| 1 | DVBCATC1 ;ALB ISC/THM-TEXT FOR A&A/HOUSEBOUND EXAM ; 5/17/91  9:18 AM
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| 2 |  ;;2.7;AMIE;;Apr 10, 1995
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| 3 |  ;
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| 4 | PTXT F AW=0:1 S AX=$T(@TXT+AW) S AY=$P(AX,";;",2) D:AY["|TOP|" HD2^DVBCARCK W:AY="END" !! Q:AY="END"  I AY'["|TOP|" W AY,!
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| 5 |  Q
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| 6 |  ;
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| 7 | TXT10 ;;A veteran who is in receipt of the highest level of basic
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| 8 |  ;;            special monthly compensation for multiple service-connected
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| 9 |  ;;            disabilitites causing need for regular aid and attendance may
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| 10 |  ;;            be entitled to a higher rate if, because of the service-connected
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| 11 |  ;;            conditions, the veteran requires the daily health-care services
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| 12 |  ;;            of a skilled provider, without which he/she would require hospital,
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| 13 |  ;;            nursing home, or other institutional care.  These services may be
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| 14 |  ;;            provided by a family member or other individual under the
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| 15 |  ;;            supervision of a physician or other health-care professional.
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| 16 |  ;;
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| 17 |  ;;            Personal health-care services include, but are not limited to,
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| 18 |  ;;            physical therapy, administration of injections, placement of
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| 19 |  ;;            indwelling catheters, and the changing of sterile dressings, or
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| 20 |  ;;            like functions which require professional health-care training
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| 21 |  ;;            or the regular supervision of a trained health-care professional
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| 22 |  ;;            to perform.  A licensed health-care professional includes, but
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| 23 |  ;;            is not limited to, a doctor of medicine or osteopathy, a
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| 24 |  ;;            registered nurse, a licensed practical nurse, or a licensed
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| 25 |  ;;            physical therapist.  Only a VA physician may certify the need
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| 26 |  ;;            for higher level of care.
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| 27 |  ;;
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| 28 |  ;;            Special note:  Veterans with potential entitlement to higher
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| 29 |  ;;            level of aid and attendance are commonly unable to travel except
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| 30 |  ;;            by ambulance.  Before calling a veteran in for examination, a
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| 31 |  ;;            physician should review treatment records, if available, and
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| 32 |  ;;            determine whether need can be determined by record review and
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| 33 |  ;;            telephone contact with the veteran and/or the skilled provider.
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| 34 |  ;;
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| 35 |  ;;
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| 36 |  ;;A.  Indicate if the veteran requires the daily health-care services of a
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| 37 |  ;;skilled provider, without which the veteran would require hospital, nursing
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| 38 |  ;;home, or other institutional care, specifying the services required (if
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| 39 |  ;;the veteran does not require daily health-care services of a skilled
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| 40 |  ;;provider, state "daily services not required" and go to the end of the
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| 41 |  ;;exam):
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| 42 |  ;;|TOP|
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| 43 |  ;;B.  Indicate if the veteran is actually receiving the required daily
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| 44 |  ;;skilled services and if they are being provided by a licensed health-care
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| 45 |  ;;professional:
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| 46 |  ;;
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| 47 |  ;;
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| 48 |  ;;
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| 49 |  ;;
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| 50 |  ;;
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| 51 |  ;;
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| 52 |  ;;
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| 53 |  ;;
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| 54 |  ;;
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| 55 |  ;;    1.  If not by a health-care professional, indicate who is providing
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| 56 |  ;;the daily skilled services and idendify the health-care professional under
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| 57 |  ;;whose supervision the services are being provided -
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| 58 |  ;;
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| 59 |  ;;
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| 60 |  ;;
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| 61 |  ;;
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| 62 |  ;;
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| 63 |  ;;
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| 64 |  ;;
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| 65 |  ;;
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| 66 |  ;;
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| 67 |  ;;
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| 68 |  ;;    2.  Note how often and under what conditions the non-professional
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| 69 |  ;;provider is supervised by a health-care professional (Example:  weekly
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| 70 |  ;;visit by home health-care nurse, monthly visit and weekly telephone
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| 71 |  ;;contact by family physician) -
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| 72 |  ;;END
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