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Voc Rehab ILP Experiences


Tbird
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I applied for ILP and had the contractor out to my home, unfortunately a lot of stuff they can do for me I have to wait till I get to my permanent living situation, I should only be here for about 2 years. However, they said if I can get my doctor to sign off on new reclining desk and chair than we can move forward. I've only seen this new doc once so I don't know how she will be with that. I want the reclining desk so I can keep my legs elevated due to the lymphedema, I'm on the computer for long hours and need to find a long term solution for my legs. I have to alternate between keeping my legs elevated and standing up which is a bit more challenging.

I don't feel very hopeful about getting the doc to sign off on a desk and chair, but maybe i'll be wrong.

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Have you looked at the adapted housing options? If you are living with a family member, they have one for that situation. I'm not sure if it can be combined with ILP's options, but might be a good solution in the interim.

https://www.benefits.va.gov/homeloans/adaptedhousing.asp

I had lymphedema and can sympathize. My hand swelled up and looked like a pack of hot dogs. No fun at all.

On TV, they have ads for those desks that can be adjusted up and down. Somewhere I hears about "zero gravity" desks, where you sit and can recline at various angles. Those might be too pricey for the program though. Currently, I alternate between sitting and standing. It stinks when you cannot get comfortable.

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i have looked at that, but want to wait till i'm in my next home since i can only use the entitlement once. we are hoping to buy in 2 years, unless i win a big scratch off LOL.

 

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Lol, I was talking about the TRA grant, not the SAH or SHA grants.

Quote

Temporary Residence Adaptation (TRA) Grant

A temporary grant may be available to SAH/SHA eligible Veterans and Servicemembers who are or will be temporarily residing in a home owned by a family member.

  • The TRA grant will not be deducted from the total grant funds available to a Veteran or Servicemember
  • The TRA grant will be deducted from one of the three usages available to the Veteran or Servicemember
  • The maximum amount available to adapt a family member's home for the SAH grant is $39,669 and for the SHA grant is $7.083

 

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I don’t qualify for any of those

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i meant with the Voc Rehab counselor and picked up the paperwork I had to drop it off at my doctors office, if she approves the items then they will provide them.

I have zero confidence in the big things a zero gravity workstation and a scooter. I could be wrong but I'm not feeling it, looks like I'll get a sock donner, some grabbers and other items like that.

So it will probably be another few months before I know anything, regardless wish me luck.

I will say they were super nice and helfpul with all my questions, i could call and talk with my counselor.

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Vets have indicated they often get new computers on ILP.  I dont know if you need one, and I dont know if they are still doing that, either.    I suggest you get an Apple with a big screen, they are very nice..about 2000 for the 27 inch.  They may go for a printer and software, too.

If your computer is over 5 years old, remember Microsoft designs their operating system to last 5 years and then be replaced.  Apple can last 7 to 10 years or even longer.  

Yes, there are many Microsoft (Windows 7, Windows 10, etc) over 10 years old, too.  But, Microsoft stops supporting them and it often means you can easily get infected with a virus or other malware.

https://www.zdnet.com/article/microsoft-warns-windows-10-admins-no-more-patches-for-1703-after-october-9/

 

Edited by broncovet
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4 hours ago, Tbird said:

i meant with the Voc Rehab counselor and picked up the paperwork I had to drop it off at my doctors office, if she approves the items then they will provide them.

I have zero confidence in the big things a zero gravity workstation and a scooter. I could be wrong but I'm not feeling it, looks like I'll get a sock donner, some grabbers and other items like that.

So it will probably be another few months before I know anything, regardless wish me luck.

I will say they were super nice and helfpul with all my questions, i could call and talk with my counselor.

