We Want Your Feedback About Proposed Changes to PCAFC

VA Caregiver Support

Dear Caregivers and Veterans,

We hope this message finds you well. We’re reaching out to share an important announcement. A Notice of Proposed Rulemaking has been published, which would expand access to the Program of Comprehensive Assistance for Family Caregivers (PCAFC) – an essential part of our Caregiver Support Program (CSP).

Through PCAFC, Family Caregivers of eligible Veterans have access to training, enhanced respite care, counseling, technical support, and beneficiary travel. Primary Family Caregivers can also receive a monthly stipend, CHAMPVA health coverage (if qualified), and access to legal and financial planning services.

Please note, the changes described are proposed changes only. No changes have taken effect at this time.

The proposed rule is now available for review, and a 60-day public comment period begins tomorrow. This is your opportunity to share your thoughts and feedback. VA will carefully consider all comments before finalizing the rule, which may change after comments are taken into account

Through the proposed rule, VA seeks to expand and clarify access to the program; reassess eligibility less frequently, reducing burden on Veterans and caregivers; and expand access to telehealth home visits in case of emergencies. Key Highlights of the Proposed Changes:

  • Expanded Eligibility: A broader definition of serious injury could allow more  Veterans and caregivers to qualify for support.

  • Telehealth Flexibility: VA seeks to offer telehealth home visits during certain types of emergencies.

  • Extended Delay in Discharges Based on Reassessments: This proposed rule would delay discharges based on eligibility reassessments for legacy participants, legacy applicants, and their Family Caregivers for an additional 18 months after the effective date of a final rule. The delay in discharges is currently slated to expire in September 2025. VA’s suspension of required annual reassessments, including legacy reassessments remains in place at this time.

  • Fewer reassessments: Under the proposed rule, VA would reassess eligibility less frequently, lowering the burden for Veterans and their families.

  • Eligibility Clarification: New criteria would expand and clarify the bases on which a Veteran may be determined in need of personal care services for six continuous months.

How You Can Get Involved: We encourage you to share your thoughts during the public comment period. Your voice matters and can help shape the future of this program. Please refer to our Frequently Asked Questions document for more information.

Thank you for your unwavering dedication and support. Caregivers are at the heart of our mission, and we’re here to support you every step of the way.

Your Caregiver Support Team