Home Based Primary Care (HBPC) is a vital service provided by the Department of Veterans Affairs (VA) that brings healthcare directly to Veterans in the comfort of their own homes. This program is specifically designed for Veterans with ongoing health challenges who require consistent, team-based support to manage illnesses that impact their well-being and daily living.
Often, the severity of their conditions makes it difficult for these Veterans to travel to and attend regular clinic appointments. While the program is particularly beneficial for those who are homebound, it’s important to note that being completely homebound is not a strict requirement for eligibility. HBPC also extends its support to Veterans who may be experiencing social isolation or whose caregivers are facing significant burdens. It’s also designed to work alongside other VA Home and Community Based Services to provide comprehensive care.
To gain a deeper understanding of the Home Based Primary Care program, we encourage you to watch the video above. Hear firsthand accounts from HBPC providers, the Veterans they serve, and their families about the profound impact of this program.
Eligibility for VA Home Based Primary Care Services
As Home Based Primary Care is included within the VHA Standard Medical Benefits Package, all enrolled Veterans are potentially eligible for this program. Eligibility is primarily determined by whether a Veteran demonstrates a clinical need for the services and if the program is available in their geographic location.
It’s important to be aware that a copay may be associated with Home Based Primary Care, depending on your VA service-connected disability status and financial circumstances. Similar to a standard VA clinic visit, a basic copay might be charged for each in-home medical visit from a VA staff team member.
To determine your specific copay amount, it is recommended to contact your VA social worker or case manager. They can assist you in completing the Application for Extended Care Benefits (VA Form 10-10EC). This form will help clarify any potential copay obligations related to receiving Home Based Primary Care.
Comprehensive Services Offered Through HBPC
The Home Based Primary Care program delivers care through a dedicated team of experienced healthcare professionals. This team collaborates to thoroughly assess each Veteran’s healthcare needs and develops personalized treatment plans and support systems for both the Veteran and their caregivers. The range of services available through HBPC is extensive and includes:
- In-Home Primary Care Visits: Receive medical care in your home from qualified professionals such as physicians, nurse practitioners, or physician’s assistants.
- Care Management: Benefit from dedicated care management provided by nurse practitioners, physician’s assistants, or registered nurses to coordinate and oversee your care plan.
- Social Work Services: Access social workers who can provide counseling, resource navigation, and support for emotional and social well-being.
- Rehabilitation Therapies: Receive in-home rehabilitation services such as physical therapy, occupational therapy, and speech therapy to improve mobility and function.
- Psychological Support: Access psychological services and counseling to address mental health needs within the comfort of your home.
- Nutritional Counseling: Benefit from nutritional assessments and guidance from registered dietitians to support your dietary needs and health goals.
- Pharmacy Services: Access to pharmacy services, including medication management and education, to ensure safe and effective medication use.
Determining if Home Based Primary Care is Right for You
To assist you in deciding whether the Home Based Primary Care program aligns with your needs, the VA offers a helpful resource: the Veteran Decision Aid for Care at Home or in the Community. This tool is designed to guide you in evaluating various home care and long-term care services to identify the best options for your current and future healthcare requirements.
Furthermore, a Caregiver Self-Assessment is available to help your caregiver evaluate their own needs and assess the level of support they can provide. Sharing this information from your caregiver, alongside the expertise of your VA care team and social worker, will empower you to make informed short-term and long-term care decisions.
You can request these resources from your VA social worker or conveniently download them from the Making Decisions page on the VA Geriatrics website: www.va.gov/Geriatrics.
To ascertain if a Home Based Primary Care program is available in your local area, please consult with your VA physician or social worker. They can provide specific information regarding program availability and assist you with the next steps.
