Paragraph b) (2) (v) of page 17.4110 establishes a standard of assessment that would allow VA to refuse an application for certification if VA finds that, for programming reasons, VA is unlikely to enter into a veterans maintenance contract with the applicant. We believe that this denial base is appropriate, given that Section 1703A is a generous purchasing authority that allows (but does not require) the conclusion and use of Veterans maintenance agreements. As a result, it is of little or no benefit to a supplier or company or company to continue the certification process for Section 1703A (c), including obtaining and tracking certified status, when VA, in the exercise of its programmatic judgment, finds that it is unlikely to conclude a VCA with the company or supplier. In these circumstances, VA may reject the application in order to avoid unnecessary spending on company or supplier and VA resources. VA`s finding that the basis of the refusal is met in the provisions of p. 17.4110 (b) (2) (v) is assessed on a case-by-case basis. We will not resolve more specific circumstances in which VA could apply this denial basis, when such circumstances would normally occur if VA would likely not enter a VCA with a company or provider, since the care or services required for an insured person are possible instead through a DE , a contract or sharing agreement (see 38 U.S.C 1703A(a)). For example, if a company or provider has already participated in VA`s contract communal care network or if VA`s contract communal care network already has adequate coverage of the services provided by the institution or provider in a given location, it is unlikely that VA will attempt to enter into a VCA with that organization or provider. In addition to the general coverage deficiencies described above, as described as VA to develop their contract supply network, there are specific care and service services that are expressly excluded from VA`s current municipal care contracts, which exist at the time of the release of this provision (including the aforementioned extensions) and which are not covered immediately after June 6 by the new contract network.
, 2019. These services include unqualified home health services, as well as dental care, and these services would simply cease to be provided to affected veterans on June 6, 2019, unless there was a VCA to equip them. Based on VA`s experience, home health service providers who are parties to the choice program offer agreements are generally not willing to enter into a conventional purchase agreement pursuant to the Federal Acquisition Regulation (FAR). For example, home health services are generally provided by small providers who provide a limited number of people, and it is VA`s understanding of its relationships with these providers for many years that the requirement for federal contractors to encourage their participation in community-based va-vis services, resulting in serious disruptions in the provision of home health services to VA recipients.