How does Veterans Directed Home Based Services, also known as “Independence Plus” work?

1. The veteran, working with family, and usually an advisor from the state, develops a Care Plan outlining the services, supports, supplies and estimated budget for the veteran to live at home or in the community instead of a nursing home. The “Care Plan” may also be called a “Participant Spending Plan”.

2. The veterans submit their Care Plan for approval to the administering agency. The Plan is reviewed, and any required modifications are agreed upon through a collaborative dialogue and communication process. Upon consent and approval, a spending budget is established for the veteran.

3. The veteran now has the independence to make personalized choices. He/she may hire and schedule all care providers and service providers. The veteran can make buying decisions on relevant and necessary supplies. Typically a veteran may hire relatives and friends to provide personal care services, with the exception of their spouses or legal guardians. Hired care providers are expected to pay taxes for the wages received.

4. The administering agency provides a Financial Management Service that pays for care and issues checks to the service providers and/or reimbursement for goods purchased with pre-approval. Payments made to care and service providers are authorized by both the veteran and the Financial Management Service.

We will continue with details next week…

– John D. Miller is the owner of Home Care Partners, LLC, a Massachusetts business providing private duty, personalized in-home assistance and companion care services to those needing help in daily activities and household functions. He can be reached at: (781) 378-2164; email: ; or online at: