This guide is a shared knowledge resource, not legal advice, not a guarantee, and not a substitute for checking with the VA directly.

Every effort has been made to keep this content accurate and practical, but VA policies, processes, and interpretations change often, and may vary by region, TPA, VISN, even VAMC. Some details may be outdated, and others may not apply to your agency’s specific situation.

Use this guide to get oriented, sharpen your approach, and avoid common mistakes, but always verify with your local VA case manager, TPA contact (Optum or TriWest), or legal/compliance expert before making business decisions.

Paradigm is not affiliated with the VA, Optum, or TriWest. Nothing in here is endorsed by them. And while we’ve included examples from real provider experiences, they don’t guarantee a specific result.

You are ultimately responsible for any decisions you make based on this guide. Paradigm is not accountable for outcomes related to the use or interpretation of this information.