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

1. Portland VA Medical Center and the OEF/OIF program Victoria Koehler, MSW, LCSWOEF/OIF Program ManagerApril 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 • Salem • Bend • 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 • General Discharge • 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 • Complete 10-10ez, application for health benefits • 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 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 Ionized Radiation • Participation in Project SHAD • 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 • 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

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

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

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

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

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

16. Thank you for your Service!!