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Coordinated Veterans' Care

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The Coordinated Veterans’ Care (CVC) Program is a team-based program designed to increase support for Gold Card holders with one or more targeted chronic conditions or complex care needs; and those who are at risk of unplanned hospitalisation. CVC focuses on improving the management of chronic conditions and quality of life for eligible Gold Card holders who are most at risk of unplanned hospitalisation. Gold Card holders can include veterans, war widow/widowers and dependants. The programme is aimed at Gold Card holders with the following chronic conditions:

  • congestive heart failure
  • coronary artery disease
  • pneumonia
  • chronic obstructive pulmonary disease
  • diabetes.

GPs are paid to enrol Gold Card holders onto the CVC Program and to provide ongoing, comprehensive and coordinated care with the assistance of their practice nurse or a community nurse (from a DVA contracted provider).

Coordinated Veterans' Care Program - Guide for General Practice

The Coordinated Veterans' Care Program - Guide for General Practice gives you detailed information about CVC, including patient eligibility and step-by-step instructions to prepare your practice, enrol participants and provide ongoing care.


Free CVC training modules and resources for GPs and nursing providers are on the dedicated training and resources site. The resources include sample Care Plan templates for you to download and tools to assess CVC participants.

How to claim

By participating in CVC, GPs can claim the following payments through DHS, Medicare. Full details about how to claim CVC payments are in the Coordinated Veterans' Care Program - Guide for General Practice booklet.

Payments GPs can claim - Amounts effective 1 July 2014
  Initial Incentive Payment Quarterly Care Payments Total year 1 Total year 2 onward
  $ Item # $ Item #    
GP with practice nurse $424.15 UP01 $442.65 UP03 $2194.75 $1770.60
GP without practice nurse $265.05 UP02 $198.80 UP04 $1060.25 $795.20

Date of service

CVC payments can be claimed on a three-monthly basis for a period of ongoing clinical care. The quarterly period of care is equal to 90 calendar days.

The Date of Service for each quarterly period is the first day of the quarterly period. The claim for payment is made after the last day of the quarterly period.

For example, if the period of care runs from 3 March to 1 June; the Date of Service is 3 March but the claim for the UP03 or UP04 payment cannot be made until after 1 June (i.e. the end of the quarterly period).

Please use the self-populating ready reckoner below to calculate Dates of Service.

Claiming date ready reckoners

Self-populating claiming date ready reckoner (XLS 440 KB) - this reckoner automatically calculates the Date of Service and the claiming date for each CVC enrolled patient.

Claiming date ready reckoner spreadsheet 2015-2017 (XLSX 121 KB) - NEW! this reckoner helps you to calculate the date of service and the claiming date for each CVC enrolled patient.

Fee schedule

The full fee schedule for CVC Program items is on the Coordinated Veterans' Care program fees page. Payment amounts are reviewed annually. Payments are in addition to all existing LMO Fee Schedule items for consultations and chronic disease management items.

CVC Social Assistance

CVC Social Assistance is a short-term service (up to 12 weeks) available to CVC participants to help them re-engage in community life through social contact or accompaniment to a social activity.

How do I refer someone for CVC Social Assistance?

If you feel a CVC participant fits the criteria for CVC Social Assistance, you need to fax or send a written referral for a CVC Social Assistance assessment to a Veterans’ Home Care (VHC) Assessment Agency. For information on the nearest VHC Assessment Agency, please phone 1300 550 450.

Notes for CVC Providers

These Notes set out additional legal requirements for GPs/Local Medical Officers, practice nurses and Aboriginal Health Providers under the CVC program.

Service partners

The Department of Veterans’ Affairs has contracted three external organisations to assist in the ongoing delivery of the Coordinated Veterans’ Care Program. These are:

Bupa Health Dialog

Bupa Health Dialog logo

Bupa Health Dialog offers evidence-based wellness, prevention and chronic disease management services to help meet the health needs of Australians.

Bupa Health Dialog assists DVA by analysing its extensive client data to identify and contact the veterans and war widows who are DVA Gold Card holders and most likely to benefit from taking part in the CVC Program.

Flinders University

Flinders University logo

The Flinders Human Behaviour & Health Research Unit (FHBHRU) is part of the School of Medicine, at Flinders University. With a long-standing commitment to improving chronic condition management they provide inter-professional education, research, and consultancy for the improvement of health outcomes through behaviour change.

The FHBHRU’s objective is to assist people to live well and live longer through improved health behaviours by developing capacity within the health workforce, supporting active client engagement in prevention, early intervention and implementation of self-management in chronic disease care.

The FHBHRU has developed accredited online education and training resources for the CVC Program accessed by primary healthcare professionals including practice and community nurses, GPs and allied health professionals.


For queries about the CVC Program and details of DVA Community Nursing Providers:

Phone: 1300 550 457 (metropolitan areas) or 1800 550 457 (non-metropolitan areas) and ask to speak to Health Programmes (Community Nursing and Coordinated Veterans’ Care).


For queries about payments:

Phone: 1300 550 017

For CVC Program training and resources:

CVC Program website

For details of Veterans' Home Care Assessment Agencies:

Phone: 1300 550 450

Resources and brochures

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