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Catalog of Federal Domestic Assistance

Program Descriptions

64.013:  Veterans Prosthetic Appliances

Popular Name:  Prosthetics Services

Objectives:  To provide, through purchase and/or fabrication, prosthetic and related appliances, equipment and services to disabled veterans so that they may live and work as productive citizens.

PROGRAM AND AWARD	FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS	FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS	INFORMATION CONTACTS
RELATED PROGRAMS	ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS	POST ASSISTANCE REQUIREMENTS

64.013 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Any disabled veteran or authorized representative on his behalf meeting the criteria below may apply for prosthetic appliances or services. VA may not furnish sensory-neural aids, e.g., eye glasses, hearing aids, etc., other than in accordance with guidelines which the Secretary Shall prescribe.

Beneficiary Eligibility:  Veterans eligible for prosthetic services are service-connected veterans seeking care for a service-connected disability; veterans with compensable service-connected disabilities generally rated 10% or more; former prisoners of war, veterans discharged or released from active military service for a disability that was incurred or aggravated in the line of duty, and veterans who are in receipt of Section 1151 benefits; veterans who are in receipt of increased pension based on a need of regular aid and attendance or by reason of being permanently housebound; veterans who have annual income and net worth below the "means test" threshold; all other veterans who are not required to pay a copayment for their care, i.e., veterans of the Mexican border period and World War I, compensated zero (0) percent service-connected veterans who are receiving statutory awards, veterans exposed to a toxic substance, radiation or environmental hazard (limited to certain disabilities); and veterans who must pay a copayment for their care. Ineligible veterans are nonservice-connected veterans residing or sojourning in foreign lands.

Credentials/Documentation:  None.

64.013 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  None. This program is excluded from coverage under E.O. 12372.

Application Procedure:  Eligible veteran may request prosthetic services by reporting in person to any VA Medical Center as well as by correspondence, phone, or authorized community physician prescription.

Award Procedure:  Not applicable.

Deadlines:  None.

Range of Approval/Disapproval Time:  Usually immediately, although delays of 30 to 60 days have occurred in unusual cases.

Appeals:  A veteran who is administratively refused prosthetics services by a local VA health care facility may appeal to the Board of Veterans Appeals. Determinations of the Veterans Health Administration involving the need or nature of medical treatment as distinguished from legal or basic eligibility for medical services, are not appealable.

Renewals:  None.

Criteria for Selecting Proposals:  Not applicable.

Examples of Funded Projects:  Not applicable.

Range and Average of Financial Assistance:  $10 to $25,000; $118.

64.013 RELATED PROGRAMS:

• 64.009 Veterans Medical Care Benefits;
• 64.011 Veterans Dental Care;
• 64.100 Automobiles and Adaptive Equipment for Certain Disabled Veterans and Members of the Armed Forces;
• 64.116 Vocational Rehabilitation for Disabled Veterans;
• 93.774 Medicare: Supplementary Medical Insurance;
• 93.778 Medical Assistance Program (Medicaid).

64.013 PROGRAM ACCOMPLISHMENTS:

64.013 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

Type of Assistance:  Sale, Exchange, or Donation of Property and Goods.

Obligations:  (Value and Repair of Prosthetic Appliances) FY 99 $419,701,000; FY 00 est $498,437,000; and FY 01 est $523,366,000.

Budget Account Number:  36-0160-0-1-703.

Authorization:  38 U.S.C. 1162, 38 U.S.C. 1701, 38 U.S.C. 1710, 38 U.S.C. 1712, 38 U.S.C. 1713, 38 U.S.C. 1714, 38 U.S.C. 1717, 38 U.S.C. 1719, 38 U.S.C. 1723, 38 U.S.C. 1724, 38 U.S.C. 3104, 38 U.S.C. 3901, 38 U.S.C. 3902, 38 U.S.C. 3903, and 38 U.S.C. 8123.

Regulations, Guidelines, and Literature:  38 CFR 17.150, 17.151, 17.152, 17.153, 17.154, 17.155, 17.156, 17.157, 17.158, 17.159.

64.013 INFO CONTACTS:

Regional or Local Office:  Initial contact should be made with the Prosthetic Representatives in 154 VA field stations, any VA hospital or outpatient clinic, or any veterans' service organization representative. See Appendix IV of the Catalog for the address of the nearest Veterans Hospital Facility.

Headquarters Office:  Chief Consultant, Prosthetic and Sensory Aids Strategic Health Care Group (113), Department of Veterans Affairs, Washington, DC 20420. Phone: (202) 273-8515. Fax: (202) 273-9110.

(See Appendix IV for more contact info.)

64.013 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  Not applicable.

Length and Time Phasing of Assistance:  For veterans in receipt of special monthly compensation or increased pension based on the need for regular aid and attendance, assistance is maintained for as long as eligibility continues (usually for life). Veterans are entitled to receive prosthetic services for as long as they are receiving VA treatment.

Uses and Use Restrictions:  Funds may be used for case management of the disabled veteran by administrative control, purchasing and/or fabrication and repair of prosthetic appliances and equipment. Appliances and services are provided only for the use and benefit of the disabled veteran to whom they are furnished. The program also includes the replacement and repair of appliances and training in the use of artificial limbs, artificial eyes, wheelchairs, aids for blind, hearing aids, braces, orthopedic shoes, eyeglasses, crutches and canes, medical equipment, implants, and medical supplies, and automotive adaptive equipment.

64.013 POST ASSISTANCE REQUIREMENTS:

Reports:  None.

Audits:  Not applicable.

Records:  Not applicable.