You shouldn't have any issues getting a scooter, your primary care doctor can order one for you or any other specialists, it doesn't need to go through your ILP, my old primary care doctor tried to order me one found out and had it stopped, I wanted to maintain my mobility as long as possible and have a service dog for my mobility needs, and for bad days I have a custom wheelchair that the VA paid for,  my VA primary care doctor didn't want to sign ANYTHING for my ILP, thankfully voc rehab didn't seem to care who the provider was so I had an outside provider sign for most things, except dental, and mental health, and maybe my neuro signed off for some things.  They just put a note in my records and your voc. rehab. counselor can see them.  You should absolutely get the desk/computer set up you need as well as the scooter if your disabilities justify them, cost doesn't come into play until it is fairly high honestly, then it just has to go outside your region for approval.  You are doubtful to hit that amount at this point.  ILP is honestly incredibly frustrating and I hope you have a much better counselor than I do. 

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Ms T I remember Member Gastone mention he was in the ILP

 and his legs would swell  he was s.c. for heart problems..he got one of those reclining chairs that would left him up high  tilt to get out of the chair  and it came with things to put under his legs when chair was recline to help reduce the swelling in his legs  he also got a 1.2.00.00 lap top

So anything you need for your health and well being they should approve you for it   all a Dr needs to say is that you would benefit from what that particular device. 

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While their in a ''given mood'' ask for all the things you need at home .

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31 minutes ago, Buck52 said:

Ms T I remember Member Gastone mention he was in the ILP

 and his legs would swell  he was s.c. for heart problems..he got one of those reclining chairs that would left him up high  tilt to get out of the chair  and it came with things to put under his legs when chair was recline to help reduce the swelling in his legs  he also got a 1.2.00.00 lap top

So anything you need for your health and well being they should approve you for it   all a Dr needs to say is that you would benefit from what that particular device. 

Yes!!  I have received things from being in the ILP that most people would think, seriously??? They are directly related to my service connected disabilities and the impact they have on my daily living so yes they were approved with tons of hassle but approved, some examples are a roomba, stationary recumbent bike, vitamix blender,  noise canceling headphones, I chose a samsung tablet/keyboard instead of a computer because I don't need a computer and the tablet is something that I can use for my audibooks (that I use for when I am often bedridden but cannot do much that involves using my eyes),  a weighted blanket, and other items.  I am STILL fighting for my hobby items, which is absolutely ridiculous but that is a story for another day.  You would think I was asking for a helicopter 😂😂

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Yes Seminoles  I totally agree...this is why I mention to Ms T  when their in the given mood  best ask then for all she needs at this time.

I refuse to beg the VA for anything   but I will ask them for things I need...this is what the ILP is suppose to be for  to help make our life a little better.  cost should have no effect on the decison.

However asknod was asking for a Large Green House something like a 40x 40? with running water and electric and tables  ect,,,ect,,

NOT SURE ON THE SIZE BUT ITS A BIG GREEN HOUSE.

I don't think they approve that yet? and its been a few years now..so if he gets a Green house built that size  & all the bells and whistles  We should get the things we need too.

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40 minutes ago, Buck52 said:

Yes Seminoles  I totally agree...this is why I mention to Ms T  when their in the given mood  best ask then for all she needs at this time.

I refuse to beg the VA for anything   but I will ask them for things I need...this is what the ILP is suppose to be for  to help make our life a little better.  cost should have no effect on the decison.

However asknod was asking for a Large Green House something like a 40x 40? with running water and electric and tables  ect,,,ect,,

NOT SURE ON THE SIZE BUT ITS A BIG GREEN HOUSE.

I don't think they approve that yet? and its been a few years now..so if he gets a Green house built that size  & all the bells and whistles  We should get the things we need too.

Yes, I agree ask for every single item that you can think of that will make your life better that has been impacted by your disabilities.  ILP only has less than 3000 veterans a year allowed into the program, compare that to traditional college bound voc rehab route where students are paid a monthly stipend which can be as much as 3500 a month  if they still have post 9/11 gi bill, or  they could receive the voc. rehab. stipend which is much less and around 900 if you have a dependent or two per month  plus all their tuition, books, computer, and anything else they may need to attend their classes.  ILP veterans are veterans who are costing the VA far less and honestly the ILP is a much shorter program (unless extended) and serves the most disabled of our veterans.  Think about every single thing you do each week, day, month and how hard those tasks are for you to do, what would make them easier? 

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I was placed in the ILP last year. They sent a counselor out from Texas who spent three hours to evaluate my situation. 

Although it is probably quite different than yours Ms. T. I am a widowed vet that lives out in the woods. I bought a five-acre parcel on an 18 acre lake. When my disability caused an accident where my disc slipped  a few years back, I was glad for my 'knee-injury' in the service, @ least while I was laid up I had a check! But was not able to finish building my cabin.

I found out that my 'back injury' is more likely than not to have been caused by the toxins I came into contact @ MCAS El Toro. In these last few years I have also had four heart attacks and had to have a quad-by-pass this last year and KNOW that is caused by A.O. 

Back to the IPL ... The counselor requested all kinds of things from lift chairs, scooters to organizers. My local V.A., Poplar Bluff, would not comply but eventually my Primary signed the paperwork and sent it over to Ortho, who denied everything with the exception of a 'shower chair' ... My ILP counselor cancelled my IPL citing initially that it was due to the fact that my Primary would not communicate with IPL. Later they changed it to be MY issue stating the my cabin was not finished but that I could re-open my claim after I have taken care of these issues.

Well I got rid of my Primary, as she was not a good doc and I then re-applied. I am now scheduled for a second visit, but this counselor is 'local' and I have a plan of what I would like to do and build my property. And I just had an appraisal on my property and bank is giving loan to finish cabin.

I believe I qualify for the SAH grant, as I have LOU from my foot, as well as Ischemic Heart disease and degenerative disc disease. I was also denied by V.A. for HISA as they stated it was only for walks and rails. Counselor had indicated that I needed my driveway expanded. Pretty sure there are issues in the Ortho dept of this particular VA, as they did not want to fulfill any requests from my ILP.

I am hoping to get the SAH and the HISA for the concrete work and would like to build a 'Dude Ranch' for disabled vets, particularly AO related. I know there are a lot of guys that live @ the Poplar Bluff, V.A. and because it is a federal facility, they cannot smoke medical cannabis or grow it, where it is legal in MO. I know when I had my accident, someone suggested CBD oil, I tried it and owe the fact that I can walk with a cane to it. I have never really used the 'full-spectrum' but planning on checking out dispensaries in IL in the near future. 😎

Good luck on  your IPL!

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thank you. i go to primary care feb 2nd but i don't have high hopes for any of the big things i requested.i'll keep you posted though.

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On 1/28/2020 at 7:23 AM, Tbird said:

I have zero confidence in the big things a zero gravity workstation and a scooter

Tbird,

You do not need to go thru Voc rehab to get a scooter or wheelchair.. the normal procedure would be for you VA primary care doctor to refer you for evaluation at PM & RS ( Physical Medicine and Rehabilitation Services)   for a doctor's evaluation for use of a scooter or wheelchair.  If you can show you need one, it will be issued. Basically, the  doctor will question you about your disability and mobility and then determine  which mobility device will be better for you.  From there you will a see a therapist who will help you to determine which model and features you would like in  a scooter or wheelchair. 

I just went thru this a few months back ( been thru it 4 times before) to get a new power chair.  It takes just a few hours on your part and you will get that new scooter or  power wheelchair.   It doesn't matter if you are service connected for a mobility issue or not, if you need it they will give it too you. 

In Fact you can get almost anything thru your Primary VA doctors referral, like the sock donner. Also recently the VA gave me  a device that I use once a day that helps with my lymphedema.  Its basically a large sock that covers you leg, and is attached to a machine that stimulates the blood flow in your legs. Its basically a compression pump and again your primary care doctor only has to request it.  It helps me with both of my legs.

