First of all, thank you for the resources you've provided, they're very helpful! We filed an A&A application for Mom (91, widow of a WWII vet) and after 10 months finally got the answer: $135/month. The letter they sent says it breaks down how they determined the amount but it doesn't seem clear. Mom's situation is this: Income of around $11,500 from social security only. Owns a house but it's encumbered by a reverse mortgage and there's very little equity left. Her medical situation is: severe arthritis, glaucoma and stooped posture that keeps prevents her from easily dressing, bathing, and doing daily activities at home. She has someone who cleans the house but she needs help with bathing at least twice a week, meal prep, "The extras" you don't think of when you have full use of your hands and arms and you can stand up straight and move around. Our hope was that she would get enough to pay for about 15 hours/week of in-home care. I'm wondering if we didn't spell all this out in the original application? In the Dr.'s letter he wrote out all of her problems, are they not considered bad enough for the VA to warrant more money?