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Military & Veterans Healthcare

Coordinated Care for Those Who Serve—and Those Who Have Served

Hospitals Without Walls™ seeks to support service members, veterans, military retirees, eligible family members, survivors, and caregivers through coordinated healthcare programs extending across military, veterans, civilian, home, virtual, facility, and community settings.

Our objective is to improve continuity, access, navigation, serious-illness support, caregiver support, and measurable health outcomes—while respecting readiness requirements, government authority, eligibility rules, and the distinct missions of the Military Health System and the Department of Veterans Affairs.

Healthcare coordination for military and veterans

Serving with understanding and respect

Military and Veteran Healthcare Is Not One System

Eligible individuals may receive care through different organizations and benefit structures, including:

Eligibility, authorization, referrals, coverage, cost sharing, and provider requirements differ among these systems.

Hospitals Without Walls™ does not treat military and veteran healthcare as interchangeable. Every program must be designed around the specific agency, population, benefit, authority, and contract involved.

  • The Military Health System
  • The Defense Health Agency
  • Military hospitals and clinics
  • TRICARE
  • Department of Veterans Affairs healthcare
  • Veterans Health Administration facilities
  • VA-authorized community care
  • Civilian healthcare providers
  • Employer sponsored coverage
  • Medicare
  • Medicaid
  • Other public and private programs

The Military Health System

Readiness, Healthcare Delivery, and the Military Mission

The Military Health System supports:

  • Medical readiness of the armed forces
  • Operational healthcare
  • Military medical-force readiness
  • Healthcare for eligible service members
  • Healthcare for eligible retirees
  • Healthcare for eligible family members and survivors
  • Public health and force health protection
  • Military medical education and research

A military healthcare partnership must account for requirements that may not apply in ordinary civilian care, including:

  • Mission readiness
  • Duty status
  • Deployment
  • Permanent changes of station
  • Operational security
  • Command and clinical authority
  • Military treatment facility procedures
  • TRICARE eligibility and authorization
  • Military medical documentation
  • Government information systems
  • Security and credentialing requirements

Hospitals Without Walls™ will participate only within the authority and scope granted by the applicable military or government organization.

Veterans healthcare

Coordinating Across VA and Community Services

The Department of Veterans Affairs provides healthcare through VA medical centers, outpatient clinics, Vet Centers, home and community programs, telehealth, and other authorized services.

VA may also authorize eligible veterans to receive care from community providers when applicable requirements are met.

VA community care:

  • Is based on eligibility requirements
  • Requires VA review and authorization in applicable circumstances
  • Supplements rather than automatically replaces VA care
  • Must follow the authorized referral and scope
  • Requires coordination of records and results
  • Is subject to applicable claims, credentialing, and network procedures

Hospitals Without Walls™ does not independently determine VA community care eligibility or authorize VA payment.

The coordination challenge

A Veteran or Military Family May Navigate Several Systems at Once

Individuals may move among:

  • Military hospitals
  • VA medical centers
  • Community hospitals
  • Primary care
  • Specialty care
  • Behavioral health
  • Pharmacies
  • Rehabilitation
  • Home health
  • Skilled nursing
  • Assisted living
  • Palliative care
  • Hospice
  • Community organizations
  • Military and veteran benefits programs

Fragmentation may result in:

  • Incomplete medical information
  • Delayed referrals
  • Authorization confusion
  • Medication discrepancies
  • Duplicated testing
  • Delayed follow-up
  • Difficulty locating qualified community providers
  • Unclear responsibility
  • Caregiver burden
  • Missed transitions
  • Inconsistent treatment plans
  • Difficulty navigating coverage and benefits

Hospitals Without Walls™ is designed to help connect authorized services around one coordinated plan.

Who may be served?

Populations Defined by the Applicable Program

Depending on government authorization, eligibility, and contract scope, programs may be designed for:

No individual should assume eligibility based solely on information presented on this page.

  • Active duty service members
  • Reserve component members
  • National Guard members
  • Military retirees
  • Eligible military family members
  • Survivors
  • Veterans
  • Veterans with service-connected disabilities
  • Aging veterans
  • Homebound veterans
  • Rural veterans
  • Veterans with complex chronic conditions
  • Veterans requiring palliative support
  • Veterans with caregiver dependence
  • Eligible caregivers
  • Other authorized beneficiaries

Our military and veterans healthcare capabilities

Whole-Person Care Across Settings

Depending on the contract and available resources, potential services may include:

Comprehensive geriatric assessment

Chronic disease management

Frailty and functional decline support

Transitional care

Mobile healthcare

Telehealth

Remote patient monitoring

Mobile physician services

Care coordination

Medication management support

Palliative care coordination

Behavioral and PsychoSpiritual support

Caregiver and family support

Home and community based coordination

Wound care coordination

Fall risk reduction

Health-system navigation

Population-health management

Quality and outcome reporting

Clinical and financial program evaluation

Each service remains subject to professional licensure, credentialing, government authorization, benefit requirements, geography, and contract scope.

Transition from military to civilian healthcare

Preserving Continuity During a Major Life Transition

Separation or retirement from military service may involve changes in:

  • Healthcare eligibility
  • Primary care
  • Specialty care
  • Pharmacy access
  • Medical records
  • Behavioral health services
  • Disability evaluation
  • Family coverage
  • Geographic location
  • Employment
  • Housing
  • Caregiver support

An authorized transition program may help:

  • Explain the approved healthcare pathway
  • Identify continuing clinical needs
  • Support transfer of authorized medical information
  • Coordinate primary and specialty care
  • Review medications
  • Identify unresolved referrals
  • Support behavioral health continuity
  • Connect eligible individuals with approved government or community resources
  • Establish follow-up responsibilities

Hospitals Without Walls™ does not determine military discharge status, disability ratings, VA benefit eligibility, or legal entitlement to benefits.

Transitions between VA and community care

Closing the Loop After Authorized Community Services

An effective VA community care transition may require:

  • Verification of authorization
  • Confirmation of the authorized service
  • Scheduling with an eligible provider
  • Transfer of relevant clinical information
  • Communication of results to VA
  • Medication reconciliation
  • Referral follow up
  • Claims submitted according to applicable procedures
  • Coordination of continuing care
  • Resolution of incomplete or conflicting information

A community provider must not assume that a veteran's enrollment in VA healthcare automatically authorizes every outside service or guarantees VA payment.

Comprehensive geriatric care for veterans

Supporting Aging Veterans With Complex Needs

Aging veterans may experience interconnected risks involving:

  • Multiple chronic conditions
  • Frailty
  • Falls
  • Mobility limitations
  • Cognitive impairment
  • Polypharmacy
  • Chronic pain
  • Sensory impairment
  • Nutrition
  • Social isolation
  • Housing
  • Caregiver burden
  • Recurrent hospitalization
  • Serious illness
  • Functional dependence

A comprehensive program may assess:

  • Medical conditions
  • Medications
  • Cognition
  • Mood
  • Function
  • Mobility
  • Fall risk
  • Nutrition
  • Continence
  • Skin integrity
  • Home safety
  • Social needs
  • Caregiver capacity
  • Patient goals
  • Advance-care planning

Findings should be coordinated with authorized VA, military, civilian, and community professionals.

Home-based care

Care for Veterans With Complex Needs and Access Barriers

The VA describes Home Based Primary Care as team-based healthcare delivered in the home for eligible veterans whose ongoing illnesses affect their health and daily activities.

Depending on the authorized program, home-based services may involve:

  • Primary care
  • Nursing
  • Care management
  • Social work
  • Rehabilitation
  • Psychology
  • Nutrition
  • Pharmacy
  • Palliative support
  • Caregiver support

Hospitals Without Walls™ may seek to complement or support authorized home based programs without duplicating existing VA or military services.

Availability and eligibility for VA Home Based Primary Care are determined by VA.

