1. State Home Per Diem Program
“To care for him who shall have borne the battle and for his widow and his orphan” (Abraham Lincoln)

2. Significant Dates
1860
1888
1890
1963
2010
Legislation passed to provide DOM and hospital Care
CA, IL, IA, MA, MI, PA, VT, MN, NE, OH, and WI had established SVHs.
U.S. Congress authorized federal cost-sharing for SVHs
First Veterans of the Civil War were admitted to the Home
VA’s nursing home program began
GEC transfer the payment piece of the program to CBO
For disabled volunteer soldiers and sailors of the Civil War, although initially only for those who served in the Union Army. Because of these restrictions, several states established Veterans homes at their own expense.
By 1888, California, Illinois, Iowa, Massachusetts, Michigan, Pennsylvania, Vermont, Minnesota, Nebraska, Ohio, and Wisconsin had established SVHs.
SVHs--about 30 cents per resident per day, which was approximately $100 per year for each Veteran domiciled in a state home
On December 6, 1890, the first Veterans of the Civil War were admitted to the Home.
A significant part of VHA’s long term care strategy is effected through one of the longest existing Federal-State partnerships, the State Home Per Diem (SHPD) program.
The Chief Business Office of Purchased Care (CBOPC) assumed program management responsibility for the SHPD Program on May 6, Previously, the program was managed by VHA’s Office of Geriatrics and Extended Care (GEC). Other SVH program functions, such as clinical oversight and grant program administration, fall under offices outside of CBOPC.

3. SHPD By the Numbers - Grant in Aid Programs 2 Per Diem Rates3 51 99
152
202
31,602
$1.3B
- Grant in Aid Programs
Per Diem Rates
Levels of Care
States and Puerto Rico
VAMC’s of Jurisdiction
Facilities
Programs
Authorized Beds
Budget
2. The construction grant program provides up to 65% federal funding to states to assist in the cost of construction of new nursing home, and domiciliary facilities, or expansion or remodeling of existing facilities.
VA’s per diem program assists states in providing domiciliary, adult day health care and nursing home care for eligible Veterans through partial payment of per diem costs. In 1960, per diem rates were established and Congress increased them periodically, usually as a result of lobbying efforts by State homes. Since 1988, the Secretary of Veterans Affairs adjusted the per diem rates each year as appropriate.
State Veteran Nursing Homes: $ daily per resident
State Domiciliary: $ daily per resident
State Adult Day Healthcare: $ daily per resident
3. NHC, ADHC, DOM
states and PR
NHC, 55 DOM, 3 ADHC
31,602. Over 25K NHC, Over 6,100 DOM and 109 ADHC

4. QUESTIONS

5. THANK YOU!