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Long-Term Care

Community Living Centers provide long-term Care (nursing home care) to veterans who are not acutely ill and not in need of hospital care. VA will provide needed long-term care to any veteran whose service-connected (SC) disability medically requires such care. Veterans with a combined SC disability rating of 70 percent or more are not required to pay for long-term care whereas veterans with service connected disability ratings of 60% or less have copayments decided by information collected on the 10-10EC (Extended Care Form; differing from the 10-10EZ Health Care Form). Veterans with a SC disability are given first priority for nursing home care. Additionally, applicants who may be provided access to nursing home care are veterans who were exposed to and require nursing home 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 Gulf War, 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 USC 1710(e). PL 106-117, the Veterans Millennium Healthcare and Benefits Act," created additional provisions to the "Uniform Benefits Package" that went into effect on May 29, 2000. A restricted emergency care benefit provides a safety net for some enrolled veterans who have no other means of paying a private facility emergency bill. VA will be the "payor of last resort" for emergency services rendered for nonservice-connected conditions at non-VA facilities for qualifying veterans. Specified criteria must be met, such as, but not limited to:

  • Veterans must be enrolled and have been provided care by a VA provider within the last 24 months.
  • The emergency must be life threatening as determined by a prudent lay person.
  • There is no other form of health care or legal recourse to cover the expenses.
  • VA or other federal facilities were not reasonably available at the time of the emergency event.