- active service
has the meaning given that term in section 101 of title 10.
- acute suicidal crisis
means that an individual was determined to be at imminent risk of self-harm by a trained crisis responder or health care provider.
- appropriate committees of Congress
means—
- attributable income
means the income of a veteran for the most recent year for which information is available determined in the same manner as the manner in which a determination is made of the total amount of income by which the rate of pension for such veteran under section 1521 of this title would be reduced if such veteran were eligible for pension under that section.
- bereavement counseling
means such counseling services, for a limited period, as the Secretary determines to be reasonable and necessary to assist an individual with the emotional and psychological stress accompanying the death of another individual.
- campus
means, with respect to a hospital of the Department—
- case management services
includes the coordination and facilitation of all services furnished to a veteran by the Department of Veterans Affairs, either directly or through contract, including assessment of needs, planning, referral (including referral for services to be furnished by the Department, either directly or through a contract, or by an entity other than the Department), monitoring, reassessment, and followup.
- center for independent living
has the meaning given that term in section 702 of the Rehabilitation Act of 1973 (29 U.S.C. 796a).
- civil disorder
has the meaning given that term in section 232 of title 18.
- classified information
means any information or material that has been determined by an official of the United States pursuant to law to require protection against unauthorized disclosure for reasons of national security.
- clean electronic claim
means the transmission of data for purposes of payment of covered health care expenses that is submitted to the Secretary which contains substantially all of the required data elements necessary for accurate adjudication, without obtaining additional information from the entity or provider that furnished the care or service, submitted in such format as prescribed by the Secretary in regulations for the purpose of paying claims for care or services.
- clean paper claim
means a paper claim for payment of covered health care expenses that is submitted to the Secretary which contains substantially all of the required data elements necessary for accurate adjudication, without obtaining additional information from the entity or provider that furnished the care or service, submitted in such format as prescribed by the Secretary in regulations for the purpose of paying claims for care or services.
- Commonwealth Army veterans
means persons who served before July 1, 1946, in the organized military forces of the Government of the Philippines, while such forces were in the service of the Armed Forces pursuant to the military order of the President dated July 26, 1941, including among such military forces organized guerrilla forces under commanders appointed, designated, or subsequently recognized by the Commander in Chief, Southwest Pacific Area, or other competent authority in the Army of the United States, and who were discharged or released from such service under conditions other than dishonorable.
- community residential-care facility
means a facility that provides room and board and such limited personal care for and supervision of residents as the Secretary determines, in accordance with regulations prescribed under this section, are necessary for the health, safety, and welfare of residents.
- controlled substance
has the meaning given such term in section 102(6) of the Controlled Substances Act (21 U.S.C. 802(6)).
- corpus of the estate of the veteran
includes the corpus of the estates of the veteran’s spouse and dependent children, if any.
- covered educational assistance benefits
means educational assistance benefits provided pursuant to—
- covered entity
means any individual, transportation carrier, organization, or other entity that furnished or paid for health care services or transportation under this section.
- covered individual
means a veteran or a member of the reserve components of the Armed Forces.
- covered respite care
has the meaning given such term in section 1720G(d) of this title.
- covered veteran
means a veteran who—
- covered veterans
means veterans described in section 1703(b) of this title.
- credentials verification organization
means an entity that manages the provider credentialing process and performs credentialing verification for non-Department providers that participate in the Veterans Community Care Program under section 1703 of this title through a Veterans Care Agreement.
- crisis residential care
means crisis stabilization care provided—
- crisis stabilization care
includes, with respect to an individual in acute suicidal crisis, care that ensures, to the extent practicable, immediate safety and reduces—
- delegate
means a person or automated system accessing the national network of State-based prescription monitoring programs, or any individual State or regional prescription drug monitoring program, at the direction or under the supervision of a licensed health care provider.
- Department general health-care facility
means a health-care facility which is operated by the Department for the furnishing of health-care services under this chapter, not limited to services provided through the program established under this section.
- disability
means a disease, injury, or other physical or mental defect.
- domiciliary care
includes necessary medical services and travel and incidental expenses pursuant to the provisions of section 111 of this title.
- eligible individual
means a veteran or a member of the reserve components of the Armed Forces who—
- eligible veteran
means any veteran—
- emergency medical condition
means—
- emergency treatment
has the meaning given such term in section 1725(h)(1) of this title.
- emergent suicide care
means crisis stabilization care provided to an eligible individual—
- facilities of the Department
means—
- family caregiver program
means the program of comprehensive assistance for family caregivers under section 1720G of this title.
- Federal health care program
means—
- Fisher house
means a housing facility that—
- former member of the Armed Forces
includes the following:
- fraudulent claims
means the knowing misrepresentation of a material fact or facts by a health care entity or provider made to induce the Secretary to pay a claim that was not legally payable to that provider.
