This page provides information for health care providers on how to verify eligibility, request preauthorization when required, and submit claims for VA family member health care programs.

VA administers several health care programs for eligible family members of Veterans. Each program has its own eligibility rules, authorization requirements, and claim filing processes.

VA family member programs include:

• Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
• Camp Lejeune Family Member Program (CLFMP)
• Children of Women Vietnam Veterans (CWVV) Health Benefits Program
• Spina Bifida Health Care Benefits Program (SBHCBP)

The listed family member programs do not have a network of medical providers. This means that you do not need to be part of the Veteran Community Care Network (CCN) or have a Veterans Care Agreement (VCA) to provide care for a beneficiary of a VA family member program.

As long as the family member is eligible for one of the VA family member health care programs, you can bill VA for covered services, items, and supplies deemed as medically necessary.

How to receive payment

Providers must be enrolled in Electronic Funds Transfer (EFT) to receive payment for services provided under VA family member health care programs.

If you don’t agree with a VA payment decision related to care you provided under a family member care program, you may request further review.