ADHC Centers are a safe and active environment with constant supervision designed for veterans to get out of the home and participate in activities. It allows the veteran time to socialize with other veterans while the Family Caregiver is able to get some time for themselves. ADHC Centers employ caring professionals who will assess a veteran's rehabilitation needs and help a veteran accomplish various tasks so he or she can maintain or regain personal independence and dignity. The veteran will participate in rehabilitation based on their specific health assessment during the day (ADHC centers are generally open Monday through Friday during normal business hours). The ADHC Centers emphasize a partnership with the caregiver, the veteran, and Centers' staffs.
Home-Based Primary Care (HBPC) is a program designed to deliver routine health care services to your home when the veteran you care for has medical issues that make it challenging for him or her to travel. Home-Based Primary Care is staffed with medical professionals who will come to your home. Services include primary care and nursing, managing medication, and helping plan and put together nutritious and tasty meals. Home-Based Primary Care can also include physical rehabilitation, mental health care for the veteran, social work and referrals to VA and community services. This program can help ease the worry and stress of having to bring a veteran to and from a VA medical center for routine medical appointments.
Home Hospice Care can offer comfort and supportive services for the caregiver and the veteran during the advanced stages of terminal diseases the veteran's home. An interdisciplinary team of health care providers and volunteers from a local community hospice agency is available for the caregiver 24 hours a day, seven days a week. Grief counseling is also available for the caregiver and other immediate family members.
The Homemaker and Home Health Aide Program is designed to help a Veteran with personal care needs, such as feeding, dressing, and bathing the veteran. A home health aide will come to your home on a regular schedule to allow the caregiver their own time while the aide assists the veteran.
The Home Telehealth program is designed to provide ready access to a care coordinator by using technology (e.g., telephone, computers) in your home. The Home Telehealth program enhances and extends care management to the Family Caregiver. Home Telehealth services may also include education and training or online and telephone support groups.
Remote Monitoring allows the veteran's physician or nurse to monitor the veteran's medical condition remotely using home monitoring equipment.
Respite provides a caregiver with time for relaxing and renewing their own energy. If a veteran requires a caregiver, you are eligible to receive up to 30 days of respite care per year. The care can be offered in a variety of settings including at your home or through temporary placement of a Veteran at a VA Community Living Center, a VA-contracted Community Residential Care Facility, or an Adult Day Health Care Center. Respite care may also be provided in response to a Family Caregiver's unexpected hospitalization, a need to go out of town, or a family emergency.
The Skilled Home Care service provides a medical professional who comes to the veteran's home to help care for a homebound Veteran. A veteran may be able to receive basic nursing services and physical, occupational, or speech therapies. To be eligible for this service, the veteran must be homebound, which means he or she has difficulty traveling to and from appointments and so is in need of receiving medical services at home. The Skilled Home Care service is similar to Home-Based Primary Care, but it involves VA purchasing care for a Veteran from a licensed non-VA medical professional.
The Program of Comprehensive Assistance for Family Caregivers (PCAFC) is for eligible Veterans who have incurred or aggravated a serious injury in the line of duty on or before May 7, 1975 or on or after September 11, 2001. This program provides resources, education, support, a financial stipend, and health insurance (if eligible), beneficiary travel (if eligible), to caregivers of eligible Veterans.
Caregiver and Veteran will need to apply together and participate in an application process to determine if you’re eligible for the Program of Comprehensive Assistance for Family Caregivers. You'll both need to sign and date the application and answer all questions for your role.
Options for veterans to apply to the program:
Program of Comprehensive Assistance for Family Caregivers
Health Eligibility Center
2957 Clairmont Road NE, Suite 200
Atlanta, GA 30329-1647
NOTE: Do not send medical records along with the application. VA will follow up after the application is received. If you need assistance with completing the application or would like to check the status of your VA Form 10-10CG application please call 1-855-488-8440, option 3.
If approved for the program, Veterans can select one primary caregiver and up to two secondary caregivers. Secondary caregivers serve as a backup support to the primary caregiver when needed.
The services a caregiver receives will depend on whether they are the primary or secondary caregiver.
Services for the Primary Caregiver:
Services for the Secondary Caregiver:
NOTE: Respite is short term relief for someone else to care for the Veteran while you take a break.
You have two separate options to appeal decisions made before February 19, 2019.
Option 1 - Appealing through the VHA Clinical Review Process by contacting the Patient Advocate at your local VA medical facility for specific information on the Clinical Review Process.
Option 2 - Appealing to the Board of Veteran’s Appeals (Board) by submitting a completed VA Form 10-307, Program of Comprehensive Assistance For Family Caregivers (PCAFC) Notice of Disagreement (NOD) to:
Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547
Veterans and/or caregivers may use the following options to appeal PCAFC decisions made on or after February 19, 2019:
Note: VHA will complete appeal reviews for the Clinical Review Process, Supplemental Claim, or request for Higher-Level Review. Decisions resulting from the Clinical Review Process, Supplement Claim, or request for Higher-Level Review may be appealed to the Board of Veterans Appeals.
******Option 1: VHA Clinical Review Process******
VHA Clinical Review Process is the lowest level appeal available, these appeals are submitted through the facility’s Patient Advocate, you will need to contact your Patient Advocate for specific information on submitting your appeal.
NOTE: VHA Clinical Review Process may be filed simultaneously with Supplemental Claims or a Higher-Level Review.
1- First level appeal (previously referred to as facility-level)
2- Second level appeal (VISN level) If the first level of the VHA Clinical
appeal is denied, you have the right to appeal to the second level
for review by another Clinical Eligibility and Appeals Team (CEAT).
******Option 2: Supplemental Claim******
Supplemental Claim is only allowed for decisions made on or after February 19, 2019, these appeals may be filed in conjunction with a VHA Clinical Review Process. This appeal option is used when there is additional information that is new or relevant or was not reviewed or available for review when the decision was made, this includes medical records that are noted following the review and outside medical records.
To file a Supplemental Claim the caregiver is required to send a completed VA Form 20-995 and any additional information (examples: new records, appeal letter) to:
Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 5354 VA
NOTE: Supplemental Claims CAN BE FILED AT ANY TIME.
******Option 3: Higher-Level Review******
Higher-Level Reviews are only allowed for decisions made on or after February 19, 2019, these appeals may be filed in conjunction with a VHA Clinical Review Process. This appeal option is to ask for a higher-level decision-maker in the Caregiver Program to look at your case.
To file a Higher-Level Review the caregiver is required to send a completed VA Form 20-996 to: Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 5354 VA
NOTE: Higher-Level Reviews must be filed within ONE YEAR of the date PCAFC mailed notification of the decision.
******Option 4: Board of Veterans Appeals******
Board of Veterans Appeals decision is a final determination on a matter, this must be considered when deciding to appeal to the Board.
To file an appeal with the Board of Veterans Appeals will require the claimant, typically the caregiver, to submit a completed VA Form 10182 (Notice of Disagreement) to: Board of Veterans’ Appeals
P.O. Box 27063
Washington, DC 20038
NOTE: Appeals filed with the Board of Veteran Appeals must be filed within ONE YEAR of the date PCAFC mailed the notification of decision.
If you have questions about any of the appeal forms or questions about appealing a PCAFC decision, you can call VA’s Caregiver Support Line (CSL) at: 1-855-260-3274.
CSL expanded hours are:
An accredited representative, attorney, or claims agent can also help you complete your forms.
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