Average drive time to a specific VA medical facility - 30-minute average drive time for primary care, mental health, and non-institutional extended care services (including adult day health care) 60-minute average drive time for specialty careAppointment wait time at a specific VA medical facility 20 days for primary care, mental health care, and non-institutional extended care services, unless the Veteran agrees to a later date in consultation with their VA health care provider 28 days for specialty care from the date of request, unless the Veteran agrees to a later date in consultation with their VA health care providerIt Is in the Veteran’s Best Medical Interest In this situation, a Veteran may be referred to a community provider when the Veteran and the referring clinician agree that it is in their best medical interest to see a community provider.A VA Medical Service Line Does Not Meet Certain Quality Standards In this scenario, if VA has identified a medical service line is not meeting VA’s standards for quality based on specific conditions, Veterans can elect to receive care from a community provider with certain limitations.