Appendix B: Level of Needs Table - Hours of Service for the Veterans Independence Program Grant Determination Tool Previous Table of Contents Level of Need Score Level of Need Category Number of Housekeeping Hours Service Delivery Actions 0.5 - 1.5 Minimal assistance 1 hr every week GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area GDT user can adjudicate /action any eligible benefits within their delegated authority 2.0 – 3.0 Routine assistance 3 hrs every two weeks GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area GDT user can adjudicate /action any eligible benefits within their delegated authority 3.5 – 4.0 Regular Assistance 2 hrs every week GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area GDT user can adjudicate /action any eligible benefits within their delegated authority 4.5 – 5.0 Regular assistance with some significant need 3 hrs every week GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area GDT user can adjudicate /action any eligible benefits within their delegated authority 5.5 – 6.0 Significant need 4 hrs every week GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area GDT user can adjudicate /action any eligible benefits within their delegated authority Based on GDT score no referral to the District is required Greater than 6 Maximum HK assistance 2 hours daily (14 hours per week) GDT user calculates number of hours with rate the participant is currently paying or with standard rate provided for geographic area If level of need is an amount that exceeds maximum rates GDT user will refer to the District for follow up and consideration for approval Previous Table of Contents
