Veterans Health Administration (VHA) Purchased Long Term Services and Support (PLTSS) Department of Veterans Affairs (VA)

The PLTSS Program is organizationally aligned under the VHA Geriatrics and Extended Care (GEC) Office that strives to empower Veterans and the Nation to rise above the challenges of aging, disability or serious illness. The mission of GEC is to honor Veterans’ preferences of health, independence, and well-being by advancing expertise, programs, and partnerships. GEC programs are for Veterans of all ages, including older, frail, chronically ill patients, their families and their caregivers. Further, because the course of chronic illness varies and health care needs of chronically ill patients change, it is possible that services of one, some, or all GEC long term services and support will be required over time.

Agency Accountable Official: Mr. Edward J. Murray, Acting Assistant Secretary for Management and Acting Chief Financial Officer

Program Accountable Official: Richard M. Allman, MD, Chief Consultant for Geriatrics and Extended Care

Total Payments
$1.7B
Improper Payments
$1.2B
Improper Payment Rate
69.15%

Supplemental Measures

Current Measure: Currently, 70 percent of PLTSS contracts fully comply with Federal Acquisition Regulations (FAR).

Target: 85%

Description: By September 30, 2017, increase number of FAR compliant contracts for PLTSS’s Community Nursing Home and Inpatient Hospice care to 85 percent. This increase directly correlates with the decrease of non-contract authorizations and the transition to FAR based contracts will remediate the errors identified. Compliance with these purchasing authorities reduces contracting errors which previously led to improper payment classifications. The increase to FAR compliant contracts will ultimately impact the amount of improper payments.

Update Frequency: Quarterly

Data Current as of: March 2017


Program Comments

To determine payment accuracy, VHA samples its PLTSS program to make certain medical care payments to providers in the community are correct. VHA uses a statistically valid sample to determine the program payment accuracy rates. In FY 2015, VA classified payments that did not follow Federal Acquisition Regulations and where VA exceeded its regulatory authority as improper. This is a departure from how VA had traditionally reported improper payments related to community care programs. Historically, VA only reported instances of community care as improper payments where the wrong party was paid, the wrong amount was paid, a duplicate payment was made, or services were not received. However, to ensure every effort to report in compliance with the statute and promote transparency, the Department included transactions that did not follow acquisition regulations as improper. As a result, this decision significantly increased both percentage and amount of improper payments made in the PLTSS program. Additional information on the program and detail on the progress of corrective actions can be found in VA’s Agency Financial Report.