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Does it cost me money to come to TSVH? 


Yes, a daily long term care bed room and board rate is $230.00 per day plus the cost of medications.  The VA assists with a per diem of $103.61, bringing the veterans’ portion to $126.39 per day for a long term care bed, plus the cost of medications.  The rate for a non-veteran (spouse) is the full rate of $230.00 for a long term care bed per day, plus the cost of medications.  Current payment sources are Medicare, Medicaid, Private Insurance and Private Pay.  Please contact the Admissions department for additional details.

The United States Department of Veterans Affairs (VA) offers two per diem programs to state homes that provide nursing home care to eligible veterans. The per diem programs are available only to eligible veterans and not to spouses, widows/widowers, or gold star parents.

1. Basic Per Diem

The basic per diem rate paid by the VA to the TSVH for each eligible veteran is $103.61. This per diem is in addition to any Medicaid or Medicare payment. For veterans who pay privately for their care, the TSVH subtracts the basic per diem rate from the daily room rate.

2. Per Diem Based on Service-Connected Disabilities

Alternatively, the VA will pay a facility recognized as a State home for nursing home care a different per diem for a veteran:

a. who is in need of nursing home care for a VA adjudicated service-connected disability, or

b. who has a singular or combined rating of 70 percent or more based on one or more service-connected disabilities or a rating of total disability based on individual un-employability and is in need of nursing home care.

Payment for care under this second option constitutes payment in full for all routine nursing home care provided to the veteran in the state nursing home. As a condition for receiving this per diem, the veteran must receive medications through the state nursing home rather than from the VA. The veteran must also utilize the VA for any services not provided by the nursing home, such as hospital care, hearing aids, and eyeglasses. If the veteran chooses to utilize other service providers, the veteran will be responsible for payment for those services.

MEDICATION PROGRAM

In addition to the per diem payments discussed above, the VA will also furnish drugs and medicines to a facility recognized as a state veterans home that are ordered by a duly licensed physician as specific therapy in the treatment of illness of injury for a veteran receiving care in a state home if the veteran:

a. has a singular or combined rating of less than 50 percent based on one or more service-connected disabilities and is in need of such drugs and medicines for a service-connected disability and is in need of nursing home care for reasons that do not include care for a VA adjudicated service-connected disability; or
 
b. has a singular or combined rating of 50 or 60 percent based on one or more service-connected disabilities and is in need of such drugs and medicines and is in need of nursing home care for reasons that do not include care for a VA adjudicated service-connected disability.

The drug or medicine must be included in the VA’s national formulary unless the VA determines a non-formulary drug or medicine is medically necessary.

If you have additional questions please call or send an email to one of our facilities:






 
 


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