64.014: Veterans State Domiciliary Care


Objectives: To provide financial assistance to States furnishing domiciliary care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs.


MAIN TOPICS:


64.014 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Applicant is any State which operates a designated facility to furnish domiciliary care primarily for veterans.

Beneficiary Eligibility: Veterans eligible for care in a VA facility needing domiciliary care and meeting one of the following conditions: (a) has a service-connected disability for which such care is being provided; or (b) has a nonservice-connected disability and states under oath his inability to defray the expenses of necessary care; or (c) was discharged or released from active military, naval and air service for a disability incurred or aggravated in line of duty; or (d) is in receipt of, or but for the receipt of, retirement pay would be entitled to receive disability compensation. A veteran must also meet State admission criteria.

Credentials/Documentation: None.

64.014 APPLICATION & AWARD PROCESS:

Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372.

Application Procedure: Letter of application from State addressed to Chief Medical Director (114B), Department of Veterans Affairs, 810 Vermont Ave., NW., Washington, DC 20420.

Award Procedure: Recognition by Secretary of Veterans Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741.

Deadlines: None.

Range of Approval/Disapproval Time: From 30 to 60 days.

Appeals: Not applicable.

Renewals: Not applicable.

Criteria for Selecting Proposals: Not applicable.

Examples of Funded Projects: Not applicable.

Range & Average of Financial Assistance: $16,046 to $2,839,846; $378,634.

64.014 RELATED PROGRAMS:

64.014 PROGRAM ACCOMPLISHMENTS: In fiscal year 1995, 6,318 patients were provided care in this program with an average daily census of 3,562 veterans in 46 State homes. In fiscal year 1996, it is estimated that 6,400 patients will be provided care with an average daily census of 3,563.

64.014 FINANCIAL & ADMINISTRATIVE INFO:

Federal Agency: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

Type of Assistance: Formula Grants.

Obligations: (Grants) FY 95 $19,189,000; FY 96 est $19,991,209; and FY 97 est $20,153,922.

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

Authorization: Act of August 27, 1888, as amended, Public Laws 66-126, 76-250, 78-202, 80-531, 81-823, 83-613, 86-625, 88-450, 90-432, 93-82, 94-417, 94-581, 96-151, 97-251, 98-160, and 100-322, 38 U.S.C. 1741-1743.

Regulations, Guidelines, & Literature: VA Manual M-1, Part I, Chapter 3 "State Veterans' Homes," and VA Manual M-5, Part VIII, Chapters 1 through 5.

64.014 INFO CONTACTS:

Regional or Local Office: See Appendix IV of the Catalog for Veterans Hospital Facilities.

Headquarters Office: Assistant Chief Medical Director for Geriatrics and Extended Care (114B), Department of Veterans Affairs, Washington, DC 20420. Chief, State Home Per Diem Program. Phone: (202) 273-8538.

64.014 ASSISTANCE CONSIDERATIONS:

Formula & Matching Requirements: 38 U.S.C. 1741. For each veteran provided domiciliary care, formula payments to the State are $15.33 per diem effective October 1, 1995 or one-half the cost of care, whichever is less.

Length & Time Phasing of Assistance: There is no length limitation; grant payments are made monthly or quarterly to the State.

Uses & Use Restrictions: The assistance provided is for domiciliary care; The provision of shelter, sustenance, and incidental medical care on an ambulatory self-care basis to assist eligible veterans, disabled by age or illness to attain physical, mental, and social well-being through rehabilitative programs.

64.014 POST ASSISTANCE REQUIREMENTS:

Reports: Monthly reports and quarterly statements of Federal aid claimed are filed by the State with VA field station having jurisdiction over the State Home.

Audits: In accordance with the provisions of Title 38 CFR, Part 41, "Auditing Requirements," State and local governments that receive financial assistance of $100,000 or more within the State's fiscal year shall have an audit made for that year. State and local governments that receive between $25,000 and $100,000 within the State's fiscal year shall have an audit made in accordance with Federal laws and regulations governing the programs in which they participate.

Records: Cost records on which quarterly statements are based and attendance records to support report for days of care provided to veteran.


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