Veteran Directed Care Program (Formerly VD-HCBS)

In 2008, ACL, on behalf of the Department of Health and Human Services (HHS) began a partnership with the Veteran’s Health Administration (VHA) to serve veterans of all ages at risk of nursing home placement through the Veteran Directed Care Program. Until 2018, this program was known as Veteran-Directed Home and Community Based Services (VD-HCBS).

The Purpose of the Program and How it Works

The vision is to have a long-term service and supports (LTSS) system that is person-centered and consumer-directed, and that helps people at risk of institutionalization to continue to live at home and engage in community life. The VHA will increase access to HCBS to serve the growing demand of veterans who prefer independence at home over living in a nursing facility.

The VDC program provides veterans with opportunities to self-direct their LTSS and continue living independently at home. Eligible Veterans manage their own flexible budgets, decide what mix of goods and services best meet their needs, and hire and supervise their own workers. Through an options counselor, the Aging & Disability Network provides facilitated assessment and care/service planning, arranges fiscal management services, and provides ongoing counseling and support to veterans, their families, and caregivers.

Find additional VDC information and resources for Aging & Disability network agencies, VA Medical Centers, and other program stakeholders.

Printer-friendly VDC fact sheet (PDF, 79KB)

Report by AARP, Commonwealth Fund, and SCAN Foundation on promising practices to support community living for veterans

VDC Resources and Useful links

If you are a Veteran:

If you work for a State Unit on Aging, ADRC, AAA or CIL:

If you are interested in Participant Directed Services:

Current Programs

As of April 2019, the Veteran Directed Care (VDC) Program is serving 2,166 Veterans across 37 States and the District of Columbia and Puerto Rico. At the same time, 86 Veterans Affairs Medical Centers (VAMCs) have partnered with Aging and Disability Network Agencies (ADNAs) including State Units on Aging (SUA), Aging & Disability Resource Centers (ADRCs), Area Agencies on Aging (AAAs) and Centers for Independent Living (CIL) to offer the program. There are 67 VAMCs that have made at least one Veteran referral to an ADNA for VDC along with another 19 VAMCs who have not yet made their first Veteran referral, denoted by an asterisk (*) below. The VDC program is available through the Veteran’s Health Administration’s (VHA) Office of Geriatrics and Extended Care Services. VAMCs are responsible for determining eligibility and making referrals to ADNAs for VDC. Please contact VAMCs for more information on availability of VDC locally and for questions regarding eligibility. You can find your nearest VA location here: https://www.va.gov/directory/guide/home.asp .

The ADNAs listed below have completed VA Readiness Reviews and have been approved as qualified providers for VDC. ADNAs are listed by state and VAMC that the ADNA will partner with to serve Veterans in VDC. ADNAs that subcontract with other ADNAs to deliver VD-HCBS are listed as a sub-bullet under the ADNA who holds the VA Choice Provider Agreement. As new Readiness Reviews are approved, new VAMCs and ADNAs will be added to the list.

Note: If you’re interested in developing a VDC Program, or have passed a Readiness Review and are not included on this list, please contact veterandirected@acl.hhs.gov .

Alabama

  • *Birmingham VA Medical Center: www.birmingham.va.gov
    • West Alabama Regional Commission
      • East Alabama Regional Planning and Development Commission
      • Middle Alabama Area Agency on Aging
      • North Central Alabama Regional Councils of Governments
      • Northwest Alabama Council of Local Governments/Department of Aging Services
      • Regional Planning Commission of Greater Birmingham
      • Top of Alabama Regional Council of Governments (TARCOG) Area Agency on Aging
  • *Central Alabama Veterans Health Care System: www.centralalabama.va.gov
    • West Alabama Regional Commission
      • Alabama Tombigbee Regional Commission
      • Central Alabama Aging Consortium
      • East Alabama Regional Planning and Development Commission
      • Lee-Russell Council of Governments
      • Middle Alabama Area Agency on Aging
      • South Alabama Regional Planning Commission
      • South Central Alabama Development Commission
      • Southeast Alabama Regional Council on Aging
  • Tuscaloosa VA Medical Center: www.tuscaloosa.va.gov
    • West Alabama Regional Commission
      • Alabama Tombigbee Regional Commission
      • Northwest Alabama Council of Local Governments/Dept. of Aging Services

