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      How to get your questions answered. A few observations, and requests of all members. All folks who come here are volunteers who do this on their own time and their own dime.To avoid burning out our best contributors please follow these guidelinesf you are reading a post and it reminds you of a question you want to ask, start a new topic, if you place your question in someone thread it will be difficult to distinguish your question from the original poster, you will get better results posting a new topic with your question. 1. Before Posting please do a search and see if your question has already been answered. If you find the answer print it out and put it in a file to use as a reference file, I find this helpful myself. 2. If you can not find the answer and you do post a question, please print out those answers and refer to them to avoid duplicate questions. 3. Refer to the Frequently Asked Questions4. Duplicate questions will come up from time to time but the keeping them to the minimum will lighten the load on the regular volunteers.5. Respect folks privacy do not request their personal phone numbers for claims help, it is inappropriate and not why they are here.6. Keep the topics focused on veterans issues, in closing Search first Search ... Ask second.it may save a lot of time or at the very least enlighten you.
    • Listen Live Every Wed 5:30 PM CST to SVR Radio, Veterans Issues are discussed with various guests.

      Listen Live Every Wed 5:30 PM CST to SVR Radio, Veterans Issues are discussed with various guests. Please check the little home I am carving out for our SVR partners. http://www.hadit.com/svr.html
    • A bit about Tbird and HadIt.com for those who've asked...

      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. I would not file the PTSD claim, nor even discuss it. By Feb 1991 I had moved to the San Francisco bay area and was staying at a friends apartment and pretty much I was just a puddle. In desperation one night I called suicide hot line, I had no job, no idea about going to the VA. They talked with me for a long time and explained to me that I could go to the local VA hospital even if I did not have insurance. Now, I know what you are thinking if I was 50% why didn't I just go to the VA in the first place, two reasons 1, this was Feb 1991 and the 50% didn't come till May and 2, even if it had come through it is unlikely that I would have had the mental acuity at the time to put the two together. I relate this here because it is where so many of our brothers and sisters are coming from, perhaps where you started. Fuzzy and unsure, in pain and sometimes homeless they come to the VA hospital for help. And that is where I ended up. Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. I spent a lot of time on those benches watching the squirrels they gathered their nuts and I gathered mine :) So I'm thinking I could put a little handbook together print it out and hand it out at the VA. Or perhaps fliers. Still formulating, time goes by, 1994/1995 I am being treated for PTSD regularly and doing and feeling much better and I go to work for a company as a marketing systems analyst and I discover the internet. Well let me tell you that was perhaps one of the most significant life changing events I have ever experienced. And I might add finally a positive one :) It seemed only natural to me that surely there must be a website that contained all the knowledge I wanted, well as it turned out not so much, lots of stuff but I wanted to get straight to the claims information and there was a lot of stuff to wade through to get to it. So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
    • HadIt.com Pass It On Cards

      Hi I've updated our HadIt.com Pass It On Cards. They are in a PDF format you can print them out cut them there are 12 to a page. If you have found HadIt.com helpful and would like to pass it on to other veterans this is an easy way to do it.I hope you find them helpful, feel free to leave a few anywhere veterans gather, veterans centers, veterans hospitals, public libraries, be creative. Please make sure though, that if you want to leave some at any business you ask permission first.Here you go http://www.hadit.com...it_on_cards.pdf
    • VA Training and Fast Letter Forum Index

      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Forcing Va To Deal Directly With Caregiver - How?

Question

Posted

My Dad served four years in the USN during Korea. He has been receiving a VA pension for a number of years. In 2006, he was diagnosed with stage IV prostate cancer and told he had a year to live. He did pretty well until the end of last year, but on 1/20/12 his oncologist told him he has six months. (No he has not been using the VA medical system because he had very good supplemental Medicare insurance and we've heard so many horror stories.) Since 1/20/12, he has gone downhill fast. He is getting weaker and weaker, something the hospice nurses tell me is typical for someone with his diagnosis. He will most likely be bedridden in about a month or two, and at that point will need nursing home care. He has no insurance to cover that, so we will be forced to rely on Medicare/Medicaid and the VA.

My question is this: Every time I try to talk to the VA about how to get him admitted to a VA nursing home, I am told "we have to talk to the veteran." When I ask them what if the veteran is in a coma, their response is "we still have to talk to the veteran." Really? Tell me how you're gonna do that!

My Dad has had bipolar disorder all his life, and while he's not stupid he's lived out in the boondocks all his life and is rather ignorant and unsophisticated. Having to talk to the VA (or any other government agency, company, etc.) has always stressed him out to no end. Now, he is no longer capable of doing so, either mentally or physically. Does anyone know what I can do to force the VA to deal directly with me in getting him approved for VA nursing home care? Thanks in advance for your help.

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5 answers to this question

Posted

Call your Dad's VA Social Worker. His Social Worker is assigned by the clinic he goes to at VAMC. Or you can get a Prescription Bottle and ask to speak to his Social Worker assigned to your Dad. They will help you.

