So, I believe my advice was correct - in NC, the VA pension is not considered income in the month of receipt (very clear in the NC regs) and lump sum payments from non-income programs are not counted as a resource until the following month. In many states, you apply for A&A and then someone erroneous tells you to cancel out because your parent has gone to a nursing home and is spending down - but if that lump sum payment is needed - for debts or say a funeral. comfy chair for the applicant's room or dental work etc, let it come in and have a plan to spend it within your states limits. In states like NC, you can get your back pay and contiune with your $90 - just spend it in time. This is a response to the NC question only, not the living in the community post that follows.