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.

Agency - Department of Veterans Affairs

The Department of Veterans Affairs strives for excellence in patient care and veteran's benefits for its constituents through high quality, prompt and seamless service to United States veterans.

Office - None.

Mental Health Services (10P4M) in the Office of Patient Care Services (10P4) 202-461-4154.
Website Address

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 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. Fiscal Year 2017: For FY17, VHA anticipates opening four new programs.

Uses and Use Restrictions

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.

Eligibility Requirements

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). This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. 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 Procedures

Not applicable.


Not Applicable.



Range of Approval/Disapproval Time

Not Applicable.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Not applicable. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Not Applicable.


No audits are required for this program.



Financial Information

Account Identification



(Project Grants) FY 15 $729,752,605; FY 16 est $728,933,266; and FY 17 est $721,104,018 - 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.

Information Contacts

Regional or Local Office

None. 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) 202-461-4154 , Washington, District of Columbia 20420 Phone: 202-461-4154

Criteria for Selecting Proposals

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. .

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