What is Co-Managed Care for Veterans?

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VA Nursing-Home Care

VA provides nursing home services through three national programs: VA owned and operated nursing homes, state veterans’ homes owned and operated by the state, and contract community nursing homes. Each program has its own admission and eligibility criteria. 

VA Nursing Homes: VA owned and operated homes typically admit residents requiring short-term skilled care or who have a 70 percent or more service-connected disability.  All others are based on available resources. 

State Veterans’ Home Programs: The state veterans’ home program is a cooperative venture between the states and VA whereby the states petition VA for matching construction grants and once granted, the state, the veteran, and VA pay a portion of the per diem. The per diem is set in legislation. State veterans homes accept all veterans in need of long-term or short-term nursing home care. Specialized services offered are dependent upon the capability of the home to render them. 

Community Nursing Home Program: VA maintains contracts with community nursing homes though every VA medical center. The pur¬pose of this program is to meet the nursing home needs of veterans who require long-term nursing home care in their own community, close to their families. 

Eligibility: The general admission criteria for nursing home place¬ment requires that a resident must be medically stable, i.e. not acutely ill, have sufficient functional deficits to require inpatient nurs¬ing home care, and is assessed by an appropriate medical provider to be in need of institutional nursing home care. Furthermore, the veteran must meet the required VA eligibility criteria for nursing home care or the contract nursing home program and the eligibility criteria for the specific state veterans home. 

Long-Term Care Services: In addition to nursing home care, VA offers a variety of other long-term care services either directly or by contract with community-based agencies. Such services include adult day health care, inpatient or outpatient respite care, inpatient or outpatient geriatric evaluation and management, hospice and pal¬liative care, and home based primary care. Veterans receiving these services may be subject to a co-pay. 

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