Chronic disease support

Longitudinal Care Between Traditional Encounters

Potential programs may address:

  • Heart failure
  • Hypertension
  • Diabetes
  • Chronic obstructive pulmonary disease
  • Chronic kidney disease
  • Cardiovascular disease
  • Neurologic disease
  • Dementia
  • Chronic wounds
  • Multiple chronic conditions

Support may include:

  • Symptom monitoring
  • Medication review
  • Condition specific education
  • Nutrition support
  • Functional assessment
  • Primary and specialty care coordination
  • Mobile and virtual follow up
  • Remote patient monitoring
  • Caregiver education
  • Escalation of changes in condition

Military readiness considerations must be addressed for service-member populations where applicable.

Behavioral health

Care That Recognizes Military and Veteran Experience

Military members, veterans, and families may experience:

  • Depression
  • Anxiety
  • Post traumatic stress
  • Traumatic brain injury related challenges
  • Moral injury
  • Grief
  • Substance use concerns
  • Sleep disturbance
  • Chronic pain
  • Family stress
  • Social isolation
  • Difficulty adjusting after separation
  • Suicide risk

Behavioral healthcare must be delivered by appropriately qualified professionals using applicable evidence-based standards.

A coordinated program may support:

  • Screening
  • Referral
  • Therapy
  • Psychiatry
  • Medication-management coordination
  • Telebehavioral health
  • Peer support connection
  • Family education
  • Crisis escalation
  • Coordination with physical healthcare

No screening tool or virtual service replaces emergency evaluation when immediate risk is present.

PsychoSpiritual support

Meaning, Identity, Values, and Moral Well-Being

Military service and serious illness may raise questions involving:

  • Meaning
  • Identity
  • Purpose
  • Grief
  • Guilt
  • Moral conflict
  • Loss
  • Faith
  • Family relationships
  • Reintegration into civilian life
  • Mortality

When voluntarily requested and authorized, PsychoSpiritual support may complement medical and behavioral healthcare.

Services must:

  • Respect the individual's beliefs
  • Remain voluntary
  • Avoid religious coercion
  • Respect cultural differences
  • Operate within professional qualifications
  • Never replace necessary psychiatric or medical care
  • Protect confidentiality as required

Suicide and crisis safety

Immediate Risk Requires Immediate Action

Warning signs or statements indicating possible suicide, self-harm, violence, or inability to remain safe require prompt evaluation through the appropriate emergency or crisis pathway.

Veterans Crisis Line:

  • Call 988, then press 1
  • Text 838255
  • Veterans and their supporters may also use the official Veterans Crisis Line chat service

Immediate Emergency:

Call 911 or the appropriate local emergency number if there is an immediate danger or medical emergency.

Hospitals Without Walls™ website forms, routine telehealth, email, and remote monitoring services are not substitutes for emergency or crisis response.

Palliative care for veterans and military families

Relief, Communication, and Quality of Life

Palliative care may help people living with serious illness by addressing:

  • Pain
  • Breathlessness
  • Fatigue
  • Emotional distress
  • Functional decline
  • Treatment burden
  • Family communication
  • Caregiver burden
  • Goals of care
  • Advance-care planning
  • Spiritual concerns

VA describes palliative care as care that helps veterans and families manage illness and obtain relief from suffering.

Palliative care may be provided alongside treatment intended to control or potentially cure disease. It is not automatically the same as hospice.

Caregiver and family support

Supporting Those Who Stand Beside the Patient

Military and veteran caregivers may assist with:

  • Medication administration
  • Mobility
  • Personal care
  • Appointments
  • Transportation
  • Symptom monitoring
  • Communication with healthcare organizations
  • Emotional support
  • Household management
  • Benefit navigation
  • Emergency decision-making

Potential caregiver support may include:

  • Education
  • Care plan clarification
  • Warning sign recognition
  • Safe mobility instruction
  • Medication guidance
  • Assessment of burden
  • Behavioral and emotional support
  • Community resource connection
  • Respite referrals
  • Palliative care support
  • Transition planning

VA operates caregiver support programs for eligible veterans and caregivers. Eligibility and available services must be confirmed through VA.

