Veterans State Nursing Home Care

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.

Agency - Department of Veterans Affairs

The Department of Veterans Affairs strives for excellence in patient care and veteran's benefits for its constituents through high quality, prompt and seamless service to United States veterans.

Office - See Appendix IV of the Catalog for Veterans Hospital Facilities.
Website Address

Program Accomplishments

In FY 2007, the average daily census was 18,087 and is projected to be 18,268 and 18,451 in FY 2008 and FY 2009 respectively.

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.

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.



Aplication and Award Process

Preapplication Coordination


This program is excluded from coverage under E.O.


Application Procedures

Letter of application from State addressed to Chief Consultant, Geriatrics and Extended Care Strategic Healthcare Group (114) Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420.

Award Procedures

Recognition by Secretary of Veteran Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741.




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.

Range of Approval/Disapproval Time

From 30 to 60 days.


Not applicable.


Not applicable.

Assistance Considerations

Formula and Matching Requirements

38 U.S.C. 1741. For each veteran provided nursing home care, formula payments to the State are $71.42 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.

Post Assistance Requirements


Monthly reports and quarterly statements of Federal aid claims are filed by the State with VA field station of jurisdiction.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


Cost records on which quarterly statements are based and attendance records to support report for days of care provided to veteran.

Financial Information

Account Identification



(Grants) FY 07 $451,644,000; FY 08 est $501,046,000; and FY 09 est $524,739,000,000.

Range and Average of Financial Assistance

$267,590,to $11,448,271. Average: $5,857,931.

Regulations, Guidelines, and Literature

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

Information Contacts

Regional or Local Office

See Appendix IV of the Catalog for Veterans Hospital Facilities.

Headquarters Office

Chief Consultant, Geriatrics and Extended Care Service(114), Department of Veteran's Affairs, Washington, DC 20420. Chief, State Home Per Diem Program. Telephone: (202) 461-6771.

Criteria for Selecting Proposals

Not applicable.

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