Hello everyone: I am sitting here dumbstruck by the fact that we received a decision letter from the VA almost exactly 6 months from the date of our original filing. They are granting my mother's A&A and we should be receiving a check within 15 days. My sincerest gratitude goes out to everyone here that helped me thru this incredible maze. By using the expert advice on this forum I was able to file a complete application. I also wrote them a letter every 3 weeks just to let them know I wasn't letting them off the hook. Of course I have several questions concerning the approval letter. 1. We filed May 20 2007 - the letter grants her pension effective June 1, 2006 (the date my father died). I don't understand this. Does anyone? Of course, I am not complaining but I'm not sure if they are paying her (back payments)from that date or the date they received our application (May 20, 2007)- I am not an uneducated person but it is very difficult to understand what they state in the letter. 2. I am assuming the decision was based on my mom residing in an ALF at the time of application, however, the letter states: "you need the daily assistance of another person in performing routine activities. Entitlement to additional benefits because of the need for aid and attendance is therefore established effective June 1, 2006, the date of (my dad's) death. Medical evidence shows history of cerebrovascular acident with left side neuropathy. Wheelchair bound and no improvement expected. Also have symptoms of dementia." Can anyone explalin this to me? 3. They did not require a fiduciary because my mom wasn't found to be incompetent - This is a good thing. . . Now - do I need to send them a letter letting them know my mom lives with me and I take care of her 24/7 with a little help from home health agency and she pays me for her care? How do I file the amendment now that a decsion has been made? I'm almost there!! Just need to get a few items straightened out and my mother will be all set. Thank you again for all your help.