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      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. 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Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. 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So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
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    • VA Training and Fast Letter Forum Index

      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Why Do I Have To Enroll In Every State I Go To

19 posts in this topic

Posted · Report post

Any VA can look at my records on the computer.

But- in every state I go to, the VA says I have to "enroll" to get care (if you don't want to spend a shift in the ER).

Enrollment is a weeks or months-long process where you have to be assigned to a team, then have appointments for NP, Dr or whatever before getting appointments for specialty clinics or other care.

Additionally, the Arizona VA said I'll need to bring 2009 tax return. Does a 100% disabled vet need to do this?

Why is it so complicated?

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VA enrollment also allows health care benefits to become completely portable throughout the entire VA health care system. Enrolled Veterans who are traveling or who spend time away from their primary treatment facility may obtain care at any VA health care facility across the country without the worry of having to reapply. Veterans with a service-connected condition may receive treatment for that condition even in a foreign country (see Foreign Medical Program).

http://www4.va.gov/healtheligibility/Library/pubs/HealthCareOverview/

I would copy this from their web site and take it to the hospital and hold their feet to the fire.

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Thanks, Sharon.

Montana required a local address so I had to pay for a P.O. Box while I was up there and make special trips back to Butte to check it.

They need to all get on the same page fer chrissakes.

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The reason is simply the privacy act. VHA facilities cannot view your record until you register in their network. If you provide full legal name, birth day, full ssn, place of birth, sc rating, mother's maiden name, and city of birth the registration staff can begin to pull your data. Once you do they can retrieve your information via remote data. They may ask for additional information because the system slowly pulls your information. This is actually the same at private hospitals where you fill out a registration form the first time you visit. If you go to St. Mary's Hospital in California, you would still have to register at St. Mary's Hospital in another state.

If you are not staying their for an extended period you do not have to complete an intake appointment. Just ask to be treated as an unassigned walk-in. Individuals with scheduled appointments will be given preference, but they would work you in. Yes intakes are typically 6-8 weeks out because they are 1hr instead of 30 min blocks.

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A local address is not required. Were they going to have narcotics mailed that were not in their pharmacy?

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Kelly, you have just given me an idea for a Radio Show.

This seems to be a growing topic as more veterans travel about this country.

In reality when we become part of the VA system, we have to go through a means test. Then they issue an ID card,

What they should do is use that ID card at any VA,

The FIOA and HIPPA are just excuses as the VA is considered one entity and there is electronic data available within the VA's entities.

Actually this is mere red tape that needs to be streamlined. I believe I can inquire about it at a higher level which I plan to do.

Hang in there traveling man. Folks like you and Terry Sturgis inspire me as you have the ability to travel.

Basser

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Thanks, Basser.

Travelin is slowin down as the truck & I have more maintenance issues wink.png I'm taking it in this morning for a lil fix.

Really wanted to hear anniversary show but it's tough for me to catch em.

I'm transitioning to Medicare more for care. Just got CPAP supplies mailed right to me with no hassle. Sure, there's a little copay but less than the diesel burned & frustration jumping thru hoops.

A couple issues for traveling vets are getting meds mailed and obtaining care at a VA hospital.

I use a mail forwarder service if I'm on the move and then pay them to ship meds where I'm at.

They also scan my mail so I can read it online.

http://www.earthclassmail.com/ if anyone is interested.

If I'm renting a place for months then I can use that address.

CBOC's (local clinics) won't take walk-ins, so your only option is to go to ER at hospital.

People familiar with that know it will be all day to be seen if you're not dying.

Feel free to post or PM me if anyone has traveling questions.

Have fun!

kelly

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Try getting dental care at various VAMC's on a walk-in basis. I bet they guard that service like Ft Knox. So much for "seamless care" through out the VA health care system. I bet they are guarding their individual budgets and discouraging traveling vets from dipping into their money pot. I have lived in the same place for 25 years and VA has managed to get my address screwed up at least three times.

John

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Every VA Medical Systemn has to manage its own budget. A large percentage of its budget is based on the number of veterans it treats, and the level of care provided. When a vet moves from one System to another, the gaining system does what it needs to do so that it is reimbursed for the care provided. If the vet is transferring primary care to the new system, the initial exam with a new PCP is a "vesting" exam.

As a VA provider, I can't access a vet's medical data from other VA Systems until that vet enrolls for care in my system. As a veteran and VA patient, I want to keep it that way.

Even to walk-in to a VA dental clinic for urgent care, the vet needs to enroll in the System of the dental clinic. By doing so, the System will receive some reimbursement for the emergency care. Having a PCP assigned, and having avesting exam is NOT required to access VA dental care.

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VA enrollment also allows health care benefits to become completely portable throughout the entire VA health care system. Enrolled Veterans who are traveling or who spend time away from their primary treatment facility may obtain care at any VA health care facility across the country without the worry of having to reapply. Veterans with a service-connected condition may receive treatment for that condition even in a foreign country (see Foreign Medical Program).

http://www4.va.gov/h...thCareOverview/

I would copy this from their web site and take it to the hospital and hold their feet to the fire.

Ditto on sharon's post.

The VAMC's need to get it together and implement the above with consistency.

There should be absolutely no difficulties for a veteran to access their VA health care

benefits anywhere in the USA.

