Department of Veterans Affairs November 21, 2011 – Federal Register Recent Federal Regulation Documents

The Secretary of VA intends to enter into an EUL for an approximately 4.6-acre parcel of land on the campus of the VA Nebraska Western Iowa Health Care System, Grand Island Community Living Center and Community Based Outpatient Clinic in Grand Island, Nebraska. As consideration, the selected lessee will be required to finance, design, develop, construct, operate and maintain a permanent supportive housing facility. The lessee will be required to provide preference and priority placement for senior Veterans and their families, and provide on-site supportive services.

The Secretary of VA intends to enter into an EUL for two parcels of landapproximately 5.4 acres and 8.4 acresat the Salem VA Medical Center in Salem, Virginia. As consideration, the selected lessee will be required to finance, design, develop, construct, operate and maintain an affordable permanent housing development. The lessee will also be required to provide preference and priority placement for homeless and at-risk Veterans, and provide on-site supportive services.

The Secretary of VA intends to enter into an EUL on an approximately 0.7-acre parcel of land and one building on an approximately 0.4-acre parcel at the Memphis VA Medical Center campus in Tennessee. As consideration for the EUL, the lessee will be required to finance, design, develop, renovate, operate, and maintain one building for community services and one parking lot.

The Secretary of VA intends to enter into an EUL for an approximately 2.0-acre parcel of land and a vacant building at the Charlie Norwood VA Medical Center (Uptown Division) in Augusta, Georgia. As consideration, the selected lessee will be required to finance, design, develop, construct, maintain and operate the EUL development. The lessee will also be required to provide preference and priority placement for Veterans at risk for homelessness, and provide on-site supportive services.

The Secretary of VA intends to enter into an EUL on an approximately 14-acre parcel of land at the Dayton VA Medical Center in Dayton, Ohio. As consideration for the lease, the lessee will be required to construct, operate, and maintain a permanent and transitional housing development. The lessee will also be required to give preference and priority placement for homeless, at-risk, disabled, and senior Veterans and their families and provide on-site supportive services.

The Secretary of VA intends to enter into an EUL on an approximately 59.4-acre parcel of land which includes 8 historic structures at the VA Nebraska-Western Iowa Health Care System (Lincoln Community-Based Outpatient Clinic) in Lincoln, Nebraska. As consideration for the lease, the lessee will be required to construct, renovate, operate, and maintain a mixed-use development. A permanent housing facility will be included in the development, which will offer preference and priority placement for Veterans and their families, and a supportive services program.

The Department of Veterans Affairs (VA) proposes to amend its regulation and internal policy documents concerning the billing methodology for non-VA providers of home health services and hospice care. The proposed rulemaking would include home health services and hospice care under the VA regulation governing payment for other non-VA health care providers. Because the newly applicable methodology cannot supersede rates for which VA has specifically contracted, this rulemaking will only affect providers who do not have existing negotiated contracts with VA. The proposed rule would also rescind internal guidance documents that could be interpreted as conflicting with the proposed rule.