{"abstract":"The Department of Veterans Affairs (VA) adopts as final, with nonsubstantive changes, a proposed rule to revise its regulations concerning collection and recovery by VA for medical care and services provided to an individual for treatment of a nonservice-connected disability. Specifically, this rulemaking will revise the provisions of VA regulations that determine the charges VA will bill third-party payers for non-VA care provided at VA expense, will include a time limit for which third-party payers can request a refund, and will clarify that third-party payers cannot reduce or refuse payment because of the billing methodology used to determine the charge.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2021/03/26/2021-05717.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"17","title":38}],"citation":"86 FR 16050","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This rule is effective on April 26, 2021.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"2021-05717","effective_on":"2021-04-26","end_page":16055,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2021/03/26/2021-05717.xml","html_url":"https://www.federalregister.gov/documents/2021/03/26/2021-05717/billing-and-collection-by-va-for-medical-care-and-services","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2021-05717?publication_date=2021-03-26","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2021-03-26/2021-05717/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":12865,"last_updated":"2026-05-26 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-03-26/pdf/2021-05717.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-05717.pdf?1616676316","publication_date":"2021-03-26","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2021/03/26/2021-05717.txt","regulation_id_number_info":{"2900-AQ69":{"issue":"202010","html_url":"https://www.federalregister.gov/regulations/2900-AQ69/billing-and-collection-by-va-for-medical-care-and-services-","title":"Billing and Collection by VA for Medical Care and Services ","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202010&RIN=2900-AQ69&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["2900-AQ69"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"AQ69-Final Rule-Impact Analysis Billing and Collection by VA for Medical Care and Services","document_id":"VA-2019-VHA-0024-0009"},{"title":"AQ69(P) ImpactAnalysis-Billing and Collection by VA for Medical Care and Services","document_id":"VA-2019-VHA-0024-0002"}],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/2900-AQ69/billing-and-collection-by-va-for-medical-care-and-services-","title":"Billing and Collection by VA for Medical Care and Services "},"comments_count":0,"agency_id":"VA","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=VA-2019-VHA-0024","supporting_documents_count":2,"docket_id":"VA-2019-VHA-0024","document_id":"VA-2019-VHA-0024-0008","regulation_id_number":"2900-AQ69","title":"AQ69 - Proposed Rule - Billing and Collection by VA for Medical Care and Services","checked_regulationsdotgov_at":"2021-03-27T03:30:11Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":16050,"subtype":null,"title":"Billing and Collection by VA for Medical Care and Services","toc_doc":"Billing and Collection for Medical Care and Services","toc_subject":null,"topics":["Administrative practice and procedure","Alcohol abuse","Alcoholism","Claims","Day care","Dental health","Drug abuse","Foreign relations","Government contracts","Grant programs-health","Grant programs-veterans","Health care","Health facilities","Health professions","Health records","Homeless","Medical and dental schools","Medical devices","Medical research","Mental health programs","Philippines","Reporting and recordkeeping requirements","Travel","Veterans"],"type":"Rule","volume":86}