Arizona

Alaska

  • Alaska VA Health Care System: www.alaska.va.gov
    • Peninsula Independent Living Center
    • Southeast Alaska Independent Living
    • LINKS Mat-Su Aging and Disability Resource Center (Matanuska-Susitna Valley Aging and Disability Resource Center)

Arkansas

  • Veterans Health Care System of the Ozarks, Fayetteville: www.fayettevillear.va.gov
    • Area Agency on Aging of Northwest Arkansas
  • Central Arkansas Health Care System, Little Rock: www.littlerock.va.gov
    • Area Agency on Aging of Southeast Arkansas

California

  • San Diego Health Care System, San Diego: www.sandiego.va.gov
    • Aging and Independence Services

Colorado

  • VA Eastern Colorado Health Care System: www.denver.va.gov
    • Colorado Springs Center for Independent Living
    • Denver Regional Council of Governments
    • Lower Arkansas Valley Area Agency on Aging
    • The Center for People with Disabilities
  • Grand Junction Veterans Health Care System: www.grandjunction.va.gov
    • Northwest Colorado Area Agency on Aging

Connecticut

  • VA Connecticut Health Care System West Haven Campus : www.connecticut.va.gov
    • Southwestern Connecticut Agency on Aging
      • North Central Area Agency on Aging
      • Senior Resources Eastern Connecticut Area Agency on Aging
      • Western Connecticut Area Agency on Aging
    • Agency on Aging of South Central Connecticut

District of Columbia

  • Washington DC VA Medical Center: www.washingtondc.va.gov
    • DC Office on Aging/Iona Senior Services
    • Prince William Area Agency on Aging

Florida

  • Bay Pines VA Health Care System: www.baypines.va.gov
    • Area Agency on Aging of Pasco-Pinellas, a Designated Aging and Disability Resource Center
    • Area Agency on Aging of Southwest Florida
    • The Senior Connection Center, Inc.

  • Miami Health Care System: www.miami.va.gov
    • Aging and Disability Resource Center of Broward County
    • Alliance for Aging, Inc.
  • North Florida/South Georgia Health Care System, Gainesville Campus: www.northflorida.va.gov
    • Area Agency on Aging for North Florida, Inc.
    • ElderSource, Area Agency on Aging for Northeast Florida
    • Mid-Florida Area Agency on Aging (Elder Options)
  • James A. Haley Veterans’ Hospital Tampa: www.tampa.va.gov
    • Senior Connection Center, Inc.
  • West Palm Beach VA Medical Center: www.westpalmbeach.va.gov
    • Area Agency on Aging of Palm Beach/Treasure Coast, Inc.
    • Area Agency on Aging of Southwest Florida

  • Orlando VA Medical Center: www.orlando.va.gov
    • Area Agency on Aging of Central Florida, Senior Resource Alliance
    • Mid-Florida Area Agency on Aging (Elder Options)

    • ElderSource, Area Agency on Aging for Northeast Florida

Hawaii

  • VA Pacific Islands Health Care System: www.hawaii.va.gov
    • Executive Office on Aging (State Agency)

Idaho

  • Boise VA Medical Center: www.boise.va.gov
    • Area 3 Senior Services Agency
    • Area Agency on Aging of North Central Idaho

Illinois

  • Edward Hines, Jr VA Hospital: www.hines.va.gov
    • Northeastern Illinois Area Agency on Aging
  • VA Illiana Health Care System, Danville: www.danville.va.gov
    • Area Agency on Aging for Lincolnland
    • Central Illinois Agency on Aging
    • East Central Illinois Area Agency on Aging
    • Southeastern Illinois Area Agency on Aging
  • Marion VA Medical Center, Marion: www.marion.va.gov
    • AgeSmart
    • Egyptian Area Agency on Aging
    • Generations Aging and Disability Resource Center (Link-Age)
    • Midland Area Agency on Aging
    • Pennyrile Area Agency on Aging
      • Green River Area Agency on Aging
      • Purchase Area Agency on Aging
      • Northwest Tennessee Area Agency on Aging and Disability

            Northwest Tennessee Area Agency on Aging and Disability

    • SWIRCA Aging & Disability Resource Center
    • Southeastern Illinois Area Agency on Aging
  • Captain James A. Lovell Federal Health Care Center, North Chicago: www.lovell.fhcc.va.gov
    • Northeastern Illinois Area Agency on Aging
  • Jesse Brown VA Medical Center, Chicago: www.chicago.va.gov
    • Northeastern Illinois Area Agency on Aging

