Hi Question 1: Is it risky to go the route of: Do the Care At-Home: claim at-home medical expenses (vs veteran being admitted into an Asstd Living Facility) when attempting to obtain the VA A&A approval? Scenario: LPN giving help has a state-home-care license, but LPN prefers to work as an independent contractor (in lieu of under agency). (We hear that is a tricky approval.) Relative 1 does the bathing help. Those items (bathing, LPN help with meds, medical device help) appear to be the 2 ADLs Relative 2 takes veteran to and from VA facility Relatives 3 & 4 help cook and clean...but that's not an ADL None of relatives are a spouse. Friend 1 shops, pays the bills, does paperwork and research - not an ADL Eventually, we can see that 24/7 assistance will be required: $1,788 is not enough for that! So...this begs Question #2 -- Does switching gears mid-stream (from At-home care to Asstd Living care) delay the VA processing of the A&A claim? The move from at-home to Asstd Living might likely happen long before the VA comes up with an approval....especially since we are guessing the incompetancy letter thing will rise it's ugly head. Question #3: This is a flip of the other question #2: If we go ahead and apply for A&A using at-home care, and somehow get approved right away (via FDC), would that possibly actually expedite the process for the day the veteran has to move to Asstd Living --if he should decline? (I assume we would just submit the VA form 21-4138 to inform VA of the increased expenses, etc.) (We had a home-health-care org indicate that switching gears slows the process....but it seemed that they were looking for only really-clean claims that they know would be approved...and they said they wouldn't take a vet who wouldn't use their services for at least 6 months; if we thought the decline would happen < 6 mos, they wouldn't even take the case...thus my suspicions.) Thank you!