Health Assistance

Wanting to stay in your own home and remain independent is something that we all want later in life. There are programs that are available for Veterans and their families that qualify. To include:

VA Aid & Attenance

Homemaker and Home Health Aide Care

If you only need a little help throughout the day and want to stay in your home, then VA Aid and Attendance benefits may be for you. This program helps you if you need help to perform daily tasks like bathing, feeding, and dressing then you may qualify.
With our on-site service provider, Veteran CareGivers, they can answer any questions that you may have and even help you submit the paperwork for Aide and Attendance, all free of charge.
A Homemaker or Home Health Aide is a trained person who can come to a Veteran’s home and help the Veteran take care of themselves and their daily activities. Homemakers and Home Health Aides are not nurses, but they are supervised by a registered nurse who will help assess the Veteran’s daily living needs.

This program is for Veterans who need personal care services and help with activities of daily living. This program is also for Veterans who are isolated, or their caregiver is experiencing burden.

Homemaker and Home Health Aide services can be used in combination with other Home and Community Based Services. Services may vary by location.

Eligibility

All enrolled Veterans are eligible for Homemaker Home Health Aide Care IF they are eligible for community care and meet the clinical criteria for the service and it is available. Services may vary by location.

A copay for Homemaker and Home Health Aide services may be charged based on your VA service-connected disability status.

What services can I get?

Services are based on your assessed needs. Talk with a VA social worker to find out what specific help you may be able to receive.

For example, an aide may be able to come to your house several times a week or just once in a while.

Examples of daily activities you may be able to receive help with include:

  • Eating
  • Getting dressed
  • Personal grooming
  • Bathing
  • Using the bathroom
  • Moving from one place to another
  • Grocery Shopping

VA Housebound

Home Based Primary Care

What is Home Based Primary Care?

Home Based Primary Care is health care services provided to Veterans in their home. A VA physician supervises the health care team who provides the services. Home Based Primary Care is for Veterans who have complex health care needs for whom routine clinic-based care is not effective.

The program is for Veterans who need team based in-home support for ongoing diseases and illnesses that affect their health and daily activities. Veterans usually have difficulty making and keeping clinic visits because of the severity of their illness and are often homebound, but that is not required.

This program is also for Veterans who are isolated, or their caregiver is experiencing burden. Home Based Primary Care can be used in combination with other Home and Community Based Services.

Am I eligible for Home Based Primary Care?

Since Home Based Primary Care is part of the VHA Standard Medical Benefits Package, all enrolled Veterans are eligible IF they meet the clinical need for the service and it is available.

A copay for Home Based Primary Care may be charged based on your VA service-connected disability status and financial information. You may have a basic copay each time a VA staff team member comes to your home for a medical visit (the same as if you went to a VA clinic).

What services can I get?

HBPC provides a team of experienced health care professionals. Together they review the Veteran’s health care needs and offer treatments and support for the Veteran and his/her caregivers. Services available in HBPC include:

  • Primary care visits at home by a physician, nurse practitioner, or physician’s assistant
  • Care management through a nurse practitioner, physician’s assistant, or nurse
  • Social Work
  • Rehabilitation
  • Psychology
  • Nutrition
  • Pharmacy

Nursing Home Care

Community Nursing Homes
What is a Community Nursing Home?

There are options for nursing homes, including Community Living Centers, Community Nursing Homes, and State Veterans Homes. Other options include assisted living centers, private homes with a small groups, and adult day health centers. We highly encourage you to visit with an advocate about what may be the best option for you.
Community Nursing Home is a place where Veterans can live full time and receive skilled nursing care any time of day or night.

VA contracts with community nursing homes to care for Veterans. The Community Nursing Home program is offered in many communities so Veterans can receive care near their homes and families.

Am I eligible for a Community Nursing Home?

Eligibility for a Community Nursing Home is based on clinical need and setting availability. The VA will only pay for Community Nursing Home care if you meet eligibility criteria involving your service connected status, level of disability, and income.

If you do not meet these requirements, you will need to use your own resources to pay for nursing home care, which may include Medicare benefits and/or applying for Medicaid assistance if you cannot afford to pay.

Talk with a VA social worker about your eligibility and to figure out a plan for paying for Community Nursing Home care services.

Find out more by visiting the Paying for Long Term Care section at www.va.gov/Geriatrics.

What services can I get?

Community Nursing Home care always provides:

  • 24-hour skilled nursing care (such as wound care or help with IV medication)
  • Occupational and physical therapy
  • Access to social work services

Some Community Nursing Homes also provide:

  • Short term rehab services
  • Hospice and palliative care for the end of life
  • Special care for dementia

    Community Living Centers (VA Nursing Homes)
    What is a Community Living Center?
    A Community Living Center (CLC) is a VA Nursing Home. There are over 100 Community Living Centers across the country. See this listing of the current VA Community Living Center LocationsUnlike many nursing homes in the past, a Community Living Center resembles “home” as much as possible.There are activities for Veterans of all ages. There are family friendly places for visiting. Veterans are invited to decorate their rooms. And, pets are allowed to visit or live in the Community Living Center.

