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What is the Veteran-Directed Home and Community Based Services program?

The Veteran-Directed Home and Community Based Services (VD-HCBS) program offers Veterans and their caregivers greater access, choice and control over the long-term services and supports(LTSS) that help Veterans live at home and remain a part of their community.

Veterans enrolled in VD-HCBS decide for themselves what mix of goods and services best meet their needs. This includes the ability to hire, schedule and supervise their workers.

The VD-HCBS program was developed by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) and the U.S. Department of Health and Human Services Administration for Community Living in 2008 and is currently offered at 62 VA Medical Centers across the country.

All Veterans, regardless of age, who are enrolled in the VA health care system and meet the clinical need for the service, are eligible to participate in VD-HCBS if it is offered at a local VA Medical Center. To find out if a VA Medical Center near you is offering the program, please click here.

Special Event Honoring our Veterans
November 30, 2017

Check out this brief video of Acting HHS Secretary Eric Hargan visiting the home of a Veteran participating in the VD-HCBS program and attending the event in Mechanicsville, VA. Additional details of the event and links to media coverage can be found on the resources page.
As a result of the excellent service and funding from this program, I am able to continue living on my own with my dog, in my own home, even though I am 90 years old and blind.

- Veteran receiving VD-HCBS

Veterans In Control

Through the management of a flexible service budget, enrolled Veterans may hire family, friends and/or neighbors to provide services and choose for themselves which goods and services to purchase.

VD-HCBS transforms the traditional service delivery system into a system that puts the Veteran at the center:

Shift in Responsbilities: How Services Are Becoming More Focused on Serving Veterans rather than a Veteran finding services

My Organization Is Interested In Becoming A VD-HCBS Provider

The decision to offer the VD-HCBS program is made by VA Medical Centers (VAMC). If a VAMC is interested in offering the program, they work directly with one of the following types of Aging and Disability Network Agencies (ADNAs) to deliver VD-HCBS:

Aging and Disability Resource Centers

Area Agencies on Aging

Centers for Independent Living

State Units on Aging

I enrolled in the VA program because I was taking care of my husband 18 hours a day…for the first time in a long time I am free to leave my house…To not be stuck in the house 7 days a week is highly beneficial for the emotional outlook. I am not as depressed as I was. I don’t sleep as much. I am out there enjoying life.

- Caregiver of a Veteran receiving VD-HCBS

ADNA’s interested in delivering VD-HCBS can choose to become a provider or a subcontractor to another ADNA provider. If the decision is to become a provider, the ADNA will be required to pass a VA VD-HCBS Readiness Review. The Readiness Review process verifies that the ADNA has tools, processes and procedures to operate a self-directed care model and meet the requirements to become a VD-HCBS provider.

If your organization is interested in becoming a VD-HCBS provider, please contact to begin the process.

VAMCs that currently have operational VD-HCBS Programs

Find the VA Medical Center in Your Community

My organization is a VD-HCBS Provider

VD-HCBS providers are Aging and Disability Network Agencies (ADNAs) that have completed a VA VD-HCBS Readiness Review, have a fully executed provider agreement with the VA and are serving Veterans referred by their local VA Medical Center(s). The following resources are available to support program administration:

This guide describes the billing process to ensure timely and accurate reimbursement for VD-HCBS invoices.

The Veterans Health Administration (VHA) has developed a new resource to look up Veteran Directed Care case-mix rates by state, county and case-mix level. For any Veterans enrolled in VD-HCBS on or after June 1, 2018, VHA will no longer reimburse for the “Service Transition Assessment Rate” (STAR). Instead, VD-HCBS Providers will invoice for the county-based full-assessment or partial-assessment fee, included in this resource, to cover any costs associated with enrolling or partially-enrolling a Veteran in VD-HCBS. In addition to billing the full or partial assessment fee, VD-HCBS providers should continue to submit monthly bills that include the Veteran’s actual expenditures plus the monthly administrative fee.
For any Veterans enrolled in VD-HCBS on or after June 1, 2018, VHA will no longer reimburse for the “Service Transition Assessment Rate” (STAR); providers should invoice for the full or partial assessment fee. Please see the resource to the left for more information and to find the case mix and assessment fees in your geographic area.
This template can be used to track the status of monthly invoices, Veteran spending per month, contributions and balance of the emergency back-up and planned savings, the monthly per diem and the days in which to bill the per diem on the UB-04.
Describes a high level analysis of satisfaction survey questions from 22 tools used in VD-HCBS programs in 2013.
VD-HCBS Providers may contact with any questions or requests for technical assistance.
My daughter has lost so much of her independence and she is so young. This program allows her to live in the community where she grew up, close to her support network, and it gives her a degree of control over her care and her future.

- Veteran's mother and caregiver


Veterans Enrolled in VD-HCBS


VA Medical Centers Offering VD-HCBS


Aging and Disability Network Agencies Delivering VD-HCBS