VA Form 10-10145: Historical VCP Provider Agreement Guide – The Veterans Choice Program ended on June 6, 2019. VA Form 10-10145 is a historical document and is no longer used for new provider agreements. This guide explains the form’s original purpose, requirements, and current alternatives for community providers who want to serve Veterans.
What Is VA Form 10-10145?
VA Form 10-10145, titled Veterans Health Administration (VHA) Veterans Choice Program Provider Agreement, was a formal agreement between the Department of Veterans Affairs and non-VA (community) healthcare providers. Revised in February 2016, the six-page form allowed VA to pay eligible community providers for authorized hospital care, medical services, and dental services furnished to Veterans under the Veterans Choice Program.
The form was required for providers who were not part of a Third-Party Administrator (TPA) network to receive payment for VA-authorized care. It is still available on the official VA website for reference and historical purposes.
Purpose of the Veterans Choice Program Provider Agreement
The agreement implemented Section 101 of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113-146). Its main goals were to:
- Expand Veterans’ access to care by allowing them to receive services from community providers when VA wait times or distance made care difficult.
- Establish clear rules for payment, credentialing, record-keeping, and quality standards.
- Protect Veterans from balance billing while ensuring providers received timely reimbursement at Medicare-comparable rates.
Providers who signed the agreement agreed to furnish only VA-authorized, medically necessary services and to follow strict federal and state compliance requirements.
Who Was Eligible to Sign VA Form 10-10145?
Only certain categories of providers could participate. According to Section A of the form, eligible providers included:
- Health care providers participating in the Medicare program (including physicians and Federally Qualified Health Centers).
- Department of Defense (DoD) medical treatment facilities.
- Indian Health Service (IHS) medical facilities.
- Other providers who met criteria established by VA through regulation.
Providers (and any entity employing them) were required to maintain credentials equivalent to VA standards, including full and unrestricted state licensure, authority to prescribe controlled substances, and current medical malpractice insurance meeting state requirements.
Key Requirements and Provider Obligations
The agreement imposed significant responsibilities on signing providers. Major obligations included:
- Credentialing and Licensure — Maintain licenses and credentials meeting VA standards and submit verification at least annually. Notify VA within 15 days of any license action or exclusion.
- Malpractice Insurance — Carry coverage that meets state and local requirements for the entire period of the agreement.
- Services Limited to Authorization — Provide only services specifically authorized by VA. Request additional authorizations when needed.
- Record Submission — Submit copies of medical or dental records to the issuing VA facility within 30 days of the appointment.
- Missed Appointments — Notify VA within 5 business days of any missed Veteran appointment.
- Compliance — Remain off the HHS OIG/LEIE exclusion list and the System for Award Management (SAM) exclusion list. Comply with all federal and state laws.
- No Balance Billing — Accept VA payment as full payment when VA is primary payer. Do not bill Veterans for authorized services.
Payment, Claims, and Reimbursement Process
Under the agreement, payment was generally made at Medicare rates (fee schedule or prospective payment system) or according to specific VA regulations (38 C.F.R. §§ 17.1535, 17.55, and 17.56).
Key payment rules:
- When VA was solely responsible, providers accepted VA payment in full and could not bill the Veteran or other parties.
- When VA was secondary payer, providers first billed the Veteran’s other health plan (except Medicare, Medicaid, or TRICARE), then submitted an itemized claim to VA for any remaining allowable amount.
- Claims were required to be submitted electronically, with payment made via Electronic Funds Transfer (EFT).
- Providers could not charge more than the rates established in the agreement.
Termination, Cancellation, and Appeals
The agreement could be cancelled by either party with 45 days’ written notice. However, if a provider initiated cancellation, they were generally required to complete all authorized care already in progress.
VA could terminate the agreement immediately for serious issues such as loss of licensure, failure to maintain required insurance, exclusion from federal programs, or submission of false statements.
Administrative appeals followed procedures outlined in 38 C.F.R. §§ 17.132–17.133 and VA’s appeals regulations.
Important Update: Status of the Veterans Choice Program
The Veterans Choice Program officially ended on June 6, 2019, following implementation of the VA MISSION Act of 2018. On that date, all existing VCP Provider Agreements (including those signed using VA Form 10-10145) expired.
Community providers who previously held these agreements can no longer use them to furnish or receive payment for Veteran care. The form remains available on VA.gov for historical reference only.
Learn more about current Veterans Care Agreements on VA.gov.
Current Options for Providers to Serve Veterans
Today, community providers primarily participate in VA care through two main pathways:
- VA Community Care Network (CCN) — The preferred and largest network. Providers join through VA’s contracted Third-Party Administrators (currently transitioning to new contracts). This is the main route for most specialty, primary, and ancillary care.
- Veterans Care Agreements (VCA) — Used in limited situations when CCN services are unavailable or insufficient. These agreements are established directly with a local VA medical facility using VA Form 10-10171 (VHA Veterans Care Agreement, May 2019 revision). VCAs are typically active for three years and require annual recertification and credentialing through VA’s contractor.
Providers interested in joining should visit the official VA Community Care Provider Portal or contact their nearest VA medical facility’s Community Care office.
How to Download VA Form 10-10145?
You can download the official PDF directly from the Department of Veterans Affairs:
Download VA Form 10-10145 (PDF)
Official form information page: VA Form 10-10145 – Veterans Affairs
Related VA Forms and Resources
- VA Form 10-10171 – VHA Veterans Care Agreement (current VCA form)
- Veterans Care Agreements – VA Community Care
- VA Community Care Provider Resources
- VA Find a Form search tool
Frequently Asked Questions About VA Form 10-10145
Is VA Form 10-10145 still active?
No. The form and the Veterans Choice Program Provider Agreement it supported expired on June 6, 2019. It is provided for historical reference only.
Can I still use this form to become a VA provider?
No. New community care relationships are established through the Community Care Network (CCN) or, in limited cases, through a Veterans Care Agreement using VA Form 10-10171 with a local VA facility.
What replaced the Veterans Choice Program?
The VA MISSION Act of 2018 consolidated community care programs into the current Veterans Community Care Program, primarily delivered through the Community Care Network with Third-Party Administrators and limited Veterans Care Agreements.
Where can providers get help joining VA community care today?
Contact your local VA medical facility’s Community Care office or visit the official VA Community Care provider pages for enrollment information and current Third-Party Administrator contacts.
Disclaimer: This article is for informational purposes only and is based on official VA sources. It does not constitute legal or financial advice. Always verify current requirements directly with the Department of Veterans Affairs, as policies and contracts continue to evolve.