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"Can veterans get Medicaid while they are drawing Department of Veterans Affairs benefits, and should they?
While it is theoretically possible to be eligible for both Medicaid and VA benefits, such as Aid and Attendance (A&A) or Housebound benefits, very few individuals get assistance from both programs at the same time. If they are eligible for both programs, usually they receive the one that provides the greater benefit."
I do think too that part of the problem is that Medicaid is joint Federal and State program, and what is provided in one state is often different to what's provided in another?
VA A&A has a maximum monthly payout based on the status of the veteran. If your mom’s A&A is bc she is the widowed spouse, the max payout is $1478 if I’m not mistaken. So it is probably NOT enough money when added to her SSA and her pension income to private pay for a NH, that runs 7K-15K a month. So if this is abt paying for a NH, going LTC Medicaid route is better as this program will pay for custodial care costs in a NH.
HOWEVER…
if this is about mom being in AL or a more modest in price MC, the VA A&A along with her regular monthly income & some savings, may work to actually be enough $ to private pay for her stay in an AL or MC. And this could matter as most States LTC Medicaid programs do not cover AL or MC at all or if they do it is n a way more limited in # waivers.
A&A is also really good if the elder is in a NH and needs to do a spend down (to become sufficiently impoverished for how your State runs its LTC Medicaid system). Like say mom is in a NH which costs 10K mo but she gets 2K in SSA plus the $1478 A&A and has 75K in savings. She’s roughly drawing down $6500 a mo from her savings. That xtra A&A $ will enable her to stretch out her $ for about a whole year at private pay, which means she will have lots more choices initially as to which NH to move to as so many limited the # of Medicaid beds and do placement first and foremost from those already in their NH. So for a mom like this, A&A makes sense to get. The month before this mom gets her savings down to 2K, would be when her POA gets together with the NH social worker and admissions office to get ready to do the LTC Medicaid filing and to let VA know to suspend her A&A. VA will then pay her $90 a month VA personal needs allowance. & it is NOT counted as income for LTC Medicaid. So she / her POA will have a bit more extra $ to add to whatever paltry Personal Needs Allowance her States Medicaid has set to pay things that LTC Medicaid does not cover (toiletries, clothing, magazines, beauty shoppe).
also since your in ABQ, if y’all are possibly thinking of a burial up at the military cemetery right outside of Santa Fe, you may want to call to see it’s open and if so under what type of burials. FIL is buried there and MIL was cremated so she could be buried there. It was several months wait till there was enough cremains that all needed to be “planted”. But I don’t think she could have had full in casket done as it’s closed for those.
Thanks Igloo
Love knowing this part of using Vet benefits to stretch the private days longer. I wish I would have done that long before DH aunt had spent so much of her savings in home care and maintaining her home. She could have stayed in ALF longer.
I knew she had a choice to apply for either VA or Medicaid but was slammed with her home flood at the time she had to have more care. Sigh. We learn so much in hindsight.