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DoD/VA Sharing Initiatives

Mandated by Public Law 97-174, the DoD and VA have more than 30 years of health care resource sharing, resulting in more than 200 sharing agreements and ten joint ventures in the United States. DoD/VA resource sharing encompasses a wide range of services such as:

  • Education and training
  • Medical/surgical
  • Traumatic brain injury
  • Blind rehabilitation
  • Spinal cord injury
  • Gastroenterology
  • Obstetrics/gynecology
  • Mental health
  • Pharmacy
  • Pathology
  • Physical therapy
  • Physical examinations

Benefiting both DoD and VA beneficiaries, resource sharing minimizes duplication and underuse of health care resources promoting cost-effective use of federal healthcare resources.

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DoD Instruction 6040.46: The Separation History and Physical Examination (SHPE) for the DoD Separation Health Assessment (SHA) Program


This issuance establishes policy and assigns responsibilities for completion of a SHPE as the principal component of the DoD-Department of Veterans Affairs (VA) SHA Program in compliance with Section 1145(a) of Title 10, U.S.C. and the 2013-2015 Joint Executive Committee Joint Strategic Plan.

DoD Instruction 6010.23: DoD VA Resource Sharing


Assigns responsibilities and prescribes procedures for the development and operation of DoD and VA health care resource sharing agreements (when a determination is made that such arrangements will improve access to quality health care or increase cost-effectiveness of the health care provided by the Military Health System (MHS) and the Veterans Health Administration (VHA) to beneficiaries of both departments.

Sharing of Department of Veterans Affairs and Department of Defense health care resources


The Secretary of Veterans Affairs and the Secretary of Defense shall enter into agreements and contracts for the mutually beneficial coordination, use, or exchange of use of the health care resources of the Department of Veterans Affairs and the Department of Defense with the goal of improving the access to, and quality and cost effectiveness of, the health care provided by the Veterans Health Administration and the Military Health System to the beneficiaries of both Departments.

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