VA healthcare or VA vocational rehabilitation.

    The 2023 Copays for Priority Group 3 are:

    • Urgent Care: $0 for first 3 visits in each calendar year, $30 for additional visits during the same calendar year.

    • Outpatient Primary Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Specialty Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Tests: $0 if you have a service-connected disability rated 10% or more

    • Inpatient Care: $0 if you have a service-connected disability rated 10% or more

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and OTC medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply. If your income falls at or below the limits for receiving free medications, provide your income information to the VA to determine if you qualify to have your copays waived.

  • VA may assign you to Priority Group 4 if you’re receiving VA Aid & Attendance or VA Housebound benefits, or the VA has found you to be catastrophically disabled. The 2023 Copays for Priority Group 4 are:

    • Urgent Care: $0 for first 3 visits in each calendar year, $30 for additional visits during the same calendar year.

    • Outpatient Primary Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Specialty Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Tests: $0 if you have a service-connected disability rated 10% or more

    • Inpatient Care: $0 if you have a service-connected disability rated 10% or more

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and over the counter medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply. If your income falls at or below the limits for receiving free medications, provide your income information to the VA to determine if you qualify to have your copays waived.

  • VA may assign you to Priority Group 5 if you:

    • don’t have a service-connected disability (or you have a 0% non-compensable service-connected disability) and your annual income is below VA’s adjusted income limits (based on your resident zip code);

    • are receiving VA Pension; or

    • are eligible for Medicaid programs (ie, MassHealth).

    The 2023 Copays for Priority Group 5 are:

    • Urgent Care: $0 for first 3 visits in each calendar year, $30 for additional visits during the same calendar year.

    • Outpatient Primary Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Specialty Care: $0 if you have a service-connected disability rated 10% or more

    • Outpatient Tests: $0 if you have a service-connected disability rated 10% or more

    • Inpatient Care: $0 if you have a service-connected disability rated 10% or more

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and over the counter medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply. If your income falls at or below the limits for receiving free medications, provide your income information to the VA to determine if you qualify to have your copays waived.

  • VA may assign you to Priority Group 6 if you:

    • have a compensable 0% service-connected disability;

    • were exposed to ionizing radiation during atmospheric testing or during the occupation of Hiroshima & Nagasaki, or you participated in Project 112/SHAD;

    • served in Vietnam between January 9, 1962, and May 7, 1975;

    • served in the Persian Gulf War between August 2, 1990, and November 11, 1998;

    • served on active duty in Camp Lejeune for at least 30 days between August 1, 1953, and December 31, 1987; or

    • are currently or newly enrolled, served in a combat theater after November 11, 1998 and were discharged less than 10 years ago.

    Veterans who are currently or newly enrolled in VA healthcare who served in a combat theater after November 11, 1998 and were discharged from active duty after September 11, 2001 are assigned to Priority Group 6 for 10 years after discharge. After that, they are assigned to the highest Priority Group that they qualify for at that time.

    The 2023 Copays for Priority Group 6 are:

    • Urgent Care: $0 for first 3 visits in each calendar year if related to a condition covered by a special authority, $30 for additional visits during the same calendar year or for conditions not covered by a special authority.

    • Outpatient Primary Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $15)

    • Outpatient Specialty Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $50)

    • Outpatient Tests: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $50)

    • Inpatient Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $320 + $2/day for the first 90 days and $160 + $2/day for each additional 90 days of care within the same year)

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and over the counter medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply. If your income falls at or below the limits for receiving free medications, provide your income information to the VA to determine if you qualify to have your copays waived.

  • VA may assign you to Priority Group 7 if your gross household income is below the geographically adjusted income limits (GMT) for where you live and you agree to pay copays.

    The 2023 Copays for Priority Group 7 are:

    • Urgent Care: $30

    • Outpatient Primary Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $15)

    • Outpatient Specialty Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $50)

    • Outpatient Tests: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $50)

    • Inpatient Care: $0 if you have a service-connected disability rated 10% or more (otherwise the copay is $320 + $2/day for the first 90 days and $160 + $2/day for each additional 90 days of care within the same year)

    • Medications: $0 for service-connected conditions; you may pay a co-pay for non-service connected conditions and OTC medications.

    Depending on the Tier of the medication the copay is between $0–$11 for a 30 day supply.

Some veterans are exempt from co-pays due to their VA rating, income, or special eligibility factors. As of April 4, 2023, eligible American Indian and Alaska Native Veterans are exempt from copays for certain services; VA will review copays for services on January 5, 2022 and later.

As of November 10, 2023, all World War II Veterans who served between December 7, 1941, and December 31, 1946 are eligible for no-cost VA health care, medical services, and nursing home care regardless of their length of service or financial status; veterans must apply if they are not currently enrolled.

