My parent has the full $1149 A&A benefit awarded while in Assisted Living . Moved from Assisted Living to Nursing Home in November. Currently, at final stages of Medicaid application. The Dept of Social/Senior Services took into account the $1149 when doing their calculations knowing that parent is in a nursing home. They did note that they would like “proof that the VA has been advised of Nursing Home placement and apply (application) to adjust payment.” The ’adjust payment’ part made no sense since parent is at the max and I assumed they thought maybe she was entitled to more now. When I searched on this forum I saw something about sending a Nursing Home Statement of Occupancy and filling out a Statement in Support Of Claim : http://www.veteranaid.org/forums/in...ility-nursing-home-what-form.3357/#post-13716 “If she is already receiving the maximum amount allotted to a veteran ($1,788) or veteran's spouse ($1,149) then it will simply be an update on her living status.” BUT This morning after searching on the word "Medicaid" on the forum I found: “I can tell you, that when an applicant who is receiving A&A goes on Medicaid, the lose all but $90.00 of the benefit. The $90.00 has to be spent on personal items. It cannot be spent on any medical expenses as the state is paying for their care.” Well now I am confused. Why would the folks who are processing the Medicaid app use the $1149 in their calcs for parent's monthly contribution, while under Medicaid, if they know it is going to go down to $90 upon notifying the VA that my parent moved. And of course, the Medicaid coverage goes back starting in a past month; does the VA want the 1149 minus 90 'back' for those months if this is true ?