Coordinated Veterans’ Care (CVC) Program

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The CVC Program provides proactive care coordination for Veteran Gold Card holders with chronic health conditions and Veteran White Card holders with chronic DVA-accepted mental health conditions. Providers and participants work as a team to improve the participant’s health care in a general practice setting.

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CVC Program information for providers

The CVC Program is a proactive coordinated care program. It aims to improve participant quality of life and decrease the risk of unplanned hospitalisation.

Within a general practice setting, the participant, their general practitioner (GP) and a care coordinator work as a team to develop a care plan to:

  • meet the health needs of the participant
  • manage the participant's ongoing care.

The program promotes:

  • health literacy
  • self-management
  • best practice coordination of care through a person-centred approach.
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Who can take part

The CVC Program is for veterans who are at risk of unplanned hospitalisation, and hold either:

A DVA-accepted mental health condition means DVA has accepted it as being related to a veteran’s military service.

Who is not eligible

Veteran White Card holders who do not have a DVA-accepted mental health condition are not eligible for the CVC Program. They can still get mental health treatment through Non-Liability Health Care.

Veterans who are residents of an aged care facility are not eligible.

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CVC Toolbox

The CVC Toolbox includes:

  • an eligibility tool
  • information about creating a Comprehensive Care Plan and Care Plan templates for Gold Card holders and White Card holders
  • information about when and how to claim
  • a claim calculator
  • links to other health services in your area
  • an Information Hub with links to useful resources.
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How to claim

If you are a GP and take part in the CVC Program, you can claim payments shown in the below table. Claims are submitted through Medicare.

Claims for CVC Program payments are checked by Medicare against eligibility criteria prior to payment.

You can get full details about how to claim CVC payments in the CVC Toolbox.

Payments GPs can claim

Claimable amounts effective from 1 November 2023

GP Type

Initial assessment and program enrolment

Item number

Completion of 90 day period of care — review of care plan and eligibility

Item number

Total amount year 1

Total amount year 2

GP with practice nurse







GP without practice nurse







Date of service

The period of care is 90 days, and UP03 or UP04 quarterly care claims for payment cannot be submitted to Medicare until after the payment period is complete, that is, after 90 days from the Date of Service.

The Date of Service is day 1 of the 90 day period of care.

To calculate dates of service or claim dates please use either the:

Both tools calculate the date of service and the claim date for each CVC participant.

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Improvement and feedback

We will continue to improve our delivery of the CVC Program. Thank you to all those who continue to provide feedback.

We post surveys and requests for feedback here. Please check back to provide your comments and have input into how we shape the CVC Program.

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Notes for CVC Program Providers

The Notes for CVC Program Providers set out legal requirements for those delivering the CVC Program, including:

  • GPs
  • Practice Nurses
  • Aboriginal and/or Torres Strait Islander Primary Health Workers.

The Notes:

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The role of a community nurse (CN) in the CVC Program

Where a GP does not have access to a practice nurse, they may choose to work with a DVA approved CN provider. The role of the CN in this situation is to coordinate care for the CVC participant. Nurses that work with clients in the CVC Program coordinate their care and need to be in contact with the participant's GP regularly.

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CVC social assistance

CVC social assistance is a short-term service of up to 12 weeks. It is available to CVC Program participants. CVC social assistance helps clients reengage in community life through:

  • activities or courses to help the participant connect with their community
  • assistance with making social contacts, and
  • connecting with a community or ex-service organisation, or other social activity.

Refer a client for CVC social assistance

To refer a client for CVC social assistance, make a referral for an assessment to a Veterans’ Home Care (VHC) Assessment Agency. Phone 1300 550 450 to find the nearest VHC assessment agency.

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Contact the CVC team

If you have questions about the CVC Program, you can:

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