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CHAMPVA In-house Treatment Initiative (CITI)


The CHAMPVA In-house Treatment Initiative (CITI) is a voluntary healthcare program within the VA benefits system that allows eligible CHAMPVA beneficiaries to receive certain medical services at participating VA medical facilities. This initiative aims to expand healthcare options for beneficiaries while promoting more efficient use of VA resources. It is an additional option for CHAMPVA beneficiaries, allowing them to continue receiving care through their existing healthcare providers or choosing to take advantage of CITI services at eligible VA facilities.

Key Takeaways

  1. CITI is a voluntary health care service program that aims to offer high-quality medical care to CHAMPVA beneficiaries within VA facilities.
  2. The program allows CHAMPVA beneficiaries access to local VA Medical Centers, expanding their available services and providers, and reducing out-of-pocket expenses.
  3. Although CITI is part of CHAMPVA, it does not replace or limit any available benefits under CHAMPVA; it simply offers additional options for care at VA facilities.


The CHAMPVA In-house Treatment Initiative (CITI) is important because it significantly expands healthcare options for eligible beneficiaries under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA). CITI allows eligible recipients, such as dependents or survivors of certain disabled, deceased, or retired veterans, to receive medical care at VA facilities.

Prior to this initiative, CHAMPVA beneficiaries could only access healthcare through private providers and hospitals.

By offering access to VA facilities for healthcare services, CITI not only streamlines the coordination of care between providers but also potentially reduces out-of-pocket costs and wait times for beneficiaries, ultimately enhancing the overall healthcare experience for thousands of individuals connected to the veteran community.


The CHAMPVA In-house Treatment Initiative (CITI) serves a crucial purpose in offering significant healthcare support to specific groups of individuals affiliated with the United States military. Primarily, CITI aims to enhance the medical services provided to dependents and survivors of disabled veterans, as well as retired service members and their families.

The underlying motivation is to ensure that these individuals have adequate access to quality healthcare without undue financial burden, and to ease the stress that would accompany handling medical issues independently. In essence, CITI acts as a bridge between Department of Veterans Affairs (VA) medical resources and the eligible civilian recipients.

CITI facilities form an integral part of the CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) program framework by directly providing healthcare services through VA medical facilities. By offering a range of on-site treatments and services, which may include pharmacy, medical, mental health, and surgical care, CITI aims to streamline the process of seeking necessary care.

Additionally, it offers a more cost-effective solution to healthcare expenses by eliminating co-payments and claim filings. For eligible individuals, CITI serves as a vital pathway to the healthcare resources they need and rightly deserve, ensuring that they too benefit from the comprehensive support provided by the VA.

Examples of CHAMPVA In-house Treatment Initiative (CITI)

The CHAMPVA In-house Treatment Initiative (CITI) is a program available for eligible CHAMPVA beneficiaries who can receive cost-free medical care at participating VA medical centers. Here are three real-world examples where CITI comes into play:

A CHAMPVA beneficiary needing medical care: If a spouse of a disabled veteran is eligible for CHAMPVA benefits, they may choose to receive care at a VA medical center under the CITI program. The beneficiary can obtain treatment for chronic medical conditions or for routine check-ups without having to pay out-of-pocket expenses, as long as the VA medical center they visit is participating in the CITI program.

Access to specialized medical services: A college student who is the child of a disabled veteran and a CHAMPVA beneficiary needs specialized care for a rare condition that is not available at their local healthcare providers. They travel to a different city and receive the required specialized treatment at a VA medical center participating in the CITI program, enabling them to get the care they need with no additional cost.

Emergency care for a CHAMPVA beneficiary: An eligible CHAMPVA beneficiary experiences a medical emergency while on vacation and needs urgent care. They visit a VA medical center nearby that is participating in the CITI program. Due to their enrollment in CHAMPVA, they are able to receive the necessary care with no out-of-pocket expenses, even though they are not close to their regular healthcare provider.

FAQs about CHAMPVA In-house Treatment Initiative (CITI)

1. What is the CHAMPVA In-house Treatment Initiative (CITI)?

The CHAMPVA In-house Treatment Initiative, also known as CITI, is a program that allows eligible CHAMPVA beneficiaries to receive cost-effective, on-site medical services from VA facilities that participate in the CITI program. This program benefits both the beneficiary and the VA, as the VA retains the income used to support other VA programs, while the beneficiary receives quality care from experienced VA providers.

2. Who is eligible for the CITI program?

CHAMPVA beneficiaries who are not eligible for the Department of Defense TRICARE program are eligible for the CITI program. This includes the spouses and children of permanently and totally disabled veterans, and the surviving spouses and children of veterans who died from a service-connected disability.

3. How do I find a participating VA facility for the CITI program?

To find a VA facility that participates in the CITI program, you can contact your local VA medical center or call the CHAMPVA hotline at 1-800-733-8387. You can also visit the VA website and search for facilities that offer CHAMPVA CITI services.

4. How do I enroll in the CITI program?

You do not need to enroll separately in the CITI program. If you are a CHAMPVA beneficiary and visit a participating VA facility for medical services, you will automatically be considered for the CITI program. Please remember to bring your CHAMPVA identification card and any other required documentation to your appointment.

5. What services are covered under the CITI program?

The CITI program covers a wide range of medical services, including primary care, specialty care, urgent care, and inpatient services. Some services, such as dental care, are generally not covered under the program. For a complete list of covered services, consult the CHAMPVA Policy Manual or contact your local VA facility.

6. Will I have to pay any out-of-pocket costs for the CITI program?

While the CITI program is designed to be cost-effective, there may still be some out-of-pocket costs to the beneficiaries. These costs depend on the type of service, the provider, and other factors. Be sure to discuss any potential costs with your VA provider before receiving services.

Related VA Benefit Terms

  • VA Health Care System
  • Eligible Family Members
  • Medical Treatment Coverage
  • Veteran Disability Status
  • CITI Reimbursement Process

Sources for More Information