VA CCN Midland: Complete 2026 Community Care Guide
VA CCN Midland is the Community Care Network (CCN) program that allows eligible Veterans in Midland, Texas, to receive healthcare from local community providers when VA services are unavailable, too far away, or don’t meet timeliness standards. Texas is in CCN Region 4, managed by TriWest Healthcare Alliance . Midland has a local CCN provider—Encompass Health Rehabilitation Hospital of Midland-Odessa—which accepts VA CCN and TRICARE for inpatient rehabilitation services . Veterans must have an approved referral from their VA provider to access CCN services .
Quick Facts
| Item | Details |
|---|---|
| Benefit | VA Community Care Network (CCN) |
| Texas Region | Region 4 (West, Southwest, Hawaii, Western U.S. territories)Â |
| Third-Party Administrator | TriWest Healthcare Alliance |
| Eligibility | VA-enrolled Veterans with approved referral |
| Provider Services Contact | 888-901-7407 (Regions 1-3)Â |
| Local CCN Provider | Encompass Health Rehabilitation Hospital of Midland-Odessa |
| Official Agency | U.S. Department of Veterans Affairs |
| Updated For | 2026 |
What Is the VA Community Care Network (CCN)?
The VA Community Care Network (CCN) is the program that connects VA-enrolled Veterans with healthcare services in their local communities when the VA cannot provide the care they need . It is not a separate benefit—it is a delivery system that supplements the Veterans Health Administration with a network of civilian healthcare providers, including professionals, facilities, pharmacies, and other suppliers .
How It Works: The CCN is made up of five regional networks managed by third-party administrators (TPAs) on behalf of the VA . Optum Serve serves as the TPA for Regions 1-3, while TriWest Healthcare Alliance serves as the TPA for Regions 4-5 . These administrators help find community providers who meet VA quality standards, process referrals, and handle claims . The TPAs pay providers quickly, and then the VA reimburses the TPAs .
Why It Matters:Â Midland, located in the Permian Basin of West Texas, is a significant distance from major VA medical centers. The nearest VA facilities are in Big Spring (about 100 miles away) or Amarillo. For Veterans with mobility issues or transportation challenges, traveling to these facilities can be a significant burden. The CCN allows eligible Veterans to get care close to home rather than traveling long distances.
What Midland Veterans Should Do Next: If you are enrolled in VA healthcare and need a service the VA can’t provide in a timely manner, speak with your VA primary care provider about a community care referral. You cannot access CCN without an authorized referral from VA .
Midland’s CCN Region
Texas is in CCN Region 4 . Region 4 includes these 16 U.S. states and territories: American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Montana, New Mexico, Nevada, Northern Mariana Islands, Oregon, Texas, Utah, Washington, Wyoming .
Third-Party Administrator: TriWest Healthcare Alliance is the third-party administrator (TPA) for Region 4, managing provider networks, referrals, and claims processing .
Veterans May Qualify for Extra Benefits
Check available financial assistance, healthcare programs and other opportunities that may apply to you.
Check EligibilityProvider Services Contact: CCN Provider Services for Regions 1-3 can be reached at 888-901-7407, Monday through Friday, 8:00 AM to 6:00 PM local time .
Who Qualifies for VA CCN in Midland?
To be eligible for community care, a Veteran must meet two requirements :
Be enrolled in VA’s patient enrollment system
Have an approved referral from VA for care in the community
Eligibility Standards for Referral: A Veteran may qualify for a community care referral based on :
| Standard | Threshold |
|---|---|
| Drive Time | More than 30-minute drive to VA facility for primary care or mental health; more than 60 minutes for specialty care |
| Wait Time (Primary Care/Mental Health) | Appointment wait exceeds 20 days |
| Wait Time (Specialty Care) | Appointment wait exceeds 28 days |
| Unavailable Services | VA does not provide the specialty, procedure, or service locally |
Important: Veterans’ caregivers and family members are not eligible for VA CCN services—the program is for enrolled Veterans only with an approved VA referral .
CCN Providers in Midland
Encompass Health Rehabilitation Hospital of Midland-Odessa
Encompass Health Rehabilitation Hospital of Midland-Odessa is a local CCN provider serving the Midland area .
Location:
1800 Heritage Blvd.
Midland, TX, 79707Â
Services Available:
The hospital proudly accepts VA Community Care Network (CCN) and TRICARE to help Veterans access high-quality inpatient rehabilitation close to home . Most insurance plans cover inpatient rehabilitation services.
How It Works:
Your VA provider must authorize inpatient rehabilitation care through the Community Care Network
You will need a referral from your VA provider
The VA determines if you are eligible for rehabilitation services through CCN
Covered Services Include :
Routine medical care
Surgeries
Rehabilitation services
Nursing homes, assisted living, and home health care
Behavioral health (to include professional counseling)
Residential care
VA CCN Covered Services
The CCN covers a wide range of services when approved by your VA healthcare team :
Routine Medical Care:
Primary care
Specialty care
Mental health services
Women’s health services
Behavioral health services
Extended Care:
Nursing homes
Assisted living
Residential care
Home health care (skilled and unskilled)Â
Hospice care
Complementary and Integrative Health Services (CIHS)Â :
Biofeedback
Hypnotherapy
Massage therapy
Native American healing practices
Relaxation techniques
Tai chi
Other Services:
Surgical services
Dental care (for eligible Veterans)Â
Durable Medical Equipment (DME)
Prescription medications (up to 14-day supply)Â
Rehabilitation services
Long-term acute care
DialysisÂ
ImmunizationsÂ
Urgent careÂ
TransplantsÂ
In Vitro Fertilization (IVF) for eligible VeteransÂ
Important: All care must be authorized through a VA referral. Services provided without prior authorization may not be reimbursed .
