Documents/PMA/14: VA and DoD Programs and Systems/14.3: Enrollment Data

14.3: Enrollment Data

Improve VA’s health care enrollment data system

Other Information:

VA developed a temporary system three years ago in response to their new enrollment requirement. Currently, the Department is implementing a redesigned health care enrollment database and has initiated a process to develop a One-VA Registration and Eligibility System. However, these new efforts are in the early stages. DoD has offered in the past to provide the Defense Enrollment/Eligibility Reporting System (DEERS) software solution to VA or to incorporate VA beneficiaries and data requirements into DEERS. VA should consider the feasibility of using DEERS as an enrollment system for health care and the other benefits available to veterans. — Improving VA’s Registration and Eligibility system and the Veterans Health Administration’s Enrollment system are the first steps toward having one integrated system for all beneficiaries. For over 20 years the DoD has operated a centralized automated system to enroll and track individuals having entitlements to DoD benefits and services. DEERS, is a large database that accurately records the benefits eligibility information for over 20 million beneficiaries in multiple government agencies and could be expanded to include VA. DEERS is uniquely positioned to bridge the gap between the two Departments, and already supports a modest level of data sharing. Starting in November of 2000, DoD implemented a real-time exchange of information on veterans from DEERS. This information exchange sets the stage for even closer cooperation. — The transition from active-duty to veteran status involves the veteran enrolling at a VA regional office for benefits and his local VA medical center for health care. An active-duty member on one day is in a system that tracks all his data, and on the next he is separated and must report and document his information to VA in order to obtain VA benefits and services, despite the fact that most of it is electronically stored in the DoD system. In addition to the current lack of full DoD/VA interface, duplicative information must be collected and entered into separate enrollment systems at VA each time a veteran applies for different benefits such as home loan guarantees, disability compensation, education, vocational rehabilitation, and health care. Transition should be seamless from the veteran’s perspective and could be made seamless through data sharing between VA and DoD, as well as within VA.

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