![]() The H/HHA program is unique in that these extended care services are provided exclusively through non-VA providers in the community: public and private home care agencies. One criterion that triggers eligibility is that “no VA facility offers the hospital care, medical services, or extended care services the veteran requires.” ![]() Only one of these six requirements must be met. The VA MISSION Act of 2018 established six expanded eligibility criteria for community care. When the VA can’t provide the care a veteran needs, community providers may be approved to deliver these services. Next, a veteran with VA health care coverage must also qualify for community care. Qualifying for VA community care services Veterans with service-connected disabilities are assigned to the highest priority group, according to the VA. A veteran’s priority group determines how soon they’re enrolled in health care benefits and how much (if anything) they’ll pay toward the cost of their care. The VA assigns each applicant to a priority group based on their military service history, disability rating, income level, and whether they qualify for/are receiving other benefits like Medicaid, a VA pension, or VA disability compensation. ![]() Their medical condition and/or financial status may have changed, thereby qualifying them for coverage. A veteran can also apply by phone at 87, by mailing an application for health benefits form, or in person at a VA medical center or clinic.Įven if a veteran has applied for VA medical benefits before and been denied coverage, it may be worth applying again. Veterans who aren’t signed up for VA health care but believe they’re eligible for coverage are encouraged to apply online. Typically, older veterans have already applied for and been receiving VA health care benefits long before the need for in-home care arises. Most veterans who served in the active military, naval, or air service and didn’t receive a dishonorable discharge qualify for the VA’s standard medical benefits package. Qualifying for VA health care benefitsįirst, a veteran must be eligible for VA health care benefits. These three general criteria are covered in greater detail in the following sections.
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