Coordinated Veterans’ Care (CVC) Program

The CVC Program provides proactive care coordination for eligible Veteran Card holders with chronic conditions and complex care needs. GP’s and participants work as a team to improve the participant’s health, wellbeing and reduce hospitalisations.

Information for providers

The CVC Program supports eligible Veteran Card holders with chronic health conditions and complex care needs through care coordination. The program requires a proactive approach to improve participant health, wellbeing and reduce hospitalisations.

Within a general practice setting, the GP works collaboratively with the participant to develop a comprehensive care plan that addresses the participants health goals, treatment needs and supports the ongoing management of their care.

The GP oversees the delivery of this care plan, supported by a Care Coordinator (usually a practice nurse), who manages the day-to-day coordination of services included in the plan and maintains regular contact with the participant.

The CVC Program promotes health literacy, self-management and best practice coordination of care through a person-centred approach.

Who can participate

Veteran Gold Card holders with a chronic health condition may access the CVC Program if they meet the full program eligibility criteria.

Veteran White Card holders with a DVA-accepted mental health condition that is chronic may also access the program. A DVA-accepted mental health condition is one that DVA has formally accepted as being related to the veteran’s military service.

To be eligible, all Veteran Card holders must:

  • be Australian residents
  • be living in the community (not in residential aged care)
  • have complex care needs, and
  • be at risk of hospitalisation.

The full program eligibility criteria can be found in the Notes for CVC Program Providers.

Who is not eligible

Veteran White Card holders who do not have a DVA-accepted mental health condition are not eligible for the CVC Program. They may still be able to access mental health treatment through Non-Liability Health Care.

Veteran Card holders who are permanent residents of an aged care facility are not eligible for the CVC Program. This does not apply to those receiving short term respite care.

Veteran Card holders recovering from a hospital stay and enrolled in the Department of Health and Aged Care’s Transition Care Programme are not eligible to access the CVC Program until their period of transition care has concluded.

Veteran Card holders who have been diagnosed with a terminal condition and are not expected to live beyond 12 months are not eligible to access the CVC Program.

Notes for the CVC Program

Before delivering the CVC Program, GPs and Care Coordinators must review the Notes for CVC Program Providers (Notes) to ensure compliance with program requirements.

The Notes set out the legal requirements for those delivering the CVC Program, including:

  • GPs
  • Care Coordinators, who can be either the GP themselves or a:
    • Practice Nurse
    • DVA-contracted Community Nursing Provider
    • Aboriginal and/or Torres Strait Islander Primary Health Worker

View the Notes:

  • Notes for CVC Program Providers (PDF 711 KB)

CVC Toolbox

DVA provides a range of tools and resources to support providers in delivering the CVC Program. The CVC Toolbox includes:

  • an eligibility tool
  • optional care plan templates for Veteran Gold and White Card holders
  • information about when and how to claim
  • a claim calculator

How to claim

The CVC Program must be delivered by the participants usual GP who provides the majority of their care and understands their health goals and treatment needs.

To claim for the CVC Program, the GP must have formally enrolled the participant into the program. Payments that usual GPs can claim are shown in the table below.

Claims for the CVC Program are submitted through Medicare and are checked against eligibility criteria prior to payment.

Additional details about how to claim CVC payments are available in the CVC Toolbox

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