Find healthcare providers that accept CHAMPVA — VA health coverage for veteran spouses and dependents.
Choose your state from the dropdown above to load Medicare-accepting providers in your area.
Data sourced from the CMS National Medicare Provider Registry.
This side-by-side helps billing staff understand what changes (and what doesn't) when adding CHAMPVA. No contracts required — CHAMPVA has no contract providers.
| Medicare | CHAMPVA | |
|---|---|---|
| Payer | CMS / Regional MAC | VHA Office of Integrated Veteran Care |
| Electronic Payer ID (medical) | Varies by region | 84146 |
| Electronic Payer ID (dental) | Varies by region | 84147 |
| Electronic claim formats | 837 I/P transactions | 837 I, 837 P, 837 D · 276/270 for eligibility |
| Paper claims address | Regional MAC address | PO Box 30750, Tampa FL 33630-3750 |
| Fee schedule | Medicare rates | Medicare rates (same) |
| Prior authorization | Some services | Mental health & substance abuse, adjunctive dental, organ/bone marrow transplants |
| Patient responsibility | 20% after deductible | 25% after $50/year deductible |
| Balance billing | Not permitted (assigned) | Not permitted (must accept CHAMPVA rates) |
| Medicare crossover | N/A | Auto-forwarded if Medicare HICN on file |
| Payment method | EFT or check | EFT enrollment required for direct deposit |