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How to fully complete the Home Care Provider Statement

Our application software completes 95 percent of the Home Care Provider Statement for you. Before submitting to the VA, however, you must fill in the number of hours the care provider assists with activities of daily living (ADL’s) and instrumental activities of daily living (IADLs).

We autofill the number of hours per week the home care aide provides a protected environment. This number is determined by the monthly expense of the home care provider and the hourly rate of the provider.

The number of hours assisting with ADL’s and IADL’s should equal the number of hours spent providing a protected environment.

For example, if the protected environment hours are 20, then make sure the numbers you write down for ADL’s and IADL’s add up to 20.

In most situations, the hours you write in for ADL’s and IADL’s will be close to the same. However, if the care provider spends more time assisting with ADL’s than IADL’s, or vice versa, then the hours should not be equal.

Using the previous example, if the veteran pays the caregiver for 20 hours a week of care, and the care giver spends 75 percent of their time helping with ADL’s, then report 15 hours a week for the ADL number. You would then report 5 hours per week for the IADL number.