1 / 17

VHA NIC programs

Learn about VA programs for LTSS, including Adult Day Health Care, Skilled Home Care, Hospice, and more. Ensure eligibility and access care for your loved one. Contact VA for an appointment and forms.

klandis
Download Presentation

VHA NIC programs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. VHA NIC programs Presented to LTSS MAC 4/9/2019 Kathleen Clark RN CBSM COAVA

  2. 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

  3. 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)

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. Emerging programs • Choose Home • Identifying Veterans with support needs

  16. Questions?

  17. Important Phone Numbers/ Web sites • 1-877-222-VETS (8387) www.va.gov/healthbenefits. • http://www1.va.gov/opa/publications/benefits_book.asp • 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

More Related