Veterans Directed Home and Community Based Services programs are not appropriate for everyone. There is a substantial effort required of the veteran, and/or their family, to determine care requirements, selection of care providers, and ongoing management oversight of the care services. However, for many families the independence to choose care providers, the potential to pay family members for their assistance, and the ability for the veteran to continue living at home make participation in this program well worth the effort.

It is worth noting, 1) any Veterans enrolled in the VA Health Care System are not eligible to be considered for Medicaid assistance. However, 2) war-time veterans can and do participate in the Home and Community Based Services program and still be eligible for the Veterans Aid & Attendance pension benefit.

Next month, we will review additional coverage details and eligibility requirements for the Home Based Services program.

– 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: