Inpatient Rehabilitation
Facility vs. Short-term Rehabilitation Facility
You have just gone through an illness (stroke, brain injury, amputation, prolonged hospital stay, etc.) – now what? You are not ready to go home, where should you go? The hospital service is
recommending rehabilitation, but which type and where?
Inpatient | Short Term |
- Hospital level of rehabilitation - 24/7 in-house physician care - 24/7 nursing care - Intensive therapies: regulated by CMS o Individualized therapy session o At least 3 hours/dayx6-7 days a week - Shorter stay: average stay is 14 days |
- Nursing car level of rehabilitation - Physicians available but not always in-house - 24/7 nursing care - Less intensive therapies: o 30min-a few hours, a few times a week (this varies among facilities)
|
Your medical team has determined you qualify for IRF level of rehabilitation
. Where should you go?
- We are Veteran centered
- We can provide equipment that other community facilities may not be able to
- A sense of comradery with other Veterans can help with improvement in mood and function
- We understand PTSD and other mood changes and can offer on-site services
- We provided outpatient follow-up after discharge from IRF to assess, manage and treat issues that may interfere with your function and/or quality of life
How do I contact BHS IRF?
- Please have your case manager in the hospital call Boston Healthcare System Flow center and request referral to BHS inpatient rehabilitation program: 857-203-3835
- The rehabilitation physician will review your medical record and provide a decision to your medical team
Li, Medical Director of Inpatient Rehabilitation Facility at West Roxbury VA, Boston Healthcare System.
Information Contact: David Hencke, US Dept of Veterans Affairs, Director’s Office, VA Boston Healthcare System Veterans Outreach Coordinator O: 857-364-5934; C: 617-275-6101 David.hencke@va.gov
For many veterans, the dream of owning a home is within reach thanks to specialized housing assistance programs. These programs are designed to help those who have served our country transition into homeownership with ease and financial support. Understanding the options available can make a significant difference in your journey to finding the right home.VA Home Loan Program BenefitsThe VA Home Loan Program is one of the most well-known benefits available to veterans. Backed by the U.S. Department of Veterans Affairs (VA), this program offers a range of advantages that make it easier for veterans to buy a home: No Down Payment Required: Unlike many conventional loans, VA loans often require no down payment, making it easier for veterans to purchase a home without needing to save a large sum of money upfront. Competitive Interest Rates: VA loans typically offer lower interest rates compared to conventional loans, helping veterans save money over the life of the loan. No Private Mortgage Insurance (PMI): VA loans do not require PMI, which can be a significant monthly expense for other types of loans. This benefit further reduces the overall cost of homeownership. Flexible Credit Requirements: The VA Home Loan Program has more lenient credit score requirements, making it accessible to veterans who might not qualify for other loan programs. Specially Adapted Housing (SAH) GrantFor veterans with service-connected disabilities, the Specially Adapted Housing (SAH) grant provides financial assistance to modify or build a home that meets their specific needs. This grant can be used for: Building a New Home: Veterans can use the SAH grant to construct a home designed to accommodate their disabilities. Modifying an Existing Home: The grant can also be applied to modify an existing home to improve accessibility, such as installing ramps, widening doorways, or adapting bathrooms. Paying Off an Existing Mortgage: In some cases, the grant can be used to pay off the existing mortgage on an adapted home. This program ensures that veterans with disabilities can live independently and comfortably in a home that meets their unique needs.State and Local Housing Assistance ProgramsIn addition to federal programs, many states and local governments offer housing assistance specifically for veterans. These programs often include: Down Payment Assistance: Many state programs provide grants or low-interest loans to help veterans cover down payments and closing costs. Property Tax Exemptions: Some states offer property tax exemptions for veterans, which can significantly reduce the annual cost of homeownership. Home Repair Grants: Local governments may offer grants or low-interest loans to help veterans make necessary repairs or improvements to their homes. These programs vary by location, so its important to research whats available in your state or community.Your Next StepsNavigating the various housing assistance programs for veterans can be overwhelming, but you dont have to do it alone. At Resource Mortgage Corporation, we specialize in helping veterans understand and take advantage of these valuable resources. Whether youre interested in a VA loan or exploring other options, our team is here to guide you every step of the way.Ready to take the next step toward homeownership?Contact us today to speak with one of our experienced loan officers. Were dedicated to helping veterans achieve their homeownership dreams. Call us at 303-444-1200 to learn more about the programs available to you. Dont waityour dream home could be just a call away.
