Can the VA refuse to treat a 100% service-connected veteran citing their case as "too complex," and also refuse to outsource them for care?

Go to your local DAV, American Ljegion ,VFW and asked to speak to the centers VA claims Agent. He or she will want any records medical records service records even award letters don't forget to take your DD 214.
These claims agents will be working for you they will instruct you on how to fit in all the paperwork to put in a claim for your service related injuries do not go to your States claims agent stay away from State the only person that you are interested in is in local VFW, DAV, American Legion
Brother I was 90% for 9 1/2 years once a president Trump got in the office they put a ruling in that said all claims must be answered between 4 to 6 months if they are not answered you get the claim automatically if they denied a clean and you put in a a cream yourself and you win the claim on appeal the person who denied your claim is fired and I know that happened to me I'm 100% from disabled unfortunately mine is PTSD, I HOPE this can put you on the correct Path.
REMEMBER, The More Records you provide the better chance you have for success.

I used my Congressman in Calif. and got a response in 4 days.

Missed this until recent replies popped it up on my feed.
My recommendation, if your troubles have not already been resolved, would be to change your Primary to Baltimore VAMC or Loch Raven VAMC instead of beating your head against the same rock in DC over and over again.

Yes they can if it's too complex just keep fighting!!!

You have Veterans Choice now.... They can't refuse unless it's out of state!! Then you will have a copay... Find a local Doctor that agrees with the Diag and it's related to your disability....then it should be be covered... Good luck!!

As far as the medicines from community care providers, most of their offices don't read the consult they get with instructions on how to submit a prescription. The consult has a form for the doctor to fill out and fax to the VA pharmacy.

I have a very complicated case as well but only because I stay on top of my care, things are getting done. The community care office at our local hospital is quite frankly awful. Hang in there and stay on top of it. I would also recommend DAV.

My 2 cents as a Patient Advocate. Everything always leads to the Patient Advocates office. File a White House Hotline complaint, it will find its way to the PA office. Call the directors office, you’ll be referred to the PA office. File with your local Congressional rep, it’ll come to the PA. So call your local PA office. If they aren’t doing anything a sl to speak to the their Director. Request a FOIA on your case to see what if anything is being done and act accordingly if not. Best of luck.

Senator isn't the right answer, Congressional Representative is. Senators pass laws, Congress represents you. I had to get my Congress woman involved in my care, Shaheen D NH
Made appt, saw a 23 year old staffer she was the VA liaison and by the time I finished my long sad story SHE was in tears..... By the time I got home from that meeting I had a message on my home phone from the head of my VA hospital.....Long story short, I got the care I needed and they went out of their way to provide it

I learned there are SIGNIFICANT differences between VA hospitals in different regions. n 2008 I moved from Southern California, to the Puget Sound area. The difference in medical care in the Long Beach VA and and Seattle was literally POLAR OPPOSITES. In Long Beach, most of the clerical staff had VERY bad attitudes and the care was very poor. Seattle has been outstanding

I'm 70% disabled. Two years ago I was having major problems with my neck... which is NOT service connected (YET). After getting the results from an MRI and other diagnostic tests, it was determined that ALL of the discs in my neck were gon, and the vertebrae were bone-on-bone, and the vertebrae were starting to disintegrate. The Chief Neurologist at the Seattle VA said "You need surgery, NOW! If you get even the slightest case of whiplash, you will be quadriplegic... IF you survive." He went on to say "I do NOT have the skill set to do this surgery, nor does any VA doctor in this region"

He said that he was referring me to University of Washington Harborview Medical center, the ONLY Trauma Center in WA State.

When I asked about the UW Medical Center that was near my home, he said "I would NOT feel comfortable sending you to that hospital. You need a TOP Cervical Neurosurgeon. Harborview is the only hospital in the region that has doctors with the skills you need." My Primary care doctor agreed.

They pushed the referral through, and two months later I was undergoing a 12+ hour surgery to stabilize my neck (with $83,000 of titanium hardware). Ten days in the hospital, and a SECOND surgery one month later, the total costs were over $350,000. Paid by the VA (after a few 'bumps').

Sometimes you have to raise a fuss. I STRONGLY SUGGEST CONTACTING YOUR ELECTED REPRESENTATIVE, NOW!

When I had trouble I wrote a congressional, my senator, the president, and the patient ombudsman. I almost wrote the director for the VA but my senator came through. The main point being is that we have to take charge. The bureaucrats won't go out of their way to help so we need to use every avenue to take care of ourselves.

