bound benefits may furnish prescriptions from any licensed physician, dentist, or podiatrist. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Veterans should follow the application process for Veterans Outpatient Care (64.011). Once veterans are accepted for outpatient care the eligibility information is shared with the pharmacy computer system, veterans may then present prescriptions to a VA Pharmacy. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: None. POST ASSISTANCE REQUIREMENTS: Reports: None. Audits: None. Records: None. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Program Costs Excluding Salaries) FY 98 $1,548,424,000; FY 99 est $1,825,261,000; and FY 00 est $1,898,271,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: Data unavailable. REGULATIONS, GUIDELINES, AND LITERATURE: VA Pamphlet 80-99-1, 38 CFR 17.60; "Federal Benefits for Veterans and Dependents", $5.00, available from Superintendent of Documents, Government Printing Office, Washington, DC 20402. INFORMATION CONTACTS: Regional or Local Office: Initial contact should be made with the nearest Veterans Hospital Facility listed in Appendix IV of the Catalog under Veterans Health Administration. Headquarters Office: Chief Consultant, Pharmacy Benefits Management, Department of Veterans Affairs, Washington, DC 20420. Telephone: (202) 273-8429. RELATED PROGRAMS: 64.011, Veterans Dental Care; 93.774, Medicare Supplementary Medical Insurance; 93.778, Medical Assistance Program. EXAMPLES OF FUNDED PROJECTS: Not applicable. CRITERIA FOR SELECTING PROPOSALS: Not applicable. 64.013 VETERANS PROSTHETIC APPLIANCES (Prosthetics Services) FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DE- and related appliances, equipment and services to disabled veterans so that they may live and work as productive citizens. TYPES OF ASSISTANCE: Sale, Exchange, or Donation of Property and Goods. USES AND USE RESTRICTIONS: Funds may be used for case manage ment of the disabled veteran by administrative control, purchasing and/ or fabrication and repair of prosthetic appliances and equipment. Appliances and services are provided only for the use and benefit of the disabled veteran to whom they are furnished. The program also includes the replacement and repair of appliances and training in the use of artificial limbs, artificial eyes, wheelchairs, aids for blind, hearing aids, braces, orthopedic shoes, eyeglasses, crutches and canes, medical equipment, implants, and medical supplies, and automotive adaptive equipment. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Any disabled veteran or authorized representative on his behalf meeting the criteria below may apply for prosthetic appliances or services. VA may not furnish sensory-neural aids, e.g., eye glasses, hearing aids, etc., other than in accordance with guidelines which the Secretary Shall prescribe. Beneficiary Eligibility: Veterans eligible for prosthetic services are service-connected veterans seeking care for a service-connected disability; veterans with compensable service-connected disabilities generally rated 10% or more; former prisoners of war, veterans discharged or released from active military service for a disability that was incurred or aggravated in the line of duty, and veterans who are in receipt of Section 1151 benefits; veterans who are in receipt of increased pension based on a need of regular aid and attendance or by reason of being permanently housebound; veterans who have annual income and net worth below the "means test" threshold; all other veterans who are not required to pay a copayment for their care, i.e., veterans of the Mexican border period and World War I, compensated zero (0) percent service-connected veterans who are receiving statutory awards, veterans exposed to a toxic substance, radiation or environmental hazard (limited to certain disabilities); and veterans who must pay a copayment for their care. Ineligible veterans are nonservice-connected veterans residing or sojourning in foreign lands. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Eligible veteran may request prosthetic services by reporting in person to any VA Medical Center as well as by correspondence, telephone, or authorized community physician prescription. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: Usually immediately, although delays of 30 to 60 days have occurred in unusual cases. Appeals: A veteran who is administratively refused prosthetics services by a local VA health care facility may appeal to the Board of Veterans Appeals. Determinations of the Veterans Health Administration involving the need or nature of medical treatment as distinguished from legal or basic eligibility for medical services, are not appealable. Renewals: None. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: For veterans in receipt of special monthly compensation or increased pension based on the need for regular aid and attendance, assistance is maintained for as long as eligibility continues (usually for life). Veterans are entitled to receive prosthetic services for as long as they are receiving VA treatment. POST ASSISTANCE REQUIREMENTS: Reports: None. Audits: Not applicable. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Value and Repair of Prosthetic Appliances) FY 98 $419,701,000; FY 99 est $498,437,000; and FY 00 est $523,366,000. Range and Average of Financial Assistance: $10 to $25,000; $118. PROGRAM ACCOMPLISHMENTS: The program has provided 2,800,000 prosthetic item/services in the form of prosthetic appliances, sensory aids, medical equipment, medical supplies, implants, therapeutic devices and repair services during fiscal year 1998. The Veterans health Care Eligibility Reform Act of 1996 significantly impacts prosthetic item/services provided. REGULATIONS, GUIDELINES, AND LITERATURE: 38 CFR 17.150, 17.151, 17.152, 17.153, 17.154, 17.155, 17.156, 17.157, 17.158, 17.159. INFORMATION CONTACTS: Regional or Local Office: Initial contact should be made with the Prosthetic Representatives in 154 VA field stations, any VA hospital or outpatient clinic, or any veterans' service organization representative. See Appendix IV of the Catalog for the address of the nearest Veterans Headquarters Office: Chief Consultant, Prosthetic and Sensory Aids Strategic Health Care Group (113), Department of Veterans Affairs, Washington, DC 20420. Telephone: (202) 273-8515. Fax: (202) 2739110. RELATED PROGRAMS: 64.009, Veterans Medical Care Benefits; 64.011, Veterans Dental Care; 64.100, Automobiles and Adaptive Equipment for Certain Disabled Veterans and Members of the Armed Forces; 64.116, Vocational Rehabilitation for Disabled Veterans; 93.774, Medicare Supplementary Medical Insurance; 93.778, Medical Assistance Program. EXAMPLES OF FUNDED PROJECTS: Not applicable. 64.014 VETERANS STATE DOMICILIARY CARE FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: Act of August 27, 1888, as amended, Public Laws 66-126, 76-250, 78-202, 80-531, 81-823, 83-613, 86-625, 88-450, 90432, 93-82, 94-417, 94-581, 96-151, 97-251, 98-160, and 100-322, 38 U.S.C. 1741-1743. OBJECTIVES: To provide financial assistance to States furnishing domiciliary care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs. TYPES OF ASSISTANCE: Formula Grants. USES AND USE RESTRICTIONS: The assistance provided is for domiciliary care; The provision of shelter, sustenance, and incidental medical care on an ambulatory self-care basis to assist eligible veterans, disabled by age or illness to attain physical, mental, and social wellbeing through rehabilitative programs. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicant is any State which operates a designated facility to furnish domiciliary care primarily for veterans. Beneficiary Eligibility: Veterans eligible for care in a VA facility needing domiciliary care and meeting one of the following conditions: (a) has a service-connected disability for which such care is being provided; (b) has a nonservice-connected disability and states under oath his inability to defray the expenses of necessary care; (c) was discharged or released from active military, naval and air service for a disability incurred or aggravated in line of duty; or (d) is in receipt of, or but for the receipt of, retirement pay would be entitled to receive disability compensation. A veteran must also meet State admission criteria. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Letter of application from State addressed to Chief Consultant, Geriatrics and Extended Care Strategic Healthcare Group (114), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420. Award Procedure: Recognition by Secretary of Veterans Affairs for pur- Range of Approval/Disapproval Time: From 30 to 60 days. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: 38 U.S.C. 1741. For each veteran provided domiciliary care, formula payments to the State are $16.13 per diem, or one-half the cost of care, whichever is less. Length and Time Phasing of Assistance: There is no length limitation; grant payments are made monthly or quarterly to the State. POST ASSISTANCE REQUIREMENTS: Reports: Monthly reports and quarterly statements of Federal aid claimed are filed by the State with VA field station having jurisdiction over the State Home. Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), “Audits of States, Local Governments, and Non-Profit Organizations,” nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Records: Cost records on which quarterly statements are based and attendance records to support report for days of care provided to veteran. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Grants) FY 98 $23,931,000; FY 99 est $27,224,000; and FY 00 est $30,573,000. Range and Average of Financial Assistance: $5,000 to $3,600,000; $427,000. PROGRAM ACCOMPLISHMENTS: In fiscal year 1998, 5,831 patients were provided care in this program with an average daily census of 3,626 veterans in 47 State homes. In fiscal year 1999, it is estimated that 6,090 patients will be provided care with an average daily census of 3,821. In fiscal year 2000, it is estimated that 6,230 patients will be treated with an average daily census of 3,898. REGULATIONS, GUIDELINES, AND LITERATURE: VA Manual M1, Part I, Chapter 3, "State Veterans' Homes," and VA Manual M-5, Part VIII, Chapters 1 through 5. INFORMATION CONTACTS: Regional or Local Office: See Appendix IV of the Catalog for Veterans Hospital Facilities. Headquarters Office: Assistant Chief Medical Director for Geriatrics and Extended Care (114B), Department of Veterans Affairs, Washington, DC 20420. Chief, State Home Per Diem Program. Telephone: (202) 273-8538. RELATED PROGRAMS: 64.008, Veterans Domiciliary Care. 64.015 VETERANS STATE NURSING HOME CARE FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: Public Laws 88-450, 90-432, 93-82, 94-417, 94-581, 96-151, 97-251, 98-160, and 100-322, 38 U.S.C. 1741-1743. OBJECTIVES: To provide financial assistance to States furnishing nursing home care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs. TYPES OF ASSISTANCE: Formula Grants. USES AND USE RESTRICTIONS: The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicant is any State which operates a designated facility to furnish nursing home care primarily for veterans. Beneficiary Eligibility: A veteran eligible for care in a VA facility needing nursing home care and meeting one of the following conditions: (a) has a service-connected disability for which such care is being provided; (b) has a nonservice-connected disability and states under oath his inability to defray the expenses of necessary nursing home care; (c) was discharged or released from active military, naval and air services for a disability incurred or aggravated in line of duty; or (d) is in receipt of, or but for the receipt of retirement pay would be entitled to receive disability compensation. A veteran must also meet State admission criteria. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Letter of application from State addressed to Chief Consultant, Geriatrics and Extended Care Strategic Healthcare Group (114) Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420. Award Procedure: Recognition by Secretary of Veteran Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741. C Deadlines: None. Range of Approval/Disapproval Time: From 30 to 60 days. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: 38 U.S.C. 1741. For each vet- Reports: Monthly reports and quarterly statements of Federal aid claims Records: Cost records on which quarterly statements are based and at- Account Identification: 36-0160-0-1-703. Obligations: (Grants) FY 98 $205,340,000; FY 99 est $241,696,000; and Range and Average of Financial Assistance: $416,480,000 to PROGRAM ACCOMPLISHMENTS: In fiscal year 1998, there were INFORMATION CONTACTS: Regional or Local Office: See Appendix IV of the Catalog for Veterans Headquarters Office: Chief Consultant, Geriatrics and Extended Care, RELATED PROGRAMS: 64.010, Veterans Nursing Home Care. 64.016 VETERANS STATE HOSPITAL CARE AUTHORIZATION: Public Laws 76-250, 78-202, 80-531, 81-823, 83-613, OBJECTIVES: To provide financial assistance to States furnishing hospital USES AND USE RESTRICTIONS: The assistance provided is for hos- ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicant is any State which operates a designated has a nonservice-connected disability and States under oath his inabil- APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from Application Procedure: Letter of application from State addressed to Award Procedure: Recognition by Secretary of Veterans Affairs for pur- Range of Approval/Disapproval Time: From 30 to 60 days. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: 38 U.S.C. 1741. For each vet- Reports: Monthly reports and quarterly statements of Federal aid claimed Records: Cost records on which quarterly statements are based and at- Account Identification: 36-0160-0-1-703. Obligations: (Grants) FY 98 $5,776,000; FY 99 est $3,912,000; and FY Range and Average of Financial Assistance: $42,000 to $2,900,000; PROGRAM ACCOMPLISHMENTS: In fiscal year 1998, there were Regional or Local Office: See Appendix IV for Veterans Hospital Fa- Headquarters Office: Chief Consultant, Geriatrics and Extended Care, RELATED PROGRAMS: 64.009, Veterans Medical Care Benefits. 