Informal Request for ATI Records Previously Released

Organization: Veterans Affairs Canada

Year: 2021

Month: April

Request Number: A-2020-00111

Request Summary: Requesting the following documents: Clinical Care Managers for Veterans with Complex Health Needs Distinctions Between Treatment Benefits and Medical or Psychosocial Rehabilitation Services FAQs: Case Planning (2011) Guidelines for Case Conferencing Guidelines for Case Planning Indicators for Referral: Case Management Support Services Indicator (SSI) - Steps for Activating and Deactivating Acceptance of Diagnoses from nurse practitioners for disability entitlement purposes Adjudication Manual Disability Pensions/Awards Medical Assessment and Reassessment Qualified Health Professionals Accepted for Veterans Affairs Canada Disability Program Cues for Referral of Treatment Requests Between VAC Area Offices and the Medical Authorization Centre (MAC) Decision Making and Use of the Benefit Grids Emergency Call Devices (ECDs) Health Related Travel – Veteran Contact Regarding Post Payment Verification Process How to Process a Request for a Benefit or Service when Client Does Not Have POC –interim Increased Decision making Authority under the Veterans Health Care Regulations for Case Managers How to Process Requests for Treatment/Intervention at Outpatient or Inpatient Multi-Disciplinary Clinics (MDCs) Increased Authority to Approve Home Adaptations and Special Equipment under the Veterans Health Care Benefits Program Payment of Health Premiums or Fees POC 7 - Neuro-muscular Electrical Stimulator POC 12 - All Related Health Services - Initial Approval & Exceeding Frequency and Annual Dollar Limits POC 12 - Neurofeedback: Modality Used by Approved Health Professionals POC 12 - Requests for Extensions and Maintenance Therapy POC 13 - Exercise Equipment POC 13 - Home or Self Use Neurofeedback, or EEG Biofeedback Machines POC 13 - Motorized Yard Equipment POC 13 - Orthopaedic/Posturepedic Mattress POC 13 - Special Equipment - Requirement for a Minimum of Two Quotes Prescription Drugs – Non Formulary Products Referrals to Head Office for Exceptional Health Care Services or Benefits Requirement to Access Provincial Programs Responding to Inquiries regarding Client Verification Letters sent out by the Medavie Blue Cross National Investigative Unit (NIU) Selection of Providers and Payment of Benefits Treatment Benefits or Services Inquiries Escalation Process Use of “Plain Language” Treatment Authorization Centre (TAC) Decision Letter Templates VAC Contribution Toward the Cost of a Treatment Benefit

Disposition: All disclosed

Number of pages: 350

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