Wednesday, September 28, 2016

The Derfelt Senior Center fyi

The Derfelt Senior Center, (3343 W. Washington Ave, Las Vegas, NV is hosting an event from Nov 8th thru Nov 10th to honor those who served out Country.

On the 8th they are having a Card Making/ Letter  Writing for veterans that are serving away from home. (Fee waved for Veterans, $1.00 for non-veterans.

On the 9th they are offering free haircuts to all veterans at no charge from 11am to 2 pm.  Haircuts will be provided by “A Cut Above Hair Studio”.

On the 10th the is a Veterans Lunch at no cost to Veterans, a $5 fee for non-Veterans, and a Remembrance Table will be displayed at the Center, along with the flags of all services.

I would like to post this on the Blog, but can’t seem to figure out how to get it there. 

Would appreciate an help on this matter.

Respectfully,

Tom Kaiser

702-858-3547

Friday, September 23, 2016

Just a quick reminder

Some things you might interested in

ALL:

Just a quick reminder. There are many events for veterans to attend and show support this weekend around the valley. Tomorrow is the Honor Flight Pancake Breakfast at Applebee's @ 820 E Warm Springs from 0800 - 1000 ONLY! $10.00 donation with $5.00 going to Honor Flight. The Vietnam Moving Wall is in Pahrump @ Simkins Park until 2PM on Sunday. Our own Sergeant at Arms Andy will be competing in a weight lifting competition at our YMCA on Durango Saturday afternoon sometime between 1300 and 1600. The service is scheduled to begin at 9:30AM with a reception to follow at 10:30AM. The service and the reception will take place at Grace Community Church, 1150 Wyoming St., Boulder City, NV 89005.

I hope to see you at some or all of the events. Remember to wear your colors!

Joel

Wednesday, September 14, 2016

Don't forget this birthday party , next Monday,

 

You all have several contacts so please advise all veteran groups.

Thanks 

Dick moyer

On Friday, August 26, 2016 4:06 PM, Richard Moyer <dickmoyer702@yahoo.com> wrote:

We have been invited to this birthday party by his daughter Nancy. Vince was the WW11 veteran and a POW that was written about in the RJ for Memorial Day. His daughter has invited all veterans to this party , because Vince will be 100 on Sept 19, 2016. So spread the word to all veterans. I will be there for sure since my dad was liberated from the same POW camp on April 30, 1945. The media will also be there for this event. So lets rally the troops. The time is 3pm to 6pm on Monday September 19. Location is

Echelon Senior Center

4330 S. Eastern Ave

Las Vegas , NV

Dick Moyer

Non-Service Connected Emergency Care Claims

 

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UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS Decision on

Non-Service Connected Emergency Care Claims

Issue Brief

August 2016

Background

On April 8, 2016, a U.S. Court of Appeals for Veterans Claims (CAVC) ruling invalidated a VA regulation governing reimbursement or payment for unauthorized emergency treatment of a Veteran's non-service-connected condition furnished by a non-VA provider. Prior to the ruling, VA’s regulation barred reimbursement or payment when the Veteran has other health insurance (OHI), including Medicare and employee-sponsored and private health insurance, in addition to their VA health care benefits. The CAVC ruling contradicts VA’s longstanding interpretation of the statutory authority and our business practices.

What is the impact of this ruling?

· The CAVC ruling impacts claims for reimbursement or payment of non-VA emergency treatment of Veterans’ non-service connected conditions if the Veterans also have OHI. It also impacts related claims for reimbursement or payment of the costs of emergency transportation, which are dependent on VA making payment on the related emergency treatment claim.

· The CAVC ruling significantly expands a benefit without providing additional resources. Unless funds are appropriated for this purpose, implementing the decision will adversely affect resources available for medical services and hospital care for other enrolled Veterans.

· If the CAVC ruling is upheld, it means the way VA was processing claims for reimbursement or payment of Veterans’ non-VA emergency treatment of non-service-connected conditions is no longer valid. Regulations need to be developed to determine the way these claims should be paid.

· If upheld, the ruling would require VA to pay claims that are currently denied today, resulting in an unbudgeted cost. As of August 2016, the high-end estimate for the first year of implementation is $1.6 billion and the low-end estimate is $529 million. These estimates may change with time and will increase if Veterans’ reliance on non-VA emergency treatment grows in response to the ruling.

What does this mean for Veterans and Community Providers?

· Many claims for non-VA emergency treatment of non-service-connected conditions will be held in a pending status and will not be paid. At this time, VA is unable to state how long these claims will be held. This will affect the claims of Veterans with OHI that otherwise would be eligible for reimbursement. VA estimates it will hold approximately 6,000-7,000 claims per week.

· VA is notifying Community Providers and Veterans that they should submit claims to OHI plans to ensure timely filing deadlines are met while VA challenges the CAVC ruling. This should be done prior to submitting claims to VA.

How is VA responding?

· VA is taking steps to challenge the Court’s ruling since it does not provide a comprehensive and sustainable solution to emergency care.

· VA is advocating for comprehensive reforms to improve all enrollees’ access to care in the community as outlined in the Plan to Consolidate Community Care Programs as submitted to Congress in October 2015. The reforms identified in the Plan will assist in delivering a program that is easy to understand, simple to administer, and meets the needs of Veterans, community providers, and VA staff.

· VA is moving forward with developing regulations needed to implement the April 8, 2016, decision to ensure VA is able to quickly process affected claims if the ruling is upheld.

· VA is working closely with Veterans, Community Providers, Veterans Service Organizations, Congress, and other key stakeholders to help them understand the implications of the April 8, 2016, ruling and to keep them abreast of VA’s actions.