VA Form 10-10145 Veterans Choice Program Provider Agreement

VA Form 10-10145 Veterans Choice Program Provider Agreement

What Is VA Form 10-10145?

This is a legal form that was released by the U.S. Department of Veterans Affairs on February 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-10145?A: VA Form 10-10145 is the Veterans Choice Program Provider Agreement.

Q: What is the Veterans Choice Program?A: The Veterans Choice Program allows eligible veterans to receive healthcare from a provider outside of the VA system.

Q: Who should complete VA Form 10-10145?A: Healthcare providers who wish to participate in the Veterans Choice Program should complete VA Form 10-10145.

Q: What information is required on VA Form 10-10145?A: VA Form 10-10145 requires information such as the provider's contact information, credentials, and agreements to comply with program requirements.

Q: Are there any fees associated with participating in the Veterans Choice Program?A: Providers may be eligible for reimbursement under the program, but there are no fees associated with submitting VA Form 10-10145.

Q: How long does it take to process VA Form 10-10145?A: Processing times may vary, but it is recommended to submit the form as soon as possible to ensure timely participation in the program.

Q: Can a provider opt out of the Veterans Choice Program after submitting VA Form 10-10145?A: Yes, providers can opt out of the Veterans Choice Program at any time by notifying the VA in writing.

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Form Details:

  • Released on February 1, 2016;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 10-10145 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-10145 Veterans Choice Program Provider Agreement

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