State Veterans Home Program:  State home means a home approved by the U.S.
Department of Veterans Affairs (VA) which was established by a State for
veterans disabled by age, disease, or otherwise who by reason of such
disability are incapable of earning a living. State homes include
facilities for domiciliary, nursing home care, and/or adult day health
care. Hospital care may be included when provided in conjunction with
domiciliary or nursing home care. A State home may also provide care to
veteran related family members.
      VA participates in two grant-in-aid programs for States. The VA may
participate in up to 65 percent of the cost of construction or acquisition
of State nursing homes or domiciliaries or for renovations to existing
State homes. VA also provides per diem payments to States for the care of
eligible veterans in State homes. These rates may be adjusted each year by
the Secretary of Veterans Affairs. State homes provide an economical
alternative to costly VA facilities for the provision of quality care in
adult day health care, domiciliaries, and nursing homes. As a goal VA plans
to maintain at least a 33 1/3 percent share of the
States' cost for the provision of domiciliary and nursing home care. VA
encourages States to construct and renovate State homes to provide needed
beds and to maintain a safe and healthy environment in existing State
veterans homes for eligible veterans seeking long term care. A State home
is owned and operated by a State. Most States require eligible veterans to
share in the cost of care.  In addition, the VA assures Congress that State
homes provide quality care through an annual inspection, audit, and
reconciliation of records conducted by the VA medical center of
jurisdiction to assure that the standards of care as prescribed by the VA
are met. [Source: www.va.gov/seniors/health/state.htm ]

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