Sharing Specialized Medical Resources

To receive and share the most advanced medical techniques; to secure the use of healthcare resources which otherwise might not be feasibly available to the VA and to provide services to the community through resources which are not being utilized to their maximum effectiveness within the VA.

medical resources are underutilized resources in the sense that they are unique in the medical community or can have maximum utilization only through mutual use.)

Agency - Department of Veterans Affairs

The Department of Veterans Affairs strives for excellence in patient care and veteran's benefits for its constituents through high quality, prompt and seamless service to United States veterans.

Office - Contact nearest VA Facility listed in Appendix IV of the Catalog under Veterans Health Administration.
Website Address

Program Accomplishments

There were over 4,816 contracts for resources purchased and provided in fiscal year 2005.

Uses and Use Restrictions

To provide for the exchange of or mutual use of specialized medical resources when such an agreement will obviate the need for a similar resource to be provided in a VA facility, or for the mutual use, or exchange of use, of specialized medical resources in a VA facility which have been justified on the basis of veterans' care, but which are not utilized to their maximum effective capacity.

Such agreements must be made with health care facilities including hospitals, medical schools, clinics, research centers, and blood and organ banks.

VA may also enter into sharing agreements with State Veterans Homes for the purpose of sharing health care resources which include inpatient and outpatient care, rehabilitation services, and other health care support services.

Eligibility Requirements

Applicant Eligibility

(For sharing of medical resources) Health care facilities including medical schools, hospitals, clinics, research centers and blood and organ banks.

("Hospitals" include any Federal, State, local, or other public or private hospital.)

Beneficiary Eligibility

Patients of VA medical facilities or patients of health care facilities including hospitals, medical schools, clinics, research centers and blood and organ banks.


Written authorization from the VA (or other party to the agreement or contract, as provided) by the terms of the agreement or contract.

Aplication and Award Process

Preapplication Coordination

Negotiated between VA and the applicant.

This program is excluded from coverage under E.O.


Application Procedures

Competitive sharing agreements greater than $1.5 million and non-competitive contracts greater than $500,000 must be approved by the Director, Sharing and Purchasing Office (175), Department of Veterans Affairs, Washington, DC, prior to contract execution. Proposed contracts less than these thresholds may be negotiated and awarded without prior VA Central Office reviewed approval.

Award Procedures





Public Laws 89-785, 91-496, 93-82, 96-151, 101-366 and 103-210; 38 U.S.C. 8151-8153.

Range of Approval/Disapproval Time

Not applicable.




Sharing contracts may include the exercise of four one-year, pre-priced options beyond the first year of the contract.

Assistance Considerations

Formula and Matching Requirements

Not applicable.

Length and Time Phasing of Assistance

Not applicable.

Post Assistance Requirements


Annually as required by Title 38 U.S.C.



As required by contract terms.


Maintain records in accordance with the contract or agreements which will facilitate an effective audit.

Financial Information

Account Identification



(Services Purchased and Provided) FY 07 services purchased $888,215,000 and services provided $36,859,000; FY 08 est services purchased $1,051,927,000 and services provided $37,466,000; and FY 09 est services purchased $1,245,814,000 and services provided $38,044,000.

Range and Average of Financial Assistance

Not applicable.

Regulations, Guidelines, and Literature

38 CFR 17.210; VA Manual M-I, Part I, Chapter 34, Section II; VA Acquisition Regulations VAAR 815.7.

Information Contacts

Regional or Local Office

Contact nearest VA Facility listed in Appendix IV of the Catalog under Veterans Health Administration.

Headquarters Office

Director, Sharing and Purchasing Office (175), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, N.W., Washington, DC 20420. Telephone: (202) 273-8406.

Criteria for Selecting Proposals

Not applicable.

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