1. Portland VA Medical Center and the OEF/OIF program Victoria Koehler, MSW, LCSW OEF/OIF Program Manager April 19, 2008

2. Portland VA Medical Center 3710 SW U.S. Veterans Hospital Road Portland, OR 97239 Phone: (503) 220-8262 or (800) 949-1004 Vancouver Campus 1601 E Fourth Plain Blvd. Vancouver WA 98661 Phone: 360-696-4061 Community Based Outpatient Clinics Eastside Portland Eastside Portland Salem Salem Bend Bend Camp Rilea Camp Rilea

3. Who is Eligible for VA Healthcare? Eligibility is a three-step process 1. Character of Discharge 2. Length of service 3. Enrollment priority group

4. Character of Discharge Types to Qualify Honorable Discharge Honorable Discharge General Discharge General Discharge Discharge under Honorable Conditions Discharge under Honorable Conditions

5. Length of Service  Active Duty after September 8, 1980 then at least 24 months service. Length of Service Exceptions:  Reservists and National Guard who were activated by federal order and completed the term  Discharged or released from active duty for a hardship, convenience of the government, or medical  VA service-connected disability  Active duty before September 8, 1980

6. How to enroll at VA Portland or Vancouver enrollment office Portland or Vancouver enrollment office Complete 10-10ez, application for health benefits Complete 10-10ez, application for health benefits Bring copy of DD-214 Bring copy of DD-214

7. Enrollment Priority Groups Group 1 : Service-Connected (SC) 50% or greater Group 2: Service-Connected (SC) 30% or 40% Group 3: Service Connected (SC) 10% or 20%, or: –POW, Purple Heart, Discharged due to disability Group 4: Aid & Attendance or Housebound Group 5: Non SC & 0% non-compensable service-connected with income & assets below VA threshold income & assets below VA threshold –In receipt of non-service connected pension

8. Enrollment Groups (continued) Group 6 : Service in Combat Location After November 11, 1998 Exposed to herbicides in Vietnam Exposed to herbicides in Vietnam Exposed to Ionized Radiation Exposed to Ionized Radiation Participation in Project SHAD Participation in Project SHAD Compensable 0% Service Connected Compensable 0% Service Connected Group 7 : Income and/or net worth above VA threshold and below geographic income threshold who agree to copay Group 8: Income over geographic income threshold who do not fall within Groups 1-7 and applied before January 16, 2003. Group 8 applying after January 16, 2003 are not eligible for enrollment for VA health care

9. Co-payments Group 1: NO copay for meds or treatment Group 2: NO copay for treatment, copay for non-service connected medications unless income below VA threshold Group 3: POWs NO copay for meds or treatment. All others NO copay for treatment, copay for meds unless income below VA threshold Group 4: NO copay for treatment or medication Group 5: NO copay for treatment, copay for meds unless income below VA threshold Group 6: Copay for treatment and meds unless for conditions related to exposure to herbicides, ionized radiation, project SHAD Group 7 & 8: Copay for treatment and meds

10. OEF/OIF Enrollment All combat veterans including guard and reserve members who served in theater after November 11, 1998 All combat veterans including guard and reserve members who served in theater after November 11, 1998 No co-payments for five years from date of discharge for conditions potentially related to active duty, regardless of income. No co-payments for five years from date of discharge for conditions potentially related to active duty, regardless of income. May be subject to co-payments after five years May be subject to co-payments after five years

11. Verifying OEF/OIF DD214 stating service in Iraq or Afghanistan DD214 stating service in Iraq or Afghanistan In receipt of Expeditionary Medal, Iraq or Afghanistan Service Medal In receipt of Expeditionary Medal, Iraq or Afghanistan Service Medal In receipt of Combat Infantry Badge or Combat Action Badge (CIB/CAB) In receipt of Combat Infantry Badge or Combat Action Badge (CIB/CAB)

12. OEF/OIF Case Management Program Transition from DOD to VA care Transition from DOD to VA care Advocacy with VBA Advocacy with VBA Case Management Case Management Access to appropriate care Access to appropriate care Reintegration support Reintegration support Outreach Outreach Community Referral Community Referral

13. OEF/OIF Program Referrals MTF MTF PDHRA PDHRA CBHCO CBHCO National VA Medical Centers National VA Medical Centers TBI TBI Polytrauma Clinic Polytrauma Clinic

14. The Vet Center individual and group counseling individual and group counseling marriage and family counseling marriage and family counseling 80% counselors are combat veterans 80% counselors are combat veterans no fee for service no fee for service 8383 N.E. Sandy Blvd. Suite #110 Portland, OR 97220 Phone: (503)-273-5370 Mandy Martin GWOT Outreach Worker Other Vet Center locations in Salem, Eugene and Grants Pass Other Vet Center locations in Salem, Eugene and Grants Pass

15. Questions?? Victoria.koehler@va.gov Victoria.koehler@va.gov Victoria.koehler@va.gov 503.220.8262 x57044 503.220.8262 x57044

16. Thank you for your Service!!