Hospitals Without Walls™ may help connect eligible individuals with authorized resources but does not determine eligibility for VA caregiver benefits.

Mobile health delivery

Reaching Veterans and Families Where They Live

Mobile care may be particularly useful for people affected by:

  • Rural residence
  • Disability
  • Frailty
  • Homebound status
  • Transportation barriers
  • Chronic illness
  • Dependence on medical equipment
  • Caregiver limitations
  • Difficulty reaching specialty care

Depending on contract scope, mobile services may include:

  • Medical evaluation
  • Nursing assessment
  • Medication review
  • Functional assessment
  • Palliative assessment
  • Transitional follow up
  • Wound care coordination
  • Patient and caregiver education

Mobile care must be coordinated with the responsible military, VA, TRICARE, or civilian healthcare organization.

Telehealth

Extending Access Without Losing Accountability

Telehealth may support:

  • Primary care follow up
  • Specialty consultation
  • Behavioral health
  • Palliative care
  • Medication review
  • Caregiver support
  • Chronic disease management
  • Post discharge follow up
  • Care conferences

TRICARE referral and authorization requirements can differ by beneficiary category, plan, service, and care setting. Active-duty service members may face requirements that differ from those applicable to family members or retirees.

Patients and providers must verify current referral, authorization, network, and coverage requirements before services are delivered.

Remote patient monitoring

Technology Connected to Defined Clinical Response

Remote monitoring may collect authorized information such as:

  • Blood pressure
  • Heart rate
  • Oxygen saturation
  • Weight
  • Temperature
  • Blood glucose
  • Other condition-specific measures

A military or veterans monitoring program should define:

  • Member eligibility
  • Device responsibility
  • Data transmission
  • Review frequency
  • Alert thresholds
  • Clinical responsibility
  • Documentation
  • Escalation
  • Equipment support
  • Connectivity contingencies
  • Program completion and device return

Remote monitoring technology is not an emergency-response system unless the authorized program expressly provides that capability.

Wound and functional care coordination

Supporting Recovery, Mobility, and Independence

Service members and veterans may experience:

  • Traumatic injuries
  • Amputation
  • Neurologic injury
  • Pressure injuries
  • Diabetic wounds
  • Vascular wounds
  • Surgical wounds
  • Mobility impairment
  • Chronic pain
  • Fall risk

A coordinated program may involve:

  • Medical evaluation
  • Wound assessment
  • Rehabilitation
  • Prosthetic and orthotic coordination
  • Pressure management
  • Nutrition
  • Diabetes management
  • Home safety assessment
  • Equipment
  • Caregiver education
  • Specialty referral

The care plan must be individualized and coordinated with authorized specialists and rehabilitation professionals.

Rural and underserved veterans

Geography Should Not Become an Unnecessary Barrier

Potential rural-access strategies may include:

  • Telehealth
  • Mobile services
  • Remote monitoring
  • Community provider partnerships
  • Transportation coordination
  • Local diagnostic support
  • Caregiver education
  • Specialist consultation
  • Care navigation

Digital programs must account for limited broadband, technology access, disability, digital literacy, and the need for in person evaluation.

Care coordination with existing providers

Support the Established System Do Not Create Another Silo

Depending on the individual and authorization, coordination may involve:

  • Military treatment facilities
  • VA medical centers
  • VA outpatient clinics
  • Vet Centers
  • TRICARE contractors
  • Primary care managers
  • VA community care teams
  • Community Care Network providers
  • Civilian hospitals
  • Primary care practices
  • Medical specialists
  • Pharmacies
  • Home health agencies
  • Skilled nursing facilities
  • Rehabilitation providers
  • Hospice organizations
  • Veteran service organizations
  • Community organizations

Hospitals Without Walls™ seeks to clarify responsibility, communicate important findings, and close the loop after authorized services.

