My mother who has been a fortunate recipient of Aid and Attendance for 6 years has recently been admitted today to a skilled nursing facility from her assisted living residence. She will not be returning to assisted living.I know I need to notify the VA of this change. Which form do I use and do I need in addition a letter of occupancy from the nursing home. Please advise. i am anxious to get this sent off to the VA as I know it will probably take months for her award to be adjusted to the $ 90.00. She will be applying for Medicaid Title 19 in the state of Connecticut to cover her care as she has no assets or income to cover the costs.