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Geriatrics and Extended Care

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Long Term Services and Supports – Overview

Geriatrics and Extended Care (GEC) programs include a broad range of Long Term Services and Supports, including Geriatric and Palliative Care, in home and community-based, residential and nursing home settings.
Use this website to learn more about our programs.


Our programs focus on:

  • facilitating Veteran independence
  • enhancing quality of life
  • supporting family members and caregivers of our Veterans

There are four categories of Long Term Services and Supports listed below: Home and Community-Based Care, Residential Settings, Nursing Homes, and Geriatric Services.

Home and Community-Based Care

Home and Community-Based Care supports your independence so you can remain in your own home as long as possible. You can receive more than one service at the same time. These programs may include:

Those with an (!) after them are part of your Standard Medical Benefits if you have clinical needs and are enrolled in VHA.

Residential Settings

Residential Settings are supervised living situations that provide meals and assistance with activities of daily living. These settings include: Adult Family Homes (not VA), Assisted Living Facilities (not VA), Medical Foster Homes, and Community Residential Care. You pay the rent for living in these settings, but if you have certified needs and are enrolled in VHA, home and community-based services can be provided to you in these settings.

Nursing Homes

Nursing Homes are settings in which skilled nursing care, along with other supportive and medical care services, is available 24 hours a day. Nursing Homes include: Community Living Centers (VA Nursing Homes), Community Nursing Homes, and State Veterans Homes.

Geriatric Services

Additional Geriatric Services provided by GEC include: Geriatric Patient-Aligned Care Teams (GeriPACT), Geriatric Evaluation and Management (GEM), and a variety of dementia and delirium programs.