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Transportation Service (Veterans Independence Program)

Issuing Authority: Director General, Policy
Effective Date: October 31, 2014
Document ID: 1228

Care has been taken to ensure these policies accurately reflect the acts and regulations. Should any inconsistencies be found, the acts and regulations will prevail.

Purpose

This policy provides direction on Transportation Service under the Veterans Health Care Regulations.

Policy

General

  1. Transportation Service refers to the provision of transportation to enable a client to participate in social activities and to foster independence. Support from family members, friends and communities is associated with better health. Social support networks are important in helping people solve problems, deal with difficult situations and maintain some sense of control over their lives.
  2. Contributions towards the cost of transportation services may be provided to eligible clients (see Eligibility for Health Care Programs – Eligible Client Groups to determine if a client is eligible for Veterans Independence Program (VIP) Transportation Service) to the extent that those services are not available as an insured service under a provincial health care system if:
    1. they are resident in Canada; and
    2. an assessment indicates that the provision of these services will assist them to remain self-sufficient at their principal residence.
  3. Transportation Service to foster independence and to enable a client to participate in social activities may be approved when:
    1. social isolation is harmful to the client's health (i.e., physical, mental, social and emotional well-being); and
    2. the client is also in receipt of VIP Home Care Service or Ambulatory Health Care Service.
  4. Transportation Service provides financial assistance to transport clients between their principal residence and the location of the social activity. The social activities should be in response to the clients' basic social, recreational or personal needs, such as: local activities in sports or community centres; attendance at church services and funerals; occasional visits to friends/relatives; banking; and special-occasion shopping.
  5. Travel costs to obtain treatment benefits are not payable under Transportation Service but rather are payable as Supplementary Benefits. For further information, see Health-related Travel.

Payment of Transportation Service in Facilities Considered the Client's Principal Residence

  1. Some clients live in facilities that are considered their principal residence, where transportation services are provided as part of the monthly fee agreement. Although the service is provided by the facility, the Department may compensate the client for the cost of the service if the service is performed as a direct, individual service to the client.
  2. Contributions towards the cost of transportation service may be considered if:
    1. a current assessment identifies a need for the service provided;
    2. the duration and cost of the service can be identified on an individual client basis; and
    3. the cost of the service is equal to or less than the standard rate for similar services in the area.
  3. If the service provider is unable to break down the cost of the transportation service, the Department may determine the amount of the contribution arrangement by taking the amount of hours that is deemed necessary to provide the service according to the current assessment, and multiply those hours by the standard rate for a similar service in the area.
  4. If a facility is considered a client's principal residence and transportation services are not provided by the facility, then eligible clients may be entitled to these services in the same manner as if they were in a traditional principal residence.

Institutionalized Clients - Type II Level or Higher

  1. Transportation Service may be provided, if required, to clients residing in an institution:
    1. if costs of these services are not included in the institution's per diem rate;
    2. during periods of absence from the institution (e.g. home visits, visiting friends or relatives); and
    3. if the services cannot reasonably be expected of the institution.
  2. Care should be taken to ensure that the Department is not, in effect, paying twice for the same benefit (i.e., once through the facility fee, and again for the benefit directly).

Costs of VIP Transportation Service

  1. Subject to the Exceeding Rates for Veterans Independence Program (VIP) and Long Term Care (LTC) policy, the maximum rates at which the cost of VIP Transportation Service is payable are outlined in Maximum Rates Payable for VIP and LTC and shall be adjusted in the same manner and on the same day as pensions are adjusted under Part V of the Pension Act.

References

Pension Act           

Veterans Health Care Regulations, paragraph 19(c)           

Health-related Travel           

Exceeding Rates for Veterans Independence Program (VIP) and Long Term Care (LTC) 

Home Care Services (Veterans Independence Program) 

Ambulatory Health Care (Veterans Independence Program) 

Principal Residence (Veterans Independence Program) 

Eligibility for Health Care Programs – Eligible Client Groups

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