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Going For Fee Based Care

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The RN I've been seeing the past 4-5 years for therapy has gotten a promotion and the VA will no longer allow her to see pts. Her and I were in the middle of some very intensive one-on-one MST PTSD therapy as well and they won't even allow her to finish that with me (after they initially told her she could). Needless to say this is extremely, extremely stressful.

Long story short....the RN and another tdoc have decided that I'm too unstable to continue the PTSD therapy anyway with a new person. So that's out right now. But the RN knows that I can't go without supportive-type therapy and my final appt with her is next week.....and she told me today that right now, no one at the Dayton VA can provide that kind of therapy. (I wonder what they do there?) Despite the fact that they supposedly just hired 25 new tdocs and social workers!!

So she is going to try to fee base me out to a civilian provider that she knows.

Anyone here ever get fee based care for mental health? Wish me luck.

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  • HadIt.com Elder


If the VA can't provide the care you need then, by all means, they should contract it out to someone who can. I know the military does this all the time with mental health care. You are entitled to this care so don't let them off the hook.

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  • HadIt.com Elder




I just typed a long message and it did not post. Darn! I used VA Fee Base for 5 years for PTSD/MST. It was a great resource!

This is the VA Directive (very long directive)


In a nutshell, your civiliam provider must accept a standard fee and fill out paperwork once a year to re-authorize.

Apply, and see what they say!

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I've been using fee-based PTSD/MST counseling for the past 4 years (thank you Lord).

It's very previlent for females in my area, even though now there is a so-called MST program at the Seattle VA.

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Thanks for the encouraging info. The RN that I see is going to work on getting this pushed through for me. The Dayton VA is supposedly just putting together a PTSD program (but not a MST PTSD program!) So they still don't "get it". They will be mixing women with the men in these programs!!!! B)

I told the RN that if nothing else, they should want to approve this to get rid of me so I stop filing complaints against them <_< ! That angle just might appeal to them.

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  • HadIt.com Elder

Thanks for the post.


You are so welcome ;-) Did the file download work for you? ~Wings

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