38 CFR §21.162

1. (a)Approval of a program of independent living services. A program of independent living services and assistance is approved when:
   1. (1)The VA determines that achievement of a vocational goal is not currently reasonably feasible;
   2. (2)The VA determines that the veteran's independence in daily living can be improved, and the gains made can reasonably be expected to continue following completion of the program;
   3. (3)All steps required by §§ 21.90 and 21.92 of this part for the development and preparation of an Individualized Independent Living Plan (IILP) have been completed; and
   4. (4)The Veteran Readiness and Employment (VR&E) Officer concurs in the IILP.
2. (b)Considerations for the VR&E Officer. The VR&E Officer will consider the following factors in administering programs providing independent living services:
   1. (1)If VA resources available limit the number of veterans who may be provided a program of independent living services and assistance, the first priority shall be given to veterans for whom the reasonable feasibility of achieving a vocational goal is precluded solely as a result of service-connected disability; and
   2. (2)To the maximum extent feasible, a substantial portion of veterans provided with programs of independent living services and assistance shall be receiving long-term care in VA medical centers and nursing homes.