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Veteran-Directed Home & Community Based Services (VD-HCBS) Program

In 2008, ACL, on behalf of the Department of Health and Human Services (HHS) began a partnership with the Veteran’s Health Administration (VHA) to serve veterans of all ages at risk of nursing home placement through the Veterans Directed Home and Community Based Services (VD-HCBS) Program.

The Purpose of the Program and How it Works

The vision is to have a long-term service and supports (LTSS) system that is person-centered and consumer-directed, and that helps people at risk of institutionalization to continue to live at home and engage in community life. The VHA will increase access to HCBS to serve the growing demand of veterans who prefer independence at home over living in a nursing facility.

The VD-HCBS program provides veterans with opportunities to self-direct their LTSS and continue living independently at home. Eligible Veterans manage their own flexible budgets, decide what mix of goods and services best meet their needs, and hire and supervise their own workers. Through an options counselor, the Aging & Disability Network provides facilitated assessment and care/service planning, arranges fiscal management services, and provides ongoing counseling and support to veterans, their families, and caregivers.

Find additional VD-HCBS information and resources for Aging & Disability network agencies, VA Medical Centers, and other program stakeholders.

Printer-friendly VD-HCBS fact sheet (PDF, 79KB)

Report by AARP, Commonwealth Fund, and SCAN Foundation on promising practices to support community living for veterans

VD-HCBS Resources and Useful links

If you are a Veteran:

If you work for a State Unit on Aging, ADRC, AAA or CIL:

If you are interested in Participant Directed Services:

Current Programs

As of October 2017, the VD-HCBS Program is serving 2,090 Veterans across 34 States and the District of Columbia and Puerto Rico. At the same time, 77 Veterans Affairs Medical Centers (VAMCs) have partnered with Aging and Disability Network Agencies (ADNAs) including State Units on Aging (SUA), Aging & Disability Resource Centers (ADRCs), Area Agencies on Aging (AAAs) and Centers for Independent Living (CIL) to offer the program. There are 63 VAMCs that have made at least one Veteran referral to an ADNA for VD-HCBS along with another 14 VAMCs who have not yet made their first Veteran referral, denoted by an asterisk (*) below. The VD-HCBS program is available through the Veteran’s Health Administration’s (VHA) Office of Geriatrics and Extended Care Services.

The ADNAs listed below have completed VA Readiness Reviews and have been approved as qualified providers for VD-HCBS. ADNAs are listed by state and VAMC that the ADNA will partner with to serve Veterans in VD-HCBS. ADNAs that subcontract with other ADNAs to deliver VD-HCBS are listed as a sub-bullet under the ADNA who holds the VA Choice Provider Agreement. As new Readiness Reviews are approved, new VAMCs and Aging & Disability Network Agencies will be added to the list.

Note: If you’re interested in developing a VD-HCBS Program, or have passed a Readiness Review and are not included on this list, please contact veterandirected@acl.hhs.gov.

Alabama

  • *Birmingham VA Medical Center: https://www.birmingham.va.gov
    • West Alabama Regional Commission
      • North Central Alabama Regional Councils of Governments
      • Northwest Alabama Council of Local Governments/Department of Aging Services
      • Top of Alabama Regional Council of Governments
  • *Central Alabama Veterans Health Care System: https://www.centralalabama.va.gov/
    • West Alabama Regional Commission
      • Alabama Tombigbee Regional Commission
      • Central Alabama Aging Consortium
      • East Alabama Regional Planning and Development Commission
      • Lee-Russell Council of Governments
      • South Central Alabama Development Commission
      • South Alabama Regional Planning Commission
      • Southern Alabama Regional Council on Aging
      • Middle Alabama Area Agency on Aging
  • Tuscaloosa VA Medical Center: https://www.tuscaloosa.va.gov
    • West Alabama Regional Commission
      • Alabama Tombigbee Regional Commission
      • East Alabama Regional Planning and Development Commission
      • Northwest Alabama Council of Local Governments/Dept. of Aging Services

Alaska

  • Alaska VA Health Care System: www.alaska.va.gov
    • Peninsula ILC
    • Southeast Alaska Independent Living

Arkansas

  • Veterans Health Care System of the Ozarks, Fayetteville: www.fayettevillear.va.gov
    • Area Agency on Aging of Northwest Arkansas
  • Central Arkansas Health Care System, Little Rock: www.littlerock.va.gov
    • Area Agency on Aging of Southeast Arkansas

