VA Form 10-0386: VHA Choice Approval Guide – VA Form 10-0386, titled VHA Choice Approval for Medical Care, was a key document in the Veterans Choice Program (VCP). While the original program has evolved into the broader Veterans Community Care Program under the MISSION Act, understanding this form helps veterans navigate historical records and current community care options.
This SEO-optimized guide covers eligibility, usage, the form’s role, and how to access modern VA community care today.
What Is VA Form 10-0386?
VA Form 10-0386 is the VHA Choice Approval for Medical Care form, revised in November 2012. VA facilities used it internally to authorize care for eligible veterans through community providers under the Veterans Choice Program.
Download the form here:
Download VA Form 10-0386 (PDF) Download VA Form 10-0386 (PDF)
The form facilitated referrals when VA couldn’t provide timely or accessible care.
History of the Veterans Choice Program and VA Form 10-0386
The Veterans Choice Program launched in 2014 to address wait times and access issues. Eligible veterans could receive care from community providers if VA appointments exceeded 30 days or they lived more than 40 miles from a VA facility.
VA Form 10-0386 served as the authorization document for these referrals. The program transitioned to the Veterans Community Care Program via the MISSION Act of 2018, expanding options and simplifying processes.
Current VA Community Care Program: What Replaced the Old Choice Program
The Veterans Community Care Program allows eligible enrolled veterans to receive care from non-VA providers at VA expense when specific criteria are met. Key improvements include streamlined referrals and longer authorizations (up to one year for many services as of 2025).
Basic requirements:
- Enrolled in or eligible for VA health care.
- Approval from your VA health care team (with exceptions for urgent/emergency care).
Eligibility triggers (at least one must apply):
- Service not available at any VA facility.
- VA can’t meet wait-time standards (e.g., 20 days for primary/mental health, 28 days for specialty).
- Drive-time standards exceeded (30 minutes for primary/mental health, 60 minutes for specialty).
- Best medical interest of the veteran.
- Veteran lives in a state/territory without a full-service VA facility.
- Other qualifying geographic or clinical factors.
Who Should Use VA Form 10-0386 or Seek Community Care?
Veterans enrolled in VA health care who face barriers to VA-provided services benefit most. This includes those in rural areas, with long wait times, or needing specialized care unavailable locally.
Note: The form itself is primarily historical; current referrals use updated systems like HealthShare Referral Manager (HSRM).
How to Access VA Community Care Today (Step-by-Step)?
- Talk to your VA provider — Discuss needs and confirm eligibility.
- Get a referral — Your VA team submits it (often streamlined, no secondary approval needed in many cases post-2025 updates).
- Find a provider — Use the VA facility locator or community care portals to find in-network providers.
- Schedule your appointment — Coordinate with VA or the provider.
- Attend care — VA covers approved services.
Resources:
- VA Community Care Information
- Contact your local VA Medical Center Community Care Office.
How to Fill Out and Submit VA Form 10-0386 (For Reference)
Though largely superseded, the form typically includes veteran details, requested care, justification (e.g., wait time or distance), and provider information. VA staff usually complete it. Veterans may reference prior uses in appeals or records.
Always consult your VA facility for current processes.
Benefits of Using VA Community Care
- Faster access to care.
- Reduced travel burden.
- Broader provider choice.
- VA pays approved costs (check copays if applicable).
- Continuity through care coordination.
Recent updates like year-long authorizations for services such as cardiology, dermatology, and more improve long-term care planning.
Common Questions About VA Form 10-0386 and Community Care
Is VA Form 10-0386 still active?
It is archived and relates to the prior program. Use current referral processes for new care.
How do I check eligibility?
Contact your VA health care team or call 877-222-8387.
Can I choose any provider?
In-network providers are preferred for full coverage. VA can assist with finding one.
What if I need urgent care?
Certain emergency and urgent care may not require prior authorization.
Get Help and Stay Informed
For personalized assistance:
- Visit VA.gov Community Care.
- Call the VA Health Care Hotline: 877-222-8387.
- Locate facilities and providers: VA Facility Locator.
Veterans deserve timely, quality care. Whether referencing historical VA Form 10-0386 or pursuing current community options, understanding your rights ensures better health outcomes.
This article is for informational purposes. Always verify the latest details directly with the U.S. Department of Veterans Affairs, as policies evolve.