Source: http://law.justia.com/cfr/title38/38-2.0.1.1.23.3.341.1.html
Timestamp: 2013-05-20 01:36:38
Document Index: 468382373

Matched Legal Cases: ['§ 51', 'ART 51', 'ART 51', '§ 51', '§ 51', '§ 51', '§58', '§58']

§ 51.40 Monthly payment. :: PART 51--PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES :: CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS :: Title 38 - Pensions, Bonuses, and Veterans' Relief :: Code of Federal Regulations :: Regulations :: Law :: Justia
Justia > Law > Regulations > Code of Federal Regulations > Title 38 - Pensions, Bonuses, and Veterans' Relief > CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS > PART 51--PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES > § 51.40 Monthly payment.	NEW - Receive Justia's FREE Daily Newsletters of Opinion Summaries for the US Supreme Court, all US Federal Appellate Courts & the 50 US State Supreme Courts and Weekly Practice Area Opinion Summaries Newsletters. Subscribe Now
38 C.F.R. § 51.40 Monthly payment.Title 38 - Pensions, Bonuses, and Veterans' Relief
Browse Next§ 51.40 Monthly payment.
(a)(1) VA will pay per diem monthly for nursing home care provided to an eligible veteran in a facility recognized as a State home for nursing home care. During Fiscal Year 2000, VA will pay the lesser of the following: (i) One-half of the cost of the care for each day the veteran is in the facility; or (ii) $50.55 for each day the veteran is in the facility. (2) Per diem will be paid only for the days that the veteran is a resident at the facility. For purposes of paying per diem, VA will consider a veteran to be a resident at the facility during each full day that the veteran is receiving care at the facility. VA will not deem the veteran to be a resident at the facility if the veteran is receiving care outside the State home facility at VA expense. Otherwise, VA will deem the veteran to be a resident at the facility during any absence from the facility that lasts for no more than 96 consecutive hours. This absence will be considered to have ended when the veteran returns as a resident if the veteran's stay is for at least a continuous 24-hour period. (3) As a condition for receiving payment of per diem under this part, the State must submit a completed VA Form 10–5588, State Home Report and Statement of Federal Aid Claimed. This form is set forth in full at §58.11 of this chapter. (4) Initial payments will not be made until the Under Secretary for Health recognizes the State home. However, payments will be made retroactively for care that was provided on and after the date of the completion of the VA survey of the facility that provided the basis for determining that the facility met the standards of this part. (5) As a condition for receiving payment of per diem under this part, the State must submit to the VA medical center of jurisdiction for each veteran the following completed VA Forms 10–10EZ, Application for Medical Benefits, and 10–10SH, State Home Program Application for Care—Medical Certification, at the time of admission and with any request for a change in the level of care (domiciliary, hospital care or adult day health care). These forms are set forth in full at §§58.12 and 58.13 of this chapter, respectively, of this part. If the facility is eligible to receive per diem payments for a veteran, VA will pay per diem under this part from the date of receipt of the completed forms required by this paragraph, except that VA will pay per diem from the day on which the veteran was admitted to the facility if the completed forms are received within 10 days after admission. (b) Total per diem costs for an eligible veteran's nursing home care consist of those direct and indirect costs attributable to nursing home care at the facility divided by the total number of patients at the nursing home. Relevant cost principles are set forth in the Office of Management and Budget (OMB) Circular number A–87, dated May 4, 1995, “Cost Principles for State, Local, and Indian Tribal Governments.” (Authority: 38 U.S.C. 101, 501, 1710, 1741–1743)