Becoming a homeowner is a key part of the American dream, especially for those who have served our country. The VA Loan stands as a valuable benefit for veterans and active service members in their pursuit of homeownership. But a common question often arises: How many times can you use the VA Loan benefit? Lets explore the details of the VA Loan program to provide clarity.The VA Loan Benefit: A Reusable AdvantageThe good news is that the VA Loan benefit isnt limited to a single use. Veterans and active military members can use their VA Loan benefit multiple times throughout their lives. This flexibility reflects the VA Loan programs ongoing commitment to supporting those who have served.Understanding Entitlement: The Key to ReuseThe ability to use the VA Loan benefit multiple times depends on a concept called entitlement. Entitlement refers to the amount the VA will guarantee on your loan, which in turn provides security to lenders. Every borrower eligible for the VA Loan starts with a certain amount of entitlement, and this entitlement plays a key role in determining how many times you can use the benefit.Full Entitlement: No Loan LimitsIf youve never used your VA Loan benefit, or if youve repaid a previous VA Loan and sold the property, you likely have full entitlement. With full entitlement, you can take out another VA Loan with no limits on the amount, aside from what your lender qualifies you for based on income and credit. This means you can continue using your VA Loan to purchase homes as long as your entitlement is restored after each loan.Partial Entitlement: Loan Limits May ApplyIf youve used part of your entitlement or havent restored it after paying off a previous VA Loan, you may have partial entitlement. In this case, there may be loan limits depending on the remaining entitlement and the countys loan limits. While you can still qualify for another VA Loan with partial entitlement, you may need to make a down payment depending on the circumstances.Restoring Your EntitlementIf your entitlement is still tied to an existing VA Loan but you want to use the benefit again, you can apply for entitlement restoration. This happens after youve repaid your current VA Loan in full, either by selling the property or refinancing into a non-VA loan. Once restored, youre free to use your VA Loan benefit again.The VA Loan program offers an incredible opportunity for those who have served, allowing you to use the benefit more than once. Whether you're buying your first home or seeking to purchase another, the VA Loan remains a flexible and reliable option. With each use, you can trust that the VA Loan benefit will continue to support you on your journey to homeownership.Ready to explore your VA Loan options?Contact us today for personalized guidance and let us help you maximize this valuable benefit on your path to homeownership. These materials are not from HUD, VA, or FHA and were not approved by HUD or any other government agency.
The U.S. Department of Veterans Affairs (VA) offers several programs and services to help Veterans access the long-term care they need. From financial assistance programs to residential living options and services and programs that help Veterans who live at home, VA aims to support U.S. military Veterans in living comfortably and accessing the care they need. Here, we explain 16 Veterans benefits that senior Veterans can receive to maximize their quality of life, safety, and comfort whether they live at home or want to live in a long-term care facility.Financial assistance programs for VeteransVA offers various financial assistance programs to U.S. military Veterans. Some provide additional income to individuals who have significant health needs. Other programs offer loans to Veterans, and still others provide grants that allow Veterans to improve their homes without needing to repay the funds. Lets explore these financial programs designed specifically for Veterans.Aid and Attendance benefitVeterans who require assistance with daily life may qualify to receive additional income every month through the Aid and Attendance benefit. This VA benefit provides income directly to qualifying Veterans. Surviving spouses can also qualify for this benefit. The maximum monthly benefit may change each year, and VA makes this determination at the end of each calendar year for the following 12 months. Currently, benefit recipients can receive over $2,000 per month if they are eligible.To qualify, Veterans must meet requirements in military service, health needs, and income. Generally speaking, the military service criteria require that the Veteran served in active duty during an approved wartime period (though serving in an active combat zone is not required). The Veteran must require help with at least two activities of daily living, need to live in a facility to protect their safety due to a cognitive or other health issue, or have a vision impairment. The Veteran must also meet the net worth limit set by Congress.Veterans interested in applying can do so on their own through VA or work with a third party that can help them determine their eligibility and get assistance with the application.VA home loanAging in place, or living at home for as long as possible, is often the ideal situation for many people. However, doing so can require capital to purchase a home or improve its accessibility. Veterans needing funding assistance to make their homes safer and accommodate their care needs may qualify for a VA home loan.The U.S. government backs these loans, and the VA guarantees part of the loan to a lender. With the VA standing behind the Veteran in the loan, the lender often offers desirable terms. The borrowing Veteran could have a zero or low down payment, a lower interest rate, or a cap on closing costs, among other benefits.To qualify for a VA loan, the Veteran must meet certain service requirements and get a Certificate of Eligibility from VA.The Special Home Adaptation grantThe Special Home Adaptation (SHA) grant provides funding to qualifying Veterans who want to buy or modify a home to meet their needs due to a service-connected disability. The Veteran can use funds to buy or build a home or modify their existing home. In addition to meeting the health and disability requirements, the Veteran must also own or soon own the home