Appeals: Not applicable. Renewals: Not applicable. eran provided nursing home care, formula payments to the State the cost of care, whichever is less. grant payments are made monthly or quarterly to the State. claims are filed by the State with VA field station of jurisdiction. 'Auditing Requirements," State and Local Governments,“ State and regulations governing the programs in which they participate. attendance records to support report for days of care provided to veteran. Account Identification: 36-0160-0-1-703. and FY 96 est $183,219,483. $1,818,286. 17,800 patients treated in this program with an average daily erage daily census of 12,477 in 80 State nursing homes. M-1, Part 1, Chapter 3 'State Veterans' Homes.” ans Hospital Facilities. and Extended Care, (114B), Department of Veteran's Affairs, Telephone: (202) 535-7538. or (c) was discharged or released from active military, naval and must also meet State admission criteria. coverage under E.O. 12372. Chief Medical Director (114B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420. purposes of VA aid pursuant to Title 38 U.S.C. Section 1741. Renewals: Not applicable. eran provided hospital care, formula payments to the State are cost of care, whichever is less. grant payments are made monthly or quarterly to the State. claimed are filed by the State with VA field station of jurisdiction. 'Auditing Requirements,” State and local governments that re- lations governing the programs in which they participate. attendance records to support report for days of care provided to veteran. Account Identification: 36-0160-0-1-703.000 FY 96 est $4,921,412. $820,191. 1,975 patients treated in this program with an average daily census census of 358. M-1, Part 1, Chapter 3, 'State Veterans' Home.” Facilities. and Extended Care, (114B), Department of Veterans Affairs, Telephone: (202) 535-7538. 64.016 VETERANS STATE HOSPITAL CARE TION, DEPARTMENT OF VETERANS AFFAIRS 613, 86-625, 88-450, 90-432, 91-178, 94-417, 94-581, 96-151, 97-271, 98-160, and 100-322, 38 U.S.C. 1741-1743. pital care to eligible veterans in State veterans' homes which meet the standards prescribed by the Secretary of Veterans Affairs. pital care: The provision of diagnosis and treatment for in-patients nostic, therapeutic, and rehabilitative services. nated facility to furnish hospital care primarily for veterans. needing hospital care and meeting one of the following conditions: 64.018 SHARING SPECIALIZED MEDICAL RESOURCES FEDERAL AGENCY; VETERANS HEALTH ADMINISTRA- TION, DEPARTMENT OF VETERANS AFFAIRS 366 and 103-210; 38 U.S.C. 8151-8153. INFORMATION CONTACTS: Appendix IV of the Catalog under Veterans Health Administra tion. Headquarters Office: Director, Medical Sharing Office (166), Veter ans Health Administration, Department of Veterans Affairs, Wash ington, DC 20420. Telephone: (202) 535-7212. 64.019 VETERANS REHABILITATION-ALCOHOL AND DRUG DEPENDENCE (Substance Abuse Treatment Program, Mental Health and Behavioral Sciences Service) OBJECTIVES: To receive and share the most advanced medical tech niques; 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 hospitals, medical installations with hospital facilities, medical schools, clinics, 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 sup port or administrative services. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: (For sharing of medical resources) medical schools, medical installations having hospital facilities, hospitals, clinics, research centers and blood and organ banks. ('Hospitals” include any Federal, State, local, or other public or private hospi tal.) Beneficiary Eligibility: Patients of VA medical facilities or patients of medical installations having hospital facilities, 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 appli cant. Application Procedure: Competitive sharing agreements greater than $1.5 million and non-competitive contracts greater than $50,000 must be approved by the Director, Sharing Office (166), 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 ap proval. Award Procedure: None. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: None. Renewals: Sharing contracts may include the exercise of 2 one-year, pre-priced 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. Reports: Annually as required by Title 38 U.S.C. 8153(e). ments which will facilitate an effective audit. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. $60,000,000; and FY 96 est $63,000,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1994, 210 con tracts were made. Approximately the same number of contracts (250) are estimated for fiscal years 1995 and 1996. REGULATIONS, GUIDELINES, AND LITERATURE: 38 CFR 17.210; VA Manual M-I, Part 1, Chapter 34, Section II; VA ACquisition Regulations VAAR 815.7. FEDERAL AGENCY: VETERANS HEALTH ADMINISTRA TION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: 38 U.S.C. 17. OBJECTIVES: To provide medical, social, vocational and rehabilita tion 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, methadone maintenance, drug free, individual and group and family therapy, psychotropic medications, psychiatric counseling, relapse prevention, and vocational rehabilitation services. In the case of drug dependence treatment, the VA is bound by the regulations for minimum standards established by the Food and Drug Administration concerning the prescribing of methadone and other forms of chemo-therapy. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Any veteran who requires treatment for sub stance 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 Ap plicant Eligibility section of this program. Credentials/Documentation: Discharge certificate. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. outpatient clinic, or regional office; through any veterans service cation 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. Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. Reports: Not applicable. Records: Not applicable. Account Identification: 36-0160-0-1-703. $563,323,000; and FY 96 est $586,250,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1994, 161 VA fa cilities operated specialized treatment programs for veterans with substance use disorders. These programs treated 57,188 veterans on inpatient units and 3,305 in residential programs. Over 116,593 veterans were provided outpatient substance abuse treatment serv ices by these specialized programs. REGULATIONS, GUIDELINES, AND LITERATURE: Not applica ble, 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 Veter ans Health Administration). Headquarters Office: Director, Mental Health and Behavioral Sci ences Services (111C), Department of Veterans Affairs, Washing ton, DC 20420. Telephone: (202) 535-7316. RELATED PROGRAMS: 64.009, Veterans Hospitalization; 64.011, Veterans Outpatient Care. INFORMATION CONTACTS: Regional or Local Office: Not applicable. and Extended Care (114A), Department of Veterans Affairs, ordinator, Telephone: (202) 535-7530. 64.022 VETERANS HOSPITAL BASED HOME CARE ) FEDERAL AGENCY: VETERANS HEALTH ADMINISTRA TION, DEPARTMENT OF VETERANS AFFAIRS AUTHORIZATION: Public Laws 93-82, 94-581, 96-151, and 99-166, 38 U.S.C. 612. OBJECTIVES: To provide individual medical, nursing, social and re habilitative services to eligible veterans in their home environment by VA hospital staff. TYPES OF ASSISTANCE: Provision of Specialized Services. USES AND USE RESTRICTIONS: Veterans are admitted to hospital based home care from inpatient status in a Veterans Administra tion facility. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: The eligible veteran must require intermittent skilled nursing care and related medical services for a protracted period of time. 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 pro gram 64.009. Beneficiary Eligibility: Veterans meeting the criteria listed in the Ap plicant Eligibility section of this program. Credentials/Documentation: Military discharge papers. 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. 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. Reports: Not applicable. Records: Not applicable. Account Identification: 36-0160-0-1-703. and FY 96 est $37,000,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1994, a total of 276,810 home visits were made to VA beneficiaries. In fiscal year 1995, 277,000 home visits are estimated and in fiscal year 1996, 277,000 home visits are estimated. REGULATIONS, GUIDELINES, AND LITERATURE: VA Manual M-1 Part 1, Chapter 30, Section II, 'Hospital Based Home Care.” 64.024 VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM FEDERAL AGENCY: Veterans Health Administration, Department of Veterans Affairs AUTHORIZATION: Homeless Veterans Comprehensive Service Pro grams Act of 1992, Public Law 102-590, Section 3 and 4; 106 Stat. 5136; 38 U.S.C. 7721 note. OBJECTIVES: To assist public and nonprofit private entities in estab lishing 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, or to purchase vans; 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 support ive services and supportive housing for homeless veterans. TYPES OF ASSISTANCE: Project Grants. USES AND USE RESTRICTIONS: Grant funds may be used to de velop new supportive housing, supportive services, or service centers for homeless veterans: a. to pay a portion of the cost of new construction, including cost-effective energy measures and the cost of land associated with that construction, if it can be shown that such costs are less than the costs associated with rehabilitation of an existing building, or that there is a lack of available units that could be rehabilitated at a cost less than new construction; b. to pay a portion of the cost of acquisition of real property and/or rehabilitation of facilities including cost-effective energy measures and the repayment of outstanding debt on a loan made to purchase property not used previously for supportive housing, supportive services, or services centers, if it can be shown that such costs are less than the costs of new construction; c. to pay a portion of the cost of acquisition of a van, including the purchase price, sales taxes, and title and licensing fees. Grant funds may not be used to support operational costs. Per diem payments may be paid to a recipient of a grant, or an entity eligible to receive a grant, for veterans whom VA referred to, or for whom VA authorized the provision of services by, such entity. In lieu of per diem payments, VA may, with approval of the recipient, provide in-kind assistance through the services of VA employees and the use of other VA resources. Programs eligible for coverage under per diem pay ments must have been established after November 10, 1992. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicants eligible for grants include public or 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 estab lished 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 10-0462. mont Avenue, NW, Washington, DC 20420. Telephone: (202) 535 7311 (this is not a toll-free number). RELATED PROGRAMS: None. EXAMPLES OF FUNDED PROJECTS: Not applicable; new pro gram. CRITERIA FOR SELECTING PROPOSALS: As required by 38 CFR 17.700, applications are reviewed, rated and ranked in priority order. Selection criteria include: a. Quality of the project. b. Targeting to persons on street and in shelters. c. Ability of the applicant to develop and operate a project. d. Need for the type of project proposed in the area to be served. e. Innovative quality of the proposal. f. Leveraging. g. Cost effectiveness. h. Coordination with other programs. Once per year when funds are available for the program, VA will publish in the Federal Register a notice of fund availability solicting applications for the grant program. Application for eligibility to receive per diem payments may be made at any time by con tacting the headquarters office. Application Procedure: The grant 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 grant program. Award Procedure: Formal approval of the award of assistance is made by the Secretary of Veterans Affairs; the program is admin istered by Mental Health and Behavioral Sciences Service. Deadlines: Deadlines for grant applications are established in the notice of fund availability. Application for eligibility to receive per diem payments may be made at any time by contacting the head quarters office. 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 requesting formal recognition. Appeals: If an application would have been selected but for a proce dural error committed by VA, VA will select that application for potential funding when sufficient funds become available, if there is no material change in the information that resulted in its selec tion. A new application will not be required for this purpose. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: 38 CFR 17.706 Federal par ticipation provides up to 65 percent of total project cost, with the grant recipient providing the remainder. Once funds are obligated for a grant project, VA will not increase the amount obligated. Length and Time Phasing of Assistance: Appropriation expires at the end of each fiscal year. Reimbursement payments are made to the grant recipient based on the Federal share of costs incurred. POST ASSISTANCE REQUIREMENTS: Reports: Required in accordance with 38 CFR 17.700. be in accordance with the provisions of 38 CFR part 41. Nonprof- ments of OMB Circular No. A-133. Records: Three categories of records should be maintained by VA and the contractor: (a) contractor fiscal records; (b) contractor treatment records; and (c) VA record summaries of treatment provided. Contractor fiscal records should be maintained by the contractor until they are certified by the General Accounting Office, as guided by Records Control Schedule 10-1. Contractor treatment records should be maintained by the contractor for a period of three years after the date of last patient activity before being disposed of by the contractor. Contractor summaries and related records will be maintained by the appropriate VA health care facility until three years after the last episode of care, then they will be filed with VA's Consolidated Health Records for each veteran patient. Consolidated Health Records are retained by the VA fa cility for 75 years from the last episode of care. FINANCIAL INFORMATION: Account Identification: 36-0160-0-1-703. gram. PROGRAM ACCOMPLISHMENTS: Not applicable; new program. REGULATIONS, GUIDELINES, AND LITERATURE: Title 38 Code of Federal Regulations 17.700 - 17.731, VA Homeless Providers Grant and Per Diem Program. Regional or Local Office: Not applicable. Grant and Per Diem Program, Mental Health and Behavioral Sci- 64.025 TRANSITIONAL HOUSING LOAN PROGRAM FEDERAL AGENCY: Veterans Health Administration, Department of Veterans Affairs AUTHORIZATION: Loans to Organizations Providing Transitional Housing for Substance Abusers, Public Law 102-54, Section 8; 105 Stat. 271; 38 U.S.C. 501. OBJECTIVES: To assist nonprofit organizations in the provision of leased transitional housing exclusively for veterans who are in (or who have recently been in) a program for the treatment of sub stance abuse. TYPES OF ASSISTANCE: Direct Loans. USES AND USE RESTRICTIONS: Loan proceeds may be used to cover startup costs for a residence such as: security deposits, household furnishings, household staples and supplies, initial utilities connection fees, and similar initial costs. Loans may not be used for major property improvements (such as replacement of heating systems), new construction, remodeling, or other permanent alterations to property. Loans may be made for up to $4,500 for each leased residence and are repayable, including interest, over a two-year period in monthly installments. The rate of interest charged to loan recipients will be the same rate the VA is charged to borrow these funds from the U.S. Department of Treasury. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Applicants eligible for loans include nonprofit organizations which demonstrate adequate financial status to ensure loan repayment; have demonstrated ability to successfully address the needs of substance abusers; and which agree to and demonstrate capacity to meet the terms and requirements of the loan program. 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; who are in, or have recently been in, a program for the treatment of substance abuse. Credentials/Documentation: If not named in, or approved under Title 38 U.S.C. (United States Code), Section 5902, a nonprofit organization must provide VA with documentation which demonstrates approval as a nonprofit organization under Internal Reve nue code, Section 501.c(3). APPLICATION AND AWARD PROCESS: Preapplication Coordination: An information and application pack age can be requested at any time by telephoning the program office. Application documents include VA ms 10-0146, 100146b, 10-0146c, 10-0146d, and 10-0146e. Consultation or assistance in completing application materials is also available through the headquarters office. Application Procedure: The VA forms included in the application package for the Transitional Housing Loan Program, and furnished by the Federal agency, must be used for the loan program. Applications will initially be screened for completeness and evidence of basic requirements. Favorable financial status, and successful previous experience assisting substance abusers will be verified; and assessment of plans for provision of transitional housing and use of loan proceeds will be conducted. Award Procedure: Formal approval of the award of assistance is del egated by the Secretary of Veterans Affairs to the Director, Mental Health and Behavioral Sciences Service. Program is ad ministered by Mental Health and Behavioral Sciences Service. Deadlines: Applications for loans may be made at any time by con tacting the headquarters office. Range of Approval/Disapproval Time: Loan approval/disapproval decisions will be made within 20 to 40 work days after receipt of complete loan application package. Appeals: If an application would have been selected but for a proce dural error committed by VA, VA will select that application for granting of a loan when sufficient funds become available, if there is no material change in the information that was initially furnished by the applicant. A new application will not be required for this purpose. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: This program has no statutory formula. Length and Time Phasing of Assistance: Loans are available on an ongoing basis, provided sufficient funds exist within the revolving fund. Reports: None. Records: None. Account Identification: 36-8126-0-8-705. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: This is a new program. It is es timated that 25 loans will be approved and issued during fiscal REGULATIONS, GUIDELINES, AND LITERATURE: Title 38 Code of Federal Regulations, 17.800 17.805, Transitional Housing Loan Program. Regional or Local Office: Not applicable. Loan Program, Office of Deputy Associate Director for Rehabili- 9961, Ext. 3628 (this is not a toll-free number). RELATED PROGRAMS: None. EXAMPLES OF FUNDED PROJECTS: Not applicable; new pro gram. CRITERIA FOR SELECTING PROPOSALS: As required by 38 CFR 17.800, applications are considered on a first-come-first-serve basis. Approval is based on: a. Favorable financial history and status. b. Demonstrated ability to successfully address the needs of substance abusers. C. Acceptable plan for operating a residence designed to meet the conditions of a loan under this program. d. Selection of suitable housing unit for use as a transitional residence. e. Agreement to the loan repayment schedule and to use the proceeds of the loan only to cover initial startup costs associated with the residence. a year 1995. |