Jump to content
VA Disability Claims Community Forums - HadIt.com Veterans
  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.


  • question-001.jpeg

    Have Questions? Get Answers.

    Tips on posting on the forums.

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery instead of ‘I have a question.
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title.
      I don’t read all posts every login and will gravitate towards those I have more info on.
    3. Use paragraphs instead of one massive, rambling introduction or story.
      Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.
    Leading too:

    exclamation-point.pngPost straightforward questions and then post background information.
    • Question A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    Rephrase the question: I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
    • Question B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
    Rephrase the question: I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?
    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial of your claim?”
    • Your first posts on the board may be delayed before they appear as they are reviewed. This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.
  • Most Common VA Disabilities Claimed for Compensation:   


  • VA Watchdog

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 2023-foeum-banner.jpg








  • red-rectangle-thin-bar.png


    Ask Your VA Claims QuestionThe LatestVeterans Crisis Line





  • Get Your HadIt.com Merch! Check them out here2022-11-16_06-22-29.png

  • Who's Online   0 Members, 0 Anonymous, 18 Guests (See full list)

    • There are no registered users currently online
  • 0

Fee Basis Treatment/mst



I have been seeing a therapist that was recommended to me by our local rape crisis center. I sought treatment after I realized I could no longer suppress the MST issues. We paid for this therapy via personal funds and insurance. When I broke down and told my primary care physican at the VA about MST, he advocated for me to continue treatment with this therapist. The VA Clinics/Medical Center Hospitals are triggers for my problem. I also do not feel safe around large groups of male Veterans (sorry guys) which are congregated in the clinics.

My PC Physican was informed that I need to travel 50+ miles to get seek treatment at a VA facility-since it is available they will not authorize fee-basis treatment. Has anyone been successful getting fee-basis approved for MST?

"Fee basis is available when it is clinically inadvisable to provide counseling in a VA facility, when VA facilities are geographically inaccessible, or when VA facilities are unable to provide care in a timely manner."
(VHA Handbook 1160.01)

Who decides when it is clinically inadvisable?

Edited by SueEdel (see edit history)
Link to comment
Share on other sites

  • Answers 4
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

4 answers to this question

Recommended Posts

I don't have personal experience with getting fee-basis approved for MST but I believe if you contact the MST Coordinator at your VA facility (each facility is required to have a designated MST Coordinator) they should be able to provide an answer to your questions as their duty includes:

b) MST Coordinators serve as POC for Veterans and other individuals with questions about MST-related services at the facility and associated CBOCs. Accordingly, the MST Coordinator ensures that staff at various points of entry into the system (e.g., telephone operators, information desk staff, Mental Health clerks, Business Office staff) know the MST Coordinator’s role and contact information.

© MST Coordinators address systems issues that may create barriers to Veterans and eligible individuals entering care and act as an advocate for Veterans and eligible individuals in their interactions with relevant VHA clinics and offices. For example, when fee basis care is warranted, the facility credentialing and privileging system must be notified prior to the initial visit with the fee basis provider; this notification alerts the credentialing and privileging system to obtain information needed to update the provider’s file and authorize prescription of medications.

(d) MST Coordinators help ensure that systems are in place to prevent Veterans and eligible individuals from encountering difficulties in obtaining reimbursement, filling prescribed medications, or receiving appropriate care.

(5) Communicating with national, VISN, facility-level leadership, and other stakeholders. The MST Coordinator communicates regularly with the VISN-level MST POC and other MST Coordinators in the VISN, as well as local mental health and national MST leadership in order to remain knowledgeable about policies and trends related to MST. In addition, the MST Coordinator responds to requests for information about local MST programming from VA Central Office’s Office of Mental Health Services.

The above information was taken from VHA Directive 2010-033 Military Sexual Trauma Programming which can be seen in whole here:


Link to comment
Share on other sites

  • HadIt.com Elder

"Who decides when it is clinically inadvisable?"

The VA, naturally!

If on paper, there are "appropriate" capabilities at a VA facility within a "reasonable" distance, Fee Based services are usually denied.

My "local" VAMC actually had a moratorium on fee based services of any kind. Seems that the VA had internal problems with Fee based care and accounting for the costs.

Link to comment
Share on other sites


If VA can provide the service then you won't get private care

through fee basis.

You can also try this route below for treatment, most Vet Centers

are at a different location than the VAMC.

They have therapist specifically for MST.


Link to comment
Share on other sites

My VA primary care physican thinks that it is inadvisible that I change counselors. Ann Arbor thinks otherwise. My local Vet Center has an all male staff other than office manager.

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Create New...

Important Information

{terms] and Guidelines