Improving Mobility for Veterans (2011) / Chapter Skim
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VA offers assistance to eligible veterans who are traveling for medical care. VHA administers the Beneficiary Travel program, under which certain transportation expenses can be allowed if those expenses are part of VHA-provided or VHA-authorized outpatient and inpatient medical services provided to eligible individuals.
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Veterans receiving a VA pension traveling to or from an authorized health care facility for examination, treatment, or care. An attendant who is accompanying and assisting a veteran or beneficiary eligible for beneficiary travel payments because of the veteran's physical or mental condition.
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Veterans use transportation services operated by public transit agencies, local governments, or community-based organizations. Some VAMCs provide information about local transportation options for veterans.
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With annual VHA medical transportation expenses increasing rapidly -- $750 million was spent in FY 2010 on Beneficiary Travel -- cost-effectiveness of transportation services is a growing concern. Rural areas offer special transportation challenges for transportation services serving veterans.
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Table S-1 lists of few noteworthy examples of different approaches to improving the mobility of veterans. Table S-1: APPROACHES TO IMPROVING THE MOBILITY OF VETERANS Location Innovations Ocean County, NJ Transit offers advance-scheduled out-of-county trips to VA health care Indianapolis, IN Taxi-provided transportation for veterans Western Colorado Transit dispatches DAV vans Des Moines, IA Transit and paratransit serve the local VA hospital Washington State S
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Develop plans that include all modes and providers, including volunteer services: The efforts received from volunteer drivers are a significant strength of current veterans' transportation services. These volunteers are crucial to maintaining cost-effective transportation services.
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VHA's current expenditures on its Beneficiary Travel make this program the thirdlargest federal program for persons with special travel needs; adding VA's Automobile Assistance Program increases the estimated FY 2010 expenditures to about $820 million. Projected growth in these programs could push VA's annual transportation expenditures beyond $1 billion in the near future.
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9Chapter 1 VETERANS AND THEIR MOBILITY ISSUES: AN OVERVIEW A ROADMAP FOR THIS REPORT This report is intended to provide information for community transportation providers who wish to offer better transportation services to veterans of U.S. military services who live in communities served by these transportation providers.
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Payment procedures are specified in United States Code (USC) , Payments or Allowances for Beneficiary Travel – 38 U.S.C.
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J., June 2001, "Improving Access to Care in the VA Health System: A Progress Report," Forum, A publication of the Veterans Administration Office of Research & Development.
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MOBILITY CHALLENGES FACING VETERANS This report and other reports have identified problems and concerns with transportation services now provided to veterans. The kinds of problems that have been observed include the following: Veterans report problems accessing VA medical services and other necessary destinations.
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According to some sources, veterans' transportation services are frequently not coordinated with existing community and public transportation services at this time, with the result that neither the veterans' transportation services nor existing community transportation services operate as cost-effectively as they might. 13 Community Transportation, Summer/Fall 2009, 27:4, p.
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Most transportation services for veterans operated by volunteer drivers do not operate vehicles accessible to veterans in wheelchairs. Some of the current transportation services are characterized by excessive wait times for trips or for appointments for trips.
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