    Veterans may stay for a short time or, in rare instances, for the rest of their life. It is a place where Veterans can receive nursing home level of care, which includes help with activities of daily living (e.g., bathing and getting dressed) and skilled nursing and medical care.

    The mission of a Community Living Center is to restore each Veteran to his or her highest level of well-being. It is also to prevent declines in health and to provide comfort at the end of life.

    Am I eligible for a Community Living Center?

    Your eligibility is based on clinical need and setting availability. The VA will provide Community Living Center (VA Nursing Home) care IF you meet certain eligibility criteria involving your service connected status, level of disability, and income.

    • You must first be enrolled in the VA health system, and be medically and psychiatrically stable.
    • A copay may be charged for CLC care based on your VA service-connected disability status and financial information.

    What services?

    Community Living Centers provide these services:

    • 24-hour skilled nursing care (e.g., help with a wound or IV care)
    • Restorative care
    • Access to social work services
    • Geriatric evaluation and management

    Some Community Living Centers also provide these services:

    • Mental health recovery care
    • Special care for Veterans with dementia or other cognitive deficits
    • Respite Care
    • Palliative Care and Hospice Care for end of life

    Most Community Living Centers are on or close to the campus of a VA medical center. Not all VA Community Living Centers provide all services, so contact your local VA medical center to find out.

    State Veterans Homes
    What is a State Veterans Home?

    State Veterans Homes are facilities that provide nursing home, domiciliary or adult day care. They are owned, operated and managed by state governments. They date back to the post-Civil War era when many states created them to provide shelter to homeless and disabled Veterans.

    To participate in the State Veterans Home program, VA must formally recognize and certify a facility as a State Veterans Home. VA then surveys all facilities each year to make sure they continue to meet VA standards. VA does not manage State Veterans Homes.

    Am I eligible for a State Veterans Home?

    Your eligibility for State Veterans Homes is based on clinical need and setting availability.
    Each State establishes eligibility and admission criteria for its homes.

    Some State Veterans Homes may admit non-Veteran spouses and gold star parents while others may admit only Veterans.

    A recognized State Veterans Home may receive payments from VA to help defray the cost of care provided to Veterans. The cost to you varies by state. VA does not pay for care for non-Veterans.

    Talk with a VA social worker about the eligibility requirements of State Veterans Homes near you and to figure out a plan for paying for State Veterans Home care services.

    Find out more by visiting the Paying for Long Term Care section of this website.

    What services can I get?

    Each State Veterans Home provides nursing home, domiciliary or adult day health care. The State Veterans Home may also provide more than one of these services.

    State Veterans Homes are in all 50 states and Puerto Rico. Some states have more than one State Veterans Homes. For a list of locations, visit https://www.nasvh.org/state-homes/statedir.cfm.

    Respite Care
    What is Respite Care?

    Respite Care is a program that pays for care for a short time when family caregivers need a break, need to run errands, or need to go out of town for a few days. Respite Care can be helpful to Veterans of all ages, and their caregiver.

    There are two types of respite:
    Home Respite Care is a service that pays for a person to come to a Veteran’s home or for a Veteran to go to an adult day health care program while their family caregiver takes a break or runs errands.

    Nursing Home Respite Care is a service that pays for a Veteran to go to a nursing home while the family goes out of town for a few days without worrying about leaving the Veteran alone at home. Nursing home respite may take place in a VA Community Living Center or a community nursing home and is available for a maximum of 30 days each calendar year. This type of respite should be scheduled in advance. Services may vary by location.

    The program is for Veterans who need help with activities of daily living. Examples include help with bathing, dressing, or fixing meals. This program is also for Veterans who are isolated, or their caregiver is experiencing burden. Respite Care can be used in combination with other Home and Community Based Services.

    Respite Care can help lower the stress the Veterans and their family caregiver may feel when managing a Veteran’s short-term or long-term care needs at home.

    Am I eligible for Respite Care?

    All enrolled Veterans are eligible for Respite Care IF they meet the clinical criteria for the service and it is available. Services vary by location. If the Respite Care is provided by a community agency, adult day health care center, or nursing home, the Veteran also needs to meet community care eligibility.

    A copay for Respite Care may be charged based on your VA service-connected disability status and financial information. Contact your VA social worker/case manager to complete the Application for Extended Care Benefits (VA Form 10-10EC)to learn the amount of your copay.

     What services can I get?

    You may be able to get Respite Care in a number of ways:

    • A paid Home Health Aide could come to your home
    • You could attend an Adult Day Health Care center
    • You could go to a Nursing Home

    Depending on the Respite Care services in your area, you can choose which options are best for you and your family caregiver.

    For example:

    • If your caregiver has appointments or lots of errands to run, you could have a Home Health Aide come to your home while your caregiver is out of the house.
    • If your caregiver needs time at your home alone, you could attend an Adult Day Health Care center for the day.
    • If your caregiver is out of town for a few days, you could stay at a Community Living Center (VA Nursing Home) or a Community Nursing Home during the time they are away.

