VA Long-Term Services and Supports Programs Overview
This content provides detailed information on VA Long-Term Services and Supports programs, including Veteran eligibility criteria, non-institutional care programs like Adult Day Health Care and Respite Services, and services like Homemaker/Home Health Aide and Skilled Home Care. The description outlines processes, requirements, and services available for Veterans in need of support for various care needs.
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VHA NIC programs Presented to LTSS MAC 4/9/2019 Kathleen Clark RN CBSM COAVA 1
Veteran Eligibility Must complete a VA form 10-10EZ to determine financial eligibility Submit the 10-10EZ with the Veteran s DD-214 (will place Veteran in 1 of 9 priority categories) 1- 800-827-1000 www.benefits.va.gov/benefits/ Make an appointment with a VA provider 2
Non Institutional Care Programs Adult Day Health Care (ADHC) Homemaker/Home Health Aide (H/HHA) Respite services (Inpatient and home) Purchased Skilled Home Care (PSHC) Home Hospice Home telehealth Medical Foster Home (MFH) Veteran Directed Home Community Based Services (VD-HCBS) Bowel and bladder Home Based Primary Care (HBPC) Care Giver Support Program (CGS) 3
Adult Day Health Care VA purchased through community vendors VA authorizes a specific number of days (1-2) for Veteran to receive services in the community while a CG gets respite or works Usually used for cognitively impaired Veterans May carry a $15/day co-pay Requires an application for extended care services (VA form 10-10EC) Best used for Veterans with cognitive issues 4
Homemaker/ HHA Provider determines need, places a consult for assessment of need level A licensed staff member performs an assessment of ADL/IADL needs Clinical review performed and hours are awarded Awarded based on a case mix budget tool 5
Respite Services Institutional respite for 24 hour care In-home services will cover up to 6 hours All registered Veterans have 30 days each 12 month period Requires an application for extended care services (VA form 10-10EC) May carry a $15.00/day co-pay for home respite May carry a $89.00/day co-pay for institution respite 6
Purchased Skilled Home Care Used many times as transition care from an acute hospital to home Skilled services, nursing, PT, OT, ST Could be ordered after multiple falls in the home Transition care from SNF to home 7
Home Hospice VA purchased through authorized community vendors Helps transition families from a state of health to end of life care All Registered Veterans are eligible 8
Home Telehealth Monitor certain chronic illnesses Congestive Heart Failure Hypertension Diabetes Alerts Providers when an intervention is needed eliminating a hospital admission Allows geographically distant Veterans to have more engagement with their providers 9
Medical Foster Home A residential home that provides room, board, and personal care Community families invite the Veteran into their homes after being approved Monthly fee involved ($1,900-$2,700/month depending on level of services needed) Many apply for Aid and Attendance Used when a Veteran is still somewhat independent but cannot live alone 10
VD-HCBS Partnership with County agency for aging (Philadelphia Corporation on Aging) Similar referral process as for H/HHA Veteran is awarded a monthly stipend to hire their own aides (paid through a fiduciary) Helpful for cognitively impaired Veterans who can t tolerate strangers, younger SCI or TBI Veterans 11
Bowel and Bladder Mainly for our SCI Veterans Hire a family member to help with an elimination schedule The aide is trained by the VA Gets paid as a GS 5 12
Home Based Primary Care Homebound or great difficulty to leave home All disciplines make house calls (provider, nurse, SW, therapies) Comprehensive care for chronically ill Veterans needing more frequent help Extra support, coumadin blood draws, frequent hospitalizations 13
CGS Unique program that offers support to CG caring for challenging illnesses Offer conferences to help with estate planning Social outings for the CG Monthly conference calls to educate, support Offers alternative ways to deal with the burden of caring for a chronically ill loved one 14
Emerging programs Choose Home Identifying Veterans with support needs 15
Questions? 16
Important Phone Numbers/ Web sites 1-877-222-VETS (8387) www.va.gov/healthbenefits. http://www1.va.gov/opa/publications/benefits_book.a sp https://www.archives.gov/personnel-records- center/military-personnel https://www.va.gov/homeless/ https://www.myhealth.va.gov/mhv-portal-web/home https://www.mentalhealth.va.gov/ Crisis line 1-800- 273-8255 press one. To chat on-line go to www.vets.gov/ Texting also available at 838255 17