Indiana

  • *VA Northern Indiana Health Care System (Fort Wayne Campus): www.northernindiana.va.gov
    • Aging and In-Home Services of Northeast Indiana
    • REAL Services, Inc.
  • *VA Northern Indiana Health Care System (Marion Campus): www.northernindiana.va.gov
    • LifeStream Services, Inc.
  • *Richard L. Roudebush VAMC, Indianapolis: www.indianapolis.va.gov
    • Area IV Agency on Aging and Community Action Programs, Inc.
    • LifeStream Services, Inc.

Iowa

Kentucky

  • *Lexington VA Medical Center: www.lexington.va.gov
    • Pennyrile Area Agency on Aging
      • Kentucky River Area Development District
      • Lake Cumberland Area Agency on Aging
  • *Louisville VA Medical Center: https://www.louisville.va.gov/
    • Pennyrile Area Agency on Aging
      • Kentuckiana Regional Planning and Development Agency
    • LifeSpan Resources, Inc.

Louisiana

Massachusetts

  • Edith Nourse Rogers Memorial Veterans Hospital, Bedford: www.bedford.va.gov
    • South Shore Elder Services, Inc.
      • SeniorCare Inc.
      • Springwell, Inc.
    • Elder Services of Merrimack Valley, Inc.
    • Mystic Valley Elder Services, Inc.
  • VA Boston Health Care System, Boston: www.boston.va.gov
    • South Shore Elder Services, Inc.
      • Boston Senior Home Care
      • Central Boston Elder Services, Inc.
      • ETHOS
      • HESSCO – Health and Social Services Consortium, Inc.
      • Old Colony Elder Services
      • Tri-Valley Elder Services, Inc.
    • Bristol Elder Services, Inc.
    • Elder Services Merrimack Valley, Inc.
    • Franklin County Home Care Corporation
    • Mystic Valley Elder Services, Inc.

Maryland

  • VA Maryland Health Care System, Perry Point: www.maryland.va.gov
    • Maryland Department on Aging
      • Baltimore City Commission on Aging & Retirement Education (CARE)
      • Baltimore County Department of Aging
      • Carroll County Bureau of Aging
      • Frederick County Department of Aging
      • Maintaining Active Citizen
      • Maryland Access Point of Howard County (Howard County Office on Aging)
      • Prince George’s County Department of Family Services
      • Washington County Commission on Aging

Maine

  • VA Maine Health Care System, Augusta: www.maine.va.gov
    • Aroostook Agency on Aging ADRC
    • SeniorsPlus Agency on Aging ADRC
    • Southern Maine Agency on Aging ADRC
    • Spectrum Generations Agency on Aging ADRC
    • Eastern Agency on Aging ADRC

Michigan

  • VA Ann Arbor Health Care System: www.annarbor.va.gov
    • Area Agency on Aging 1-B
    • Region 2 Area Agency on Aging
    • The Senior Alliance—Area Agency on Aging 1-C
  • Battle Creek VA Medical Center: www.battlecreek.va.gov
    • Area Agency on Aging of Western Michigan, Inc.
    • Branch/Saint Joseph Area Agency on Aging Region IIIC
    • Region 2 Area Agency on Aging
    • Region 3B Area Agency on Aging
    • Region IIIA Area Agency on Aging
    • Region IV Area Agency on Aging
  • John D. Dingell VA Medical Center Detroit: www.detroit.va.gov
    • Area Agency on Aging 1-B
    • Detroit Area Agency on Aging
    • The Senior Alliance—Area Agency on Aging 1-C
  • Oscar G. Johnson VA Medical Center Iron Mountain: www.ironmountain.va.gov
    • Upper Peninsula Area Agency on Aging
  • Aleda E. Lutz VA Medical Center Saginaw: www.saginaw.va.gov
    • Area Agency on Aging of Northwest Michigan
    • Region VII Area Agency on Agin 

