In addition to nursing home care, the VA offers a variety of other long-term care services either directly or by contract with community-based agencies. Such services include adult day health care, respite care, geriatric evaluation and management, hospice and palliative care, home based skilled nursing, and home based primary care. Veterans receiving these services may be subject to a copay. The Office of Geriatrics and Extended Care oversees the policy and implementation of VA’s programs that provide geriatric and other long-term care programs and services to Veterans. The Office of Geriatrics and Extended Care staff are administrative and healthcare subject matter experts that are dedicated to overseeing the quality of care for aging and chronically ill Veterans.