Coordinated Veterans’ Care (CVC) Program
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 accepted mental health conditions. Providers and participants work as a team to improve their health care in a general practice setting. It aims to decrease unplanned hospitalisation.
On this page
- CVC Program information for providers
- Who can take part
- CVC Toolbox
- How to claim
- Resources and Training
- Other training and resources
- Improvement and feedback
- Notes for CVC Program providers
- The role of a community nurse (CN) in the CVC Program
- CVC social assistance
- Guides and brochures
- Contact the CVC team
- Evaluation reports
- Service partners
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 nurse 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
- best practice coordination of care through a person-centred approach
Who can take part
The Coordinated Veterans’ Care (CVC) Program is a proactive coordinated care program. It's for:
- Veteran Gold Card holders who have a chronic health condition, and
- Veteran White Card holders who have an accepted mental health condition
Who are at a risk of unplanned hospitalisation.
They must also not be a:
- resident of a residential aged care facility
- Veteran White Card holder with only Non-liability health care (NLHC) cover for mental health.
Please be aware that the CVC Toolbox Eligibility Tool and Care Plan template are currently only available for Veteran Gold Card holders. These tools will be updated as soon as possible to reflect the expansion to eligible Veteran White Card holders. We apologise for any inconvenience.
The CVC Toolbox includes:
- an eligibility toot (Veteran Gold Card holders only)
- information on creating a Comprehensive Care Plan and Care Plan template (Veteran Gold Card holders only)
- 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
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.
You can get full details about how to claim CVC payments in the CVC Toolbox.
Payments GPs can claim
|Initial assessment and program enrolment||
Completion of 90 day period of care – review of care plan and eligibility
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
Resources and Training
DVA is partnering with registered training organisations and peak bodies to provide access to training to support GPs, nurses and other health professionals delivering the CVC Program.
Australian Primary Health Care Nurses Association
DVA has partnered with the Australian Primary Health Care Nurses Association (APNA) to provide practice nurses, Aboriginal and/or Torres Strait Islander Primary health care workers and community nurses with access to free educational online learning modules to help deliver the best possible care to veterans participating in the CVC Program.
Numbers are limited and priority will be given to nurses with patients participating in the CVC Program. Nurses can apply through APNA for the following online learning modules:
- Chronic disease management (2 hours)
- Care planning (3 hours)
CPD is available for these modules. Register for the online learning modules.
The Department of Veterans’ Affairs (DVA) has partnered with Phoenix Australia: Centre for Posttraumatic Mental Health to deliver the Practitioner Support Service — a multi-disciplinary team of mental health experts who can be consulted on veteran-specific mental health and trauma matters.
Veteran Mental Health GP Assistance Hotline (1800 VET 777)Back to top
Other training and resources
Open Arms — Veterans & Families Counselling offer free online training courses and webinars that are designed to help clinicians, practice nurses and other clinical practice staff to better support the mental health needs of veterans.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:
- 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
Guides and brochures
We have more information on the CVC Program in these documents:Back to top
Contact the CVC team
If you have questions about the CVC Program, you can:
- call: 1800 550 457
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.
- Grosvenor report (DOCX 1.50 MB)
- Grosvenor report (PDF 2.10 MB)
- Attachment D (DOCX 550 KB)
- Attachment D (PDF 1.4 MB)
Bupa analysed CVC service use and outcome data.
The Flinders report is a qualitative study on the implementation of the CVC Program and service delivery in general practice.Back to top
We contract external organisations to help with delivery of the CVC Program.
Bupa undertakes monitoring and evaluation, including trend analysis of the CVC Program.Back to top