Veterans who don’t qualify for enhanced eligibility will be asked to complete a financial assessment. Veterans who don’t wish to complete the financial assessment of gross household income aren’t required to provide financial information, but they will have copays.

VA may otherwise assign veterans with gross household incomes above the VA income limits and geographically adjusted income limits to Priority Group 8 if they agree to pay copays.

Priority Group 8

Veterans in Priority Group 8 are currently only eligible for VA healthcare if they are in Subpriority Group 8A–8D. Veterans are currently not eligible for VA health care benefits if they fall under Subpriority Group E–G. A veterans’ Priority Group may change if their income changes or their service-connected disability rating is increased, but they need to notify the VA of any changes.

  • VA may place you in Subpriority Group A if you have a non-compensable 0% service-connected disability, you enrolled in VA healthcare before January 16, 2003, and have remained enrolled since that date and/or were placed in Subpriority Group A because your eligibility status changed.

  • VA may place you in Subpriority Group 8B if you have a non-compensable 0% service-connected disability, you enrolled in VA healthcare program on or after June 15, 2009, and your income exceeds current VA or geographical limits by 10% or less.

  • VA may place you in Subpriority Group 8C if you don’t have a service-connected condition, you enrolled in VA healthcare as of January 16, 2003, and you have remained enrolled since that date and/or were placed in Subpriority Group 8C because your eligibility status changed.

  • VA may place you in Subpriority Group D if you don’t have a service-connected condition, you enrolled in VA healthcare on or after June 15, 2009, and you have income that exceeds current VA or geographical limits by 10% or less.

  • VA may place you in Subpriority Group E if you have a non-compensable 0% service-connected disability and you don’t meet the criteria for Subpriority Group 8A–B. Veterans in this group are only eligible for care for your service-connected condition(s).

  • VA may place you in Subpriority Group G if you don’t have a service-connected condition and you don’t meet the criteria for Subpriority Group C–D.


VA Patient Rights

Patients have rights under 38 CFR § 17.33 which all VA employees must respect and support. The rights of VA patients are in addition to any statutory, constitutional, or other legal rights.

    • VA patients have the right to be treated with dignity in a humane environment that affords them both reasonable protection from harm and appropriate privacy with regard to their personal needs. Information obtained from patient medical records must be kept confidential and may not be disclosed (except in accordance with applicable law);

    • VA patients have the right to receive prompt and appropriate treatment for any physical or emotional disability to the maximum extent of their eligibility.

    • VA patients have the right to achieve treatment purposes under the least restrictive conditions necessary and to be free from physical restraint or seclusion. The only exception is when there is a substantial risk of imminent harm by the patient to themselves or others and a determination has been made that less restrictive means are inappropriate or insufficient.

    • VA patients have the right to be free from unnecessary or excessive medication. Medication cannot be used as punishment, for the convenience of the staff, or be prescribed in quantities that interfere with patients’ treatment programs.

    • VA patients have the right to present grievances without fear or reprisal with respect to perceived infringement of these patient rights or any other matter on behalf of themselves or others. Such grievances may be presented by VA patients to local VA facility staff, other VA or government officials, Members of Congress, or any other person.

    Patients' legal rights can't be denied by virtue of being involuntarily committed or voluntarily admitted in a VA facility, unless otherwise provided for by Massachusetts law.

  • Upon admission to a VA facility, the VA must inform each patient (or their representative) of their rights, that these rights are posted at each nursing station, and give them a copy of a statement of these rights. The rights of inpatients and residents include, but are not limited to:

    • holding and disposing of property;

    • executing legal instruments;

    • entering into contractual relationships;

    • registering to vote and voting;

    • marrying or obtaining separations, divorces, or annulments;

    • holding professional, occupational, or vehicle operator licenses;

    • having social interaction with others;

    • having regular physical exercise (including having access to facilities and equipment for such exercise);

    • having regular and frequent time outdoors;

    • wearing their own clothing;

    • keeping and using personal possessions;

    • keeping, spending, and accessing their own money;

    • having opportunities for religious worship if desired, without coercion;

    • meeting with visitors during regularly scheduled visiting hours or refusing visitors);

    • communicating freely and privately with people outside the facility, including government officials, attorneys, and clergy;

    • having convenient and reasonable access to make/receive calls; and

    • having opportunities to send/receive unopened mail and purchase letter writing material, including at their own expense.

    Facilities must attempt to assist any patient needing assistance in purchasing writing material, writing, reading, or sending mail through volunteers for at least 1 letter each week. Any information obtained while assisting a patient writing, reading, or sending mail must be kept in strict confidence (unless disclosure is required by law).

    • Communications with attorneys, law enforcement agencies, government officials, and representatives of recognized service organizations acting as agents for the patient in a matter concerning VA benefits cannot be reviewed.