Thanks for helping a Veteran

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Posted

Also there is a lot of information at

http://www.va.gov/geriatrics/

regarding the types of programs they can provide and eligibility info should be there too.

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Posted

The VA has a form for almost everything, including

www.vba.va.gov/pubs/forms/VBA-21-22A-ARE.pdf

When properly filled out, the form appoints you as your fathers VA representative.

The law, in general, allows you to represent your father to the VA on a one time or one claim basis.

Most state law allows you as next of kin to go beyone that in a non VA situation.

It's worthy of note that a VA plus nursing home situation will likely impact your father's VA pension.

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Posted

Just to add , this contians the eligibility criteria for the various types of programs available and also has a phone number for caretakers to use:

http://www.va.gov/opa/publications/benefits_book/benefits_chap01.asp

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Posted

My Dad served four years in the USN during Korea. He has been receiving a VA pension for a number of years. In 2006, he was diagnosed with stage IV prostate cancer and told he had a year to live. He did pretty well until the end of last year, but on 1/20/12 his oncologist told him he has six months. (No he has not been using the VA medical system because he had very good supplemental Medicare insurance and we've heard so many horror stories.) Since 1/20/12, he has gone downhill fast. He is getting weaker and weaker, something the hospice nurses tell me is typical for someone with his diagnosis. He will most likely be bedridden in about a month or two, and at that point will need nursing home care. He has no insurance to cover that, so we will be forced to rely on Medicare/Medicaid and the VA.

My question is this: Every time I try to talk to the VA about how to get him admitted to a VA nursing home, I am told "we have to talk to the veteran." When I ask them what if the veteran is in a coma, their response is "we still have to talk to the veteran." Really? Tell me how you're gonna do that!

My Dad has had bipolar disorder all his life, and while he's not stupid he's lived out in the boondocks all his life and is rather ignorant and unsophisticated. Having to talk to the VA (or any other government agency, company, etc.) has always stressed him out to no end. Now, he is no longer capable of doing so, either mentally or physically. Does anyone know what I can do to force the VA to deal directly with me in getting him approved for VA nursing home care? Thanks in advance for your help.

To my knowledge just about all of the big VAMC's have a dedicated wing

that specifically provides hospice care for veterans and they do a real fine job.

That might be your simplest way to access good services.

Below is some additional information.

Hope this helps a vet and good luck to your family.

VA Geriatrics and Extended Care (GEC) Referral

http://www.va.gov/vaforms/medical/pdf/vha-10-0415-fill.pdf

APPLICATION FOR FURNISHING LONG-TERM CARE

SERVICES TO BENEFICIARIES OF VETERANS AFFAIRS

http://www.va.gov/vaforms/medical/pdf/vha-10-1170-fill.pdf

WHAT YOU SHOULD KNOW ABOUT ADVANCE DIRECTIVES

http://www.va.gov/vaforms/medical/pdf/vha-10-0137B-fill.pdf

VA ADVANCE DIRECTIVE

DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL

http://www.va.gov/vaforms/medical/pdf/vha-10-0137-fill.pdf

VA ADVANCE DIRECTIVE

DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL

http://www.va.gov/vaforms/medical/pdf/vha-10-0137-fill.pdf

Application for Comprehensive Assistance for Family Caregivers Program

http://www.va.gov/vaforms/medical/pdf/10-10CG.pdf

AUTHORIZATION TO DISCLOSE PERSONAL INFORMATION

TO A THIRD PARTY

http://www.vba.va.gov/pubs/forms/VBA-21-0845-ARE.pdf

REQUEST FOR AND AUTHORIZATION TO RELEASE MEDICAL

RECORDS OR HEALTH INFORMATION

http://www.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf

REQUEST FOR AND CONSENT TO RELEASE OF INFORMATION FROM INDIVIDUAL'S RECORDS

http://www.va.gov/vaforms/va/pdf/VA3288.pdf

Birmingham, Alabama VA Medical Center

http://www.birmingham.va.gov/services/palliative_care.asp

Palliative Care

About the Program

The Safe Harbor Palliative Care Service offers inpatient and outpatient consults at the BVAMC. The goal is to relieve the pain and suffering (emotional, physical, social and spiritual) along the continuum of medical care. Although hospice care may be a part of palliative care, it is not synonymous with palliative care. Hospice is a Medicare benefit, which accrues to eligible patients with serious life threatening illness and a life expectancy of no more than 6 to 12 months.

Hospice is most commonly associated with terminal cancer patients, but the role has been expanded to include patients with any end-stage illness for whom goals of care are primarily comfort measures. Examples of this are:

  • End-stage pulmonary,
  • cardiac, liver and
  • renal disease,
  • as well as general debility and
  • end-stage dementia plus
  • other terminal conditions are all appropriate for hospice consideration.

The VA covers the cost of hospice care if the patient is not covered by Medicare.

VAMC - Hospice care Alabama

http://www.index.va.gov/search/va/va_search.jsp?QT=vamc+hospice+care+alabama&UA=Search&RPP=10

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