Community Care

The Department of Veterans Affairs (VA) provides certain health care benefits to children born to women Vietnam Veterans who served between February 28, 1961, to May 7, 1975. The Children of Women Vietnam Veterans (CWVV) Health Care Benefits Program only covers necessary services for covered birth defects and related medical conditions. The VHA Office of Integrated Veteran Care (IVC) manages the CWVV Health Care Benefits Program, including the authorization of medical benefits, claims processing, and payment.

Eligibility

You may be eligible if you are a child and:

• Your biological mother is a Vietnam Veteran and who were conceived after the date the Veteran entered the Republic of Vietnam (period beginning Feb. 28, 1961, and ending May 7, 1975)
• You have one of the covered birth defects as determined by the VBA. Birth defects must be associated with your mother’s service in Vietnam and resulted in permanent physical or mental disability.

Under this program, VA does not cover birth defects due to other reasons such as:

• Familial disorders
• Birth-related injuries; or
• Fetal or neonatal infirmities with well-established causes

Beneficiaries under this program may also be eligible for a monthly monetary allowance, vocational training and rehabilitation, and health care benefits due to certain covered birth defects.

Enrollment

Once we determine that you are eligible, we will automatically enroll you in the CWVV Health Care Benefits Program, and the CWVV Health Care Benefits Program will send you information on covered and non-covered services and supplies, preauthorization requirements, and claim filing instructions.

Medical Provider Options

CWVV Health Care Benefits Program does not have a list of in-network medical providers. If you are a beneficiary under this program, you can choose your own providers.

We recommend you have your provider bill the CWVV Health Care Benefits Program directly. Be sure to keep a copy of all claim documents submitted.

There is no co-pay or deductibles for beneficiaries under this program. CWVV pays 100% of the allowable amount and is the exclusive payer for covered medical services related to the awarded birth defect.

Vocational Training and Rehabilitation

The VA Vocational Rehabilitation and Employment Service is based on reasonable feasibility to achieve a vocational goal. The applicant must be a child who is awarded a monthly allowance.

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