Home Based Primary Care is health care services provided to Veterans in their home. A VA physician supervises the health care team who provides the services. Home Based Primary Care is for Veterans who have complex health care needs for whom routine clinic-based care is not effective.
Home Based Primary Care is for Veterans who need skilled services, case management, and assistance with activities of daily living (e.g., bathing and getting dressed) or instrumental activities of daily living (e.g. fixing meals and taking medicines); are isolated or their caregiver is experiencing burden.
Home Based Primary Care can be used in combination with other Home and Community Based Services.
Since Home Based Primary Care is part of the VHA Standard Medical Benefits Package, all enrolled Veterans are eligible IF they meet the clinical need for the service and it is available.
A copay for Home Based Primary Care may be charged based on your VA service-connected disability status and financial information. You may have a basic copay each time a VA staff team member comes to your home for a medical visit (the same as if you went to a VA clinic). Contact your VA social worker/case manager to complete the Application for Extended Care Benefits (VA Form 10-10EC) to learn the amount of your copay.
Find out more about Paying for Long Term Care.
If you qualify for Home Based Primary Care, your care plan includes:
- Primary care visits at home by a physician, nurse practitioner or physician's assistant
- Care management through a nurse practitioner, physician's assistant, or nurse
- Coordination of your services by a social worker
- Therapy visits from a physical, occupational, or speech therapist
- Mental health services
- Nutrition counseling from a dietitian
- Help managing your medicines
You can use a Shared Decision Making Worksheet to help you figure out what long term care services or settings may best meet your needs now or in the future.
There's also a Caregiver Self-Assessment. It can help your caregiver identify their own needs and decide how much support they can offer to you. Having this information from your caregiver, along with the involvement of your care team and social worker, will help you reach good long term care decisions.
Your physician or other primary care provider can answer questions about your medical needs and whether or not you may be eligible for Home Based Primary Care.
Some important questions to talk about with your social worker and family include:
- How much assistance do I need for my activities of daily living (e.g., bathing and getting dressed)?
- What are my caregiver's needs?
- How much independence and privacy do I want?
- What sort of social interactions are important to me?
- How much can I afford to pay for care each month?
Your VA physician or social worker can tell you if a Home Based Primary Care program is available in your area.
I have lots of problems related to my diabetes and it's difficult for me to get to clinic appointments. The VA sends a nurse, a dietitian and a physical therapist to my home to help me.
George, Veteran
After my husband came home from the hospital a nurse came out to our home to make sure that things were going all right and that we could manage his heart failure. She is helping us to get a visit from a dietitian who can help us learn how to reduce his salt intake and the nurse practitioner will be coming back on a regular basis to check on him to see how he's doing. We live in such a rural area that it's a blessing that they come to us.
Helen, Veteran's wife and caregiver
