![]() ![]() The providers do not have to be licensed health care providers. A facility that is residential must be staffed 24 hours per day with care providers. A facility must be licensed if facilities of that type are required to be licensed in the State or country in which the facility is located. ![]() (7) Care facility other than a nursing home means a facility in which a disabled individual receives health care or custodial care under the provisions of paragraph (d) of this section. (6) Medical foster home means a privately-owned residence, recognized and approved by VA under 38 CFR 17.73(d), that offers a non-institutional alternative to nursing home care for veterans who are unable to live alone safely due to chronic or terminal illness. If the facility is not located in a State, the facility must be licensed in the country in which it is located. (5) Nursing home means a facility defined in ยง 3.1(z)(1) or (2). (ii) Supervision because an individual with a physical, mental, developmental, or cognitive disorder requires care or assistance on a regular basis to protect the individual from hazards or dangers incident to his or her daily environment. (3) Instrumental activities of daily living (IADLs) mean independent living activities, such as shopping, food preparation, housekeeping, laundering, managing finances, handling medications, using the telephone, and transportation for non-medical purposes. Transferring means an individual's moving himself or herself from one position to another, such as getting in and out of bed. (2) Activities of daily living (ADLs) mean basic self-care activities and consist of bathing or showering, dressing, eating, toileting, transferring, and ambulating within the home or living area. ![]() (ii) A nursing assistant or home health aide who is supervised by a licensed health care provider as defined in paragraph (b)(1)(i) of this section. The term includes, but is not limited to, a physician, physician assistant, psychologist, chiropractor, registered nurse, licensed vocational nurse, licensed practical nurse, and physical or occupational therapist or (i) An individual licensed by a State or country to provide health care in the State or country in which the individual provides the health care. Payments for such medical expenses must be unreimbursed to be deductible from income. This section identifies medical expenses that VA may deduct from countable income for purposes of three of its needs-based programs: Pension, section 306 pension, and parents' dependency and indemnity compensation (DIC). ![]()
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