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Veterans who are substantially confined to their immediate premises because of permanent disability who also are receiving a military pension can apply for an increased monthly pension. The Program of Comprehensive Assistance for Family Caregivers offers needed services for primary caregivers of veterans who sustained a traumatic injury in the line of duty on or after Sept. Benefits include a monthly stipend to primary caregivers of injured veterans, and lodging and travel expenses while accompanying vets going through care.

Also available: comprehensive caregiver training, access to health insurance, mental health counseling and services, and up to 30 days of respite care per year.

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If the assessment shows need, a budget for goods and services will be provided.

Step 4: When the care plan is set, the participant (or surrogate, if needed) chooses a caregiver.

A flexible budget — average is ,500 monthly — enables them to choose the goods and services they find most useful, including a caregiver to assist with everyday tasks such as bathing, cooking, feeding, dressing, using the bathroom and adjusting prosthetic devices.

The caregiver is chosen by the veteran and may be any physically and mentally capable family member — including spouse, sibling, child or grandchild.

Step 2: Draw up a contract that includes the hourly wage and services to be provided.

Be specific about the disease or injury that caused physical or mental impairment, and walk the PMC through a typical day.

Note how well you get around, if you have a loss of coordination, or any inability to manage basic daily needs without assistance.

All 50 states and the District of Columbia offer Medicaid waiver self-directed long-term services and supports (LTSS) programs that allow qualified individuals to manage their own care — meaning that people can hire and fire their own caregivers.

Step 2: The applicant (with assistance, if desired or needed) is assessed for risks, need, strength, capacities and preferences as required by Centers for Medicare & Medicaid Services.

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