§ 61.33 - Payment of per diem.

§ 61.33 Payment of per diem.

Cross Reference

Link to an amendment published at 86 FR 33524, June 25, 2021.

(a) General. VA will pay per diem to the recipient for those homeless veteransrecipients that provide a bed day of care:

(1) For a homeless veteran:

(i) Who VA referred to the recipient; or

(

2

ii) For whom VA authorized the provision of supportive housing or supportive service

.

;

(

b

2)

Rate of payments for individual veterans. Except as provided in paragraph (b)(3) of this section, the

For providers of both supportive housing and services. When the referral or authorization of the homeless veteran will not result in the project exceeding the total number of bed days of care or total obligated funding as indicated in the grant agreement and funding action document; or

(3) For service centers. When the total hours of service or total obligated funding as indicated in the grant agreement and funding action document.

(b) VA Review. VA may at any time review the provision of supportive housing and services to individual veterans by the provider to ensure the care provided continues to be needed and appropriate.

(c) Rate of payments for individual veterans. The rate of per diem for each veteran in supportive housing

shall

will be the lesser of:

(1) The daily cost of care estimated by the per diem recipient minus other sources of payments to the per diem recipient for furnishing services to homeless veterans that the per diem recipient certifies to be correct (other sources include payments and grants from other departments and agencies of the United States, from departments of local and State governments, from private entities or organizations, and from program participants); or

(2) The current VA state home program per diem rate for domiciliary care, as set by the Secretary under 38 U.S.C. 1741(a)(1).

(

3) For a veteran who is placed in housing that will become permanent housing for that veteran upon termination of supportive housing services, the rate of payment shall be the lesser of 150 percent of the current VA state home program per diem rate for domiciliary care, as set by the Secretary under 38 U.S.C. 1741(a)(1) or the daily cost of care estimated pursuant to paragraph (b)(1) of this section. (c)

d) Rate of payments for service centers. The per diem amount for service centers shall be 1

⁄

-8 of the lesser of the amount in paragraph (

b

c)(1) or (

b

c)(2) of this section, per hour, not to exceed eight (8) hours in any day.

(

d) Continuing payments. Recipients may continue to receive per diem only so long as funding is available, they continue to provide the supportive services described in their application, and they continue to meet the applicable ongoing requirements of this part. For non-capital grant recipients of per diem only, funds will be paid to the highest-ranked applicants, within the highest-funding priority category if applicable, in descending order until funds are expended. Generally, payments will continue for the time frame specified in the Notice of Fund Availability. When necessary due to funding limitations, VA will reduce the rate of per diem.

(e) Retroactive paymentse) Reimbursements. Per diem may be paid retroactively for services provided not more than three (3) days before VA approval is given or where, through no fault of the recipient, per diem payments should have been made but were not made.

(f) Payments for absent veterans. VA will pay per diem for up to , and not more than, 72 consecutive hours (a maximum of seventy-two (72) consecutive hours for the scheduled or unscheduled ) of absence.

(g) Supportive housing limitation. VA will not pay per diem for supportive housing for any homeless veteran who has had three or more episodes (admission and discharge for each episode) of supportive housing services paid for under this part. VA may waive this limitation if the services offered are different from those previously provided and may lead to a successful outcome.

(h

absence of a veteran, or, in the case of an in-patient hospitalization, will pay per diem up to a maximum of seven (7) days.

(g) Veterans receiving supportive housing and services.

VA will not pay per diem for both

For circumstances where a veteran is receiving supportive housing and supportive services

provided to

from the same

veteran by the same

per diem recipient, VA will not pay a per diem for the supportive services.

(

i)

h) Reporting other sources of income. At the time of receipt of a federal award from VA, a per diem recipient must report to VA all other sources of income for the project for which per diem was awarded. The report provides a basis for adjustments to the per diem payment under paragraph (

b

c)(1) of this section.

(Authority: 38 U.S.C. 501, 2012)

[78 FR 12604, Feb. 25, 2013, as amended at 82 FR 51160, Nov. 3, 2017[86 FR 33524, June 25, 2021]