Member and veteran rights

Respect, Choice, and Informed Participation

Eligible individuals retain applicable rights to:

  • Receive understandable information
  • Participate in decisions
  • Ask questions
  • Accept or refuse services
  • Receive privacy protections
  • Request communication assistance
  • Receive disability accommodations
  • Express grievances
  • Receive emergency care
  • Be free from unlawful discrimination
  • Be free from coercion
  • Use authorized appeal or review processes

Military requirements may affect certain healthcare decisions for active duty personnel. Those requirements must be applied only through appropriate military authority.

Authorization and coverage

Never Assume That Eligibility Equals Authorization

Before providing a service, participating organizations may need to verify:

  • Beneficiary identity
  • Current eligibility
  • Benefit plan
  • Referral
  • Prior authorization
  • Authorized diagnosis or service
  • Number of approved visits
  • Authorized provider
  • Service location
  • Effective dates
  • Cost sharing
  • Documentation requirements
  • Claims instructions

Hospitals Without Walls™ does not guarantee VA, TRICARE, Department of Defense, Medicare, Medicaid, or private insurance payment.

Information exchange

Clinical Information Must Follow the Patient Lawfully

Potential information exchange may include:

  • Referral and authorization
  • Diagnoses
  • Medication lists
  • Treatment plans
  • Laboratory and imaging results
  • Discharge information
  • Clinical notes
  • Care plans
  • Remote monitoring information
  • Service completion
  • Outcome reports

The parties must establish:

  • Legal authority
  • Permitted uses
  • Minimum necessary access
  • Secure transmission
  • Identity verification
  • Government system requirements
  • Records retention
  • Incident reporting
  • Subcontractor controls
  • Return of results
  • Data return or destruction

Government healthcare information may be subject to HIPAA, the Privacy Act, agency specific rules, contract clauses, and additional federal cybersecurity requirements.

Military and veterans program options

Programs Built Around the Authorized Population

Military Family Care Coordination
Support for eligible families navigating military, civilian, and community healthcare resources.
Veteran Community-Care Coordination
Support for authorized referrals, scheduling, information exchange, follow-up, and continuity with VA.
Aging Veterans Program
Comprehensive geriatric, chronic-disease, functional, caregiver, and home-based coordination.
Rural Veterans Access Program
Mobile, virtual, and community-connected services designed around geographic barriers.
Serious-Illness and Palliative Program
Symptom support, communication, caregiver assistance, and coordination across settings.
Veteran Caregiver Support Program
Education, care-plan clarification, resource navigation, and support within the approved scope.
Behavioral and PsychoSpiritual Health Program
Voluntary, qualified support addressing emotional, behavioral, social, and spiritual needs.
Post-Hospital Transitional Program
Follow-up, medication review, appointment coordination, caregiver education, and escalation after discharge.
Custom Government Program
A program developed around the specific mission, beneficiary population, geography, budget, and performance requirements of the contracting organization.

Quality and performance measurement

Accountability to the Patient and the Government

Depending on the contract, measures may include:

DomainIllustrative Measures
Access
  • Time to appointment
  • Geographic reach
  • Completed services
Transitions
  • Timely contact
  • Medication reconciliation
  • Follow-up
Clinical
  • Symptoms
  • Chronic-condition indicators
  • Medication safety
Function
  • Mobility
  • Falls
  • Activities of daily living
Behavioral health
  • Screening
  • Referral completion
  • Follow-up
Caregiver
  • Preparedness
  • Burden
  • Access to support
Utilization
  • Emergency visits
  • Admissions
  • Readmissions
Experience
  • Veteran, beneficiary, family, and caregiver feedback
Equity
  • Access and outcomes across relevant populations
Financial
  • Program cost
  • Budget performance
  • Total cost of care
Compliance
  • Credentialing
  • Authorization
  • Documentation
  • Incidents

Measures must use government approved definitions, data sources, denominators, exclusions, reporting periods, and validation methods.

