Department of Defense
INSTRUCTION
NUMBER 6010.23
January 23, 2012
Incorporating Change 1, Effective October 3, 2013
USD(P&R)
SUBJECT: DoD and Department of Veterans Affairs (VA) Health Care Resource Sharing
Program
References: See Enclosure 1
1. 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.
2. 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”).
3. DEFINITIONS. See Glossary.
4. POLICY. It is DoD policy, in accordance with section 8111 of Reference (c) and section
1104 of Reference (d), that:
