38 CFR § 51.411 - Program practices.

---
identifier: "/us/cfr/t38/s51.411"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "38 CFR § 51.411 - Program practices."
title_number: 38
title_name: "Pensions, Bonuses, and Veterans' Relief"
section_number: "51.411"
section_name: "Program practices."
chapter_name: "DEPARTMENT OF VETERANS AFFAIRS"
part_number: "51"
part_name: "PER DIEM FOR NURSING HOME, DOMICILIARY, OR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "38 U.S.C. 101, 501, 1710, 1720, 1741-1743, 1745, and as follows."
regulatory_source: "65 FR 968, Jan. 6, 2000, unless otherwise noted."
cfr_part: "51"
---


# 51.411 Program practices.

(a) *Equal access to quality care.* The State home must establish and maintain identical policies and practices regarding transfer and discharge under § 51.410 and the provision of services for all participants regardless of the source of payment.

(b) *Admission policy.* The State home must not require a third-party guarantee of payment as a condition of admission or expedited admission, or continued admission in the program of care. However, the State home may require a participant or an individual who has legal access to a participant's income or resources to pay for the care from the participant's income or resources, when available.

(c) *Hours of operation.* Each adult day health care program must provide at least 8 hours of operation 5 days a week. The hours of operation must be flexible and responsive to caregiver needs.