The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) accept and work with a value code of “42” regarding claims for services in a Non-VA facility that were not authorized by the Veteran’s Administration.
Subject: Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42
Release Date: May 24, 2017
Effective Date: October 1, 2013
Implementation Date: April 3, 2017
Special Transmittal Notes: Transmittal 3718, dated February 14, 2017, is being rescinded and replaced by Transmittal 3779, dated May 24, 2017, to clarify information in the background section. All other information remains the same.