[613] | 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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