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. Place Cursor Here for Definition
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.
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:
$416,480,000 to $7,878,520. Average: $2,410,000.
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, Strategic Healthcare Group (114), Department of Veteran's
Affairs, Washington, DC 20420. Chief, State Home Per Diem Program.
Telephone: (202) 273-8538.
