At Warriors Heart, we are proud to be an approved VA Community Care provider with active contracts through TriWest and Optum. This means that all VA regions have the ability to refer eligible veterans to Warriors Heart for PTSD, addiction, and co-occurring disorder treatment under the VA Mission Act.

While many VA facilities actively refer veterans to Warriors Heart, some locations mistakenly deny referrals due to misunderstandings or administrative discretion. Veterans have the right to choose community care when they qualify under VA guidelines, and we are here to help ensure they receive the treatment they deserve.

Your Right to Community Care Under the VA Mission Act

The VA Mission Act of 2018 was created to expand access to care for veterans when the VA cannot provide it in a timely or accessible manner.

Veterans Qualify for Community Care If:

✔ A VA doctor recommends treatment that is not available at a VA facility.
✔ The VA cannot provide an appointment within 20 days.
✔ The VA facility offering treatment is more than 50 miles from the veteran’s home.
✔ The VA does not offer specialized co-occurring PTSD & addiction treatment at a nearby facility.

If any of these apply, the veteran is legally entitled to choose an in-network VA Community Care provider like Warriors Heart.

Warriors Heart: A Fully Approved VA Community Care Provider

✔ Contracted with VA Community Care (All Regions) – We have official agreements with both TriWest and Optum, covering every VA region.

✔ Meets VA Standards – Warriors Heart comply with all accreditation, credentialing, and billing requirements outlined in our VA contracts.

✔ Billing in Full Compliance – Warriors Heart follows all reimbursement policies set by TriWest and Optum.

✔ VA-Approved Treatment Programs – Our programs meet VA guidelines for residential PTSD, addiction, and co-occurring disorder care.

Navigating VA Referral Denials or Delays

If your VA provider refuses to issue a referral to any Community Care provider, follow these steps:

  1. Request a Written Denial – If the VA denies a referral, ask for a formal written statement explaining why.
  2. Contact Your VA Patient Advocate – Each VA facility has a patient advocate to assist veterans with referral issues.
  3. File a Formal Appeal – Veterans have the right to appeal denied care requests through the VA.
  4. Engage Congressional Support – Your Congressional Representative can assist in ensuring VA compliance with the Mission Act.
  5. Reach Out to Warriors Heart – Our team can help guide you through the process and ensure proper documentation is in place.

We Value Our Partnership with the VA

The VA Mission Act of 2018 was signed into law on June 6, 2018. This legislation aimed to enhance veterans’ access to healthcare by streamlining community care programs, improving VA facilities, and expanding support for caregivers.

It sought to ensure that veterans could receive timely and high-quality medical care, whether through VA providers or approved community healthcare professionals.

Get the help that you earned!

Warriors fought for us. Now, let us fight for them.Verify Your VA Eligibility Now