they want to improve or purchase. Eligible individuals can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Temporary Residence Adaptation grantHelp is also available to Veterans who temporarily live in a home that doesnt meet their accessibility needs. If a Veteran can qualify for the Special Home Adaptation (SHA) grant or the Specially Adapted Housing (SAH) grant but temporarily lives in a family members home, the Temporary Residence Adaptation (TRA) grant may be able to help fund necessary modifications to support the Veterans accessibility needs.The Veteran must meet disability criteria and not own the home they want to modify. Veterans can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Home Improvements and Structural Alterations grantThis grant is for Veterans who are not trying to fund new construction but instead want to fund home modifications for greater accessibility in their homes. The Home Improvements and Structural Alterations grant can cover alterations to home entrances, installations of roll-in showers or walk-in bathtubs, adjustments to counter heights, and other similar accessibility improvements.To qualify for the grant, the Veteran must meet various criteria, including receiving a prescription written by a VA physician deeming the improvements necessary. The Veteran must also complete the application, submit a notarized statement from the owner (if the Veteran rents the home) approving the improvement, obtain an estimate of costs for the project, and submit a photo of the original unimproved space.Residential care facilities for VeteransSome Veterans may need significant assistance with activities of daily living, so moving to a residential community may be the best way to maintain comfort and a good quality of life. Others may opt to live in facilities because of the camaraderie, socialization, and round-the-clock access to care staff and professionals. While there are many senior living communities around the country, VA provides two types of communities that specifically serve U.S. military Veterans: VA nursing homes and state Veterans homes.VA nursing homesA nursing home is a residential long-term care facility that helps people who need significant assistance with personal care tasks, like bathing, dressing, eating, and other activities of daily living. These facilities also staff skilled nursing professionals, like registered nurses and other skilled care professionals. They can provide skilled care, like wound care, medication administration, and other nursing tasks. While there are many nursing homes around the U.S., VA runs its own nursing homes, also called VA Community Living Centers, that cater to U.S. military Veterans.In order to live at a VA nursing home, the Veteran needs to meet certain eligibility criteria, such as their service-connected status, level of disability, and income. The Veteran must also be enrolled in the VA health system and be medically and psychiatrically stable.Depending on the Veterans service-connected disability and financial status, they may be responsible for a copay. VA social workers and case managers can advise interested Veterans, and applicants can complete the Application for Extended Care Benefits (VA Form 10-10EC) to apply for residency.State Veterans homesState Veterans homes are residential communities that provide varying levels of care, like independent living, assisted living, memory care, skilled nursing, and adult day health care. The state where the facility is located owns and operates the community.A benefit of living at a state Veterans home is that most residents are U.S. military Veterans. Some state Veterans homes may admit non-Veteran spouses and Gold Star parents, while others may admit only Veterans. This allows residents to bond through having the common experience with the military, which can foster and support strong relationships. Not only do the residents better understand one another, but the staff are also trained on unique issues that Veterans may face, such as PTSD, depression, and other common challenges that can result from time served in the military.Interested Veterans must apply for residency. State Veterans homes are located throughout the country.Help at home for VeteransMany Veterans choose to live at home, but even if they do not live in a VA residential community or a senior living facility, they may still need care services and support to live independently. There are a number of services that help Veterans who live in the community rather than in a facility. From adult day health care and respite care to homemaker services and even end-of-life care at home, VA offers a range of services to eligible Veterans. Lets take a look at those services now.Adult day health care (ADHC)Veterans who live at home may live alone or with a family member. Adult day health care (ADHC) services could be just what the Veteran and their caregiver need to live successfully at home. VA adult day health care programs operate during the day and serve as a place for Veterans to go and receive care services and socialization. They can also access care from visiting and on-staff professionals. Social workers, nurses, therapists, and other health care professionals offer their services to program participants.Veterans can utilize this program as often as needed, whether a few days per week for part of the day or on a full-day schedule. ADHC programs can be found at VA medical centers, state Veterans homes, or other organizations if none exist in the Veterans area. The programs can also offer family caregivers a much-needed respite from caring for the Veteran. The caregiver will know that their Veteran loved one is in good hands and getting the specialized care they need, all while the caregiver can have time for themselves or take care of other life responsibilities.If a Veteran is eligible for community care and meets the clinical criteria for the service, and if there is an ADHC program in the area, the Veteran can participate. VA care managers can guide interested Veterans on the application process and explain the potential copay the Veteran may have based on their disability status and financial information.Respite careVeterans with family caregivers, like spouses or adult children, may benefit from utilizing VA respite care program services. Respite care