    Appropriate healthcare professionals must review the medication regimens of all inpatients and residents at least once every 30 days, or more often depending on the medications. Medications can’t be used as punishment, for the convenience of the staff, or in quantities which interfere with the patient’s treatment program.

  • Rights pertaining to VA residents and inpatients may only be restricted through a written order signed by the appropriate healthcare professional. Such written orders may only be issued if a valid and sufficient reason exists to do so upon consideration of pertinent facts involving the patient's history, current condition, and prognosis.

    In making a determination to restrict a VA patients’ rights, healthcare providers must determine that the likelihood and seriousness of consequences expected to result from a patient’s full exercise of a right are so compelling that they warrant the restriction. The healthcare professional issuing an order must reasonably believe the veterans’ full exercise of the right being restricted would:

    • adversely affect the patient's physical or mental health;

    • likely stigmatize the patient's reputation to a degree that it would adversely affect the patient's return to independent living under prevailing community standards;

    • significantly infringe upon the rights of or jeopardize the health or safety of others; or

    • significantly and adversely impact the operation of the facility to the extent that the patient's exercise of the specific right should be restricted.

    The Chief of Staff or Service Chief (depending on the local facility policy) must concur with all such written orders, which must be entered into the VA patient’s medical record along with a Progress Note detailing the indications for the order. Patients must be promptly notified of any restrictions imposed and the reasons for the order.

    All written orders restricting VA patients’ rights must be reviewed by the responsible provider and concurred with by the Chief of Staff or Service Chief every 30 days. If a written order is entered restricting any of the patient’s rights, the VA must employ the least restrictive method possible for protecting the interest or interests set forth in justifying it.

    In situations where patients’ rights to receive unopened mail is restricted, patients must open sealed mail in the presence of an appropriate person for the sole purpose of ascertaining whether the mail contains contraband material.

  • All VA patient have the right to be free from physical restraint or seclusion in situations where there is not a substantial risk of imminent harm by the patient to themselves or others.

    • Restraint or seclusion may only be used in situations where less restrictive means of preventing harm have been determined to be inappropriate or insufficient.

    • Restraint or seclusion may not be used as punishment, for the convenience of staff, or as a substitute for treatment programs.

    The physical restraint or seclusion of patients is only authorized upon the written order of an appropriate licensed healthcare professional. The reason for any written order of restraint must be clearly documented in a progress note within the patient’s medical record.

    • When an order is entered on the basis of authorization provided by phone, an appropriate healthcare professional must examine the patient and sign a written order within the timeframe specified in current community and/or accreditation standards.

    • In emergency situations, a patient may be temporarily restrained by a staff member until authorization is received from an appropriate licensed healthcare professional.

    All patients under restraint or seclusion must be seen within timeframes that comply with current community and/or accreditation standards by an appropriate healthcare professional who will monitor and chart their physical and mental condition and by other ward personnel as frequently as is reasonable under the circumstances. Each patient in restraint or seclusion must:

    • have bathroom privileges according to their needs;

    • have the opportunity to bathe at least every 24 hours; and

    • be provided appropriate nutrition and fluids.

    Restraints and seclusion may not continue for a period of time in excess of current community and/or accreditation standards, within which time an appropriate licensed healthcare professional must again be consulted to determine if the patient’s restraint or seclusion continues to be required.

 

The Role of VA Patient Advocates

VHA Directive 1003.04 defines a patient advocate as “one who pleads the cause, is the voice for and advocates for Veterans’ rights consistent with law, policy and professional standards,” protecting veterans’ rights and providing “assistance in asserting those rights if the need arises.”

Patient advocates are required to assist patients appealing clinical issues, including those involving eligibility for VA healthcare; eligibility for reimbursements for medical services; clinical decisions made regarding the appropriateness of medical care; or eligibility for VA Community Care.

VA Community Care is available in various situations, such as when a service is not available at VA or can’t be provided within VA access standards, or when the veteran and their healthcare provider agree it is in the veterans’ best medical interest to receive the care that they need in the community.

va patient advocates

Patient advocates in each VA facility address grievances that can’t be resolved at the point of service and ensure ongoing communication with veterans about their concerns. Patient advocates must document and resolve all complements, appeals, and complaints within 7 days, unless the issue is complex. Follow the links below to connect with Patient Advocates covering Massachusetts.

other ways to present a grievance

    • A specialist at the VA Hotline will either connect the caller to someone who can answer their question or provide a case number for updates from the VA’s Veterans Experience Office throughout the process of resolving any concerns.

    The VEO previously offered the “White House Hotline” for veterans and families to call with complaints or to resolve ongoing situations involving their care from 2017–2022. This hotline was merged with MyVA411 in November 2022, which was created in 2020.

    • Contact your local US Representative or US Senator for assistance or to share any concerns regarding a federal agency or program. Contact the district office of your Member of Congress or assistance.

