VA Fee Schedule Rates for Calendar Year 2024

Effective 1 Feb 2024

The VA Fee Schedule rates for calendar year 2024 went into effect on Feb. 1, 2024.    

VA calculates rates using a combination of VA claims data, Medicare policies and fee schedules, Medicaid fee schedules, TRICARE fee schedules, and industry benchmarking data is provided in on the Federal Register site for Veterans Affairs: Federal Register :: Agencies - Veterans Affairs Department. Please note the change to VA’s use of non-reimbursable codes, to ensure consistent evaluation of claims for non-billable or non-reimbursable services.

Medical services, hospital care, and extended care services are reimbursed by VA up to the maximum allowable rate – generally the applicable rate published by Centers for Medicare and Medicaid Services (CMS). When there is no Medicare rate available, VA reimburses the lesser of the VA Fee Schedule or billed charges.   

For the Community Care Network (CCN), when there is no Medicare rate available, the VA Fee Schedule sets the maximum allowable rate where applicable. In the event neither a Medicare nor VA Fee Schedule rate is available, third-party administrators (TPAs) reimburse a percentage of billed charges. 

More information can be found at VA Fee Schedule - Community Care.