Fed Regist. 2015 May 1;80(84):24819-21.
The Department of Veterans Affairs (VA) amends its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that provide housing, outreach services, case management services, and rehabilitative services, and may provide care and/or treatment to homeless veterans who are enrolled in or eligible for VA health care. The rule modifies VA's HCHV regulations to conform to changes enacted in the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. Specifically, the rule removes the requirement that homeless veterans be diagnosed with a serious mental illness or substance use disorder to qualify for the HCHV program. This change makes the program available to all homeless veterans who are enrolled in or eligible for VA health care. The rule also updates the definition of homeless to match in part the one used by the Department of Housing and Urban Development (HUD). The rule further clarifies that the services provided by the HCHV program through non-VA community-based providers must include case management services, including non-clinical case management, as appropriate.
退伍军人事务部（VA）修订了其关于无家可归退伍军人医疗保健（HCHV）计划资格的医疗法规。HCHV计划向非VA社区设施提供每日津贴，这些设施提供住房、外展服务、病例管理服务和康复服务，并可为已注册或有资格获得VA医疗保健的无家可归退伍军人提供护理和/或治疗。该规则修改了VA的HCHV法规，以符合2012年《尊重美国退伍军人和关爱勒琼营家庭法案》所做的更改。具体而言，该规则取消了无家可归退伍军人必须被诊断患有严重精神疾病或物质使用障碍才有资格参加HCHV计划的要求。这一变化使该计划适用于所有已注册或有资格获得VA医疗保健的无家可归退伍军人。该规则还更新了无家可归的定义，部分与住房和城市发展部（HUD）使用的定义相匹配。该规则进一步明确，HCHV计划通过非VA社区提供者提供的服务必须包括病例管理服务，包括酌情提供的非临床病例管理。
