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VA RIN: 2900-AN82 Publication ID: Fall 2010 
Title: ●Per Diem Paid to States for Care of Eligible Veterans in State Homes 
Abstract: The Department of Veterans Affairs (VA) proposes to reorganize, update (based on revisions to statutory authority), and clarify its regulations that govern paying per diem to State Homes providing nursing home and adult day health care to eligible veterans. The reorganization will improve consistency and clarity throughout VA’s State Home programs. We propose to revise the regulations applicable to adult day health care programs so that states may establish socially based programs; currently, we require states to use a medical model. We expect that these liberalizing changes will increase the number of states who have such programs. We also propose to establish new regulations governing paying per diem to State Homes providing domiciliary care to eligible veterans, because the current regulations govern State Home hospital care and domiciliary care, and we believe that the domiciliary program will benefit from having regulations specifically tailored to its needs. Moreover, we no longer provide per diem to State Homes for hospital care. In general, this rulemaking is consistent with current regulations and policies, and we do not expect that these proposed rules would have a negative impact on State Home facilities; rather, we believe that these proposed regulations will clarify current law and policy, which should improve and simplify the payment of per diem to State Homes, and encourage participation in VA’s programs. 
Agency: Department of Veterans Affairs(VA)  Priority: Substantive, Nonsignificant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: No 
CFR Citation: 38 CFR 17.190    38 CFR 17.199    38 CFR 51 et. seq.    38 CFR 52 et. seq.   
Legal Authority: 38 USC 1710    38 USC 1741-43    38 USC 1745   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  01/00/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Information URL: www.regulations.gov   Public Comment URL: www.regulations.gov  
RIN Data Printed in the FR: No 
Agency Contact:
Roscoe G. Butler
Deputy Director, Business Policy, CBO (163)
Department of Veterans Affairs
Veterans Health Administration, 810 Vermont Avenue NW,
Washington, DC 20420
Phone:202 461-1586
Fax:202 273-9609
Email: roscoe.butler@va.gov