Last year I was on the road - out of my home state - was transported by ambulance to the

nearest VAMC - and that VAMC - ER, did not want to provide services - BS on that.

In regards to- "the gaining system does what it needs to do so that it is reimbursed for the care provided."

IMO - This should not have any negative effect a veteran receiving their medical care in a timely manner,

irregardless of what type of care and where they are needing to access medical care and services.

Provide the medical services needed and let the VA figure out the dollars and doughnuts in the background.

The vet should not have to be concerned at all with the responsibilities of the VA Medical System, in managing their budget.

JMHO

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Every VA Medical Systemn has to manage its own budget. A large percentage of its budget is based on the number of veterans it treats, and the level of care provided. When a vet moves from one System to another, the gaining system does what it needs to do so that it is reimbursed for the care provided. If the vet is transferring primary care to the new system, the initial exam with a new PCP is a "vesting" exam.

As a VA provider, I can't access a vet's medical data from other VA Systems until that vet enrolls for care in my system. As a veteran and VA patient, I want to keep it that way.

Even to walk-in to a VA dental clinic for urgent care, the vet needs to enroll in the System of the dental clinic. By doing so, the System will receive some reimbursement for the emergency care. Having a PCP assigned, and having avesting exam is NOT required to access VA dental care.

Sounds like a personal problem to me. Next.

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Posted · Report post

Sounds like a personal problem to me. Next.

And the problem is?

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Ditto on vadds. Really all you need when you go to a new Va is you social and date of birth. That will pull all information from the prior Va. They then should be able to access the medical records. No dd214 should be needed. No income information should be needed unless means test is due. Again only thing needed is San and Dob. Sorry you had a rough one.

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VAdds, sorry for the poke. I didnt mean anything negative.

As a veteran and former adminstrator for the VA the points of contact for a traveling veteran to get care at another facility is just another case of putting budget over patient care.

The Veteran does not care an should be concerned about the budget process as they just want to see the Doctor.

The VA can easily streamline the process very easy as we all have ID cards with barcodes that links us to our home VA's.

That card can be scanned and all treatment monies owed can be debited from the Home VA Budget without a load of red tape. But that is too easy for a big organization to comprehend.

Just think, If we streamlined the VA system, it would be amazing how many GS 4 Know it all's could be transferred into other areas like claims at the regional offices as more budget would be available for patient care. This would also promote those folks to higher grades as a quality of life increase.

Anyone ever heard the term putting the veteran first? It is time to act on that philosiphy and not just repeat meaning less words.

That is what quality assurance is all about.

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I don't think so. The va talks a big talk about their health care system beinng the best but I have found a lot of faults with it. Their record system dosen't keep up with the veterans like they say it does. Next time you go to the va show them your va ID card and give them your last four digits of your social security#. That should be all the info you need to stop the BS. If this don't work go to the advocate and express your thoughts in a way he or she can understand at the elementary level.

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Posted · Report post

.Next time you go to the va show them your va ID card and give them your last four digits of your social security#. That should be all the info you need to stop the BS. If this don't work go to the advocate and express your thoughts in a way he or she can understand at the elementary level.

trailblazer,

The above is really not even a possibility when you arrive at a VAMC - ER by ambulance -

you're laid out on a stretcher - it's 2:00 AM and there is only a skeleton crew of staff available.

Patient advocates office is an acre away and doesn't open up for several more hours.

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A significant factor in my frustration is perception: I think of the VA like a national bank.

If I've gone through all the procedures to open an account at Example Bank, then I can go to any branch nationwide and obtain the same service as if I was at my home branch.

The VA is Advertised as being like Example Bank, but the Administration of it is actually compartmentalized and this isn't explained to the veteran.

Plus- the Traveling Veteran option has never been offered to me by any of the worker bees at nearly a dozen VA facilities I've approached for care, even though I explained to them that I'm a full-time traveler.

Bank employees are quick to suggest account options that may better suit my style, which requires employees to be informed.

Just a little more on the subject.

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The integrated system is not setup in that manner, but it would greatly improve things for the patients and the staff if it were. There is a Master Patient Index that VISN's can obtain information. However, they cannot see your information until you register. The registration (eligibility) staff can access the MPI using the Register Once option, but they cannot do that without your full name, ssn, and dob. The card, last name and last four won't work until they access the MPI to pull your record. The MPI will not work unless there is sufficient information to identify a record. If they have a scanner, the card may work since that information is stored on the card. You do not have to complete an application, especially if you are not staying in the area the Register Once option will retrieve your remote data. It is the primary facility that is responsible for updating your information. However, if you will be there a period of time it may be helpful to load a temporary address in case prescriptions need mailed.

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I can use my ATM card almost any place in the world that has an ATM. I bank at a credit union that is a tiny fraction of the size of the VA. My VA I.D. is not as good as my ATM where I put in my card and get real money in 60 seconds in London or Hong Kong. Everyone accepts my Visa Card. The difference being that banks are important in the world money system and vets are on the fringe of the USA health care system. A whole lot more money needs to be spent caring for vets if the VA is every going to be the "World's Best Medical System". If I get sick on the other side of the USA and I show the private hospital my medicare and Blue Cross I will get ER care. I may be fighting with them down the road over bills, but I get care. It seems that if I go to the VA in some other state I may not get care. I am reminded that vets are still second class citizens.

John

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