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About the State Veterans Home Program: The State Home Program is a partnership between the U.S. Department of Veterans Affairs and the States to construct or acquire nursing home, domiciliary and/or adult day health care facilities. Hospital care may be included when provided in conjunction with nursing home or domiciliary care. VA participates in these five grant-in-aid programs for States. VA may participate in up to 65 percent of the cost of construction or acquisition of State nursing homes or domiciliaries or for renovations to existing State homes. VA also provides per diem payments to States for the care of eligible veterans in State homes. A State home is owned and operated by a State. VA assures Congress that State homes provide quality care through inspections, audits, and reconciliation of records conducted by the VA medical center of jurisdiction. The following forms are in Abobe PDF Format: | Form # | Document Title | | 10-0148a | Certificate regarding debarment, suspension, ineligibility and voluntary exclusion | | 10-0148b | Certificate of state matching funds to qualify for group 1 on the priority list | | 10-0148c | Certificate regarding debarment, suspension, and other responsibility matters | | 10-0148d | Certification of compliance with Federal requirements State Home Construction Grant | | 10-0388 | Initial Application ( this document is currently not available.) | | 10-0388a-1 | Application required for State Home Construction and Acquisition Grants | | 10-0388b-1 | Post-Grant Requirements for State | | 10-0392 | State Home Construction Grant Program Space Program Analysis- Nursing Home and Domiciliary | | 10-0392a | State Home Construction Grant Program Space Program Analysis- Adult Day Health Care | | 10-5348 | Sample Memorandum of Agreement for a grant to construct or acquire a State Veteran Home |
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