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.
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 (114B), Department of Veterans Affairs,
Washington, DC 20420. Chief, State Home Per Diem Program. Telephone:
(202) 273-8538.
