The Department of Veterans’ Affairs’ Coordinated Veterans’ Care (CVC) Program provides ongoing, planned and coordinated primary and community care, led by a GP (and may include the Practice, DVA contracted Community Nurse or Aboriginal Health Worker as care coordinator) to eligible Gold Card holders who have chronic conditions, complex care needs and are at risk of an unplanned hospitalisation.

Veterans, war widows, war widowers, dependants who are Gold Card holders and have one or more chronic conditions that have resulted, or are likely to result in, frequent hospital admissions. The patient will have complex care needs e.g. high risk of acute exacerbation, requires frequent monitoring or contributes to frailty and/or social isolation. Examples of these conditions include Congestive Heart Failure, Coronary Heart Disease, Pneumonia, COPD, Diabetes, but are not limited to these.

The eligibility criteria exclude those Gold Card holders who live in an aged care facility, have a condition that could be terminal within 12 months.


The Australian Medicare Local Alliance in conjunction with Flinders Human Behaviour & Health Research Unit (FHBHRU) is offering FREE online education modules related to chronic disease management, in particular to practice staff involved in this project. All modules are accredited for RACGP QI&CPD, ACRRM PDP and have been endorsed by RCNA and APNA. 

For more information go to

Social Assistance Service

DVA Gold Card holders enrolled in the CVC Program who are socially isolated may be referred to the CVC Social Assistance Service. The Social Assistance Service is a short term intensive service (generally up to 12 weeks) to assist veterans and war widows to become engaged in community activities. The services are provided through the Veterans Home Care (VHC) Program, for assessment and service provision, but delivered differently from the VHC services already provided.

To refer a patient enrolled in the CVC Program for social assistance use of a specific referral form is not required. A referral can be made by a GP using the practice letterhead, stating that the patient is enrolled in the CVC program, the date they were enrolled (date that UP01 or UP02 was claimed) and that a Veterans Home Care assessment for Social Assistance under the CVC program is required. Referrals in South Australia can be made to the Veteran’s Home Care Assessment Agency by fax to 8349 3510.

Practice Support

GP partners Australia can assist practices with a step-by-step process to implement the Program and business support through Practice visits or attending Practice staff meetings.

Phone and email support is also available for any questions you have regarding the CVC program.

Please contact Gemma Butler or phone (08) 8112 1100 for further information.

CVC Claiming Date Ready Reckoner

By participating in the CVC Program, GPs can claim the following payments through existing payment arrangements with Medicare Australia:

  • Initial Incentive Payment for enrolling a participant in the program
  • Quarterly Care Payments for ongoing care.

CVC payments are claimed on a three monthly basis for a period of ongoing clinical care. The quarterly period of care is equal to 90 calendar days.

The CVC Claiming Date Ready Reckoner is available to assist practice in calculating the claiming date for each CVC enrolled patient. The Ready Reckoner is available at the link below

DVA Funded Health Services Chart

Eligible patients with a gold Repatriation health card (DVA Gold Card) are entitled to receive treatment for health conditions through the Department of Veterans Affairs (DVA).

The DVA Funded Health Services Chart (June 2013) provides a guide for GPs and practice nurses to the health services available for DVA Gold Card holder including the details of who can refer, what form to use, where to send referrals, any special instructions and the contact details for further information on accessing each service.

Click here to view the DVA Funded Health Services Chart.