VLB Texas State Veterans Homes are a benefit meant to provide exclusive, first-class, long-term care at an affordable price exclusively for Texas veterans, their spouses and Gold Star Parents. The homes affordability comes from the establishing legislation which allows veteran residents to combine private, federal and/or Medicare or Medicaid to cover daily costs.
Texas State Veterans Homes are not a free benefit: the resident and/or their responsible party must make payment arrangements for care in a Texas State Veterans Home.
Daily room rates include room, board, medication and skilled nursing care, as well as amenities and activities. Specialized Memory Loss care is an additional cost.
The VLB rate for a basic semi-private or private room at any Texas State Veterans Home, excluding Tyler, is $146.00 and $195.00 per day, respectively. The private pay rate for Tyler is $237.00.
For every eligible veteran, the federal Department of Veterans Affairs (VA) will cover the lesser of the VLB actual per diem for each day the veteran is in the home; or the basic per diem rate. (The basic rate is $100.37, in accordance with 38 U.S.C. 1741(c).)
Using other sources of payment?
The VA does not pay a daily per diem rate to offset the cost of care to veterans while using Medicare Part A as a payment source in the TSVH.
Medicare Part A covers for up to 100 days of care. Medicare pays 100% of the cost for up to the first 20 days. For days 21 to 100, you would owe the federal co-payment. Please discuss your supplemental insurance impact on this obligation. Different providers have rules that affect the period of time they will provide this coverage (the federal co-payment is $144.50 per day).
During a Medicare Part A stay, you will be periodically evaluated to determine your continuing need for Medicare coverage. Please refer to Medicare Publications for information on Medicare Benefits in Skilled Nursing Facilities.
In Texas, Medicaid is administered by the Texas Department of Aging and Disability Services (DADS). There are medical, asset and income limitations in order to qualify.
If you qualify, DADS will advise you of how much of your income you will owe each month to the TSVH. Please refer to the state Medicaid website for information on services available from DADS and to find a local office.
Some veterans who would otherwise qualify for Medicaid may be eligible for Aid & Attendance payments through the VA. Aid & Attendance payments can be used by eligible veterans towards their portion of the cost of care. These veterans would not need to qualify for Medicaid to be eligible for SVH residence, as their current income plus the income from Aid & Attendance may be enough to allow them to be a private pay resident.
Please contact the State's on-site Representative at the Texas State Veterans Home for more information.