VA Form 10-356: Guide to VA Aid for State Veterans Homes

VA Form 10-356: Guide to VA Aid for State Veterans Homes – The Department of Veterans Affairs (VA) supports eligible Veterans through State Veterans Homes by providing per diem payments to states. VA Form 10-356 (also known as FL 10-356) serves as the official notification for these payments. This comprehensive guide explains everything you need to know about the form and the State Home Per Diem Program.

What is VA Form 10-356?

VA Form 10-356, titled “Payment of Aid to State Homes by VA,” is a form letter used by the VA to notify approved State Veterans Homes of payments for care provided to eligible Veterans. It confirms approval for specific types of care, including:

  • Nursing Home Care (NHC)
  • Domiciliary Care (DC)
  • Adult Day Health Care (ADHC)

This one-page document includes the Veteran’s name, identification number, effective date, and the type of care approved. It is issued after the State Home submits required documentation and the VA verifies eligibility.

Understanding the VA State Home Per Diem Program

The State Home Per Diem Program allows the VA to reimburse states for caring for eligible Veterans in state-operated facilities. This partnership helps provide high-quality, cost-effective long-term care closer to Veterans’ families and communities.

Payments are made on a per diem basis (daily rate) for nursing home care, domiciliary care, and adult day health care. Rates are adjusted annually and include basic rates and higher prevailing rates for Veterans with service-connected disabilities.

Eligibility for VA Aid to State Homes

To qualify for per diem payments via VA Form 10-356, Veterans generally must meet these criteria:

  • Be enrolled in VA health care
  • Meet specific service and disability requirements
  • Require the level of care provided by the State Home (nursing, domiciliary, or ADHC)
  • Be certified by VA for the specific program of care

Priority is often given to Veterans with service-connected disabilities. State Homes must submit VA Form 10-10SH (State Home Program Application for Veteran Care—Medical Certification) and VA Form 10-10EZ for each Veteran.

How VA Form 10-356 Fits Into the Payment Process?

1. State Home admits or enrolls an eligible Veteran and submits required forms to the local VA medical center.

2. VA reviews eligibility and medical certification.

3. Upon approval, the VA issues FL 10-356 to confirm the payment authorization.

4. Monthly claims are submitted using VA Form 10-5588 for ongoing per diem payments.

Current Per Diem Rates (2026)

VA publishes updated basic and prevailing per diem rates each fiscal year. For the most current rates, check the official VA Geriatrics and Extended Care page. Rates vary by care type and location for prevailing payments.

Download VA Form 10-356

Download VA Form 10-356 PDF Here

Note: This is the official VA form letter. State Homes typically receive it directly from the VA.

Related VA Forms for State Homes

Benefits of the State Veterans Homes Program

This program provides Veterans with access to quality care in a home-like environment while supporting states in maintaining these vital facilities. It serves as an important alternative or supplement to VA-operated nursing homes.

Frequently Asked Questions (FAQs)

Who uses VA Form 10-356?

Primarily State Veterans Homes administrators and VA staff for payment authorization notifications.

Is VA Form 10-356 available for Veterans to submit?

No. It is an internal VA notification form letter issued to State Homes.

How can I find a State Veterans Home near me?

Contact your local VA medical center or visit the VA Geriatrics and Extended Care page for resources.

Official Resources and Contacts

This article is for informational purposes only and is based on official VA sources. Always verify the latest information directly with the Department of Veterans Affairs. Last updated: June 2026.