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What is Co-Managed Care for Veterans?

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Aid and Attendance and Housebound Benefits Overview


Aid and Attendance (A&A) is a benefit that may be paid in addition to monthly pension. Eligibility requirements for A&A are:

  • Veteran requires aid to perform personal functions of daily living, i.e. bathing, eating, dressing, toileting, care of prosthetics, and general functioning within a home environment; or,
  • Veteran is required to remain stationary in bed outside of any prescribed treatment or rehabilitation; or,
  • Mental or physical incapacity renders the veteran to a nursing home; or
  • Veteran has corrected visual acuity of 5/200 or less in both eyes, or concentric contraction of the visual field to 5 degrees or less.

Housebound may also be paid in addition to monthly pension benefits. Similar to A&A, Housebound benefits may not be paid without eligibility to pension. Eligibility criteria for Housebound benefits are:

  • Veteran is determined to have a 100 percent disabling condition, and as a result is permanently confined at home; or
  • Veteran has a single, 100-percent disability and another 60-percent disabling condition or conditions.
  • Although a Veteran is not eligible for either A&A or Housebound benefits if they are not eligible for pension benefits, they are not permitted to receive both A&A and Household benefits at the same time.

A&A And Housebound Benefits Application:

  • Write to the VA regional office in jurisdiction. Include copies of applicable physicians reports that will validate the need for A&A or Housebound care.
  • Ensure there is enough detail in the report:
    • To demonstrate debilitating impairment caused by disease or injury.
    • To describe conditions affecting the ability to tend to daily safety and hygienic needs as well as whether the veteran is confined to a physical location.
    • To indicate the level of the veteran’s mobility.

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