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1 hour ago, Richard1954 said:

Tbird,

You do not need to go thru Voc rehab to get a scooter or wheelchair.. the normal procedure would be for you VA primary care doctor to refer you for evaluation at PM & RS ( Physical Medicine and Rehabilitation Services)   for a doctor's evaluation for use of a scooter or wheelchair.  If you can show you need one, it will be issued. Basically, the  doctor will question you about your disability and mobility and then determine  which mobility device will be better for you.  From there you will a see a therapist who will help you to determine which model and features you would like in  a scooter or wheelchair. 

I just went thru this a few months back ( been thru it 4 times before) to get a new power chair.  It takes just a few hours on your part and you will get that new scooter or  power wheelchair.   It doesn't matter if you are service connected for a mobility issue or not, if you need it they will give it too you. 

In Fact you can get almost anything thru your Primary VA doctors referral, like the sock donner. Also recently the VA gave me  a device that I use once a day that helps with my lymphedema.  Its basically a large sock that covers you leg, and is attached to a machine that stimulates the blood flow in your legs. Its basically a compression pump and again your primary care doctor only has to request it.  It helps me with both of my legs.

YES!!  I have a walker and then had a scooter order behind my back, refused it,  and then a few years later I now have both my service dog and a custom rigid wheelchair with a smartdrive that was added later that I can use when I need it, it is amazing and allows me to use my manual wheelchair on days that I can and days that it is too much to push or days that I am just gonna have to go too far for my shoulder to handle I can throw on the smartdrive assist and it goes up to 5.5 mph and is easy peasy!!  All of these items were requested either by my primary care doctor or my neurologist. referral was sent to physical medicine as Richard mentioned 🙂 

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they have turned me down for a scooter twice because i can still walk with a walker and they said once i get my knees replaced i'll be able to walk. i told them about the swelling in my legs (lymphedema) but they still said no so i'm not expecting i will get one this time.

i can walk short distances with my walker for longer distances like going to appointment my niece pushes me in my wheelchair. I really don't have very high hopes for anything I imagine I'll end up with some grabbers and a sock donner. Maybe a liftchair but i don't think they will sign off on a scooter and a zero gravity workstation thought i could use that the most. i'm on the computer a lot and raising my legs and taking the pressure off my lower back would help.

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Miss Tbird  It is a difficult process to be sure. But you are a fighter and you won't give up. If they don't get you what you need, keep on applying; get more assistance from your doctors. You are an inspiration to us all so we want you to keep at it. We know that you don't lose until you quit trying.

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11 hours ago, Tbird said:

they have turned me down for a scooter twice because i can still walk with a walker and they said once i get my knees replaced i'll be able to walk.

They cannot legally turn you down because you can still walk... please review the handbooks I have attached . It explains the requirement to issue a wheelchair or scooter. Even if it is denied you can complete a clinical  appeal which can go all the way to the Veteran's court if necessary.  I was first issued a scooter in 1999 due to my back injury that at times was so painful I would not leave the house at that time I could still walk but it was just painful. Even today I still have limited mobility even with dropfoot  and bad knees, but if I needed too I could still walk if I don't fall over from lack of breath,  due to COPD. Please, don't think that a denial from one person is the last word... Also,  if for some reason you lose all appeals  consider a scooter thru Medicare... I am positive any doctor in the private sector would give you a prescription for medicare to pay for the scooter. Also one last though. I still use a walker in my home and a cane to go from my house to my handicap van where  I keep my  wheelchair and use daily when I go out. The VA knows that I use the walker and a cane until I leave  my home..... they still give me a new wheelchair every 5 years... and they still pay for the adaptive equipment on my new van (@ $35,000) every two years....  I just don't get how they can turn you down, and frankly using a future knee replacement surgery to deny is not legal either.  That is like saying when you get your cochlear hearing implants you won't  need hearing aids so we won't give you hearing aids now.   Get your scooter and don't let them get away with the refusals.... best of wishes to you and praying you feel some pain relief....

( I should disclose that I have a rated dropfoot considered loss of use, but that had no bearing on getting a chair, because I can still walk with a brace , I just can't walk stairs).

 

Handbook 1173.6 Wheelchairs and Special mobility aids.pdf Handbook 1173.1 Eligibility.pdf

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