A free reference for home care agencies
The VA Vault
The VA Vault is a free resource from Paradigm, built to help home care owners make sense of VA billing, stay compliant, and grow their business.
Read a note from our CEO
- Chapters
- 10
- Guides
- 16
- Topics covered
- 45
- Last updated
- July 2026
- Cost
- Free, no sign-up
Contents
- 1
VA-Funded Home Care Services
When an agency says they “do VA,” they’re usually referring to Aid & Attendance or the Community Care Network (CCN). These two are the most common, but not the only ones you should be aware of.
- 2
Community Care Network
Overview of the VACCN, the Department of Veterans Affairs' structured network of community-based providers for long-term care.
- 3
Authorizations & Referrals
This guide unpacks how VA referrals are generated, how authorizations are issued and managed, and what home care agencies must do to ensure uninterrupted service and reimbursement.
- 4
Compliance
This section is non-exhaustive and covers the most common scenarios gathered from our experience serving over 2000 VACCN providers, communications received directly from the VA, Optum and TriWest documentation, various provider experiences, and direct contact from VAMCs nationwide.
- 5
Billing & Claims Management
Between strict documentation standards, precise coding requirements, and third-party administrator (TPA) portals, the margin for error is razor-thin. But for agencies that master the process, the VA Community Care Network (VACCN) offers a stable, scalable reimbursement stream.
- 6
Payment & Reimbursement
Once you’ve delivered care, submitted claims, and uploaded documentation, there’s one question every home care provider wants answered: Where’s the money?
- 7
Census Growth
A detailed guide to growing a VA-funded home care agency through referrals, marketing, and community involvement.
- 8
Tools
Look up VA reimbursement rates in your state, estimate the number of hours a veteran will be authorized for by the VA, and more.
- 9
Additional Resources
Glossary of terms, FAQs, VA support directors, veterans' advocacy groups, and more.
- 10
Get Billing & Claims Help
Sometimes it’s easier for someone just to do it for you. That’s where Paradigm comes in.
Foreword
A note from our CEO
I founded Paradigm with a single mission: to fix home and community-based care. The fastest way to do that was to empower the providers who deliver it every day, so I assembled a team of passionate innovators (i.e. Paradigm Shifters) to tackle two challenges at once:
- Close the knowledge gap. Providers need clear, up-to-date guidance on third-party payers, regulations, and best practices.
- Build intelligent products. Tools that make billing effortless, speed up payments, and clear a path for growth.
The strategy worked. A few weeks ago, the CEO of a major MCO told me, “Your people know this space better than my own,” and that says everything.
Today we’re sharing that expertise with the entire industry. The VA Vault is only the first step. We’ll keep expanding it, then add Medicaid resources and more. Every guide, dataset, and checklist will remain free, whether an agency works with Paradigm or not.
Why give it away? Because healthcare moves forward when providers have real knowledge and practical tools. Research should never hide behind paywalls or service fees. By sharing what we know, we raise the bar for everyone, and when agencies have the support they need, veterans and other clients receive the care they deserve.
Paradigm will still offer the most hands-on growth coaching in the industry, and the agencies that partner with us will always move faster and adapt sooner. But we are turning our values into practice by opening access to our research for free.
Thank you for being part of this movement. I hope the VA Vault makes your path a little clearer.
Best,
Danny Shapiro
Paradigm CEO
Grow your VA census, stay compliant, and get paid on time without the hassle.
Sometimes it’s easier for someone just to do it for you. That’s where Paradigm comes in.