Veterans State Nursing Home Care

CFDA 64.015 Active Grant
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Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$2.32B FY2026
$1.73B
FY24
$2.01B
FY25
$2.32B
FY26*
* estimated

Funded Projects

Examples of what this program has supported.

FY2025 175 individual State Veterans Homes provided care to eligible Veterans at a total cost of $2,062,841,072, which included nursing home care, domiciliary care, and adult day health care. This amount also includes retroactive payments for the PACT Act. Of this, nursing home care made up $2,003,740,614 of funds provided to States.

Program Objective

To provide financial assistance to States furnishing nursing home care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs.

Eligibility

Eligible Applicants

  • State

Applicant is any State which operates a designated facility to furnish nursing home care primarily for veterans. "State" means each of the several States and each Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)).

How to Apply

Award Procedure

Recognition by Secretary of Veteran Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741.

From 30 to 60 days.

Program details & compliance

Description

Nursing home care means the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care, but who require nursing care and related medical services, if such nursing care and medical services are prescribed by, or are performed under the general direction of, persons duly licensed to provide such care. The term includes services furnished in skilled nursing care facilities, in intermediate care facilities, and in combined facilities. It does not include domiciliary care.

Mission Categories

Primary: Veterans Health

Use of Funds

Allowed Uses

The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services.

Reporting & Compliance

Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart F — Audit Requirements

Formula

Statutory Formula: Title 38 Chapter 1 Part 51 Subpart c Public Law 38 USC 1741 - 1745 There is no matching requirement for the State Home Per Diem Program.

Contacts

State Home Per Diem Program
202-461-6750
Geriatrics and Extended Care Service, Washington, DC 20420
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-30. Spec v2.0. Last synced: 2026-05-29 05:39:36.