I applied for A&A for my mom, it was awarded with me as person to be her caregiver. The VA decided that she needs a fiduciary because she was not able at the time of the application to handle her affairs. She was in the hospital and under serious medical treatments and medications that interfered with her cognitive thought process. She has since been discharged to home and is now back in control of her financial affairs, I just do the physical aspects of her care. (She was in the hospital for 5 months) We have filed VA Form 21-22a stating that I was her representative; the VA's version of POA. She has written a statement VA Form 21-4138, detailing that she was under medical care at the time and medications were affecting her mental ability and cognitive processes and skills, but as of this date the physical remains the same but the cognitive has returned. Can she or should she have her VA doctor complete a VA Form 21-4138, stating that her mental/cognitive issues have improved and that she handles her own banking? Or does she need to resubmit a new 21-2680 with an updated/changed competency status? Also, according to my mom's AB8, she was awarded the max benefit for disability. Should there be any reference to A&A on this AB8? I am seriously confused as to how the A&A is be separated from her previous pension amount. IF by chance, a fiduciary person is implemented, how is the award amount then paid to me? When the Attendant Affidavit was filled out I was listed as the care provider to the claimant. What else can we do? Any help is greatly appreciative.