Coordinated Veterans’ Care (CVC) Program

Last updated:

In response to the COVID-19 pandemic, the CVC Program can be delivered via telehealth where appropriate, and relevant item numbers claimed as usual. See CVC COVID-19 Update for details.

The CVC Program proactively manages Veteran Gold Card holders with chronic conditions and Veteran White Card holders with DVA-accepted mental health conditions. Providers and participants work as a team to improve their health care in a general practice setting. 

Back to top

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
Back to top

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. But they can still get mental health treatment through Non-Liability Health Care.

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

Back to top

CVC Toolbox

The CVC Toolbox includes:

  • an eligibility tool
  • information on creating a Comprehensive Care Plan and Care Plan template
  • information on when and how to claim
  • a claim calculator
  • links to other health services in your area
  • an Information Hub with links to useful resources
Back to top

How to claim

Claim through Medicare. If you are a GP and take part in the CVC Program you can claim payments as shown in the following table.

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 July 2022

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

Claim payments on a 90 day basis for a period of ongoing clinical care. The start of this period is the date of service. We make the payments 90 days after the date of service.

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.

Back to top

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.

Back to top

Notes for CVC Program Providers

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

  • GPs
  • Practice Nurses
  • Aboriginal and Torres Strait Islander Primary health care workers

The Notes:

Back to top

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 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 client's GP regularly.

Back to top

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:

  • social contact
  • accompaniment to a social activity

Refer a client for CVC social assistance

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

Back to top

Contact the CVC team

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

Back to top

Evaluation reports

The CVC Program was evaluated over a 4-year period from May 2011 to May 2015.

Findings from the reports continue to inform program improvements.

Grosvenor Management Consulting

Grosvenor made an independent evaluation of the CVC Program objectives. The focus is on performance and cost effectiveness.


Bupa analysed CVC service use and outcome data.

Flinders University

The Flinders report is a qualitative study on the implementation of the CVC Program and service delivery in general practice.

Back to top
Was this page useful?
Please tell us why you selected 'Yes'?
Please tell us why you selected 'No'?