VA Form FL 10-332a: Lump-Sum Fee Basis Re-Appointment

VA Form FL 10-332a: Lump-Sum Fee Basis Re-Appointment – The official form used for re-appointing fee-basis consultants and attendings on a lump-sum fee basis is VA Form FL 10-332a (sometimes referenced alongside or confused with the related appraisal form FL 10-341a in older listings). The fillable PDF linked below is the current official version hosted by the Department of Veterans Affairs.

VA Form FL 10-332a serves as the standardized letter template that Veterans Health Administration (VHA) facilities use to formally reappoint qualified physicians, dentists, and other professionals as consultants or attendings paid on a lump-sum fee basis under 38 U.S.C. § 7405(a)(2). These are typically intermittent or part-time arrangements for specialty consultation, teaching, or clinical services.

What Is VA Form FL 10-332a?

VA Form FL 10-332a is a one-page fillable PDF letter issued by VA medical centers to reappoint individuals already serving (or previously serving) as fee-basis consultants or attendings. It documents the terms of reappointment for a new period, most commonly aligned with the federal fiscal year.

Unlike salaried or per-annum appointments (which may use SF 50B notifications), lump-sum fee-basis reappointments use this specific letter format. The form is signed by authorized VA officials such as the Facility Director, Chief of Staff, or Human Resources Officer.

The form was revised August 5, 2007, and remains the referenced tool in VA staffing procedures for these appointments.

Purpose of the Letter of Re-Appointment on a Lump-Sum Fee Basis

The primary purpose of VA Form FL 10-332a is to:

  • Officially reappoint the individual for continued service as a consultant or attending on a lump-sum fee basis.
  • Specify the reappointment period (generally ending no later than September 30 of the fiscal year).
  • Document compensation terms (lump-sum fee per visit, session, or period of service, plus any applicable travel or per diem).
  • Outline the scope of services, location (on-facility or off-facility), and any specific conditions.
  • Ensure compliance with credentialing, privileging, licensure, conflict-of-interest, and dual-compensation rules before services resume.

All fee-basis consultant and attending reappointments terminate not later than September 30 each year and are reviewed annually based on projected need for the upcoming fiscal year.

Who Uses VA Form FL 10-332a?

This form is primarily used by:

  • VA Medical Center Human Resources (HR) offices and Medical Staff Offices.
  • Chiefs of Staff and clinical service chiefs who recommend reappointment.
  • Facility Directors or their designees who have approval authority.
  • Fee-basis consultants and attendings (physicians and other Title 38 professionals) who receive the letter as official notification of their reappointment terms.

It is not a public form that individual veterans or outside providers download and submit on their own. It is an internal VA administrative document generated after credentialing review and approval of continued utilization.

Key Information Typically Included in VA Form FL 10-332a

Although the exact layout is a formal letter, the fillable version generally captures:

  • Provider’s full name, credentials, and contact information.
  • Reappointment period (e.g., October 1, 20XX through September 30, 20XX or a shorter period as needed).
  • Specific lump-sum fee amount or rate per visit/session and any travel/per diem provisions.
  • Description of services (specialty, clinic/location, expected duties).
  • Conditions of appointment (maintenance of licensure, credentialing and privileging through VetPro, compliance with VA policies, conflict-of-interest certifications, and termination provisions).
  • Signature blocks for VA authorizing officials and often an acceptance or acknowledgment section for the appointee.

How to Download VA Form FL 10-332a?

The official fillable PDF is available directly from the VA:

Download VA Form FL 10-332a (vha-FL-10-332a-fill.pdf)
https://www.va.gov/vaforms/medical/pdf/vha-FL-10-332a-fill.pdf

For the full library of VA forms, visit the official VA Forms page:
https://www.va.gov/vaforms/

How to Complete and Process VA Form FL 10-332a?

VA staff typically follows these steps (always confirm current local procedures with your HR or Medical Staff Office):

  1. Annual Review — HR or the service chief reviews utilization needs for the upcoming fiscal year and identifies providers eligible for reappointment.
  2. Credentialing & Privileging Verification — Confirm current licensure, credentials, and privileges via VetPro and primary source verification in accordance with VHA credentialing policy.
  3. Prepare the Letter — Complete the fillable fields on VA Form FL 10-332a with the specific reappointment details, compensation terms, and scope of services.
  4. Obtain Required Signatures — Secure signatures from the Facility Director, Chief of Staff, or designated HR official.
  5. Issue to Provider — Provide the signed letter to the consultant/attending for their records and acknowledgment/acceptance.
  6. File and Update Records — Retain the completed letter in the provider’s credentialing and personnel file. Update any internal tracking or personnel systems as required.
  7. Monitor Compliance — Ensure the provider maintains all required qualifications throughout the appointment period.

Reappointments are processed as new or renewed actions for the fiscal year rather than automatic conversions.

Important Policies Governing Fee-Basis Reappointments

Key rules from VA Handbook 5005 (Staffing) and related pay policies include:

  • Appointments and reappointments under 38 U.S.C. § 7405(a)(2) for lump-sum fee basis are temporary and end by September 30.
  • Providers must meet qualification standards under 38 U.S.C. § 7402 and maintain full, unrestricted licensure.
  • Strict rules apply to dual employment and compensation to avoid conflicts of interest.
  • Lump-sum fees cover the professional service; travel and per diem may be added when applicable.
  • Facilities must verify need and projected utilization before reappointing.

For the most current guidance, refer to:
VA Handbook 5005, Staffing (and the latest VHA directives on credentialing and fee-basis utilization).

  • FL 10-332 — Letter of Appointment on a Lump-Sum Fee Basis (used for initial appointments).
  • VA Form 10-2850 series — Applications for Physicians, Dentists, etc. (used in initial hiring).
  • VetPro — VHA’s electronic credentialing system (required for all fee-basis providers).
  • Pay administration for fee-basis staff falls under VA Handbook 5007.

Frequently Asked Questions About VA Form FL 10-332a

Q: Is VA Form FL 10-332a still current?
Yes. It remains the referenced form for lump-sum fee-basis reappointments of consultants and attendings in VA staffing procedures.

Q: Can a provider request their own reappointment using this form?
No. The form is generated internally by the VA facility after review and approval. Providers should communicate their interest in continued service to the Chief of Staff or service chief well before the new fiscal year.

Q: What happens if credentials lapse before reappointment?
The provider generally cannot be reappointed or provide services until full credentialing and privileging are restored.

Q: Are these appointments permanent?
No. They are time-limited (typically fiscal year) and subject to annual review based on VA need and funding.

Tips for VA Medical Centers and Fee-Basis Providers

  • Begin the reappointment review process early (spring or early summer) to allow time for credentialing updates.
  • Keep detailed records of projected utilization to justify reappointment decisions.
  • Ensure compensation terms in the letter align with current VA fee schedules and any local or national limitations.
  • Providers should proactively maintain their VetPro profile and report any changes in licensure or sanctions immediately.
  • Local facilities may supplement the national form with additional memoranda or electronic workflows—always follow your medical center’s specific guidance.

For official forms and the latest policies, always start at va.gov/vaforms and consult your facility’s Human Resources or Medical Staff Office. Procedures can be updated through new handbooks or VHA directives.

This guide provides general information based on publicly available VA policies and forms. For legal or personnel-specific advice, contact your local VA HR office or appropriate VA official.