VA 2.01(3m)(d)4.b.b. Third-party payments on behalf of the applicant.
VA 2.01(3m)(d)4.c.c. A department-approved payment from the applicant.
VA 2.01(3m)(d)5.5. An authorized application for health care aid may not be withdrawn without the agreement of the provider of the health care aid.
VA 2.01(3m)(e)(e) Unremarried surviving spouse and dependent of a veteran who dies in the line of duty. An unremarried surviving spouse and a dependent claiming eligibility due to the death of a veteran in the line of duty shall submit evidence from the appropriate military service indicating that the veteran died in the line of duty.
VA 2.01(3m)(f)(f) Spouse and dependent of activated or deployed member. A spouse and dependent of a member of the U.S. armed forces or of the Wisconsin national guard claiming eligibility shall submit evidence that the service member has been deployed or activated, that due to the activation or deployment a loss of income has occurred, that an economic emergency has occurred during the activation or deployment, and that the spouse and dependent are residents of the state.
VA 2.01(3m)(g)(g) Health care providers.
VA 2.01(3m)(g)1.1. The department may grant payments for health care aid to a health care provider if the health care services are rendered within 90 days after the department confirms that the applicant is eligible and only after a description of benefits has been transmitted to the applicant or the county veterans service officer.
VA 2.01(3m)(g)2.2. The department may accept a second application for the health care listed on the first description of benefits if the department receives a statement from the health care provider, within 14 calendar days before the expiration listed on the first description of benefits, that the health care authorized is still being provided and that the patient will not incur costs.
VA 2.01(3m)(h)(h) Extensions. A health care provider providing health care services under par. (g) may submit an application to the department to request an extension of the 90 days. The application requesting the extension shall comply with all of the following:
VA 2.01(3m)(h)1.1. Include a statement that the health care services to be provided are included in the description of benefits authorized under par. (g).
VA 2.01(3m)(h)2.2. Include a statement that the patient will not incur additional costs for health care services authorized under par. (g).
VA 2.01(3m)(h)3.3. Be received by the department no later than 14 calendar days before the expiration date listed on the description of benefits authorized under par. (g).
VA 2.01(3m)(i)(i) Limitations.
VA 2.01(3m)(i)1.1. The department may provide a grant only if the health care provider agrees to accept and only accepts payments from any of the following sources:
VA 2.01(3m)(i)1.a.a. Grant funds.
VA 2.01(3m)(i)1.b.b. The applicant’s health insurance.
VA 2.01(3m)(i)1.c.c. Third-party payments on behalf of the applicant.
VA 2.01(3m)(i)1.d.d. A department-approved payment from the applicant.
VA 2.01(3m)(i)2.2. The department may approve a payment by the veteran when a provider refuses to accept the maximum grant available to the veteran as payment in full if the veteran has sufficient available liquid assets to contribute an amount that will induce the provider to accept the aggregate payment as payment in full.
VA 2.01(3m)(j)(j) Types of health care aid.
VA 2.01(3m)(j)1.1. ‘Dental care aid.’
VA 2.01(3m)(j)1.a.a. A dental care provider shall indicate in writing that the dental procedure performed was directly necessary to dental care.
VA 2.01(3m)(j)1.b.b. Aid for dental procedures may not exceed $800.00 in any consecutive 12-month period.
VA 2.01(3m)(j)1.c.c. Aid for extended dental care may not exceed $4,000 in any consecutive 24-month period.
VA 2.01(3m)(j)2.2. ‘Hearing care aid.’
VA 2.01(3m)(j)2.a.a. Hearing care aid may not exceed $200.00 in any consecutive 12-month period except where a left or right hearing aid, or both, is required.
VA 2.01(3m)(j)2.b.b. Aid for each hearing aid may not exceed $1,875 in any consecutive 24-month period.
VA 2.01(3m)(j)2.c.c. An applicant may qualify for a grant for an additional or more costly hearing aids and a related examination if a hearing care provider identifies, in writing, a medical condition that warrants additional financial assistance.
VA 2.01(3m)(j)3.3. ‘Vision care aid.’