Texas and Midland Context
Texas Veteran Population
Texas has one of the largest Veteran populations in the nation. Texas is part of CCN Region 4, which is managed by TriWest Healthcare Alliance . Texas faces key challenges including long distances to rural clinics and urban specialty bottlenecks, which makes the CCN particularly important for Texas Veterans.
Midland’s Geographic Position
Midland is located in the Permian Basin of West Texas, a considerable distance from major VA medical centers:
Big Spring VA Medical Center: ~100 miles
Amarillo VA Medical Center: ~250 miles
West Texas VA Health Care System: significant travel required
For many Midland-area Veterans, accessing VA care can require significant time and financial resources for transportation. The CCN helps bridge this gap by allowing local care.
How to Access VA CCN in Midland
Step 1: Speak with Your VA Primary Care Provider
Discuss the care you need. If the VA cannot provide it within wait-time standards (20 days for primary care/mental health, 28 days for specialty care) or if you live more than 30 minutes from a VA facility, your provider can initiate a referral .
Step 2: Receive VA Authorization
The VA reviews your eligibility and issues a referral for an episode of care. Referrals include a start and end date, specified number of visits, and approved services. Some distance-eligible Veterans may receive a primary care referral valid for one year .
Step 3: Find a CCN Provider
Once authorized, you can schedule care with a participating CCN provider. In Midland, Encompass Health Rehabilitation Hospital of Midland-Odessa accepts CCN referrals for inpatient rehabilitation .
Step 4: Confirm Authorization at Your Appointment
Before receiving care, confirm that your appointment is authorized by VA. Services without authorization may not be reimbursed .
Step 5: Continuity of Care
Your CCN provider will share your medical records with VA to maintain an updated health profile .
VA CCN vs. VA Care
| Aspect | VA Care | VA CCN Community Care |
|---|---|---|
| Provider | VA-employed clinicians | Community providers under contract |
| Location | VA medical centers & clinics | Local community hospitals & offices |
| Eligibility | All enrolled Veterans | Referral required |
| Referral Required | No | Yes |
| Covered Services | Full range | Full range with referral |
| Travel Requirements | May require long distances | Local access |
Common Questions
Q: What is VA CCN in Midland?
The VA Community Care Network (CCN) in Midland allows eligible Veterans to receive healthcare from local community providers when VA services are unavailable, too far away, or not timely. Texas is in CCN Region 4, managed by TriWest Healthcare Alliance .
Q: Who qualifies for VA CCN in Midland?
You must be enrolled in VA healthcare and have an approved referral from VA . You may qualify if you live more than 30 minutes from a VA facility, wait times exceed VA standards (20 days for primary care/mental health, 28 days for specialty care), or VA doesn’t offer the service you need .
Q: Is Texas in CCN Region 4?
Yes. Texas is part of CCN Region 4, which covers the West and Southwest U.S., Hawaii, and Western territories . TriWest Healthcare Alliance is the third-party administrator for this region .
Q: What local CCN providers are available in Midland?
Encompass Health Rehabilitation Hospital of Midland-Odessa is a local CCN provider accepting VA Community Care Network and TRICARE for inpatient rehabilitation services .
Q: How do I get a CCN referral in Midland?
Speak with your VA primary care provider. They will evaluate your need and initiate a referral if you meet eligibility standards. You cannot access CCN without VA authorization .
Q: What services are covered under VA CCN?
Covered services include primary care, specialty care, mental health, women’s health, extended care (nursing homes, home health), complementary and integrative health services (including biofeedback, massage therapy, Native American healing), surgical care, dental (for eligible Veterans), durable medical equipment, and prescriptions (up to 14-day supply) .
Q: Can I use VA CCN without a referral?
No. Prior authorization and referral requirements apply. If you deliver care or services without an authorized referral, the care or services may not be reimbursed .
Q: Does the VA CCN cover urgent care?
Yes. Urgent care services are available through CCN . Flu shots for enrolled Veterans are available through the system via 60,000 locations .
Q: Who manages VA CCN Region 4?
TriWest Healthcare Alliance is the third-party administrator for CCN Region 4, which includes Texas . TriWest builds and maintains a provider network, processes and pays health care claims, and provides customer service to providers .
Q: What is the difference between VA CCN and the old PC3 program?
CCN replaces the Patient-Centered Community Care (PC3) network . CCN offers expanded services including dental, pharmacy, durable medical equipment, dialysis, skilled and unskilled home health, urgent and emergent care, telehealth, immunizations, and comprehensive and integrative health care .
Key Takeaways
VA CCN Midland connects eligible Veterans with local community healthcare providers when VA services are unavailable or not timely
Texas is in CCN Region 4, managed by TriWest Healthcare AllianceÂ
You must have an approved VA referral—services without authorization won’t be reimbursedÂ
Encompass Health Rehabilitation Hospital of Midland-Odessa is a local CCN provider offering inpatient rehabilitationÂ
Eligibility based on drive time (30+ minutes for primary care, 60+ for specialty care) or wait time (20+ days for primary care/mental health, 28+ days for specialty care)Â
Covered services include primary care, specialty care, mental health, extended care, rehabilitation, and complementary health servicesÂ
CCN replaces the older PC3 network with expanded servicesÂ
Texas has a large Veteran population making CCN access critical
Ask your VA primary care provider for a referral to access CCN in Midland
Official Resources
VA Community Care Overview:Â va.gov/communitycare
VA CCN Region Map:Â department.va.gov/vha/community-care/partnerships/community-care-network/Â
VA Access and Quality Data:Â va.gov/access-care
CCN Provider Resources:Â vacommunitycare.com
VA Facility Locator:Â va.gov/find-locations
TriWest Healthcare Alliance:Â triwest.com
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