Veteran Care Improvement Act of 2023

This bill, the Veteran Care Improvement Act of 2023, establishes new standards for when veterans can receive care from private providers instead of the Department of Veterans Affairs (VA). It requires the VA to allow veterans to seek community care if they cannot get an in-person appointment within 30 days for primary care or 60 days for specialty care at a VA facility within a 30 or 60-minute drive, respectively. The legislation also mandates that the VA notify veterans of their eligibility for community care within two business days, provide information about telehealth options, and explain reasons for denied care requests along with appeal instructions. Additional provisions include requiring the VA to conduct outreach to inform veterans about community care options, mandate the use of value-based reimbursement models for community care, and establish a pilot program to improve care administration through scheduling improvements and provider incentives. The bill also extends the deadline for health care entities to submit claims under the prompt payment standard from 180 days to one year, and requires the VA Inspector General to assess VA medical center performance in implementing community care programs within three years of enactment.