California

Colorado

  • VA Eastern Colorado Health Care System: www.denver.va.gov
    • Denver Regional Council of Governments
    • Lower Arkansas Valley Area Agency on Aging
    • Colorado Springs Center for Independent Living
  • Grand Junction Veterans Health Care System: www.grandjunction.va.gov
    • Northwest Colorado Area Agency on Aging

Connecticut

  • VA Connecticut Health Care System West Haven Campus : www.connecticut.va.gov
    • Southwestern Connecticut Agency on Aging
      • Senior Resources Eastern Connecticut Area Agency on Aging
      • North Central Area Agency on Aging
      • Western Connecticut Area Agency on Aging
    • Agency on Aging of South Central Connecticut

District of Columbia

  • Washington DC VA Medical Center: www.washingtondc.va.gov
    • DC Office on Aging/Iona Senior Services
    • Prince William Area Agency on Aging

Florida

  • Bay Pines VA Health Care System: www.baypines.va.gov
    • Area Agency on Aging of Pasco-Pinellas, a Designated Aging and Disability Resource Center
    • Area Agency on Aging of Southwest Florida
  • Miami Health Care System: www.miami.va.gov
    • Aging and Disability Resource Center of Broward County
    • Alliance For Aging, Inc.
  • North Florida/South Georgia Health Care System, Gainesville Campus: www.northflorida.va.gov
    • Area Agency on Aging for North Florida, Inc.
    • Mid-Florida Area Agency on Aging (Elder Options)
    • ElderSource, Area Agency on Aging for Northeast Florida
  • James A. Haley Veterans’ Hospital Tampa: www.tampa.va.gov
    • Senior Connection Center, Inc.
  • *West Palm Beach VA Medical Center: www.westpalmbeach.va.gov
    • Area Agency on Aging of Palm Beach/Treasure Coast, Inc.
  • Orlando VA Medical Center: www.orlando.va.gov/
    • Area Agency on Aging of Central Florida, Senior Resource Alliance

Hawaii

  • VA Pacific Islands Health Care System: www.hawaii.va.gov
    • Executive Office on Aging (State Agency)

Idaho

Illinois

  • Edward Hines, Jr VA Hospital: www.hines.va.gov
    • AgeOptions
    • Chicago Department of Family & Support Services
    • Northeastern Illinois Area Agency on Aging
  • VA Illiana Health Care System, Danville: www.danville.va.gov
    • Area Agency on Aging for Lincolnland
    • Central Illinois Agency on Aging
    • East Central Illinois Area Agency on Aging
    • Southeastern Illinois Area Agency on Aging
  • Marion VA Medical Center, Marion: www.marion.va.gov
    • Area Agency on Aging of Southwestern Illinois
    • Egyptian Area Agency on Aging
    • Generations Aging and Disability Resource Center (Link-Age)
    • Midland Area Agency on Aging
    • Pennyrile Area Agency on Aging
      • Green River Area Agency on Aging
      • Purchase Area Agency on Aging
    • SWIRCA Aging & Disability Resource Center
  • Captain James A. Lovell Federal Health Care Center, North Chicago: www.lovell.fhcc.va.gov
    • Chicago Department of Family & Support Services
  • Jesse Brown VA Medical Center, Chicago: www.chicago.va.gov
    • Chicago Department of Family & Support Services
    • Northeastern Illinois Area Agency on Aging

Indiana

  • *VA Northern Indiana Health Care System: www.northernindiana.va.gov
    • REAL Services, Inc.
    • Aging and In-Home Services of Northeast Indiana
    • LifeStream Services, Inc.
    • REAL Services, Inc.
  • *Louisville VA Medical Center: https://www.louisville.va.gov
    • LifeSpan Resources, Inc.
  • *Richard L. Roudebush VAMC, Indianapolis: https://www.indianapolis.va.gov
    • Area IV Agency on Aging and Community Action Programs, Inc.

