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2) Need for aid and attendance is considered to exist when the veteran is so nearly helpless that he cannot care for himself without the services of another person. VA beneficiaries who receive aid and attendance are entitled to higher VA income limitations or additional VA benefits, depending on the type of pension received. Aid and attendance can be received by:
(a)A VA beneficiary who is a patient in a nursing home,…#
(a) A VA beneficiary who is a patient in a nursing home, who is otherwise determined by VA to be in need of the regular aid and attendance of another person; or
(b)A VA beneficiary who is permanently housebound (unable…#
(b) A VA beneficiary who is permanently housebound (unable to leave his home) due to his condition, who is otherwise determined by VA to be in need of the regular aid and attendance of another person.
c. Unreimbursed Medical Expenses (UME)
Reimbursement from VA for medical bills that the veteran has paid. This can be a lump-sum payment or included in monthly benefits.
d. Reduced Improved Pension
An institutionalized veteran or a surviving spouse of a veteran may choose to have his Improved Pension reduced to $90 or less under P.L. 102-568.
e. Contact VA to verify amounts for A&A, UME, educational benefits, and Reduced Improved Pension. You may contact the school directly for educational benefits.
1) Exclude the amount for A&A and/or UME, educational benefits, and/or Reduced Improved Pension from VA benefits in both private living and long-term care budgeting except for veterans who reside in North Carolina State Veterans Nursing Homes. Refer to MA-2270, Long-term Care Need and Budgeting.
2) Veterans may receive A&A, UME, and/or Reduced Improved Pension included in their pension checks. Remember to determine amount and exclude from countable income.
5. Contact VA to verify the type of VA benefit received. Remember that the VA benefit is subject to change, so re-verify the benefit amount at every application and recertification