scope:

PURPOSE. This Instruction, in accordance with the authority in DoD Directive (DoDD) 5124.02 (Reference (a)):

a. Reissues DoD Instruction (DoDI) 6010.23 (Reference (b)) to implement the policy in section 8111 of title 38, United States Code (U.S.C.) (Reference (c)) and section 1104 of title 10, U.S.C. (Reference (d)).

b. Assigns responsibilities and prescribes procedures for the development and operation of DoD and VA health care resource sharing agreements (hereinafter referred to as "sharing agreements") and joint ventures when a determination is made that such arrangements will improve access to quality health care or increase cost-effectiveness of the health care provided by the Military Health System (MHS) and the Veterans Health Administration (VHA) to beneficiaries of both departments.

APPLICABILITY. This Instruction applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities within the DoD entering into sharing agreements with VA (hereinafter referred to collectively as the "DoD Components").