Mississippi

  • Gulf Coast Veterans Health Care System: www.biloxi.va.gov
    • Southern Mississippi Planning and Development District
      • South Alabama Regional Planning Commission
      • Northwest Florida Area Agency on Aging
  • *G.V. (Sonny) Montgomery VA Medical Center: www.jackson.va.gov/
    • Southern Mississippi Planning and Development District
      • Central Mississippi Planning and Development District
      • East Central Planning and Development District
      • Golden Triangle Planning and Development District
      • North Central Planning and Development District
      • Three Rivers Planning and Development District
      • South Delta Planning and Development District

      • Southern Mississippi Planning and Development District

Missouri

  • Saint Louis VA Health Care System: www.stlouis.va.gov
    • AgeSmart
    • Aging Matters
    • Central Missouri Area Agency on Aging
    • Delta Center for Independent Living
    • Egyptian Area Agency on Aging
    • Mid-East Area Agency on Aging
    • Northeast Missouri Area Agency on Aging
    • St. Louis Area Agency on Aging
  • Kansas City VA Medical Center: www.kansascity.va.gov
    • Area Agency on Aging Region X
    • Care Connection for Aging Services
    • Mid-America Regional Council
    • Northwest Missouri Area Agency on Aging
    • Southwest Missouri Office on Aging
    • West-Central Independent Living Services
  • *Harry S. Truman Memorial Veterans’ Hospital: www.columbiamo.va.gov
    • Central Missouri Area Agency on Aging
    • Rural Advocates for Independent Living

 Montana

  • VA Montana Health Care System, Fort Harrison: www.montana.va.gov
    • Area 1 Area Agency on Aging/Action for Eastern Montana
    • Area II Agency on Aging
    • Area IX Area Agency on Aging
    • Missoula Aging Services
    • Western Montana Area VI Area Agency on Aging

Nevada

  • *VA Southern Nevada Health Care System: www.lasvegas.va.gov
    • Nevada Aging & Disability Services Division
  • *Sierra Nevada Health Care System www.reno.va.gov
    • Nevada Aging & Disability Services Division
      • Access to Health Care Network

New Hampshire

  • VA Medical Center Manchester: www.manchester.va.gov
    • Belknap Service Link Resource Center
    • Carroll County Service Link
    • Hillsborough County Service Link
    • Merrimack County Service Link
    • Monadnock Region Service Link
    • Rockingham Service Link
    • Strafford County Service Link

New Jersey

  • Lyons Campus of the VA New Jersey Health Care System: www.va.gov/directory/guide/facility.asp?id=45
    • New Jersey Division of Aging Services
      • Bergen County Division of Senior Services
      • Morris County Division on Aging, Disabilities and Veterans
      • Somerset County Office on Aging
      • Warren County Division of Aging and Disability Services

New Mexico

  • New Mexico VA Health Care System: www.albuquerque.va.gov
    • AgingNew Mexico Aging and Long Term Services Department
    • Southwest Center for Independence

New York

  • Albany Stratton VA Medical Center: www.albany.va.gov
    • Otsego County Office for the Aging
    • Independent Living Center of the Hudson Valley

  • Syracuse VA Medical Center: www.syracuse.va.gov
    • Broome County Office for Aging
    • Oneida County Office for Aging & Continuing Care
    • Onondaga County Department of Aging and Youth

North Carolina

Ohio

 

Oklahoma

Oregon

  • Portland VA Medical Center: www.portland.va.gov
    • Multnomah County Aging & Disability Services
      • Washington County Disability, Aging & Veteran’s Services
      • Clackmas County Social Services

    • Washington State Department of Social and Health Services
      • Southwest Washington Agency on Aging and Disabilities
      • Southeast Washington Aging & Long-Term Care
  • Southern Oregon Rehabilitation Center & Clinics: www.southernoregon.va.gov
    • Multnomah County Aging & Disability Services
      • Senior and Disability Services - Rogue Valley Council of Governments
  • VA Roseburg Health Care System: www.roseburg.va.gov
    • Multnomah County Aging & Disability Services
      • Douglas County Senior Services Division

Pennsylvania

  • Coatesville Veterans Affairs Medical Center: www.coatesville.va.gov
    • Philadelphia Corporation for Aging
    • Chester County Department of Aging Services
    • Delaware County Office of Aging
  • Philadelphia VA Medical Center: www.philadelphia.va.gov
    • Philadelphia Corporation for Aging
  • *Erie VA Medical Center: www.erie.va.gov
    • Greater Erie Community Action Committee (Erie, PA)
      • Active Aging, Inc.
      • Experience, Inc. Aging on Aging
      • Mercer County Area Agency on Aging, Inc.
      • Office of Human Services, Inc.
      • Potter County Human Services
      • Venango County Area Agency on Aging
  • *VA Pittsburgh Healthcare System: www.pittsburgh.va.gov
    • Southwestern Pennsylvania Area Agency on Aging, Inc.
    • Area Agency on Aging, Region 9, Inc.

