Medicare Claims Where Veterans' Affairs (VA) Liability May Be Involved

20.3 - Medicare Claims Where Veterans' Affairs (VA) Liability May Be Involved (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) Under certain circumstances, the VA may authorize a veteran to receive care on a fee-for-service basis from a non-VA physician/supplier. Generally, this authorization is related to a specific condition. Medicare payment for all other services is appropriate. Since no payment may be made under Medicare for services authorized by the VA, A/B MACs and DME MACs must assure that Medicare funds are not used to supplement or duplicate VA benefits. See the Pub. 100-02, Medicare Benefit Policy Manual, Chapter 16, §50.1, for an explanation of Medicare policy in relation to VA authorized services.