VA Long-Term Care Services 6 March 2012
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1 VA Long-Term Care Services 6 March 2012 Daniel J. Schoeps - Director Purchased Long-Term Care Group Patrick O Keefe Program Analyst Office of Geriatrics and Extended Care, Patient Care Services, Department of Veterans Affairs
2 VHA Philosophy for LTC Provide Care in the least restrictive environment and whenever possible in home & community based settings Nursing home care should be reserved for situations in which the Veteran can no longer be safely maintained in the home 2
3 Institutional Programs VA Community Living Centers Community Nursing Home State Home Nursing State Home Domiciliary Total Expenditures FY11: $4.8 billion 3
4 HCBS Programs VA VA Adult Day Health Care Home-Based Primary Care Purchased Home Health Care Veteran-Directed Home & Community Based Services Program of All-Inclusive Care of the Elderly Community Adult Day Health Care Home Respite Home Hospice State State Adult Day Health Care Total HCBS Expenditures FY11: $1.1 billion 4
5 Nursing Home Investment Nursing Home Expenditures FY11 VA Community Living Centers: $3.4 billion Community Nursing Homes: $615 million State Home Nursing: $775 million Nursing Home Enrollment FY11 VA Community Living Centers: 10,278 ADC Community Nursing Homes: 6,634 ADC State Home Nursing: 19,661 ADC 5
6 HCBS Investment HCBS Expenditures FY11 Home Based Primary Care: $500 million Comprehensive Purchased HCBS: $359 million HCBS Enrollment FY11 Home Based Primary Care: 27,442 ADC Comprehensive Purchased HCBS: 18,866 ADC 6
7 LTC Enrollment, NH Enrollment HCBS Enrollment
8 LTC Spending Review, HCBS NH
9 State Veterans Departments Services and eligibility determined by state law, local policy Services and programs vary across states Basic Services: Health Services Financial Services Burial Services Advocacy Benefits Services 9
10 State Veterans Departments Cont d State governments spend more than $5 billion to support veterans and their families VA - State grant and per diem program provides 52% of all VA authorized long-term care beds 140 State Veteran Homes in 50 states and Puerto Rico provide: 30,400 operational beds (7M days of Nursing Care) 1.5 million days of Domiciliary Care 10,000 Adult Day Care visits VA-State Cemetery Program 45 states 101 cemeteries 28,000 burials
11 Eligibility for LTC Mandatory Eligibility VA & Community Nursing Home Veterans requiring nursing home care for a serviceconnected (SC) condition, or a veteran rated 70% or more, have mandatory eligibility. Mandatory Eligibility - HCBS Veterans enrolled in VA Healthcare Meets In Need of NH Care criteria 11
12 HCBS Options & Direction Target Services Nursing Home Level Enhance Veteran Choice Standardize Assessment Authorized Level of Service ($$) Person-Centered Planning 12
13 Veteran-Directed Home & Community Based Services Partnership between AoA and VA Meets goals of AoA to increase access and availability of person centered/participantdirected service systems to all Assists VA to meet increasing demand for LTC and their goal to help Veterans stay in their own homes 13
14 Veterans Receive An assessment and care planning assistance Decide for themselves, or with a participant representative, what mix of goods and services will best meet their, and their family caregiver s care needs Manage a flexible, individual budget Hire and supervise their own workers, including family or friends Purchase items or services needed to live independently in the community Have financial management and support services which facilitate service delivery 14
15 Section Q / Money Follows the Person Investment and collaboration with federal and state partners Committed to assisting enrolled Veterans in this process Points of contact available 15
16 Contact Information For Further information, please contact: Daniel Schoeps, Director-Purchased Long-Term Care Patrick O Keefe, Program Analyst Patrick.O Keefe@va.gov 16
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