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RedoneMudcat

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  1. Looking for suggestions on how to deal with VA Los Angeles Care in the Community office, and their constant delays in approving outside provider authorizations. Currently, issues are delays with SAR requests for Primary care and Urology. Alas, Every one of my providers (Primary care, Opthalmology, Podiatry, Urology, Nephrology, has experienced delays intermittently over the last 2 years. Not only for initial referrals, but for secondary auth requests as well. Often times these delays force rescheduling of time sensitive appointments and lab work. The VA CITC staff seems unfazed even when made aware of imminent deadlines. I have contacted both US senators numerous times to no avail. I have contacted Congressman Carbajals office numerous times, and while helpful, the congressional inquiry process always seems to go slowly, (required 2 week minimum) not contacting me for followup on resolution until usually after I have had to reschedule an appointment, (or two.... or three....) and its a moot point. Patient advocates- same story as my congressman. I grow tired of a vicious cycle, where my doctors put in routine SAR requests, sometimes with time sensitive lab orders to be done, and the VA seems not to care about appointment or lab deadlines set by the doctor, treating each request like the spanish inquisition, "under review" for anywhere from 2 weeks to 2+ months, with neither the doctor in question at the time or VA seeming to be aware of whats going on and the VA unwilling to address tight deadlines or give consistent answers. This problem has been ongoing since the Mission Act went into place in 2019. Something needs to be done, but what?
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