HCHV Medical Respite, Portland VAMC

The VA Portland Health Care System (VAPORHCS) seeks contractors for its Health Care for Homeless Veterans (HCHV) Medical Respite program. This program provides step-down care for medically vulnerable, homeless Veterans, reducing re-hospitalizations and emergency service use. Services include secure housing, primary care access, housing plan development, basic necessities, case management, and discharge planning. The program targets Veterans transitioning from homelessness, those with co-occurring mental health or substance use disorders, and recently homeless individuals. Contractors must provide therapeutic and rehabilitative services, including medical case management, medication management, employment, financial planning, recovery support, and permanent housing assistance. Facilities must be accessible, sanitary, provide meals, laundry, and maintain a safe, trust-based environment. Strict rules govern admissions, discharges, and staff conduct, with an emphasis on Veteran rights, non-discrimination, and reasonable accommodations. Facilities undergo regular inspections and must comply with fire safety and health codes. Billing is per diem, with specific conditions for absences and hospitalizations. Quarterly reporting and corrective action plans ensure program quality and compliance.