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Indiana Veterans Directed Care Providers

Forms

Veteran Enrollment Packet

Employee Enrollment Packet

2025 Biweekly Employer/Employee Timesheet Due Dates

2025 Biweekly Case Managers Timesheet Due Dates

Purchase/Payment Authorization & Reimbursement Form

Disenrollment Form

Helpful Links:

ACL National Veterans Directed Care Program Site

Veteran Enrollment Submission

VDC Employee New Hire Submission

Provider Timesheet Submission

Laserfiche Submission Instructions

Allowable Goods and Service Reference Guide

PeADD FMS Quick Guide

VDC Document Update

Address

300 Hammond Drive
Hopkinsville, KY 42240
Monday - Friday
8:00 am - 4:30 pm
Closed Noon - 1:00 pm for Lunch

Contact

Phone: (270) 886-9484
Toll Free: 1 (800) 928-7233
Fax: (270) 886-3211
TTY: 1 (800) 648-6056
[email protected]

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