64.018 SHARING SPECIALIZED MEDICAL (Sharing Contracts (Exchange of Use or Mutual Use)) AUTHORIZATION: Public Laws 89-785, 91-496, 93-82, 96-151, 101-366 and 103-210; 38 U.S.C. 8151-8153. OBJECTIVES: To receive and share the most advanced medical techniques; to secure the use of specialized medical resources which otherwise might not be feasibly available to the VA and to provide services to the community through specialized medical resources which are not being utilized to their maximum effectiveness within the VA. (These medical resources are "specialized" resources or underutilized resources in the sense that they are unique in the medical community or can have maximum utilization only through mutual use.) TYPES OF ASSISTANCE: Provision of Specialized Services. USES AND USE RESTRICTIONS: To provide for the exchange of or mutual use of specialized medical resources when such an agreement will obviate the need for a similar resource to be provided in a VA facility, or for the mutual use, or exchange of use, of specialized medical resources in a VA facility which have been justified on the basis of veterans' care, but which are not utilized to their maximum effective capacity. Such agreements must be made with health care facilities including hospitals, medical schools, clinics, research centers, and blood and organ banks. VA may also enter into sharing agreements with State Veterans Homes for the purpose of sharing health care resources which include inpatient and outpatient care, rehabilitation services, and other health care support or administrative services. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: (For sharing of medical resources) Health care facilities including medical schools, hospitals, clinics, research centers and blood and organ banks. ("Hospitals" include any Federal, State, local, or other public or private hospital.) Beneficiary Eligibility: Patients of VA medical facilities or patients of health care facilities including hospitals, medical schools, clinics, research centers and blood and organ banks. Credentials/Documentation: Written authorization from the VA (or other party to the agreement or contract, as provided) by the terms of the agreement or contract. APPLICATION AND AWARD PROCESS: Preapplication Coordination: Negotiated between VA and the applicant. This program is excluded from coverage under E.O. 12372. Application Procedure: Competitive sharing agreements greater than $1.5 million and non-competitive contracts greater than $500,000 must be approved by the Director, Sharing and Purchasing Office (175), Department of Veterans Affairs, Washington, DC, prior to contract execution. Proposed contracts less than these thresholds may be negotiated and awarded without prior VA Central Office reviewed approval. Award Procedure: None. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Renewals: Sharing contracts may include the exercise of two 1-year, prepriced options beyond the first year of the contract. No other renewals are permitted. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS: Reports: Annually as required by Title 38 U.S.C. 8153(e). Audits: As required by contract terms. Records: Maintain records in accordance with the contract or agreements which will facilitate an effective audit. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Salaries and Expenses) FY 98 $145,500,000; FY 99 est $185,500,000; and FY 00 est $200,000,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: There were approximately 550 contracts for resources purchased and provided in fiscal year 1998. REGULATIONS, GUIDELINES, AND LITERATURE: 38 CFR 17.210; VA Manual M-I, Part I, Chapter 34, Section II; VA Acquisition Regulations VAAR 815.7. INFORMATION CONTACTS: Regional or Local Office: Contact nearest VA Facility listed in Appendix IV of the Catalog under Veterans Health Administration. Headquarters Office: Director, Sharing and Purchasing Office (175), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420. Telephone: (202) 2738406. RELATED PROGRAMS: None. EXAMPLES OF FUNDED PROJECTS: Not applicable. CRITERIA FOR SELECTING PROPOSALS: Not applicable. 