The Aid and Attendance medical rating results in Special Monthly Compensation (SMC) for those who are rated 100% disabled. The $654 is what people call Aid and Attendance for service connected, but technically it is not an A&A pension, it is SMC. Just becasue you need even more help now doesn't mean you didn't qualify for it back then.
I think it's confusing becasue it's both the name of a Pension and then it is also a medical rating. With the medical rating and a 100% service connected disability that resulted in the need for A&A, you get the $654.
If you want to write and say upon reviewing the award tables I belive I may already be receiving SMC due to my Aid and Attendnace rating, since I have lost my rating decision paperwork can you please send me another copy - and for heavens sake, buy a three-ring binder thi is important stuff