Quality and safety guardrails

Reduced Utilization Must Never Replace Necessary Care

Programs should monitor for:

  • Delayed emergency evaluation
  • Missed deterioration
  • Medication errors
  • Incomplete follow-up
  • Inappropriate denial of services
  • Authorization failures
  • Caregiver overload
  • Loss of continuity
  • Behavioral health crises
  • Unequal access
  • Patient grievances
  • Adverse events

No utilization or financial target should override medical necessity, military clinical authority, patient safety, or beneficiary rights.

Contracting pathways

Working Through Authorized Government Channels

Potential relationships may include:

  • Direct federal contract
  • Department of Defense contract
  • Department of Veterans Affairs contract
  • Defense Health Agency contract
  • TRICARE network participation
  • VA Community Care Network participation
  • Subcontract with an authorized network administrator
  • Subcontract with a government prime contractor
  • State or local veteran services contract
  • Pilot or demonstration
  • Research or educational collaboration
  • Other authorized arrangement

Each pathway has different procurement, network, credentialing, authorization, security, reporting, and payment requirements.

Government and network compliance

Requirements May Include

  • SAM.gov registration
  • Unique Entity ID
  • Federal Acquisition Regulation clauses
  • Defense Federal Acquisition Regulation Supplement clauses
  • Department of Veterans Affairs acquisition requirements
  • Professional licensure
  • Credentialing
  • Background screening
  • Exclusion and debarment screening
  • Insurance
  • Cybersecurity
  • Privacy Act compliance
  • HIPAA compliance
  • Government data protection
  • Records retention
  • Incident reporting
  • Claims requirements
  • Quality reporting
  • Accessibility
  • Nondiscrimination
  • Subcontractor oversight
  • Audit readiness

Hospitals Without Walls™ will claim only those registrations, network relationships, certifications, and capabilities that are current and verifiable.

Military or veterans opportunity form

Submit an Authorized Contracting Opportunity

Important submission restrictions

Do not submit through this general form:

  • Classified information
  • Controlled unclassified information
  • Protected health information
  • Patient identifying information
  • Military operational information
  • Social Security numbers
  • Department of Defense identification numbers
  • VA claim numbers
  • Passwords
  • Access credentials
  • Procurement sensitive information
  • Information you are not authorized to disclose

Submitting an opportunity through this website does not replace the official government, TRICARE, VA, network, or procurement submission process.

No government affiliation claim

Independent Organization

Hospitals Without Walls™ is not the Department of Defense, Defense Health Agency, Military Health System, TRICARE, Department of Veterans Affairs, Veterans Health Administration, or Veterans Crisis Line.

References to these organizations are for identification and educational purposes.

No endorsement, network status, government affiliation, or contractual relationship should be inferred unless expressly stated and independently verifiable.

Our commitment

Service With Accountability

Hospitals Without Walls™ is committed to:

  • Respecting military and veteran service
  • Understanding the applicable healthcare system
  • Following authorization requirements
  • Supporting continuity
  • Protecting beneficiary information
  • Using qualified professionals
  • Reporting accurately
  • Preserving patient safety
  • Supporting caregivers
  • Respecting patient choice
  • Avoiding duplication
  • Measuring quality and outcomes
  • Protecting public resources
  • Never misrepresenting government affiliation

Build a More Connected Continuum for Military and Veteran Populations

Hospitals Without Walls™ welcomes discussions with authorized military, veterans, government, network, and contracting representatives.

Important information

Specific services remain subject to government authorization, eligibility, referrals, prior authorization, network participation, professional licensure, credentialing, geographic availability, contract scope, and applicable law.

Hospitals Without Walls™ does not determine military readiness, VA disability ratings, VA community care eligibility, TRICARE eligibility, benefit entitlement, or claims payment.

No clinical, utilization, quality, or financial outcome is guaranteed.

Authoritative government sources

  • Military Health System — About the MHS
  • TRICARE — Official Beneficiary Information
  • VA — Community Care
  • VA — Community Care Eligibility
  • VA — Community Care Network
  • VA — Home Based Primary Care
  • VA — Home and Community-Based Services
  • VA — Palliative Care
  • VA — Caregiver Support Program
  • Veterans Crisis Line