Veterans Prosthetic Appliances (64.013)
Program
64.013 Veterans Prosthetic Appliances
Federal Agency
VETERANS HEALTH ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS
Authorization
38 U.S.C. 1162, 38 U.S.C. 1701, 38 U.S.C. 1710, 38 U.S.C. 1712, 38 U.S.C. 1713, 38 U.S.C. 1714, 38 U.S.C. 1717, 38 U.S.C. 1719, 38 U.S.C. 1723, 38 U.S.C. 1724, 38 U.S.C. 3104, 38 U.S.C. 3901, 38 U.S.C. 3902, 38 U.S.C. 3903, and 38 U.S.C. 8123.
Program Number
64.013
Last Known Status
Active
Objectives
To provide, through purchase and/or fabrication, prosthetic 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 management 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
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.
Records
Not applicable.
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 2001. The Veterans Health Care Eligibility Reform Act of 1996 significantly impacts prosthetic item/services provided.
Financial Information
Account Identification
36-0160-0-1-703.
Obligations
(Value and Repair of Prosthetic Appliances) FY 02 $498,437,000; FY 03 est $523,366,000; and FY 04 est $523,366,000.
Range and Average of Financial Assistance
$10 to $25,000. Average: $118.
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.
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.
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 Hospital Facility.
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) 273-9110.
Web Site Address
Examples of Funded Projects
Not applicable.
Criteria for Selecting Proposals
Not applicable.
