1. Handling the SSA Patient Authorization September, 2015

2. Login to the ERE web site Manually retrieve request & authorization from ERE web site Logout of the ERE web site Review request and verify\validate authorization Document ROI decision and disclosure Generate VA health summary report for veteran (file saved to disk) Login to the ERE web site Upload the VA health summary report Logout of the ERE web site SSA/DDS SSA – VA Exchange of Medical Information - Today Electronic Records Express Web Site ERE Web Site VHA Request Package Request Letter SSA-827 (eAuth or Wet Signed Patient Authorization) Voucher Response Package Provider logs into the ERE Web Site and identifies the request and uploads the medical records 2 Veteran Case Intake Demographics Allegation List of Treating Sources, Medications, List of Labs/Procedure Vocational & Educational Background, Work Experience Signed Patient Authorization (SSA=827) Claim Determination Field Office, Web, 800 Vista (Electronic Health Record) Vista (Electronic Health Record) 1 2 3 5

3. Health IT Patient Authorization Capabilities VAP (Veterans Access Permissions) – VA portal to enable access to veteran’s medical and benefits information eHealth Exchange Access Consent Policy Transaction – enables the exchange of a patient’s policy documents (consent or authorization) to be shared between requesting and responding organization on the eHealth Exchange SSA eAuthorization – claimant electronically authorizes or attests to SSA-827 (patient authorization) 3

4. VA accepts the eAuthorized SSA-827 (patient authorization) without a need for manual review SSA/DDS SSA – VA Exchange of Medical Information with VAP & SSA eAuthorization MEGAHIT VA Gateway eHealth Exchange Transactions Patient Discovery Access Consent Policy Query & Retrieve Documents Summary of Care Document Other Clinical Documents 4 Veteran Veteran files a disability claim Claim Determination Field Office, Web, 800 Electronic Health Record Electronic Health Record VAP Veteran may use VAP to enable SSA to access their medical information (optional) 1 2 4 5 VA HIMS Case Intake Demographics Allegation List of Treating Sources, Medications, List of Labs/Procedure Vocational & Educational Background, Work Experience eAuthorized Patient Authorization (SSA-827) 3 SSA will send eAuthorized SSA-827 to VA 5

5. VA accepts the Wet Signed SSA-827 (patient authorization) but needs to verify that the veteran enabled the VAP authorization In order to release information to SSA SSA/DDS SSA – VA Exchange of Medical Information with VAP & SSA Wet Signed Authorization MEGAHIT VA Gateway eHealth Exchange Transactions Patient Discovery Access Consent Policy Query & Retrieve Documents Summary of Care Document Other Clinical Documents 5 Veteran Veteran files a disability claim Claim Determination Field Office, Web, 800 Electronic Health Record Electronic Health Record VAP Veteran uses VAP to enable SSA to access their medical information 1 2 4 6 VA HIMS Case Intake Demographics Allegation List of Treating Sources, Medications, List of Labs/Procedure Vocational & Educational Background, Work Experience Wet Signed Patient Authorization (SSA-827) 3 SSA will send Wet Signed SSA-827 to VA 5 VA Authorization