{"abstract":"The Department of Veterans Affairs (VA) proposes to amend two of its State Veterans Home (State home) regulations. One amendment would define medical model adult day health care (MMADHC). The other would codify into regulation VA's ability to enter into State Home Care Agreements (SHCA) for MMADHC and pay for services rendered. Additionally, this rulemaking proposes the methodology for the payment rate.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2026/02/20/2026-03427.html","cfr_references":[{"chapter":null,"citation_url":null,"part":51,"title":38}],"citation":"91 FR 8170","comment_url":"http://www.regulations.gov/commenton/VA-2026-VHA-0100-0001","comments_close_on":"2026-04-21","correction_of":null,"corrections":[],"dates":"Comments must be received on or before April 21, 2026.","disposition_notes":null,"docket_ids":[],"dockets":[{"supporting_documents":[{"title":"2900-AS41 Impact Analysis","document_id":"VA-2026-VHA-0100-0002"}],"agency_name":"VA","documents":[{"comment_count":2,"comment_start_date":"2026-02-20","updated_at":"2026-03-29T01:55:43.642-04:00","comment_url":"https://www.regulations.gov/commenton/VA-2026-VHA-0100-0001","allow_late_comments":false,"id":"VA-2026-VHA-0100-0001","comment_end_date":"2026-04-22","regulations_dot_gov_open_for_comment":true}],"supporting_documents_count":1,"id":"VA-2026-VHA-0100","title":"State Home Care Agreements for State Home Medical Model Adult Day Health Care"}],"document_number":"2026-03427","effective_on":null,"end_page":8173,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/02/20/2026-03427.xml","html_url":"https://www.federalregister.gov/documents/2026/02/20/2026-03427/state-home-care-agreements-for-state-home-medical-model-adult-day-health-care","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-03427?publication_date=2026-02-20","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-02-20/2026-03427/mods.xml","not_received_for_publication":null,"page_length":4,"page_views":{"count":268,"last_updated":"2026-04-04 14:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-20/pdf/2026-03427.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03427.pdf?1771508721","publication_date":"2026-02-20","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/02/20/2026-03427.txt","regulation_id_number_info":{"2900-AS41":null},"regulation_id_numbers":["2900-AS41"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"2900-AS41 Impact Analysis","document_id":"VA-2026-VHA-0100-0002"}],"comments_count":2,"agency_id":"VA","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=VA-2026-VHA-0100","supporting_documents_count":1,"docket_id":"VA-2026-VHA-0100","document_id":"VA-2026-VHA-0100-0001","regulation_id_number":"2900-AS41","title":"State Home Care Agreements for State Home Medical Model Adult Day Health Care","checked_regulationsdotgov_at":"2026-03-30T08:55:03Z"},"regulations_dot_gov_url":"http://www.regulations.gov/commenton/VA-2026-VHA-0100-0001","significant":null,"signing_date":null,"start_page":8170,"subtype":null,"title":"State Home Care Agreements for State Home Medical Model Adult Day Health Care","toc_doc":"State Home Care Agreements for State Home Medical Model Adult Day Health Care","toc_subject":null,"topics":["Administrative practice and procedure","Claims","Day care","Dental health","Government contracts","Grant programs-health","Grant programs-veterans","Health care","Health facilities","Health professions","Health records","Mental health programs","Nursing homes","Reporting and recordkeeping requirements","Travel and transportation expenses","Veterans"],"type":"Proposed Rule","volume":91}