Iowa

Louisiana

Massachusetts

  • Edith Nourse Rogers Memorial Veterans Hospital, Bedford: www.bedford.va.gov
    • South Shore Elder Services
      • SeniorCare Inc.
    • Baypath Elder Services
    • Greater Lynn Senior Services
    • Greater Springfield Senior Services, Inc.
    • Minute Man Senior Services
    • Montachusett Senior Services
  • VA Boston Health Care System, Boston: www.boston.va.gov
    • South Shore Elder Services
      • ETHOS
      • Central Boston Elder Services, Inc.
      • Tri-Valley Elder Services, Inc.
      • Boston Senior Home Care
      • Old Colony Elder Services
      • Springwell, Inc.
      • Sommerville-Camrbidge Elder Services
      • HESSCO – Health and Social Services Consortium, Inc.
    • Elder Services Merrimack Valley, Inc.
    • Mystic Valley Elder Services, Inc.
    • Bristol Elder Services, Inc.
    • Chelsea Revere Winthrop Elder Services
    • Coastline Elderly Services
    • Elder Services of Cape Cod and the Islands
    • Franklin County Home Care Corporation
    • WestMass ElderCare Inc.

Maryland

  • VA Maryland Health Care System, Perry Point: www.maryland.va.gov
    • Maryland Department on Aging
      • Baltimore County Department of Aging
      • Frederick County Department of Aging
      • Maintaining Active Citizen
      • Howard County Office on Aging and Maryland Access Point
      • Prince George’s County Department of Family Services
      • Washington County Commission on Aging

Maine

  • VA Maine Health Care System, Augusta: www.maine.va.gov
    • Aroostook Agency on Aging ADRC
    • SeniorsPlus Agency on Aging ADRC
    • Southern Maine Agency on Aging ADRC
    • Spectrum Generations Agency on Aging ADRC

Michigan

  • VA Ann Arbor Health Care System: www.annarbor.va.gov
    • Area Agency on Aging 1-B
    • Region 2 Area Agency on Aging
    • The Senior Alliance—Area Agency on Aging 1-C
  • Battle Creek VA Medical Center: www.battlecreek.va.gov
    • Area Agency on Aging of Western Michigan Inc.
    • Branch/Saint Joseph Area Agency on Aging Region IIIC
    • Region 2 Area Agency on Aging
    • Region 3B Area Agency on Aging
    • Region IIIA Area Agency on Aging
    • Region IV Area Agency on Aging
    • Senior Resources of West Michigan, an Area Agency on Aging
  • John D. Dingell VA Medical Center Detroit: www.detroit.va.gov
    • Area Agency on Aging 1-B
    • Detroit Area Agency on Aging
    • The Senior Alliance—Area Agency on Aging 1-C
  • Oscar G. Johnson VA Medical Center Iron Mountain: www.ironmountain.va.gov
    • Upper Peninsula Area Agency on Aging
  • Aleda E. Lutz VA Medical Center Saginaw: www.saginaw.va.gov
    • Area Agency on Aging of Northwest Michigan
    • Region VII Area Agency on Aging

Mississippi

  • *Gulf Coast Veterans Health Care System: https://www.biloxi.va.gov/
    • Southern Mississippi Planning and Development District

Missouri

  • Saint Louis VA Health Care System: www.stlouis.va.gov
    • Area Agency on Aging of Southwestern Illinois
    • Mid-East Area Agency on Aging
    • Care Connection for Aging Services
    • Mid-America Regional Council
    • Central Missouri Area Agency on Aging
    • Northeast Missouri Area Agency on Aging
    • Area Agency on Aging Region X
    • Northwest Missouri Area Agency on Aging
    • Southeast Missouri Area Agency on Aging
    • Southwest Missouri Office on Aging

Montana

  • VA Montana Health Care System, Fort Harrison: www.montana.va.gov
    • Area 1 Area Agency on Aging/Action for Eastern Montana
    • Area II Agency on Aging
    • Missoula Aging Services

New Hampshire

  • VA Medical Center Manchester: www.manchester.va.gov
    • Belknap Service Link Resource Center
    • Carroll County Service Link
    • Hillsborough Service Link
    • Strafford County Service Link
    • Rockingham Service Link
    • Merrimack County Service Link
    • Monadnock Region Service Link

New Jersey

  • Lyons Campus of the VA New Jersey Health Care System: www.va.gov/directory/guide/facility.asp?id=45
    • New Jersey Division of Aging Services
      • Bergen County Division of Senior Services
      • Morris County Division on Aging, Disabilities and Veterans
      • Somerset County Office on Aging
      • Warren County Division of Aging and Disability Services

New Mexico

Nevada

  • *VA Southern Nevada Health Care System: www.lasvegas.va.gov
    • Nevada Aging & Disability Services Division
  • *Sierra Nevada Health Care System
    • Access to Health Care Network