64.019 VETERANS REHABILITATION-ALCOHOL AND DRUG DEPENDENCE (Substance Abuse Treatment Program, Mental Health and Behavioral Sciences Service) FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: 38 U.S.C. 17. OBJECTIVES: To provide medical, social, vocational and rehabilitation therapies to eligible alcohol and drug dependent veterans. TYPES OF ASSISTANCE: Provision of Specialized Services. USES AND USE RESTRICTIONS: The Substance Abuse Treatment programs are located in VA medical centers and clinics. The programs offer various modalities of treatment including: detoxification, substance abuse rehabilitation (education; individual, group and family therapies; drug free modalities; relapse prevention; continuing care and other treatments), psychiatric treatment and psychotropic medication, social services, opioid substitution therapy and vocational rehabilitation. In the case of opioid substitution therapy, the VA is bound by the regulations for minimum standards established by the Food and Drug Administration and Drug Enforcement Administration. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Any veteran who requires treatment for substance abuse is eligible if meeting the following conditions: (1) has served in the active military, naval or air service; and (2) was discharged or released under conditions other than dishonorable; and (3) meets the general eligibility requirements as defined in program 64.009. Beneficiary Eligibility: Veterans meeting the criteria listed in the Applicant Eligibility section of this program. Credentials/Documentation: Discharge certificate. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Apply personally to any VA medical center, outpatient clinic, or regional office; through any veterans service organization representative; or by mailing VA Form 10-10 (Application for Medical Benefits) to nearest medical center. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: The same day if the applicant applies in person; generally within 7 days if by mail. Appeals: None. Renewals: None. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS: Reports: Not applicable. Audits: Not applicable. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Salaries and Expenses) FY 98 $396,450,000; FY 99 est $411,553,000; and FY 00 est $427,230,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1998, specialized treatment programs for veterans with substance use disorders treated 20,100 veterans on inpatient units and 4,500 in residential programs. Over 131,800 veterans were provided outpatient substance abuse treatment services by these specialized programs. REGULATIONS, GUIDELINES, AND LITERATURE: Not applicable. INFORMATION CONTACTS: Regional or Local Office: Contact the nearest VA medical center, outpatient clinic, domiciliary, or Veterans Regional Office. (See Appendix IV of the Catalog for the list of addresses under Veterans Health Administration). Headquarters Office: Director, Mental Health and Behavioral Sciences Services (11C), Department of Veterans Affairs, Washington, DC 20420. Telephone: (202) 273-8437. Use the same number for FTS. RELATED PROGRAMS: 64.009, Veterans Medical Care Benefits; 64.011, Veterans Dental Care. EXAMPLES OF FUNDED PROJECTS: Not applicable. 64.022 VETERANS HOME BASED PRIMARY CARE FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: Public Laws 93-82, 94-581, 96-151, and 99-166, 38 U.S.C. 1717. OBJECTIVES: To provide primary health care in the home, through a VA interdisciplinary team, to homebound and often bedridden eligible veterans whose caregivers are capable and willing to assist in their care. TYPES OF ASSISTANCE: Provision of Specialized Services. USES AND USE RESTRICTIONS: Veterans are admitted to home based primary care. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: The eligible veteran must require intermittent skilled nursing care and related medical services for a time-limited or a protracted period. Medical determination as to need for home health services will be made by a VA Medical Center physician. The veteran must meet the eligibility requirements as defined in program 64.009. Beneficiary Eligibility: Veterans meeting the criteria listed in the Applicant Eligibility section of this program. Credentials/Documentation: Military discharge papers indicating veteran served on active duty, meeting appropriate requirements within applicable laws. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. This program is excluded from coverage under E.O. 12372. Application Procedure: Medical determination as to need for home health services will be made by a VA Medical Center physician or VA authorized private health care physician. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: This program has no statutory formula or matching requirements. Length and Time Phasing of Assistance: No limit. POST ASSISTANCE REQUIREMENTS: Reports: Not applicable. Audits: Not applicable. Records: Not applicable. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. Obligations: (Services) FY 98 $52,844,000; FY 99 est $54,857,000; and FY 00 est $90,447,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1998, a total of 6,348 veterans received care on the average day. REGULATIONS, GUIDELINES, AND LITERATURE: VA Manual M-1 Part 1, Chapter 30, Section II, "Hospital Based Home Care." INFORMATION CONTACTS: Regional or Local Office: Not applicable. Headquarters Office: Chief Consultant, Geriatrics and Extended Care Strategic Healthcare Group (114), Department of Veterans Affairs, Washington, DC 20420. Home Based Primary Care Program Coordinator, Telephone: (202) 273-6488/8540. RELATED PROGRAMS: 64.011, Veterans Dental Care. EXAMPLES OF FUNDED PROJECTS: Not applicable. CRITERIA FOR SELECTING PROPOSALS: Not applicable. 64.024 VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM FEDERAL AGENCY: VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: Homeless Veterans Comprehensive Service Programs Act of 1992, Sections 3 and 4, Public Law 102-590; 38 U.S.C. 7721 note; Public Law 104-110. OBJECTIVES: To assist public and nonprofit private entities in establishing new programs and service centers to furnish supportive services and supportive housing for homeless veterans through grants that may be used to acquire, renovate or alter facilities, and to provide per diem payments, or in-kind assistance in lieu of per diem payments, to eligible entities which established programs after November 10, 1992 that provide supportive services and supportive housing for homeless veterans. (Note: The number of vans was limited to 20 for the life of this grant. This Van Restriction has not been lifted.) TYPES OF ASSISTANCE: Project Grants. USES AND USE RESTRICTIONS: The Homeless Veterans Comprehensive Service Programs Act of 1992 (Public Law 102-590) established the VA Homeless Providers Grant and Per Diem Program. The Act authorizes VA to assist public or non-profit private entities with partial funding for "bricks and mortar" to create supportive housing or services centers or to purchase vans for outreach and transportation. The Act also authorizes VA to partially fund operating expenses for these facilities through per diem payments. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicants eligible for grants include public and nonprofit private entities with the capacity to effectively administer a grant; which demonstrate that adequate financial support will be available to carry out the project; and which agree to and demonstrate capacity to meet the applicable criteria and requirements of the grant program. Applicants eligible for per diem payments include public or nonprofit private entities who are either grant recipients, or who are eligible to receive a grant. Programs eligible for coverage under per diem payments must have been established after November 10, 1992. Beneficiary Eligibility: Veterans, meaning a person who served in the active military, naval or air service, and who was discharged or released therefrom under conditions other than dishonorable. Credentials/Documentation: Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments, and with OMB Circular No. A-122 for nonprofit organizations. APPLICATION AND AWARD PROCESS: Preapplication Coordination: Application documents include a Standard Form 424, 424C and 424D, as well as VA Form 10-0361. Once per year if funds are available for the program, VA will publish in the Federal Register a notice of fund availability, soliciting applications for the grant program and information on applications for requesting eligibility to receive per diem payments. This program is excluded from coverage under E.O. 12372. Application Procedure: The application forms required by 38 CFR 17.700, "VA Homeless Providers Grant and Per Diem Program," and furnished by the Federal agency must be used for the program. Award Procedure: Formal approval of the award of assistance is made by the Secretary of Veterans Affairs; the program is administered by Mental Health Strategic Healthcare Group. Deadlines: Deadlines for program applications are established in the notice of fund availability. Range of Approval/Disapproval Time: For grant applicants, from 30 to 60 work days after receipt of items in the Second Submission section of the grant application package, including documentation on acquisition, rehabilitation and new construction; match and feasibility; matching funds; supportive services; and operating budget. For recognition by VA as eligible to receive per diem payments, 30 to 60 days after formal recognition is approved, pending availability of funds. Appeals: If an application would have been selected but for a procedural error committed by VA, VA will select that application for potential funding when sufficient funds become available, if there is no material |