- Freely Associated States
means—
- health care entity or provider
includes any non-Department health care entity or provider, but does not include any Federal health care entity or provider.
- health-plan contract
has the meaning given that term in section 1725(h) of this title.
- highly rural area
means an area located in a county that has fewer than seven individuals residing in that county per square mile.
- home health aide
means an individual employed by a home health agency to provide in-home care services.
- hospital care
includes—
- in-home care service
means any service, including a personal care service, provided to enable the recipient of such service to live at home.
- inpatient Medicare deductible
means the amount of the inpatient hospital deductible in effect under section 1813(b) of the Social Security Act (42 U.S.C. 1395e(b)) on the first day of the 365-day period applicable under paragraph (3) of this subsection.
- joint resolution
means only a joint resolution which is introduced within the period of five legislative days beginning on the date on which the Secretary transmits the report to the Congress under such paragraph (2), and—
- licensed health care provider
means a health care provider employed by the Department who is licensed, certified, or registered within any State to fill or prescribe medications within the scope of his or her practice as a Department employee.
- medical foster home
means a home designed to provide non-institutional, long-term, supportive care for veterans who are unable to live independently and prefer a family setting.
- medical service line
means a clinic within a Department medical center.
- medical services
includes, in addition to medical examination, treatment, and rehabilitative services, the following:
- medical supervision model adult day health care
means adult day health care that includes the coordination of physician services, dental services, nursing services, the administration of drugs, and such other requirements as determined appropriate by the Secretary.
- medicare program
means the program of health insurance administered by the Secretary of Health and Human Services under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).
- mental health care outpatient visit
means an outpatient visit with a qualified mental health professional for the primary purpose of seeking mental health care or treatment for substance abuse disorder.
- national network of State-based prescription monitoring programs
means an interconnected nation-wide system that facilitates the transfer to State prescription drug monitoring program data across State lines.
- new Philippine Scouts
means persons who served in the Philippine Scouts under section 14 of the Armed Forces Voluntary Recruitment Act of 1945, and who were discharged or released from such service under conditions other than dishonorable.
- non-Department facilities
means facilities other than Department facilities.
- non-Department health care services
means services—
- non-Department nursing home
means a public or private institution not under the direct jurisdiction of the Secretary which furnishes nursing home care.
- payment
includes reimbursement and indemnification.
- preventive health services
means—
- previous year
means the calendar year preceding the year in which the veteran applies for care or services under section 1710(a) of this title.
- radiation-exposed veteran
has the meaning given that term in section 1112(c)(3) of this title.
- recommended adult immunization schedule
means the schedule established (and periodically reviewed and, as appropriate, revised) by the Advisory Committee on Immunization Practices established by the Secretary of Health and Human Services and delegated to the Centers for Disease Control and Prevention.
- rehabilitative services
means such professional, counseling, chiropractic, and guidance services and treatment programs as are necessary to restore, to the maximum extent possible, the physical, mental, and psychological functioning of an ill or disabled person.
- resident eligible caregiver
means an individual who—
- respite care services
means care and services which—
- sensitive mission
means a mission of the Armed Forces that, at the time at which an eligible individual seeks treatment, is classified.
- sensitive unit
has the meaning given that term in section 130b(c)(4) of title 10.
- service-connected disabilities
means disabilities determined by the Secretary under laws administered by the Secretary to have been incurred in or aggravated by the service described in paragraph (1) in line of duty.
- sexual harassment
means unsolicited verbal or physical contact of a sexual nature which is threatening in character.
- stabilized
means—
- State
means a State, as defined in section 101(20) of this title, or a political subdivision of a State.
- State protection and advocacy system
means a system established in a State under subtitle C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15041 et seq.) to protect and advocate for the rights of persons with development disabilities.
- teleconsultation
means the use by a health care specialist of telecommunications to assist another health care provider in rendering a diagnosis or treatment.
- third party
has the meaning given that term in section 1729(i)(3) of this title.
- Third Party Administrator
has the meaning given such term in section 1703B of this title.
- to stabilize
means—
- toxic exposure risk activity
means any activity—
- transfer
means the movement (including the discharge) of an individual outside the facilities of a hospital of the Department at the direction of any person employed by (or affiliated or associated, directly or indirectly, with) the hospital, but does not include such a movement of an individual who—
- Vet Center
means a facility which is operated by the Department for the provision of services under this section and which is situated apart from Department general health care facilities.
- veteran of any war
includes any veteran awarded the Medal of Honor.
- Veterans Care Agreement
means an agreement for non-Department health care services entered into under section 1703A of this title.
- Veterans Crisis Line
means the toll-free hotline for veterans established under section 1720F of this title.
- Vietnam-era herbicide-exposed veteran
means a veteran who—
- walk-in care
means non-emergent care provided by a qualifying non-Department entity or provider that furnishes episodic care and not longitudinal management of conditions and is otherwise defined through regulations the Secretary shall promulgate.