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Catalog of Federal Domestic Assistance

Program Descriptions

64.015:  Veterans State Nursing Home Care

Objectives:  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.

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

64.015 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.

64.015 APPLICATION AND AWARD PROCESS:

Preapplication 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 Ave., 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.

Criteria for Selecting Proposals:  Not applicable.

Examples of Funded Projects:  Not applicable.

Range and Average of Financial Assistance:  $416,480,000 to $7,878,520; $2,410,000.

64.015 RELATED PROGRAMS:

• 64.010 Veterans Nursing Home Care.

64.015 PROGRAM ACCOMPLISHMENTS:

64.015 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS

Type of Assistance:  Formula Grants.

Obligations:  (Grants) FY 99 $205,340,000; FY 00 est $241,696,000; and FY 01 est $285,050,000.

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

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.

Regulations, Guidelines, and Literature:  VA Manual M-1, Part I, Chapter 3, "State Veterans' Homes," and M-5, Part VIII, Chapters 1 through 5.

64.015 INFO 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. Phone: (202) 273-8538.

(See Appendix IV for more contact info.)

64.015 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.

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.

64.015 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 Non-Profit Organizations," nonfederal entities that receive 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.