208 may also require the exclusion of a staff member from any involvement in matters relating to the certification of a business or supplier, or the conclusion and management of a Veteran Care Agreement with a company or supplier, even if the employee`s obligations cannot be considered “personally and meaningfully participating”; There are a large number of areas where a Veteran can qualify for community care, as there is no full-service VA facility at a reasonable distance. These regions include Alaska, Hawaii, New Hampshire and the U.S. territories of Guam, American Samoa, the Northern Marianas and the U.S. Virgin Islands. The VA Mission Act did important things in the short term and introduced long-term care fixtures. Short-term improvements have been crucial for some Veterans, who have filled a supply gap due to funding issues related to the VA Choice program. On December 28, 2018, Optum was named TPA for the VA Community Care Network for Regions 1, 2 and 3, which includes 36 states, the District of Columbia, the U.S. Virgin Islands and Puerto Rico. Optum provides the VA with unique services to achieve its goal of providing veterans they serve with the highest quality of supply. Giving Veterans a Greater Variety of Health Care The Minister of Veterans Affairs notes that at 5 U.S.C. 553 (b) B) and (d) (d) (3), there are good reasons to forego the ability to present and give public notice in advance and to publish this rule with an immediate effective date. As previously stated in this rule, the contractual network of COMMUNITY VA providers will not be fully operational until June 6, 2019, in accordance with Section 1703(h) added by Section 101 of the MISSION Act.