Special Compensation for Assistance with Activities of Daily Living (SCAADL)
Regular Army: Retired
Benefit Fact Sheet
Special Compensation for Assistance with Activities of Daily Living (SCAADL), authorized by the FY 2010 National Defense Authorization Act, provides monthly compensation for Service members who incur permanent, catastrophic illnesses or injuries in the line of duty that require the services of a home health aide to provide non-medical care, support, and assistance. SCAADL provides up to 90 days of payments after separation from active duty based upon the level of care needed and prevailing rates for home health aides in the geographic area of the Service member's residence.
Retired Service members are eligible for SCAADL if they meet the below conditions and only for up to 90 days after separation from Active duty. While out-processing, the transitioning Service member needs to complete the application for the VA Caregiver Stipend.
The Service member should work with their recovery team to begin the transition process. The Service member may realize a change in compensation when transitioning to VA Caregiver Stipend.
To be eligible to receive SCAADL, a Service member, whether Active or Reserve, must:
a. Be certified by a licensed DoD or VA physician to have a permanent, catastrophic injury and needs assistance from another person to perform the personal functions required in everyday living or require constant supervision and that in the absence of such assistance would require hospitalization, nursing home care, or other institutional care.
b. Be an outpatient and no longer determined to be an inpatient at a military treatment facility, VA medical center, civilian hospital, nursing home, or other residential institutional care. Although individuals may be temporarily placed in an inpatient status during the month for tests, examinations, or treatment, they remain eligible for the full monthly SCAADL payment provided they are in outpatient status the majority of the month (i.e., more than 15 days a month).
c. Have a designated primary caregiver who provides assistance with at least one of the following Activities of Daily Living (ADL) due to the Service member's:
- Inability to dress or undress himself or herself.
- Inability to bathe or groom in order to keep self clean and presentable.
- Frequent need of adjustment of any special prosthetic or orthopedic appliances which by reason of the particular disability cannot be done without aid (this will not include the adjustment of appliances which normal persons would be unable to adjust without aid, such as supports, belts, lacing at the back, etc.).
- Inability to toilet or attend to toileting without assistance.
- Inability to feed himself or herself through loss of coordination of upper extremities or through extreme weakness or inability to swallow.
- Incapacity, physical or mental, which requires care or assistance on a regular basis to protect the Service member from hazards or dangers incident to his or her daily environment.
d. In addition to meeting at least one of the criteria in subparagraphs 2.c (1) through (6), the Service member must:
- Require continual medical management or be at high risk for personal safety and cannot live independently in the community without caregiver support.
- Without caregiver support providing personal care services at home in an ongoing manner, require hospitalization, nursing home, or other residential institutional care.
- Not be provided concurrent services by another entity.
Amounts payable: The amount of monthly compensation will be based on the U.S. Department of Labor's Bureau of Labor Statistics (BLS) wage rate using the 75th percentile of the hourly wage rate for a home health aide in the Service member's geographic area of residence.
The amount of compensation will be based on a three-tier system recognizing the variation in complexity of care required by the Service member. The Service member's clinical eligibility assessment from DD Form 2948, which determines the clinical complexity and associated functional capability as defined by ADLs and required hours of care, will be used to determine which of three tiers of care is needed. The Service member's primary care manager (PCM) will determine the member's level of dependency based on the degree to which the member is unable to perform one or more ADLs or the degree to which the member needs supervision or protection. Service members will be rated as follows:
- High Tier: Service members who scores 21 or higher will be presumed to need a full-time caregiver who provides 40 hours of personal care per week.
- Medium Tier: Service members who scores 13-20 will be presumed to require 25 hours per week of caregiver assistance.
- Low Tier: Service members who scores 1-12 will be presumed to require 10 hours per week of caregiver assistance.
Computation of the monthly payment amount: Multiply the number of hours of care needed for the appropriate tier (10, 25, or 40) by 4.35 to determine the number of hours of care needed per month. Multiply that number by the hourly wage rate for a home health aide in the Service member's geographic area of residence.
For example, if a Service member is determined to need the Medium Tier level of assistance (25 hours per week) living in the Washington-Arlington-Alexandria, DC-VA-MD-WV area:
25 x 4.35 = 108.75 hours per month. 108.75 x $12.16 (local hourly wage rate) = $1,322.40 monthly payment
A SCAADL calculator, including local hourly wage rates by zip code, can be found on the website of the Under Secretary of Defense (Personnel & Readiness) at: http://militarypay.defense.gov/Tools/scaadl.html.
To apply for SCAADL, Service members or their guardians must have the Service member's primary care manager or other DoD or VA physician conduct a clinical eligibility assessment, using DD Form 2948, to certify that the Service member needs assistance from another person to perform the personal functions required in everyday living or requires constant supervision and in the absence of the provision of such care would require hospitalization, nursing home, or other residential institutional care. Service members should contact a member of their recovery team (primary care manager, nurse case manager, recovery care coordinator, non-medical case manager, AW2 Advocate, or unit leadership) for guidance. Applications must be submitted to the U.S. Army's Warrior Transition Command for approval.
DoD Instruction 1341.12, 31 August 2011 (Incorporating Change 1, 24 May 2012): http://www.dtic.mil/whs/directives/corres/pdf/134112p.pdf
U.S. Army Warrior Transition Command website: http://www.wtc.army.mil/
Document Review Date: 27 March 2013