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Content provided by the Catalog of Federal Domestic Assistance
64.015 Veterans State Nursing Home Care

FEDERAL AGENCY:

VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

AUTHORIZATION:

Public Laws 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: Click here for help!
To provide financial assistance to States furnishing nursing home care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs.

TYPES OF ASSISTANCE:

Formula Grants.
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USES AND USE RESTRICTIONS:

The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services.

ELIGIBILITY REQUIREMENTS:

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

Beneficiary Eligibility:   A veteran eligible for care in a VA facility needing nursing home 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 nursing home care; (c) was discharged or released from active military, naval and air services 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.

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APPLICATION AND AWARD PROCESS:
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 Veteran 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 nursing home care, formula payments to the State are $40.00 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 claims are filed by the State with VA field station of jurisdiction.

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 $241,696,000; FY 02 est $285,050,000; and FY 03 est $285,050,000.

Range and Average of Financial Assistance:  
$267,590,to $11,448,271. Average: $5,857,931.

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PROGRAM ACCOMPLISHMENTS:
In fiscal year 2001, there were 20,657 patients treated in this program with an average daily census of 14,674 veterans in 88 State nursing homes. In fiscal year 2002, it is estimated that 21,297 patients will be treated with an average daily census of 15,077. In fiscal year 2003, it is estimated that 21,823 patients will be treated with an average daily census of 15,407.

REGULATIONS, GUIDELINES, AND LITERATURE:

VA Manual M-1, Part I, Chapter 3, "State Veterans' Homes," and 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:   Chief Consultant, Geriatrics and Extended Care Service(114), Department of Veteran's 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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