Spina Bifida
The Department of Veterans Affairs (VA) provides monetary allowances, vocational training and rehabilitation and VA-financed health care benefits to certain Korea and Vietnam Veterans' birth children who have been diagnosed with spina bifida. If you are the birth child of a Vietnam Veteran and you have been diagnosed with spina bifida, you may already be receiving monetary allowances, vocational training or rehabilitation due to your condition. For the purpose of the VA Spina Bifida Health Care Program, spina bifida is defined as all forms or manifestations of spina bifida (except spina bifida occulta).
The Chief Business Office Purchased Care in Denver, Colorado manages the VA Spina Bifida Health Care Program, including the authorization of benefits and the subsequent processing and payment of health care claims. Eligibility applications must first be made through the Denver VA Regional Office.
How to Apply
To be qualified you must be diagnosed with spina bifida as the VA defines it, basically, as all forms or manifestations of spina bifida (except spina bifida occulta), including complications or associated medical conditions related to spina bifida.
Once the Denver VA Regional Office determines eligibility, spina bifida awardees (or guardians) are automatically contacted by Purchased Care and registered for health care benefits. Spina Bifida Health Care Program beneficiaries will receive detailed information from Purchased Care specifically addressing covered and non-covered services and supplies, pre-authorization requirements, and claim filing instructions.
Contact the Denver VA Regional Office by calling 1-888-820-1756 (option 5) for application information.
Spina Bifida Healthcare Benefits Handbook
The Spina Bifida Healthcare Benefits Handbook contains important information on VA spina bifida healthcare benefits. You are highly encouraged to read it carefully prior to using your spina bifida benefits.
If you are currently receiving Spina Bifida Health Care Program benefits, you may be eligible to use our free and convenient Meds by Mail program.
VA Spina Bifida Policy Manual
Answers to more complex or technical questions can be found in the Spina Bifida Policy Manual
Spina Bifida Health Care Program Overview
- Spina Bifida Health Care Program Brochure
- Spina Bifida Health Care Program (01-06)
- Spina Bifida Payment Methodology (01-10)
- Spina Bifida Fact Sheet for Providers and Office Managers (01-12)
- How to File a Claim
Contact Information
| Contact Method | Detail |
|---|---|
| IRIS: | Inquiry Routing & Information System (IRIS) For specific guidance when using IRIS for your CHAMPVA inquiry click here. |
| Phone: | 1-888-820-1756 |
| Fax: | 303-331-7807 |
| Mailing Address: | Spina Bifida Healthcare Benefits PO Box 469065 Denver CO 80246-9065 |
| spina.inq@med.va.gov (click here for information on email security) |
More Information
For additional information on the Web about spina bifida. We suggest these links:
Forms | Publications
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