I submitted the paperwork for A&A back March 2012. I have received the confirmation letter from the VA on the claim. At the time of submission we were not paying anybody at the time because my father was able to be by himself during the day and my sister was living with him and at home during the evening and night. I didn't realize that I needed to show expenses being paid. Since submission my father's health has deteriorated and he is no longer able to be alone. He is no longer able to walk on his own and care for himself. I also realized that I should have asked for expedited claim since he is 85 turning 86 this month. Do I need to complete 21-4138 to include expenses now being incurred and explain the health complications we are now experiencing 7 months after submission? I recently talked to a accreditation claims agent that was recommended by a nursing home we were looking at and he was very responsive at first and looked over the paperwork submitted and informed me that my one mistake was not including expenses. He said he would help me but now he isn't returning phone calls and emails and it's been about 3 weeks. Should I contact another claims agent or should I try pursuing this myself? I work for the government and I know about red tape but this VA process is exhausting.