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VA Nebraska-Western Iowa Health Care System

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Medical Foster Home Program

When living at home becomes difficult, some people would rather remain in a home-like setting than move to a nursing home. In moments like this, the VA Nebraska-Western Iowa Health Care System Medical Foster Home (MFH) team can help.

MFH is a voluntary care option. We can help you find a MFH that meets high standards of quality care, safety and is a home that is warm and caring. We will ask that you and your family or other support people tour homes before making a decision.

Living in a Medical Foster Home

A team from Home Based Primary Care Program will visit you. The team includes a doctor, nurse practitioner, nurse, social worker, occupational therapist, recreational therapist, psychologist, dietitian, and pharmacist. Team members will visit, as needed, to provide case management and support to you and the caregiver. Other VA programs may also be used to support you and the caregiver.

Medical Foster Home Environment:

  • Private to semi-private rooms
  • 24-hour supervision
  • Home-like living
  • Flexibility of the daily routine
  • Stable, permanent home setting
  • Pets (optional)
  • Three meals and snacks daily
  • Socialization and recreation
  • Personal care and medication management
  • Other care support as needed

Am I Eligible for a Medical Foster Home?

If you are a patient at VA Nebraska-Western Iowa Health Care System and have needs that can no longer be met in your home, you may be eligible.

Care needed may include: 

  • Assistance with activities of daily living (i.e., eating, bathing, dressing, etc)
  • Medication management
  • Mental health or memory issues and dementia
  • Common health concerns include:  heart disease, diabetes, Parkinson’s disease, spinal cord injury and brain injury.

Veterans Cost:

The Veteran is responsible for the cost of the MFH. The cost may be paid using a combination of private income, Social Security, savings, VA pension, or county funding. Charges are based on care needs and financial resources.

You and the caregiver will sign a private care agreement that covers the care needed, the cost, rights and responsibilities.

Caregiver Requirements:

  • Complete an application and interview process, including a criminal background check*, financial statement,* and provide four personal and professional references*
  • Be at least 21 years of age
  • The caregiver’s home must be located within the service area of VA NWIHCS Home-Based Primary Care.
  • Be willing to accept, participate and follow the treatment plan with the Veteran and Home-Based Primary Care Team
  • Have a written crisis and respite plan in place to include relief persons when caregiver is unable to provide care
  • Receive ongoing training, have some experience in patient care and be physically able to provide needed care

*Not required, but strongly recommended

Medical Foster Home Requirements:

  • Must be owned or rented by the caregiver and be the caregiver’s actual place of residence
  • The home must be designed, equipped and maintained to provide a home-like environment, safety and
    supervision for Veterans
  • Homes must be approved by the VA Inspection Team for safety and suitability for MFH
  • Meet the applicable provisions of the National Fire Protection Association Life Safety Codes
  • Must meet VA, local and state licensure and certification requirements
  • Homes must have no more than three adult residents, including Veterans and non-Veterans, receiving care

Contact Info


  • Omaha VAMC

Contact Number(s)

  • 800-451-5796 Ext. 4796

Hours of Operation

  • 8 a.m. to 4:30 p.m. Monday through Friday