I've researched this question since I first saw it come up last year. Every VA rep I've talked to tells me the same thing: "It is not policy for the VA to refuse medical care to a veteran with a 100% service-connected disability." I also asked them about outsourcing and each one of them said that they outsource care frequently whenever the VA can't handle the veteran's care. I spoke to VA reps in Fayetteville, Raleigh, Wilmington, and Tampa when I asked. But also, remember that I said IT IS NOT POLICY...so I wouldn't be surprised if some of them were simply saying F--- NO! That's terrible, BTW.

ABSOLUTELY NO!!!
HELL NO!!!
It’s time for you to take legal action against the VA and/or contact you Congressman and/or Senator.

I’ve listened to years of Trump bragging how he single handidly straightened out the VA. NOTHING COULD BE FURTHER FROM THE TRUTH. I’m a 100% disabled Veteran. Yet for the past year I haven’t managed to get a simple dentist appointment using my earned free dental benefits. The VA’s improved in those areas where they’re under the microscope. But in those areas where nobody’s looking they haven’t done a thing to improve how they service their benefactors. Thus, I use TRICARE where I can. Had I relied upon the VA, I would’ve been paralysed from T12 on down. The VA actually told me that I was “CURED” after I had a pain pump embedded into my abdomen.

Under Trumps 2018 Right To Choose. The VA must outsource you care to providers you choose.

Although VA is a federal program, it is regionally managed. Sadly some areas provide better services than others, depending on the capabilities in the area. A letter or contact with our federal Representative and or senator often helps.

There is a,so a retired colonel who used to run Walter Reed Bethesda, he is the director of the VADC, he could also help

If you have problems s with the VA in general...i would write to Tammy Duckworth, LTC retired, she is a senator on the Veterans and military service committee, she is a double amputee, help pilot, amazing person.

Call the White House VA hotline. They will get things done when the VA is not helping where they should. The number is [login to see] . This number is publicly listed and can be found by Googling "White House VA hotline". You can also try speaking with a patient advocate. I've done that before when a provider was not helping me when I needed help. I got assigned to a new provider. Good luck! I know that has to be incredibly frustrating.

I'm miffed by this question. I'm 100% combat disabled and I've been so for more than 20 years. I've never been denied treatment by the VA either in Tampa or Houston. If fact, the Houston VA authorized over a year's treatment of a unique abscess over a metal blade implant by a local Chinese acupuncturist. After 15 months, the VA decided removal of the plate might be prudent. There was never any question of the potential complications or meds which might be needed. I've received nothing but quality care through any VA facility I used. They even sent me to a first rate dental team near my home for dental treatment. I've had 45 surgeries in my lifetime to keep this old body running; many done by or for the VA. I'd guess the specific VA centers have various levels of quality care. I've been extremely lucky with care rendered by Tampa and Houston medical centers.

I am posting this comment I made in response to another comment made to this post. It has to do with the suggestion regarding calling the Whitehouse Veterans line. And it is about understanding exactly what the role of that hotline is.

Ok, so the Whitehouse Veterans line will take your complaint against a VA hospital or agency. They will assign you a case number. They will make some calls and Yes someone from the VA will get in touch with you about your complaint. That however does NOT mean your issue or problem will be solved!!!! The Whitehouse Veterans line simply looks into the complaint and makes a record of the complaint. They don't actually have the ability to solve the issue you are having with the VA. They DO NOT HAVE THE POWER TO FORCE A VA HOSPITAL TO FOLLOW FEDERAL REGULATIONS OR PROTOCOL WHEN IT COMES TO THE MEDICAL TREATMENT OF THE VETERANS THEY SERVE AT THAT PARTICULAR VA MEDICAL CENTER (HOSPITAL). I know this, I am speaking from experience. The one thing that really irks the hell out of me when it comes to the United States Department of Veterans Affairs is that NOTHING HAS REALLY CHANGED!!!! Sure they have made it look like things have changed but the overall attitude toward the treatment of VETERANS is still the same "DENY UNTIL THEY DIE". So maybe they have approved more claims and gotten them through the system. But are they giving the proper medical treatment to all those VETERANS??? HELL NO!!! And the more they deny the necessary medical treatment to, over time that will equal out to fewer VETERANS to treat because the MORTALITY rate of Veterans will increase overtime!!! SO there you go. It's easy to approve a disability claim, and it's just as easy to deny medical treatment to that veteran. Or to cause that Veteran so much stress in seeking treatment that over time that stress takes its toll cutting years off the lifespan of the Veteran!!! And there you have it ONE LESS VETERAN THE GOVERNMENT HAS TO PAY FOR!!!