Veterans Claims – Providers May Render TriWest-Authorized Care while Joining Optum Network

Optum Health will begin covering the VA for states essentially east and north of Texas. If you’re a provider in VA CCN Regions 1, 2, or 3 and you’re transitioning to Optum for the new CCN contract, you can still accept TriWest authorizations during any overlap period and bill for those services. West coast providers will continue with Triwest

Even if you signed a contract to join Optum’s network, you may still continue care for an authorization that TriWest sent you. These authorizations are meant to ensure Veterans who need treatment in the community can continue the episode of care while you contract with Optum and transition to its CCN network.

If you receive a TriWest authorization to treat a Veteran, please provide the care, then bill TriWest for your services through WPS Military and Veterans Health (WPS MVH). Even if you joined the Optum network, TriWest will still pay for services authorized.

*Review a map of the new CCN Regions on VA’s website.