FEDERAL AGENCY:

VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

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.

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.

TYPES OF ASSISTANCE:

Formula Grants. Place Cursor Here for Definition

USES AND 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.

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; (b) has a nonservice-connected disability and states under oath his inability to defray the expenses of necessary care; (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.

Pre-application Coordination:   None. This program is excluded from coverage under E.O. 12372.

Application Procedure:   Letter of application from State addressed to Chief Consultant, Geriatrics and Extended Care Strategic Healthcare Group (114), Department of Veterans Affairs, 810 Vermont Avenue, 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.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:   38 U.S.C. 1741. For each veteran provided domiciliary care, formula payments to the State are $16.13 per diem, or one-half the cost of care, whichever is less.

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

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 OMB Circular No. A- 133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

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

FINANCIAL INFORMATION:

Account Identification:   36-0160-0-1-703.

Obligations:   (Grants) FY 01 $27,224,000; FY 02 est $30,573,000; and FY 03 est $30,573,000.

Range and Average of Financial Assistance:  
$5,000 to $3,600,000. Average: $427,000.

In fiscal year 2001, 5,831 patients were provided care in this program with an average daily census of 3,626 veterans in 47 State homes. In fiscal year 2002, it is estimated that 6,090 patients will be provided care with an average daily census of 3,821. In fiscal year 2003, it is estimated that 6,230 patients will be treated with an average daily census of 3,898.

REGULATIONS, GUIDELINES, AND LITERATURE:

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

INFORMATION 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 Service (114B), Department of Veterans Affairs, Washington, DC 20420. Chief, State Home Per Diem Program. Telephone: (202) 461-6771.

Web Site Address:  
http://www.va.gov

EXAMPLES OF FUNDED PROJECTS:

Not applicable.

CRITERIA FOR SELECTING PROPOSALS:

Not applicable.

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