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.

Unanimous vote moves disabled veteran property tax legislation forward in Colorado legislature

IT WAS UNANIMOUS!

Yesterday after the two hour wait for a previous bill to be defeated, the Colorado House Committee on Military and Veterans Affairs approved House bill 16 – 1444. And the vote was all in favor of the proposed legislation.

Our thanks are due to Committee Chair Sue Ryden who not only sponsored the legislation but testified on its behalf as did Representative Terri Carver (Colonel, USAF, Ret.)  And also to the outstanding leg work done by the United Veterans Committee of Colorado, Senator John Kefalas, and other leaders behind this issue.

Next up? The House Appropriations Committee, to address the modest cost of bringing the laws of Colorado into alignment with our state's Constitution Article 10, Section 3.5.

House Veterans Committee Disabled Military Retirees Property Tax Hearing April 25 (HB16-1444)

The legislative process begins April 25 at the Colorado Statehouse, when the House Veterans  Committee takes up HB16-1444, the bill to put military disabled retirees into the state's disabled veteran property tax laws.

Committee Chair Sue Ryden, herself a sponsor, will call the committee to order at 1:30PM, and HB16-1444 is first on the schedule.

I will be presenting the basic argument as the first witness, speaking as chair of our own C-123 Veterans Association. The United Veterans Committee of Colorado will also have me represent their 450,000 members in supporting the bill. Even the state's Division of Veterans Affairs is behind this bill!

Although the state's constitution covers both VA 100% disabled veterans and military personnel retired by their service for total disability, only VA-rated veterans were specified in the law, so the new bill aligns the constitution with the law by adding the totally disabled military retirees.

Things are happening...our bill is now before the Colorado House Veterans Committee

Fix HB6-1251 to match the constitution's Article X Section 3.5

In his effort to align the constitution with legislation, Colorado's state senator for Fort Collins has a "late bill" now being worked on in Denver. It was a miracle that, so late in the Legislature's crowded final thirty days, this issue still got attention from leaders in both parties and both chambers.

Senator John Kefalas crafted the bill and with bipartisan support now has it before the House Veterans Affairs Committee, and in the Senate awaiting committee assignment.

Bill Detail: HB16-1444

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Title	Definition Qualifying Disabled Veteran Prop Tax
Status	Introduced In House - Assigned to State, Veterans, & Military Affairs (04/15/2016)
House Sponsors	S. Ryden (D) T. Carver (R)
Senate Sponsors	J. Kefalas (D) L. Garcia (D)
House Committee	State, Veterans, & Military Affairs
Senate Committee
Date Introduced	04/15/2016
Description	The bill aligns the statutory definition of qualifying disabled veteran, as it relates to a property tax exemption for qualifying seniors and disabled veterans, with the language established in section 3.5 of article X of the Colorado constitution.
Amendments out of Committee	None
Link to Full Text	Full Text of Bill
Link to Bill Versions	Bill Versions
Link to Fiscal Notes
Link to History	History
Link to Lobbyists	(no lobbyist data)
Link to Audio	[This feature is available by subscription.]
Votes	House and Senate Votes
Vote Totals	Vote Totals by Party
Profile:

Colorado's Curious Management of its Disabled Veteran Property Tax Exemption

 • Colorado Legislative Council, in describing the disabled veteran property tax exemption on the 2006 ballot:

"Veterans are rated 100-percent permanently disabled when a mental or physical injury makes it impossible for the average person to hold a job and the disability is lifelong."

• Colorado Division of Veterans Affairs:

VA "unemployability' total and permanent disability awards (TDIU, but only permanent and total) not acceptable for disabled veteran property tax exemption."

• Is there a disconnect somewhere in CDMVA? Are we stuck with this Catch-22 situation? Why does only Colorado treat TDIU differently than VA's other total disability rating (100% schedular?)