64.008: Veterans Domiciliary Care


Popular Name: VA Domiciliary Care

Objectives: To provide the least intensive level of VA inpatient care for ambulatory veterans disabled by age or illness who are not in need of more acute hospitalization and who do not need the skilled nursing services provided in nursing homes. To rehabilitate the veteran in anticipation of his/her return to the community in a self-sustaining and independent or semi-independent living situation, or to assist the veteran to reach his/her optimal level of functioning in a protective environment.


MAIN TOPICS:


64.008 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Veterans of the various military services who were discharged for a disability or are in receipt of disability compensation and suffering from a permanent disability, have no adequate means of support, are incapacitated from earning a living and meet certain other requirements. Veterans with nonservice-connected disabilities that incapacitate them from earning a living, but which are not so severe as to require hospitalization, are also eligible if they are unable to defray the expense of domiciliary care and if they meet certain other requirements for care in a domiciliary. An income limitation criterion is applied to all applicants.

Beneficiary Eligibility: Disabled veterans meeting the above requirements.

Credentials/Documentation: Military discharge papers.

64.008 APPLICATION & AWARD PROCESS:

Preapplication Coordination: None.

Application Procedure: Submit Application for Medical Benefits, VA Form 10-10, to nearest VA medical facility.

Award Procedure: Not applicable.

Deadlines: None.

Range of Approval/Disapproval Time: None.

Appeals: Not applicable.

Renewals: Not applicable.

Criteria for Selecting Proposals: Not applicable.

Examples of Funded Projects: Not applicable.

Range & Average of Financial Assistance: Not applicable.

64.008 RELATED PROGRAMS:

64.008 PROGRAM ACCOMPLISHMENTS: In fiscal year 1995, 18,093 patients were provided care in this program with an average daily census of 5,713. In fiscal years 1996 and 1997, it is estimated that 18,000 and 17,951 patients, respectively, will be provided care with an average daily census of 5,500 in 1996 and 5,500 again in 1997.

64.008 FINANCIAL & ADMINISTRATIVE INFO:

Federal Agency: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

Type of Assistance: Provision of Specialized Services.

Obligations: (Salaries and Expenses) FY 95 $235,033,000; FY 96 est $249,624,000; and FY 97 est $257,801,000.

Budget Account Number: 36-0160-0-1-703.

Authorization: Public Laws 89-358, 94-581, and 100-322, Section 136, 38 U.S.C. 601 and 610; Executive Order 5398, July 21, 1930.

Regulations, Guidelines, & Literature: VA Manual M-5, Part IV "Domiciliary Program, Extended Care"; VA IS-1 Fact Sheet "Federal Benefits for Veterans and Dependents," available from the Superintendent of Documents, Government Printing Office, Washington, DC 20402.

64.008 INFO CONTACTS:

Regional or Local Office: See Appendix IV, under Veterans Health Administration for Veterans Hospital Facilities.

Headquarters Office: Assistant Chief Medical Director for Geriatrics and Extended Care (114A), Department of Veterans Affairs, Washington, DC 20420. VA Domiciliary Care Program Chief. Phone: (202) 273-8543.

64.008 ASSISTANCE CONSIDERATIONS:

Formula & Matching Requirements: This program has no statutory formula or matching requirements.

Length & Time Phasing of Assistance: Not applicable.

Uses & Use Restrictions: Domiciliary care provides necessary inpatient medical care and physical, social and psychological support services in a therapeutic environment. It also includes a program to prepare veterans who have the potential to function more independently to return to community living.

64.008 POST ASSISTANCE REQUIREMENTS:

Reports: None.

Audits: None.

Records: None.


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