benefits both the individual and their caregiver because the individual receives care that the caregiver normally provides, allowing the family member to take a break from their usual caregiving responsibilities. VA respite care is convenient because Veterans and their families can access the services in a few ways. Veterans who live at home can have a respite caregiver travel to the home to provide services. The Veteran can also attend a VA adult day health care program if there is one in their area. For longer periods of care, the Veteran can receive respite care services at a nursing home. This option may be suitable for Veterans whose caregivers need to be away from the Veteran for a few days due to a trip or another responsibility. Veterans may qualify for VA respite care services if they meet the criteria and if these services are available near them. Services vary by location. The Veteran may be responsible for a copay based on their disability status and financial situation. VA case managers can help interested Veterans determine eligibility, learn if they have a copay, and apply for the service.Home-based primary care (HBPC)VAs home-based primary care (HBPC) program can offer invaluable help to Veterans who find it difficult to leave home for medical care. This service brings health care to the Veterans home if they live within 40 miles of a VA medical center. Medical professionals, such as physicians, nurses, therapists, dietitians, and other health care professionals, can provide services in the Veterans home. Veterans who are enrolled in the VHA Standard Medical Benefits Package are eligible to receive home-based primary care if the service is available in their area and they meet the clinical criteria. VA case managers can help Veterans learn whether they meet the requirements and whether there is a program in their area.Skilled home health careSkilled home health care can be an important part of a Veterans recovery from an injury or hospitalization. The skilled home health care program provides skilled nursing services to Veterans transitioning home from a hospital or skilled nursing facility but still needing care at home.If a Veteran is eligible for community care and meets other criteria, they may qualify for the skilled home health care program. VA case managers can help determine eligibility and assist the Veteran in applying for the service.Homemaker and home health aide programIf a Veteran needs help with activities of daily living and maintaining their homes cleanliness, the VA homemaker and home health aide program may be a great fit for their situation. Through this service, the Veteran receives care through a VA-approved home care agency that sends caregivers to the Veterans home. Typically, these caregivers can help with light housekeeping, meal preparation, and assistance with bathing, dressing, and other activities of daily living.Veterans eligible for community care may qualify to participate in the homemaker and home health aide program. VA case managers can help Veterans determine whether they qualify and will have a copay in addition to helping them receive the services.Home hospice careVeterans can receive home hospice services during their final stage of life. As with typical hospice services, providers help manage the patients symptoms while the patient is no longer seeking curative treatments for their illness or condition. In addition to symptom management, the Veterans family and loved ones can receive grief counseling services.This service is part of the VHA Standard Medical Benefits Package. Enrolled Veterans are eligible for home hospice care if their physician determines theres a clinical need. Hospice care requires no copayments from the Veteran. Palliative careAlthough palliative care also aims to manage chronic conditions and maximize quality of life, it should not be confused with hospice care. The main difference is that patients can use palliative care services while receiving curative treatments, whereas those receiving hospice care cannot. Through the VA palliative care program, Veterans work with doctors, nurses, social workers, and other professionals to manage pain and other symptoms associated with one or more chronic conditions. The palliative care program is part of the VHA Standard Medical Benefits Package. A Veteran may be eligible if they demonstrate a medical need for it. VA social workers can help determine potential copays and processes for initiating this type of care.Home telehealth assistanceThe home telehealth assistance program allows Veterans living at home to use technology to monitor their health and communicate with their health care providers. With remote patient monitoring, health care providers can access real-time data about the Veteran patient. Phone visits and video communication can allow Veterans who are homebound or live far from their providers to contact doctors quickly and as needed.Veterans can talk with their health care provider at the nearest VA medical center about the home telehealth assistance options in their area.Veteran-directed careVeteran-directed care is more of an approach to how the Veteran chooses to receive their care than a specific type of care. Many Veterans receive care from VA-directed health care providers, but through Veteran-directed care, the Veteran chooses their care service providers. They are responsible for hiring, managing, and paying their providers with the budget they receive. This program fosters autonomy and allows the Veteran to take the lead on who provides their care.To participate, the Veteran must be eligible for community care and meet health requirements. VA social workers can work with interested Veterans to determine the individuals eligibility and inform them on how to get started.Whether a senior Veteran wants to live at home or in a long-term care community, they can turn to VA to receive the care they need.
Discover the secret that 127,000 other area Veterans already know: VA healthcare is exceptional!. Exceptional savings, world class healthcare with no premiums or deductibles plus 3,400 employees who firmly believe in and support those who have served. VA Boston Healthcare - where we truly believe "Only the best for America's Finest!" Call David Hencke, the Outreach coordinator at 857-364-5934. You'll be glad you did.