Medical Foster Homes for Veterans – New alternate to nursing home care for veterans

Geriatrics and Extended Care

 

Medical Foster Homes
What is a Medical Foster Home?

Medical Foster Homes are private homes in which a trained caregiver provides 
services to a few individuals. Some, but not all, residents are Veterans. A Medical
Foster Home can serve as an alternative to a nursing home. It may be appropriate
for Veterans who require nursing home care but prefer a non-institutional setting
 with fewer residents.

Medical Foster Homes are private residences where the caregiver and relief
caregivers provide care and supervision 24 hours a day, 7 days a week. This
caregiver can help the Veteran carry out activities of daily living, such as
bathing and getting dressed. VA ensures that the caregiver is well trained to
provide VA planned care. While living in a Medical Foster Home, Veterans
receive Home Based Primary Care.

VA Medical Centers with Medical Foster Home programs

This list includes the VA Medical Centers currently operating a Medical Foster
Home program. However, many facilities are in various stages of development
of their own programs. Please reach out to your VA social worker to inquire
about when a Medical Foster Home will be available at your local facility.

Medical Foster Home in the News

Southern Living: Foster Families for Veterans Keep America’s Heroes in the
Homes They Deserve

People Magazine: Indiana Family of Eight Fosters Three Veterans Who Are
Disabled: ‘We’re One Big Family Now’

Are you interested in becoming a Medical Foster Home?

If you are interested in becoming a Medical Foster Home (MFH) Caregiver,
review the Medical Foster Home Checklist for more information, then reach
out to your local MFH Coordinator.

Medical Foster Home in Greenville, Indiana

Three war heroes, two parents and six kids
live together in Greenville, Indiana as part
of the Medical Foster Home Program.

MORE GOOD NEWS: CHEYENNE VAMC TO WORK ON EXPANDING VETERAN-DIRECTED HOME & COMMUNITY HEALTH SERVICE

Today brought a most welcome phone call from Cheyenne! Veteran-Directed Home & Community-Based Services is poised to expand. Nothing locked-down just yet, but the biggest goal I had this year was to win VA administrators' agreement to get the process started.

The specific news was about the medical center anticipated development of their own VD-HCBS program to serve elderly and disabled veterans in that part of VISN-19 territory.

Very welcome news, indeed. Our thanks not only to Cheyenne but to all the state, federal and local leaders who voiced their opinion about how valuable this program is to vets otherwise facing nursing home placement.

UVC...THANKS!

Veteran-Directed Home & Community Based Services (VD-HCBS) - home care for veteans

VD-HCBS

This program uses VA funds to help elderly or disabled Vets remain home with loved ones instead of needing nursing home care

•  WHAT? VA HELPs VETERANS AVOID NURSING HOMES AND LIVE INDEPENDENTLY!

•  REQUIREMENTS: ONLY A NEED FOR THE PROGRAM & AN HONORABLE DISCHARGE

INTRODUCTION

Here in Colorado, this terrific program is currently available to only to Veterans living in these counties: City and County of Denver, Adams, Arapahoe, Clear Creek, Douglas, Gilpin and Jefferson, and the City and County of Broomfield. Colorado's other 56 counties must do without because administrators in VA's Rocky Mountain Healthcare System opted not to provide this valuable Veterans benefit. Why? You'd have to ask them...I've had no success finding out why.

Veterans Health Administration (VHA) launched Veteran-Directed Home & Community Based Services (VD-HCBS) in 2008 to help Veterans with disabilities of all ages and their families pay for needed services in their own homes and communities. VD-HCBS is an exciting and comprehensive VA program, open to all Veterans where the program is offered, regardless of service-connection disabilities or income.

VD-HCBS delivers home and community-based long-term service and support, giving Veterans more choices and control over nearly all types of care they receive in their homes and communities. This program combines the hands-on experience and skills of local medical and service providers with the VA’s extensive resources to provide additional opportunities to avoid nursing home placement and stay independent in your own home.

Under the VD-HCBS Program, Veterans (or their caregivers) manage their own flexible VA-provided spending budgets, hire and supervise their own workers, including family or friends, and purchase what’s needed to live independently. The key point again: VA gives the Veteran a budget to pay for this!

Thousands of Veterans in 34 states have already signed up with VD-HCBS, including the elderly, and younger, severely injured Veterans of Operation Iraqi Freedom, Operation Enduring Freedom and Operation New Dawn. The keys to this program are an Honorable Discharge, the need for it, and availability of VD-HCBS where you live.

A Veteran in the VD-HCBS Program is supported by: a VA program coordinator to oversee quality, satisfaction and service delivery; a person-centered counselor from an Area Agency on Aging (AAA), Aging & Disability Resource Center (ADRC) or Center for Independent Living to assist in finding and/or training workers caring for the Veteran’s needs.

ENROLLED VETERANS:

• Receive a comprehensive assessment and care planning assistance

• Decide for themselves what mix of goods and services will best meet their needs
• Manage a budget. VA fund are used by the Veteran to remain independent at home

• Hire and supervise their own workers, including family or friends

• Get financial management and support services

• Use traditional service providers, or a contractor or palliative care to coordinate

      TARGETED VETERANS IN VD-HCBS
All honorably discharged Veterans enrolled in a system offering it are eligible to participate in the VD-HCBS program when the Veteran is “in need of nursing home care” and interested in self-directed care. The determination of whether a Veteran is “in need of nursing home care” is made by the VAMC.
The VD-HCBS Program is targeted to Veterans whose home care needs exceed the average number of hours generally available through the Homemaker/Home Health Aide (H/HHA) Program. (If the need is more modest than VA-HCBS requirements and if the Veteran is service-connected, ask about this homemaker support.)
To be considered for the more comprehensive VA-HCBS, a Veteran usually would have/be:
•     Three or more activities of daily living (ADL) dependencies

      •     Significant cognitive impairments
•      Receiving hospice or palliative care

      •    Two ADL dependencies and two or more of the following:

  o   3 or more instrumental activities of daily living (IADL) dependencies
  o   Recently discharged from a nursing facility
  o   75 years old or greater
  o   3 hospitalizations or 12 outpatient clinics or emergency evaluations
  o   Clinically depressed
  o   Lives alone

IS VD-HCBS FOR YOU?
Do you want the control and flexibility to live more independently by choosing how and when you purchase your goods or services? Can you or a trusted person be responsible for recruiting, hiring, and dismissing your workers and services providers? If so, the VD-HCBS Program might be for you!

Interested? See your VA social worker or email veterandirected@acl.hhs.gov