New York

  • Albany Stratton VA Medical Center: www.albany.va.gov
    • Otsego County Office for the Aging
  • Syracuse VA Medical Center: www.syracuse.va.gov
    • Broome County Office for Aging
    • Oneida County Office for Aging & Continuing Care
    • Onondaga County Department of Aging and Youth

North Carolina

Ohio

Oklahoma

Oregon

  • Portland VA Medical Center: www.portland.va.gov
    • Multnomah County Aging & Disability Services
      • Washington County Disability, Aging & Veteran’s Services
    • Southeast Washington Aging & Long-Term Care
  • Southern Oregon Rehabilitation Center & Clinics: www.southernoregon.va.gov
    • Multnomah County Aging & Disability Services
  • VA Roseburg Health Care System: www.roseburg.va.gov
    • Multnomah County Aging & Disability Services

Pennsylvania

  • Coatesville Veterans Affairs Medical Center: www.coatesville.va.gov
    • Philadelphia Corporation for Aging
  • Philadelphia VA Medical Center: www.philadelphia.va.gov
    • Philadelphia Corporation for Aging
  • *Erie VA Medical Center: www.erie.va.gov
    • Greater Erie Community Action Committee (Erie, PA)
      • Potter County Human Services
      • Venango County Area Agency on Aging
      • Experience, Inc. Aging on Aging
      • Office of Human Services, Inc.
      • Mercer County Area Agency on Aging, Inc.
      • Active Aging, Inc.

Puerto Rico

  • VA Caribbean Health Care System: www.caribbean.va.gov
    • Puerto Rico Office of the Ombudsman for the Elderly

South Carolina

  • Ralph H. Johnson VA Medical Center: www.charleston.va.gov
    • Lieutenant Governor’s Office on Aging
      • Santee-Lynches Council of Governments
      • Trident Area Agency on Aging
  • Williams Jennings Bryan Dorn VAMC: www.columbiasc.va.gov
    • Lieutenant Governor’s Office on Aging
      • Santee-Lynches Council of Governments
      • Trident Area Agency on Aging

South Dakota

Tennessee

  • Tennessee Valley Health Care System Nashville: www.va.gov/directory/guide/facility.asp?id=95
    • Pennyrile Area Agency on Aging
      • Southeast TN Area Agency on Aging
      • Greater Nashville Area Agency on Aging
      • South Central TN Area Agency on Aging
      • East TN Area Agency on Aging

Texas

Utah

  • VA Salt Lake City Health Care System: www.saltlakecity.va.gov
    • Davis County Department of Family Health and Senior Services
    • Mountainland Area Agency on Aging
      • Five County Area Agency on Aging
    • Salt Lake County Aging Services
      • Tooele County Area Agency on Aging
    • Weber-Morgan Area Agency on Aging
    • Southeast Idaho Council of Governments, Inc. (SICOG)
    • Aging and Disability Services Division (Nevada)
    • San Juan County Area Agency on Aging

Virginia

Vermont

  • White River Junction VA Medical Center: www.whiteriver.va.gov
    • Central Vermont Council on Aging
    • Champlain Valley Agency on Aging
    • NH Bureau of Elderly and Adult Services
    • Sullivan Service Link
    • Coos County Service Link
    • Grafton Service Link
    • Northeast Kingdom Council on Aging
    • Senior Solutions
    • Southwestern Vermont Council on Aging

Washington

  • VA Puget Sound Health Care System Seattle: www.pugetsound.va.gov
    • Washington State Department of Social and Health Services
      • Aging and Disability Services (ADS), Seattle/King County
      • Northwest Washington Area Agency on Aging
      • Olympic Area Agency on Aging
      • Pierce County Aging & Long Term Care
  • Spokane VA Medical Center: www.spokane.va.gov
    • Washington State Department of Social and Health Services
      • Aging & Long-Term Care of Eastern Washington
      • Aging and Adult Care of Central Washington
  • Jonathan M. Wainwright Memorial VA Medical Center: www.wallawalla.va.gov
    • Washington State Department of Social and Health Services
      • Southeast Washington Aging & Long-Term Care

Wisconsin

  • Milwaukee VA Medical Center: www.milwaukee.va.gov
    • Greater Wisconsin Agency on Aging Resources, Inc.
    • Upper Peninsula Area Agency on Aging
  • Tomah VA Medical Center: www.tomah.va.gov
    • Greater Wisconsin Agency on Aging Resources, Inc.

Last modified on 11/09/2017


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