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Va 21-0779 Form: What You Should Know

Veterans with  VA form 21-0779 should provide specific documentation that substantiates the claim. It helps the VA determine if these claims will be expedited and if so, where to send the records. A veteran may submit a request to the person who provides care for a person with mental health issues in a nursing home by submitting a VA form 21-0779. The form is used when you: 1. Are the primary caretaker for a person with mental health  issues.  2. Provide information regarding the state of health for your care recipient(s), including the date, place and exact location the care recipient resided and the amount and type of care, period(s) of treatment and how the care recipient received care. What the document requires: 1. A brief narrative describing the person's mental health issues that must demonstrate: 1. How the care recipient was diagnosed as having mental health issues. 2. How the care recipient was treated and how the care recipient recovered. 3. How you took action to improve the person's health after the care recipient had been living there. 4. The type and length of the care recipient's illness and whether the person requires continuing care. You also can provide documentation that can establish to the satisfaction of the VA that there were no services provided by the  person's family, guardians or caregivers that interfered with the care recipient's care or that the person  lacked necessary financial resources when the person received care. Who is eligible? 1. A retired veteran who is living:  a) In a nursing home in the United States on a day pass and is receiving aid or attendance.  b) In a home health agency in the United States that has a contract that covers care for individuals with mental health related issues.  2. A veteran who is providing information regarding the state of health for an individual with mental health  issues who are a resident in any of the following facilities, if the individual is residing in those facilities after receiving an order for aid and attendance, unless the person is not in receipt of an aid and attendance order on the date the  person resides in the facility: a. A nursing home in the United States with a contract covered by chapter 34 of title 38, or this chapter; b.

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