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.

C-123 Veterans Association Joins Colorado's United Veterans Coalition

To better support state and federal veterans' issues, The C-123 Veterans Association has affiliated with Colorado's United Veterans Coalition (UVC.) UVC is the single most effective voice for over 350,000 veterans in Colorado. It brings together the VA and nearly every interested organization and political entity in the state.

RADM Dick Young USNR (Ret.) was elected president last week. UVC will celebrate is annual banquet on June 27 and tickets are still available.

I'm disappointed with passive, weak VFW support of racial justice and equality in America

Dear Veterans of Foreign Wars,

I am a life member, son of a life member and grandson of a life member.

My concern is with our VFW national approach to unjust racism.

A couple months back the new VFW national commander tried to quiet the storms caused during his installation when he said, "Black Lives DO Matter." Note his "DO" in all-caps. Emphatic! That led to an all-members letter to back-paddle his words. In this, VFW has chosen a coward's position regarding today's racial turmoil. https://drive.google.com/.../1qqASXd4Pc4.../view...

Dear Mr. Roesch,

I am alarmed and disappointed with the inadequate VFW response to our country's racial unrest.

VFW continues our passive approach, surrendering any moral claims to truly care or advance meaningful solutions. Our position remains a tepid non-solution "against racism" claim while doing nothing more positive. Empty words, little moral authority, we comfort nobody.

In 2016 VFW National Commander Keith Harman wrote, “We have no tolerance for racism. Our nation is great because of the diversity of its people, and there is no place within this organization for a differing opinion.” 

But five years later, we've done nothing useful. Of course we're against racism. Even bigots insist in their hatred and ignorance that they are not racists. 

Together with these bigots, we merely whisper we're against racism but do too little to matter. Why don't post or department reports cover minority issues and recruiting? When was the last article in our magazine or newsletters focused on overcoming the racial divide?

These last seven months I have been demonstrating, along with my church and other community folks - not protesting, just quietly trying to support of what I consider racial justice and equality. And peace.

After the first few days there were phone calls from VFW members to the post commander here in

Fort Collins, complaining about my sitting at a street corner in my wheelchair with a sign reading "VFW Against Racism." The post was concerned it would offend members even more than merely verbally stating we're against racism. 

Imagine: VFW members complaining about an important value officially proclaimed all around the county, but complaining about thisVFW value publicly proclaimed by my little poster.

This situation has parallels in combat, but this time we VFW troops hear the sound of the guns and quietly march away rather than towards our duty. As a 30-year life member, I'm ashamed. This is a battle we needed to win long ago but is instead a conflict being gifted to our children and grandchildren.

Of course, we're busy falsely assuring ourselves VFW and other veterans organizations are somehow not contributing in any way to these troubles! None of the lingering problem of racial turmoil is our responsibility and we are no part of any solution. WRONG!

This head-in-the sand, deliberate self-deception is not the solution we as warriors ...even if as old warriors...are responsible for delivering to our children and grandchildren.

Respectfully and in brotherhood,

Wesley T. Carter, USAF Ret.
Life Member, St Cloud Post 428

Colorado's Gold Star Wives' Catch-22

Catch-22

Just think about this. 

Colorado has a modest property tax savings just for totally disabled veterans, totally disabled military retirees, and for their survivors. I am referring to the Colorado Disabled Veterans Survivor Property Tax Exemption program. Saves about $600 each for those qualified, with a goal of helping disabled vets and survivors get or keep homes after suffering lifelong total disabilities in the Nation's service.

Think about this also: Colorado refuses this very modest property tax exemption to survivors of military who die in the line of duty on active federal service. None of my county's 245 recipients of the exemption is a war widow or widower, AKA a "Gold Star Spouse."  In fact, there isn't a single one in all of Colorado.

Surviving spouses of active duty military lost in the line of duty just don't qualify. Until we change the rules, they never will. The core problem is that the rules limit the property tax exemption to the disabled vet, and then the survivor if and only if the veteran was receiving it at the time of death.

If you're a civilian, take it from me; While in the process of crashing your airplane, sinking your ship, or getting a bullet through your helmet, it is awkward to first take a few moments out before dying to apply for and be approved for the Colorado exemption. Actually, time does not permit.

You've heard the phrase "Catch-22" for a no-win and absurd situation, a paradoxical situation from which an individual cannot escape because of contradictory rules or limitations. We've certainly invented a whopper with Colorado Constitution Article X Section 3.5 and HB14-1373. 

This macabre situation boils down to coming home alive but disabled after service and save a little money on your property taxes versus dying on duty so your spouse can pay more property taxes. What great choices!

Not that any soldier, sailor, airman or Marine gets to make such a choice; too often, guys in uniforms much different than ours decide that for us by shooting or launching RPG's in our direction. 

Next stop: either:
  (1) the nearest field hospital or
  (2) an aluminum casket with Old Glory across it.

Catch-22. Colorado's Disabled Veteran Survivor Property Tax Exemption.

Can a deceased active duty soldier be defined as a "totally disabled veteran" for his/her Colorado survivors' benefits?

Wouldn't that be wonderful! And – maybe – easy also?

Because our state restricts survivor benefits to those whose veterans were already in receipt of the exemption at the time of death, we lock out from all such benefits survivors of troops who die on active duty. Perhaps we can use the existing language of the law. 

Perhaps, only changing the interpretation or definition of the words "totally disabled veteran already in receipt of the exemption" to something like "or active duty death considered to be 'totally disabled and already in receipt of the exemption."

 

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