Letter to Congressman for Veteran-Directed Home & Community Services

It takes your support to get their support! Let your Congressional representative know you want and need their support for expansion of Veteran-Directed Home & Community Based Services (VD-HCBS) throughout Colorado. Their names are below this sample letter.

(home address)

(date)

(To One of Colorado’s Congressional representatives)

Dear Representative (or Senator,)

I urge your strong support for expansion throughout Colorado of the Veterans-Directed Home & Community Based Service (VD-HCBS.) The program helps veterans avoid nursing home care, and live safely and independently at home for as long as possible. 89% of veterans in VD-HCBS reported that the program is decisive in keeping them out of nursing homes. 

That's why this program is so strongly supported by Disabled American Veterans, AARP and other organizations.

VD-HCBS is offered by the Veterans Health Administration to all honorably discharged veterans upon approval by their local VA social worker. There are no requirements as regards service-connection disability or income level…only the need.

Correction: There is one more requirement: to be eligible a veteran must also be enrolled in a VA regional medical system offering the program. Denver has it. Cheyenne does not. The Rocky Mountain Healthcare System doesn’t participate in VD-HCBS. Over 34 states now have VD-HCBS, as does Denver and the Eastern Colorado VA Healthcare System. Dr. Shulkin told Congress all VAMCs would offer VD-HCBS by 2019. I don’t know why Rocky Mountain hasn’t implemented the program yet…whether it is budget, priorities, or another obstacle.

What I have learned is that I can have access to the vital services I need from VD-HCBS only by moving to Denver and enrolling there. What I also have learned is that Cheyenne can, if it wishes, implement a program for our veterans in Northern Colorado. Mr. Dave Roberts, Director of the Cheyenne VAMC intends to push for the program.

To appreciate the importance of VD-HCBS to veterans like me, just consider that it can help with removing ice and snow from my sidewalk, without which I’m stranded inside my home. Other services it covers include meal preparation, transportation, housekeeping, laundry, and more – vital services keeping me safe, and independent. It can delay an end-of-life trip into a nursing home more effectively than my present palliative care alone.

I ask that you help on a couple fronts. First, can’t NoCo veterans somehow enroll in Denver to be covered without having to move there? Also, please urge Mr. Roberts and Mr. Ralph T. Gigliotti at VISN-19 to promptly implement VD-HCBS throughout Colorado. The need is great and the need is obvious, certainly from my perspective as a disabled veteran.

Sincerely,

(signature)

Colorado’s representatives are:

1st District

Diana DeGette

Democrat

Since Jan 7, 1997

View District Map

2nd District

Jared Polis

Democrat

Since Jan 6, 2009

View District Map

3rd District

Scott Tipton

Republican

Since Jan 5, 2011

View District Map

4th District

Ken Buck

Republican

Since Jan 6, 2015

View District Map

5th District

Doug Lamborn

Republican

Since Jan 4, 2007

View District Map

6th District

Mike Coffman

Republican

Since Jan 6, 2009

View District Map

7th District

Ed Perlmutter

Democrat

---------------Colorado's Congressmen---------------------------

  

(signature)

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

House Bill 16-1444 Passes Colorado Legislature Unanimously - Governor signs May 27

Thanks to the efforts of state Senator Keffalas and his colleagues, the conflict between Article X Section 3.5 of the Colorado constitution and its enabling legislation will be resolved tomorrow when the Governor signs House Bill 16-1444.

The constitution provided a modest property tax exemption to both VA 100% disabled veterans and military retired 100% disabled servicemembers. BUT...someone writing the subsequent legislation forgot the military and only specified VA, denying hundreds of retired totally disabled servicemembers the exemption guaranteed by the constitution.

WOW...it only took three months from mentioning the problem to Senator Keffalas, getting the support of the United Veterans Committee, and even the state Division of Military and Veterans Affairs, and the correction simply sailed through both houses without a dissenting vote.

So...one problem solved, and next we move on to the shameful discrimination suffered by Colorado's war widows and widowers, who are denied the property tax exemption afforded disabled veterans' survivors.

Why the exclusion of war widows and widowers? Because the constitution only provides the property tax exemption to those whose veteran husband/wife was in receipt of the exemption before the veteran's death. Logically, a soldier who dies in a roadside bomb or hostile artillery fire doesn't make it home to complete Colorado's application, but illogically, his/her survivor is denied the property tax exemption.

Our Testimony Supporting Senate Bill 16-147 (28 Apr 2016)

Statement of Wes Carter, Major USAF Retired

National Chairperson, The C-123 Veterans Association

also speaking for the united veterans committee of colorado

Mr. Chairman, and members of the committee,

I’m Wes Carter, National Chairperson of the C-123 Veterans Association. Today I also represent 450,000 Colorado veterans whose voice is the United Veterans Committee. Before you today is the terrible issue of suicide in Colorado and our hope that Senate Bill 16-147 can help.

I want to share some personal experiences with this issue. My town of Fort Collins lost thirteen children last year. Four were suicides. Four…over 30% if you want simple statistics. We don’t know all the causes, but we certainly know the tragedies our families were left with.

Military suicides are something I became familiar with 26 years service in the Army and then the Air Force. For twelve years I was a hospital administrator. Marvin, one of the officers who nominated me for my commission, faced demons he felt could only be driven away by ending his life. I flew medevac for several years with Diane, a flight nurse. I have a happy memory of her rushing from work to attend my wedding, without time to change from her hospital scrubs. I have been to her parent’s Massachusetts home only twice…each time for the funeral of one of her brothers, both of whom ended their lives while on active duty.

Military and veterans’ suicides. I can speak for the accumulation of life’s burdens in the military…extremely difficult technical and physical training, frequent deployments, injuries, career disappointments, loss of friends, family strife, relocations, financial stress. And then there’s all those people bombing and shooting at you. Life’s tough. We have an evolving understanding that it takes a warrior to call in help. I wish more warriors would reach out, but we see an average of one veteran’s suicide per hour, each and every day. 8000 a year, almost an Army division. Last year in our county, the 80 adults who ended their lives were 3.8% of all adult deaths, but remember what I said about the children…30% of all children’s deaths were by their own hand.

Senate Bills won’t solve everything but, along with recent action in the US Senate, they’ll help. I join Colorado’s 450,000 veterans in urging unanimous approval of Senate Bill 16-147. Thank you, Mr. Chairman.