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National Defense Authorization Act for Fiscal Year 2021 directed the Small Business Administration (SBA) to create a Governmentwide certification program for Service-Disabled Veteran-Owned Small Businesses. Effective January 1, 2023, SBA assumed responsibility for certifying Veteran-Owned small firms. If you have questions, please contact SBA at vetcert@sba.gov . You can also call 800-862-8088, Monday through Friday, from 8 a.m.-6 p.m. EST to speak to an SBA representative about the Veteran certification program or visit Veteran Small Business Certification.
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RFI Detail

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Payer Relations and Services Support RFI

 

The Payer Relations and Services (PR&S) department, within the Office of Community Care (OCC), Revenue Operations, provides detailed analytical support to review reimbursement rates paid or proposed by Third-Party Payers (TPPs) and Pharmacy Benefit Managers (PBMs) to determine whether payments meet federal payment requirements. PR&S is also responsible for the implementation of VA’s rates and charges billed to third party payers and other entities. PR&S further provides analysis of the effect of alternative payment methodologies and the financial impact of emerging payment methodologies in the insurance industry on VA revenues.    Annual Charge Master updates are analyzed to illustrate the impact of variances in charge amounts, unit dosage changes, and VA utilization from previous years.  






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Please note: Content on this Web page is for informational purposes only. It is not intended to provide legal advice or to be a comprehensive statement or analysis of application statures, regulations, and case law governing this topic. Rather, it's a plain language summary. If you are seeking claims assistance, your local VA regional office, a VA-recognized Veterans Service Organization, or a VA-accredited attorney or agent can help.