Veterans State Nursing Home Care


To provide financial assistance to States furnishing nursing home care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs.

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
A - Formula Grants
Program Accomplishments
Not applicable.
Public Laws 88-450, 90-432, 93-82, 94-417, 94-581, 96-151, 97-251, 98-160, and 100-322, 38 U.S.C. 1741-1743.
38 U.S.C. 101; 38 U.S.C. 1745;83 FR 61272, Nov. 28, 2018;38 CFR 51. Public Laws 109-461;112-154;115-182
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Applicant is any State which operates a designated facility to furnish nursing home care primarily for veterans. "State" means each of the several States and each Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)).
Beneficiary Eligibility
A veteran is an eligible veteran for the purposes of payment of per diem for nursing home care under this part if VA determines that the veteran needs nursing home care; is not barred from receiving care based on his or her service (see 38 U.S.C. 5303, 5303A), is not barred from receiving VA pension, compensation or dependency and indemnity compensation based on the character of a discharge from military service (see 38 CFR 3.12) and is within one of the following categories: (a) Veterans with service-connected disabilities; (b) Veterans who are former prisoners of war, who were awarded the Purple Heart, or who were awarded the medal of honor under 10 U.S.C. 3741, 6241, or 8741 or 14 U.S.C. 491; (c) Veterans who were discharged or released from active military service for a disability incurred or aggravated in the line of duty; (d) Veterans who receive disability compensation under 38 U.S.C. 1151; (e) Veterans whose entitlement to disability compensation is suspended because of the receipt of retired pay; (f) Veterans whose entitlement to disability compensation is suspended pursuant to 38 U.S.C. 1151, but only to the extent that such veterans' continuing eligibility for nursing home care is provided for in the judgment or settlement described in 38 U.S.C. 1151; (g) Veterans who VA determines are unable to defray the expenses of necessary care as specified under 38 U.S.C. 1722(a); (h) Veterans solely seeking care for a disorder associated with exposure to a toxic substance or radiation, for a disorder associated with service in the Southwest Asia theater of operations during the Persian Gulf War, as provided in 38 U.S.C. 1710(e), or for any illness associated with service in combat in a war after the Gulf War or during a period of hostility after November 11, 1998, as provided and limited in 38 U.S.C. 1710(e); (i) Veterans who agree to pay to the United States the applicable co-payment determined under 38 U.S.C. 1710(f) and 1710(g). Note 1 to paragraph (i): Neither enrollment in the VA healthcare system nor eligibility to enroll is required to be an eligible veteran for the purposes of payment of per diem for nursing home care.
Not applicable.
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. Letter of application from State addressed to Chief Consultant, Geriatrics and Extended Care; Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420.
Award Procedure
Recognition by Secretary of Veteran Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741.
Not applicable.
Approval/Disapproval Decision Time
Not applicable.
Not applicable.
Not applicable.
How are proposals selected?
Not applicable.
How may assistance be used?
The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services.
What are the requirements after being awarded this opportunity?
Not applicable.
Not applicable.
Cost records on which quarterly statements are based and attendance records to support report for days of care provided to veteran.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula: Title 38 Chapter 1 Part 51 Subpart C

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
There is no length limitation; grant payments are made monthly or quarterly to the State. Method of awarding/releasing assistance: Lump.
Who do I contact about this opportunity?
Regional or Local Office
See Appendix IV of the Catalog for Veterans Hospital Facilities.
Headquarters Office
State Home Per Diem Program
Chief Consultant, Geriatrics and Extended Care Service
Chief, State Home Per Diem Program
Washington, DC 20420 USA
Phone: 202-461-6750
Website Address
Financial Information
Account Identification
(Formula Grants) FY 22$1,403,639,000.00; FY 23 est $1,490,482,000.00; FY 24 est $1,496,039,000.00; FY 19$1,334,458,411.00; FY 20 est $1,233,032,866.00; FY 21 est $1,261,392,622.00; FY 07$451,644,000.00; FY 08 est $501,046,000.00; FY 09 est $524,739,000,000.00; -
Range and Average of Financial Assistance
Not applicable/available.
Regulations, Guidelines and Literature
38 CFR 51
Examples of Funded Projects
Not applicable.


Related Federal Grants

Federal Grants Resources