What This Update Is About

The VA has increased how much it will pay for in‑home and community‑based care for Veterans with serious medical conditions. This update explains what is changing and why it matters.

What the Skilled Home Health Care Program Does

The Skilled Home Health Care Program helps Veterans with complex medical needs receive care in their homes instead of a facility. It supports Veterans living with:

• Spinal cord injuries

• ALS (Amyotrophic Lateral Sclerosis)

• Other serious or long‑term medical conditions

Services may include:

• Home health aides

• Home respite care

• Adult day health care

• Veteran Directed Care

• Skilled nursing care at home

These services help Veterans stay safe, supported, and independent.

What Is Changing

The VA has increased the amount it will pay for in‑home and community‑based care:

• Coverage is now up to 100% of the cost

• Before this change, the VA covered 65%

• The new cap now matches the cost of care in a VA Community Living Center

This update lowers out‑of‑pocket costs for eligible Veterans and their families.

Why the VA Is Making This Change

The VA says this increase is significant because:

• Many Veterans want to stay in their homes

• Home care can improve comfort and quality of life

• Matching VA facility costs supports independence and choice

This change is required under Section 120 of the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act of 2025.

Who Qualifies

The increase applies to Veterans with certain complex medical conditions who qualify for the Skilled Home Health Care Program. Veterans must meet the VA’s eligibility rules.

What This Means for Veterans Already in the Program

Veterans already receiving in‑home care may now receive higher coverage.
This could reduce what they pay out of pocket.

The VA estimates:

• About 200 Veterans will use the higher spending cap in FY2026

• Since 2019, about 1,800 Veterans have enrolled in the program

How to Apply

Veterans and families can learn more or apply by:

• Speaking with their VA social worker

• Contacting their local VA medical center

• Visiting VA.gov

When This Change Starts

The new 100% coverage rate is effective immediately.

This update helps Veterans with serious medical conditions stay in their homes while receiving the care they need. Veterans and families should talk with their VA care team to see if they qualify for this expanded coverage.