This is a legal form that was released by the U.S. Department of Veterans Affairs on February 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is VA Form 10-10145?
A: VA Form 10-10145 is the Veterans Choice Program Provider Agreement.
Q: What is the Veterans Choice Program?
A: The Veterans Choice Program allows eligible veterans to receive healthcare from a provider outside of the VA system.
Q: Who should complete VA Form 10-10145?
A: Healthcare providers who wish to participate in the Veterans Choice Program should complete VA Form 10-10145.
Q: What information is required on VA Form 10-10145?
A: VA Form 10-10145 requires information such as the provider's contact information, credentials, and agreements to comply with program requirements.
Q: Are there any fees associated with participating in the Veterans Choice Program?
A: Providers may be eligible for reimbursement under the program, but there are no fees associated with submitting VA Form 10-10145.
Q: How long does it take to process VA Form 10-10145?
A: Processing times may vary, but it is recommended to submit the form as soon as possible to ensure timely participation in the program.
Q: Can a provider opt out of the Veterans Choice Program after submitting VA Form 10-10145?
A: Yes, providers can opt out of the Veterans Choice Program at any time by notifying the VA in writing.
Form Details:
Download a fillable version of VA Form 10-10145 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.