Puerto Rico

  • VA Caribbean Health Care System: www.caribbean.va.gov
    • Puerto Rico Office of the Ombudsman for the Elderly

South Carolina

  • *Ralph H. Johnson VA Medical Center: www.charleston.va.gov
    • Lieutenant Governor’s Office on Aging
      • Trident Area Agency on Aging
  • *Wm. Jennings Bryan Dorn VA Medical Center: www.columbiasc.va.gov
    • Lieutenant Governor’s Office of Aging
      • Santee-Lynches Council of Governments

South Dakota

Tennessee

  • Tennessee Valley Health Care System Nashville: www.va.gov/directory/guide/facility.asp?id=95
    • Pennyrile Area Agency on Aging
      • East Tennessee Area Agency on Aging
      • Greater Nashville Regional Council (GNRC) Area Agency on Aging
      • Northwest Tennessee Area Agency on Aging & Disability 
      • South Central Tennessee Area Agency on Aging
      • Southeast Tennessee Area Agency on Aging
    • Barren River Area Agency on Aging

Texas

Utah

  • VA Salt Lake City Health Care System: www.saltlakecity.va.gov
    • Bear River Area Agency on Aging
    • Davis County Department of Family Health and Senior Services
    • Five County Area Agency on Aging
    • Mountainland Area Agency on Aging
      • Six County Area Agency on Aging
      • Uintah Basin Area Agency on Aging
    • Salt Lake County Aging Services
    • San Juan County Area Agency on Aging
    • Southeast Idaho Council of Governments, Inc. (SICOG)
    • Southeastern Utah Area Agency on Aging
    • Weber-Morgan Area Agency on Aging
    • Aging and Disability Services Division (Nevada)

Virginia

  • Hunter Holmes McGuire VA Medical Center Richmond: www.richmond.va.gov
    • Bay Aging
      • Eastern Shore Area Agency on Aging
    • Prince William Area Agency on Aging
  • Hampton VA Medical Center: www.hampton.va.gov
    • Bay Aging
      • Eastern Shore Area Agency on Aging
      • Peninsula Agency on Aging, Inc.
    • Senior Services of Southeastern Virginia

Vermont

  • White River Junction VA Medical Center: www.whiteriver.va.gov
    • Central Vermont Council on Aging
    • Champlain Valley Agency on Aging
    • Coos County ServiceLink
    • Grafton Service Link
    • Merrimack County Service Link
    • Monadnock Region Service Link
    • Northeast Kingdom Council on Aging
    • Senior Solutions
    • Southwestern Vermont Council on Aging
    • Sullivan County Service Link

Washington

  • VA Puget Sound Health Care System Seattle: www.pugetsound.va.gov
    • Washington State Department of Social and Health Services
      • Aging and Disability Services (ADS), Seattle/King County
      • Northwest Washington Area Agency on Aging
      • Olympic Area Agency on Aging
      • Pierce County Aging & Long Term Care
  • Spokane VA Medical Center: www.spokane.va.gov
    • Washington State Department of Social and Health Services
      • Aging & Long-Term Care of Eastern Washington
      • Aging and Adult Care of Central Washington
      • Area Agency on Aging of North Central Idaho
  • Jonathan M. Wainwright Memorial VA Medical Center: www.wallawalla.va.gov
    • Washington State Department of Social and Health Services
      • Area Agency on Aging of North Central Idaho
      • Southeast Washington Aging & Long-Term Care

Wisconsin

  • Milwaukee VA Medical Center: www.milwaukee.va.gov
    • Greater Wisconsin Agency on Aging Resources, Inc.
    • Upper Peninsula Area Agency on Aging
  • Tomah VA Medical Center: www.tomah.va.gov
    • Greater Wisconsin Agency on Aging Resources, Inc.

Last modified on 10/02/2019


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