Veterans State Nursing Home Care

Active

Assistance listing
64.015
Agency
Grant awards
333 $59,250,194,299 in federal obligations

Program facts

Assistance type
  • Formula Grant
Treasury account
  • 36-0140-0-1-703
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Veterans Affairs Veterans Health Administration funds nursing home care for eligible veterans in State Veterans' Homes under Assistance Listing 64.015, with the most recent grant award issued April 18, 2025.

The program disburses formula grants exclusively to states and Indian tribes that operate designated facilities providing skilled nursing care, intermediate care, or combined nursing facilities for veterans. Eligible veterans include those with service-connected disabilities, former prisoners of war, Purple Heart recipients, Medal of Honor recipients, and veterans unable to defray necessary care costs. The program does not fund domiciliary care. Grant payments flow monthly or quarterly with no length limitation on care duration; recipients must maintain cost records and attendance documentation to support per diem claims.

The Department of Veterans Affairs Veterans Health Administration Under Secretary for Health dominates funding, obligating $59 billion across 192 awards; the broader Veterans Health Administration contributed $245.5 million across 139 awards. The remaining two awards totaling $8.6 million came from the Department of Veterans Affairs. All 333 awards in the portfolio are formula grants. Combined federal obligation across the program is $59.25 billion, with combined total obligation (federal plus state matching) at $60.11 billion. Recent awards show substantial per-state commitments: Formula Grant VA5909AF obligated $117.2 million (April 2025), Formula Grant MN656 obligated $57.6 million (December 2024), and Formula Grant AL6199AG obligated $62.4 million (October 2024). Award cadence has slowed recently—one award in 2025, three in 2024, and one in 2023—following higher activity in prior years.

No recent grant opportunities are currently posted in the source material.

Objective and description

Objective

To provide financial assistance to States furnishing nursing home care to eligible veterans in State Veterans' Homes which meet the standards prescribed by the Secretary of Veterans Affairs.

Description

Nursing home care means the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care, but who require nursing care and related medical services, if such nursing care and medical services are prescribed by, or are performed under the general direction of, persons duly licensed to provide such care. The term includes services furnished in skilled nursing care facilities, in intermediate care facilities, and in combined facilities. It does not include domiciliary care.

Eligibility

Applicant eligibility

Applicant is any State which operates a designated facility to furnish nursing home care primarily for veterans. "State" means each of the several States and each Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)).

Beneficiary eligibility

A veteran is an eligible veteran for the purposes of payment of per diem for nursing home care under this part if VA determines that the veteran needs nursing home care; is not barred from receiving care based on his or her service (see 38 U.S.C. 5303, 5303A), is not barred from receiving VA pension, compensation or dependency and indemnity compensation based on the character of a discharge from military service (see 38 CFR 3.12) and is within one of the following categories: (a) Veterans with service-connected disabilities; (b) Veterans who are former prisoners of war, who were awarded the Purple Heart, or who were awarded the medal of honor under 10 U.S.C. 3741, 6241, or 8741 or 14 U.S.C. 491; (c) Veterans who were discharged or released from active military service for a disability incurred or aggravated in the line of duty; (d) Veterans who receive disability compensation under 38 U.S.C. 1151; (e) Veterans whose entitlement to disability compensation is suspended because of the receipt of retired pay; (f) Veterans whose entitlement to disability compensation is suspended pursuant to 38 U.S.C. 1151, but only to the extent that such veterans' continuing eligibility for nursing home care is provided for in the judgment or settlement described in 38 U.S.C. 1151; (g) Veterans who VA determines are unable to defray the expenses of necessary care as specified under 38 U.S.C. 1722(a); (h) Veterans solely seeking care for a disorder associated with exposure to a toxic substance or radiation, for a disorder associated with service in the Southwest Asia theater of operations during the Persian Gulf War, as provided in 38 U.S.C. 1710(e), or for any illness associated with service in combat in a war after the Gulf War or during a period of hostility after November 11, 1998, as provided and limited in 38 U.S.C. 1710(e); (i) Veterans who agree to pay to the United States the applicable co-payment determined under 38 U.S.C. 1710(f) and 1710(g). Note 1 to paragraph (i): Neither enrollment in the VA healthcare system nor eligibility to enroll is required to be an eligible veteran for the purposes of payment of per diem for nursing home care.

Uses of assistance

The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services.

Use restrictions

The assistance provided is for nursing home care: the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care or domiciliary care but who require skilled nursing care and related medical services.

Length and time phasing of assistance

There is no length limitation; grant payments are made monthly or quarterly to the State.

How to apply

Award procedure

Recognition by Secretary of Veteran Affairs for purposes of VA aid pursuant to Title 38 U.S.C. Section 1741.

Time to approval or disapproval

From 30 to 60 days.

Grant awards

Award Recipient Federal obligations Awarded
NHC VA5909AF Jones & Cabacoy Veterans Care Center $117,240,617
NHC MN6185 State Of Minnesota - Minnesota Management And Budget $41,208,913
NHC MN656 State Of Minnesota - Minnesota Management And Budget $57,649,075
NHC AL6199AG Alabama Dept Of Veterans Affairs $62,412,810
NHC FL5489AF Florida Department Of Veterans Affairs $216,348,838
NHC MI553 State Of Michigan Office Of Financial Mgmt $780,671,132
NHC MT4363B State Of Montana Department Of Health And Human Services $127,210,692
NHC NE568B Nebraska Department Of Health & Human Services $101,598,147
NHC WA6871 Veterans Affairs Washington State Department $138,636,832
NHC ID6681 Veterans Affairs Washington State Department $870,427

Latest 10 of 333 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Texas General Land Office $4,080,558,915 7%
2 Florida Department Of Veterans Affairs $2,994,944,324 5%
3 Veterans Commission Missouri $2,791,065,239 5%
4 Veterans Affairs Washington State Department $2,555,650,520 4%
5 Pennsylvania Department Of Military & Veterans Affairs $2,318,852,759 4%
6 NYS Department Of Health $2,116,304,223 4%
7 Utah Department Of Veterans & Military Affairs $1,825,370,169 3%
8 Alabama Dept Of Veterans Affairs $1,762,390,438 3%
9 TN State Veterans Home $1,759,532,263 3%
10 Wisconsin Department Of Veterans Affairs $1,715,924,851 3%

10 of 93 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $8,890,169,054
FY2025 $13,831,354,405
FY2024 $12,334,008,054
FY2023 $12,148,881,001
FY2022 $3,081,452,395
FY2021 $1,909,274,129
FY2020 $951,173,750
FY2019 $848,038,446
FY2018 $757,844,935
FY2017 $1,138,089,370
FY2016 $1,002,958,091
FY2015 $1,164,781,405
FY2014 $998,245,805
FY2013 $893,485,104
FY2012 $788,198,640
FY2011 $523,330,364
FY2010 $176,226,479
Show all 17

Quick answers

What is Assistance Listing 64.015?

Assistance Listing 64.015 is Veterans State Nursing Home Care, a federal grant program run by Veterans Health Administration (Department of Veterans Affairs).

What is the CFDA number for Veterans State Nursing Home Care?

Its CFDA number is 64.015: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 64.015 awarded?

333 grant awards under 64.015 have obligated $59,250,194,299 in federal funds to 93 recipients.

Who receives the most funding from 64.015?

The recipients obligated the most under Veterans State Nursing Home Care are Texas General Land Office ($4,080,558,915), Florida Department Of Veterans Affairs ($2,994,944,324) and Veterans Commission Missouri ($2,791,065,239).

How much did 64.015 obligate in fiscal year 2025?

Grants under 64.015 obligated $13,831,354,405 in federal funds in fiscal year 2025.

On GovTribe

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