    Nursing Home Respite Care services are available for a maximum of 30 days per calendar year.

    No matter which option you use, trained staff will help you with your care needs.

     

In-Home Health Care

Skilled Home Health Care
What is Skilled Home Health Care?

There are many private companies that do in-home health care, some even specialize in dealing with the Dept of Veterans Affairs. We have put together several resources that may be able to help. We highly encourage you to visit with an advocate about what may be the best option for you.
Skilled Home Health Care is for Veterans needing short-term care as they are moving from a hospital or nursing home back to their home. It can also be used to provide continuing care to people with ongoing needs.

The program is for Veterans who need skilled services such as: skilled nursing, case management, physical therapy, occupational therapy, speech therapy, wound care, or IV antibiotics.

Skilled Home Health Care can be used in combination with other Home and Community Based Services.

The care is delivered by a community-based home health agency that has a contract with VA.

Am I eligible for Skilled Home Health Care?

All enrolled Veterans are eligible for Skilled Home Health Care IF they are eligible for community care and meet the clinical criteria for the service. Services may vary by location. Contact your VA social worker/case manager to complete the Application for Extended Care Benefits (VA Form 10-10EC) to learn the amount of your copay.

What services can I get?

If you are eligible for Skilled Home Health, based on your needs you may receive:

  • Nursing care (such as wound care or catheter care)
  • Therapy visits for physical, occupational or speech therapy
  • Patient education (about managing your medicines or illness)
  • IV antibiotics or home infusion
  • A home safety evaluation
  • Social work support

    Veteran-Directed Care
    What is Veteran Directed Care?Veteran Directed Care gives Veterans of all ages the opportunity to receive the Home and Community Based Services they need in a consumer-directed way.This program is for Veterans who need personal care services and help with activities of daily living. Examples include help with bathing, dressing, or fixing meals. This program is also for Veterans who are isolated, or their caregiver is experiencing burden.Veterans in this program are given a budget for services that is managed by the Veteran or the Veteran’s representative. With the help of a counselor, Veterans hire their own workers to meet their daily needs to help them live at home or in their community.

     

    Am I eligible for Veteran Directed Care?

    All enrolled Veterans are eligible for Veteran Directed Care IF they are eligible for community care, meet the clinical criteria for the service, and it is available. Services may vary by location.

    What services can I get?

    Services are based on your assessed needs.  Talk with a VA social worker to find out what specific help you may be able to receive.

    As a part of this program, Veterans or their representatives receive help developing a spending plan and hiring workers (which might include their own family member or neighbor) to help Veterans live independently in the community.

    Examples of daily activities you may be able to receive help with include:

    • Eating
    • Getting dressed
    • Personal grooming
    • Bathing
    • Using the bathroom
    • Moving from one place to another
    • Grocery Shopping

Vehicle Assistance

If your without a vehicle, or it does not fit your specific needs because of a disability there are VA programs that can help you. The Automobile Adaptive Equipment (AAE) & Vehicle Modification Program might be the program that can help you. There are several companies that modify vehicles in East Texas and many of them have contracts within the VA. We highly encourage you to visit with an advocate about what may be the best option for you.

If you need help or have questions, please visit the Resource Center on the CampV campus to talk to an advocate and get more information or cantact CampV at 903.566.1010.

In-Home Health Care

Wanting to stay in your own home and remain independent is something that we all want later in life. There are programs that are available for Veterans and their families that qualify. To include:

If you only need a little help throughout the day and want to stay in your home, then VA Aid and Attendance benefits may be for you. There are specific eligibility requirements that you must meet to qualify for this, but if you need help to perform daily tasks like bathing, feeding, and dressing then you may qualify.

To qualify for VA Housebound benefits, you must be receiving a VA pension and spend all or most of the day in your home due to a permanent disability. If this sounds like your situation then you may qualify for this benefit. These are not the only two options when it comes to in-home healthcare though.

There are options for nursing homes, including Community Living Centers, Community Nursing Homes, and State Veterans Homes. Other options include assisted living centers, private homes with a small groups, and adult day health centers. We highly encourage you to visit with an advocate about what may be the best option for you.

There are many private companies that do in-home health care, some even specialize in dealing with the Dept of Veterans Affairs. We have put together several that may be able to help, even covering the cost until the VA benefits kick in. The complete cost coverage of these programs may not be covered by the VA benefits. If that is the case you can use Medicare, Medicaid, and even your own private insurance.

If you are having problems with your vehicle, it does not fit your specific needs because of a disability there are VA programs that can help you. The Automobile Adaptive Equipment (AAE) & Vehicle Modification Program might be the program that can help you. There are several companies that modify vehicles in East Texas and many of them have contacts within the VA.

With our on-site service provider, Veteran CareGivers, they can answer any questions that you may have and even help you submit the paperwork for Aide and Attendance, all free of charge. If you need help or have questions, please visit the Resource Center on the CampV campus to talk to an advocate and get more information.