Veterans Domiciliary Care


To provide residential care for ambulatory veterans disabled by age or illness who are not in need of acute hospitalization and who do not need the skilled nursing services provided in nursing homes. To rehabilitate the veteran in anticipation of his/her return to the community in a self-sustaining and independent or semi-independent living situation, or to assist the veteran to reach his/her optimal level of functioning in a 24-hour, 7-days-per-week protective environment.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Veterans Health Administration Center, Department of Veterans Affairs
Type(s) of Assistance Offered
B - Project Grants; J - Provision of Specialized Services
Program Accomplishments
Fiscal Year 2015 VHA offers a full continuum of residential treatment programs. At the end of FY 15, VHA operated 244 residential programs with 8,183 beds at 106 VA Medical Centers. For FY 15, there were 38601 episodes of care, 2,312,740 Bed Days of Care at a cost of $729,752,605.
Fiscal Year 2017 For FY17, VHA anticipates opening four new programs.
Fiscal Year 2016 At the end of second quarter FY 16, the Veterans Health Administration (VHA) operated 245 MH RRTP programs with 8,034 beds at 113 VAMCs. For FY 16, VHA anticipates opening nine new residential programs.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Veterans who meet basic VA eligibility requirement for VA healthcare and who are assessed as: not meeting criteria for acute inpatient mental health or medical admission; having tried a less restrictive treatment alternative, or one was unavailable; having identified rehabilitation and treatment needs requiring the structure and support of a residential treatment environment; not a significant risk of harm to self or others; lacking a stable lifestyle or living arrangement that is conducive to the Veteran's goal of recovery; being capable of self-preservation and basic self-care.
Beneficiary Eligibility
Veterans meeting the above requirements.
Military discharge papers (DD214).
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Submit Application for Medical Benefits, VA Form 10-10EZ and VA Form 10-10EC, Application for Extended Care Services to nearest VA medical facility.
Award Procedure
Not applicable.
Not applicable.
Approval/Disapproval Decision Time
Not applicable.
Not applicable.
Not applicable.
How are proposals selected?
Eligibility A Veteran is eligible for care at a SVH if VA determines that the Veteran needs care at a nursing home, domiciliary, or ADHC and also meets the requirements found in 38 CFR 51.50 (for nursing home care), 38 CFR 17.46(b) (for domiciliary care),and 38 CFR 52.50 (for ADHC). Procedures Information and procedures for determining eligibility, reporting, vouchering, and auditing of per diem payment claims for SVHs pursuant to title 38 of the United States Code (U.S.C.), sections 1710, 1720(f), 1741-1745, and title 38 of the Code of Federal Regulations (CFR) Parts 51 and 52. Information Contacts The Chief Business Office, through its State Veterans Home Per Diem Program Office (10NB) (303) 398-5908. .
How may assistance be used?
Domiciliary Residential Rehabilitation Treatment Programs (D RRTP), Mental Health Services, identify and address goals of rehabilitation, recovery, health maintenance, quality of life, and community integration. The DRRTPs provide specific intensive specialty treatment for mental health disorders, including PTSD and substance use disorders, as well as co-occurring medical needs, homelessness and unemployment. A DRRTP must not be used as a simple substitute for community housing or as VA lodging or Hotel facility.
What are the requirements after being awarded this opportunity?
Not applicable.
Not applicable.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Not applicable Method of awarding/releasing assistance: Lump.
Who do I contact about this opportunity?
Regional or Local Office
Mental Health Services (10P4M) in the Office of Patient Care Services (10P4) 202-461-4154
Headquarters Office
Mental Health Services
Mental Health Services (10P4M) in the Office of Patient Care Services (10P4)

Washington, DC 20420 US
Phone: 202-461-4154
Website Address
Financial Information
Account Identification
(Project Grants) FY 16 est $728,933,266.00; FY 17 est $721,104,018.00; FY 15$729,752,605.00; - Estimated Cost based on the forecasted Bed Day of Care data from the BY 2013 Enrollee Health Care Projection Model forecasts. The costs include the total healthcare cost of the Veteran during their stay.
Range and Average of Financial Assistance
Not applicable
Regulations, Guidelines and Literature
VHA Handbook 1162.02 VHA Handbook 1160.01 VHA Handbook 1160.03 VHA Handbook 1160.04. Information Contacts (150) National Mental Health Director, Residential Rehabilitation and Treatment Programs 757-722-9961, extension 1123.
Examples of Funded Projects
Not applicable.


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