Medical Providers

VVF may pay for medical and medical-related expenses that are caused by a crime, including:
  • Medical services
    • Hospitalization, surgery, ambulance transportation and prescriptions, skilled nursing facilities, rehabilitation centers, laboratory services, eye and hearing exams, physical and occupation therapy, durable medical equipment and more.
  • Medically necessary items
    • Eyeglasses, hearing aids, dentures, orthotic appliances and prosthetic devices that are lost, stolen or broken during the crime, or become necessary due to the crime.
In order to consider payment for services rendered, VVF requires the following documentation:
  • A Memorandum of Agreement on file with the provider
  • A W9 Form completed
  • Medical records for each date of service related to the crime incident
  • Itemized, detailed bills for each date of service (not a HICF)
  • Insurance Remittance documentation
  • Financial Assistance/Charity care decision letter (if uninsured)
  • Explanation of benefits from automobile insurance (if applicable)
All Medical Records must include the following:
  • History & Presenting Illness
  • Discharge Summaries including Prescriptions
  • ED Radiology notes
  • Anesthesiology notes
  • ED Lab results

§ 19.2-368.6 of the Virginia Code directs that Health care providers, as defined in § 8.01-581.1, shall provide medical and hospital reports relating to the diagnosis and treatment of the injury upon which the claim is based to the Commission, upon request.

Questions about the status of an account should be directed to Status@VirginiaVictimsFund.org.
Please note: VVF is unable to provide status to any providers without having received a Memorandum of Agreement first.

 

Code of Virginia § 19.2-368.11:1(G) states that the Virginia Victims Fund is the payer of last resort. This statute requires claimants to exhaust all available collateral resources before VVF can make payment. The resources relevant in each claim depend on both the crime type and the resources available to the victim.

VVF can only pay for services after they are rendered. VVF never pre-authorizes payment of any expenses. However, providers may direct bill immediately after services are rendered.

Code of Virginia § 19.2-368.3 states that A provider who accepts payment from the Virginia Victims Fund for a service accepts VVF's rates as payment in full and cannot bill a claimant any more for that service.
Please Note: VVF does not pay for missed or cancelled appointments

Sometimes it is necessary for VVF to request additional reductions when the value of the claim exceeds VVF’s $35,000 maximum allowable award amount and the victim will suffer undue financial hardship without further assistance. If this occurs, VVF will send a compromise proposal letter with an amount VVF is able to consider for a specific expense. No payment will be made until an agreement is reached.
Please note: for incidents occurring prior to July 1, 2019, the maximum allowable award is $25,000.

 

Per the Code of Virginia, it is illegal for providers to place an account in collections that is under consideration at the Virginia Victims Fund.

§ 19.2-368.5:2. Effect of filing a claim; stay of debt collection activities by health care providers.

A. Whenever a person files a claim under this chapter, all health care providers, as defined in § 8.01-581.1 that have been given notice of a pending claim, shall refrain from all debt collection activities relating to medical treatment received by the person in connection with such claim until an award is made on the claim or until a claim is determined to be non-compensable pursuant to § 19.2-368.11:1. The statute of limitations for collection of such debt shall be tolled during the period in which the applicable health care provider is required to refrain from debt collection activities hereunder.

B. For the purpose of this section, "debt collection activities" means repeatedly calling or writing to the claimant and threatening either to turn the matter over to a debt collection agency or to an attorney for collection, enforcement or filing of other process. The term shall not include routine billing or inquiries about the status of the claim.