FEDERAL AGENCY:

VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

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.

OBJECTIVES:

To provide the least intensive level of 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.

TYPES OF ASSISTANCE:

Provision of Specialized Services. Place Cursor Here for Definition

USES AND USE RESTRICTIONS:

VA and State Home 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.

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.

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

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.

ASSISTANCE CONSIDERATIONS:

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

Length and Time Phasing of Assistance:   Not applicable.

POST ASSISTANCE REQUIREMENTS:

Reports:   None.

Audits:   None.

Records:   None.

FINANCIAL INFORMATION:

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

Obligations:   (Salaries and Expenses) FY 01 $372,275,000; FY 02 est $398,613,000; and FY 03 est $398,613,000.

Range and Average of Financial Assistance:   Not applicable.

In fiscal year 2001, 49,987 patients were provided care in this program with an average daily census of 10,662. In fiscal years 2002 and 2003, it is estimated that 60,307 and 65,295 patients, respectively, will be provided care with an average daily census of 11,360 in 2001, and 11,586 in 2002.

REGULATIONS, GUIDELINES, AND 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.

INFORMATION CONTACTS:

Regional or Local Office:   None. Mental Health Services (10P4M) in the Office of Patient Care Services (10P4)

Headquarters Office:   Mental Health Services Mental Health Services (10P4M) in the Office of Patient Care Services (10P4) 202-461-4154 , Washington, District of Columbia 20420 Phone: 202-461-4154

Web Site Address:  
http://www.va.gov

EXAMPLES OF FUNDED PROJECTS:

Not applicable.

CRITERIA FOR SELECTING PROPOSALS:

Not applicable.

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