Under regulations governing needs-based pension benefits provided by the Department of Veterans Affairs, adult children providing care to an applicant veteran or his or her spouse can be paid for work performed even if the children are NOT licensed care professionals as long as the applicant has been rated either Housebound or A&A.
The regulation follows:
M21-1, Part V, Subpart iii, Chapter 1, Section G – Pension – Deductible Expenses
V.iii.1.G.3.o. In-Home Attendants for a Disabled Person in Need of A&A or Housebound | Allow all fees paid to an in-home attendant as long as the attendant provides medical services, nursing services, or custodial care for the disabled person.
The attendant does not have to be a licensed health professional when the disabled person
Notes:
All reasonable fees paid to the attendant for personal care of the disabled person and maintenance of the disabled person’s immediate environment may be allowed. This includes such services as cooking for the disabled person, housecleaning for the disabled person, and other IADLs. It is not necessary to distinguish between medical and non-medical services. However, services that are beyond the scope of personal care of the disabled person and maintenance of the disabled person’s immediate environment, may not be allowed. Example: A Veteran is rated in need of A&A by VA. The Veteran pays an attendant to administer medication and provide for the Veteran’s personal needs. The attendant also cooks the Veteran’s meals and cleans house. Allow the entire amount paid to the attendant as a deductible medical expense. It makes no difference whether the attendant is a licensed health professional |
For additional information concerning VA compensation and pension benefits, visit: https://vanarellilaw.com/va-benefits/
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