      • US Representatives cover specific districts in each state.

      • Senators cover the entire state.

    If you are having a problem involving a state agency or program, you would contact your Massachusetts State Representative or Senator for assistance.

    • Click here to learn more about the process and submit complaint to the OIG Hotline.

    • The mission of the VA OIG is to serve veterans and the public by conducting meaningful independent oversight of the VA.

    • The preferred method for submitting a concern is through the Joint Commission’s online submission form, which for more direct, timely receipt and review of your concerns. They also accept concerns/complaints by postal mail, but not by fax or email.

    • Visit the Board of Registration in Medicine’s website to learn more.

    • Complaints against Massachusetts physicians may be filed by completing a complaint form via the Online Complaint portal or by paper.

compensation for disability resulting from VA healthCare

Veterans who have suffered an added disability, or whose existing disability got worse, while getting VA medical care or taking part in a VA employment program may be able to get compensation under Title 38 U.S.C. 1151. The outcome must not have been a reasonably expected result or complication of treatment and one or more of the following factors must be directly involved:

  • VA carelessness or negligence, or

  • VA medical or surgical treatment, or

  • A VA health exam, or

  • A VA vocational rehabilitation course under 38 U.S.C. Chapter 31, or

  • VA compensated work therapy under 38 U.S.C. 1718.

In situations involving a negligent or wrongful act or omission of a VA employee acting within the scope of their employment, the injured person or their legal representative may also a claim under the Federal Tort Claims Act within two years of the date the claim accrued.


VA/DoD Clinical Practice Guidelines

Implementation of evidence-based clinical practice guidelines is one strategy VHA uses to improve care quality by reducing variation in practice and systematizing “best practices.” These and other VA/DoD Clinical Practice Guidelines improve patient care, reduce inappropriate variations in care, and provide education to support shared decision making between patients and providers.

Home Base trains local clinicians in evidence-based treatments for PTSD recommended in the guidelines, including Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). They have a local directory of trained providers in the community, including insurance information.


VA Access to Care

The VA’s website includes wait times for new and established patients and directories of primary licensed independent practice providers who may be lead, ongoing members of the healthcare system’s treatment teams (physicians, physician assistants, nurse practitioners, psychologists, dentists, clinical nurse specialists, certified RN anesthetists, chiropractors, optometrists, and podiatrists).


HunterSeven Foundation Immediate Needs Program

The HunterSeven Foundation assists individuals that have been made ill as a result of military exposures by providing access to care and medical resources needed for improved health. Access to medical resources and care can be delayed or require a complicated and often frustrating process that can have a detrimental impact on veterans’ health and wellness.

HunterSeven Foundation works to fill this gap for Post 9/11 veterans suffering from illnesses connected to military exposures by providing access to care and medical resources. The Immediate Needs Program has been able to assist Post 9/11 veterans with:

  • Proactive Wellness through functional medicine appointments; imaging and lab studies; and access to specialized programs across the nation;

  • Medical Care & Recovery through inpatient and outpatient care, as well as medications not covered by insurance, and Hyperbaric Oxygen Therapy (HBOT) and Stellate Ganglion Block (SGB) treatments; and

  • Caregiver Support by covering travel expenses during treatments; survivor costs not otherwise covered, and pending, unpaid medical bills.

Post 9/11 veterans who have immediate needs surrounding second medical opinions, cancer treatments, travel and lodging, copayments and care costs, non-cancer related medical assistance, and/or VA service connection can submit a request for assistance online for consideration.


TRICARE & VA Healthcare Enrollment

The Census Reporter has information about VA/CHAMPVA healthcare and TRICARE/military healthcare users (including dependents) in Massachusetts at the city, state, and county level by age and gender with 2021 ACS 5-year estimates. The chart below includes all with either type of coverage by county, and unique VA patients who accessed care in FY21 based on the GDX Report.


VA Healthcare Spending in Massachusetts

According to VA’s Annual GDX Report, the VA spent over $3.2 billion in Massachusetts, including nearly $1.6 billion providing healthcare to 90,000 unique patients who sought care at VA facilities throughout Massachusetts in FY21. VA spending increased to more than $3.7 billion in FY22, with spending over $1.8 billion to provide healthcare to 84,478 unique patients.

The Massachusetts CHIA Annual Report includes per capita spending on healthcare for residents (not including VA healthcare spending). Per capita spending averaged $9,307 per patient from 2019–21 in Massachusetts. Massachusetts also has data on the healthcare facilities and types of care provided by city/town/county (not including VA facilities).

The GDX report provides spending data at the state and county level with the number of unique patients who accessed care. The chart above includes the average spending per unique VA patient by county from FY19–22 based on the number of unique patients served and total healthcare spend.


Covid-19 Healthcare Resource Tracker