DROPPING MEDICAID TO RECEIVE A @ A

[jpez]

ok........

If you will re-read your post you will see that I am correct.  you missed the word "UNLESS" (that means do not count the following)

a. Count the monthly VA benefit entitlement for the budget unit member UNLESS:
(1) The a/r is a student who is receiving VA benefits to pay for tuition, fees, or other necessary educational expenses;
(2) The VA payment is Aid and Attendance and/or Unreimbursed Medical Expenses; this does not apply to veterans who reside in a North Carolina State Veterans Nursing Home. Refer to MA-2270, Long Term Care Need and Budgeting; or
(3) The VA payment is the Reduced Improved Pension up to $90 received under P.L. 102-568.
b. Aid and Attendance (A&A)
(1) Aid and Attendance benefits are only issued to veterans or the spouse of veterans. The Adult

[vbcoder]

ok......

You read it again and I didn't miss unless.You extended UNLESS too far:

a. Count the monthly VA benefit entitlement for the budget unit member UNLESS:
(1) The a/r is a student who is receiving VA benefits to pay for tuition, fees, or other necessary educational expenses;
(2) The VA payment is Aid and Attendance and/or Unreimbursed Medical Expenses; this does not apply to veterans who reside in a North Carolina State Veterans Nursing Home. Refer to MA-2270, Long Term Care Need and Budgeting; or
(3) The VA payment is the Reduced Improved Pension up to $90 received under P.L. 102-568.

Then b is addressed:

b. Aid and Attendance (A&A)
(1) Aid and Attendance benefits are only issued to veterans or the spouse of veterans. The Adult Helpless Child allowance is not the same as Aid and Attendance and is countable unearned income.
(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 recipients 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:

[VSR]

I guess either way, considering that this is a VA forum, VA is required to drop beneficiaries in Medicaid approved nursing homes down to $90 regardless of what kind of coverage Medicaid provides them.

Max, I am trying to be understanding of your lack of understanding.
MEDICAID is not about nursing homes!!!!!!!!!!!!!
Fine, Va pay 90 in nursing homes, thats over and done.
VA pay full benefits when some one is on medicaid in the community. And being on Medicaid in the community does not mean giving up Medicare.  Medicare is their primary health ins.
Only 3% of all seniors are in nursing homes. there is an 86% occupancy rate in NH today. it was 89% 10 years ago. There are less seniors in nh today 1.3 million than 10 yrs ago. 1.6 million.

Despite how much 'help' you might be giving on VA you have no idea about the real world of CARE. And that matters despite you not caring "what kind of coverage" Medicaid provides.
20% of all seniors are at home in some level of 'unpaid' care from a loved one.
80% of all seniors have less that $1600 a month of hard income. DO you not realize that they probably spend $500 a month on premiums, co-pays and rxs?

Medicaid isn't about nursing homes, but the original post question was.  I was simply answering the question he had posted by saying that if they want to remain in the nursing home that is covered by Medicaid, they can do that, but VA will only pay $90.  Everything else you are saying is probably right, but the question asked was about VA eligibility while residing in a Medicaid covered nursing home.  I don't know why you want to make every thread into an argument.  Just try to use the experience and knowledge you have into answering questions.  We're all here to try to help each other understand as much as we can about the VA pension program.  Obviously you know more about Medicaid than I do since your job revolves around it, much like I probably know more about pension than you do.  I don't see why we can't both offer insight without it turning into a shouting match.  Turning the volume up to 11 doesn't help anyone in this forum.

[jpez]

ok......

You read it again and I didn't miss unless.You extended UNLESS too far:

ok so write a sentence that  makes sence. Use "b'" in a sentance. You can't. how can "a" exempt A&A and "b" include it.

3.how to do Budgeting  a. Count the monthly VA benefit entitlement for the budget unit member unless:
 The VA payment is Aid and Attendance  or  The VA payment is the Reduced Improved Pension up to $90


3.how to do Budgeting b. Aid and Attendance (A&A).

Aid & Attendance what??     b. is the definifition of A&A. Granted it is written poorly but you want to say that in 'a'  A&A is excluded - because it is - and in 'b" it is now included?

[jpez]

[/quote]

Medicaid isn't about nursing homes, but the original post question was.  I was simply answering the question he had posted by saying that if they want to remain in the nursing home that is covered by Medicaid, they can do that, but VA will only pay $90.  Everything else you are saying is probably right, but the question asked was about VA eligibility while residing in a Medicaid covered nursing home.  I don't know why you want to make every thread into an argument.  Just try to use the experience and knowledge you have into answering questions.  We're all here to try to help each other understand as much as we can about the VA pension program.  Obviously you know more about Medicaid than I do since your job revolves around it, much like I probably know more about pension than you do.  I don't see why we can't both offer insight without it turning into a shouting match.  Turning the volume up to 11 doesn't help anyone in this forum.
[/quote]

the origanal post was about LEAVING a nursing home not about staying and getting 90.
that was why my answer was about other options.
maybe you missed that....the op being about LEAVING a nursing home.

[KarenO]

Oh my gosh - what is your problem Jpez???  Max, I hope you continue to post and help others on this journey.  I'm at the end of mine but with Jpez criticizing every post, I doubt I'll come back on here to post about my experience.  Best of luck to all who are in the process.  Please feel free to private email me and I will share any info I have.