VETERAN'SAID & ATTENDANCE
For Veteran's and Surviving Spouse's
Aid and Attendance is a benefit paid by Veterans Affairs (VA) to veterans, veteran spouses, or surviving spouses. It is paid in addition to a veteran's basic pension.
It is a non–service connected disability benefit, meaning the disability does not have to be a result of service. You cannot receive non–service and service–connected compensation at the same time.
Aid and Attendance benefits are paid to those applicants who:
- Are eligible for a VA pension
- Meet service requirements
- Meet certain disability requirements
- Meet income and asset limitations
The Aid & Attendance (A&A) increased monthly pension amount may be added to your monthly pension amount if you meet one of the following conditions:
- You require the aid of another person in order to perform personal functions required in everyday living, such as bathing, feeding, dressing, attending to the wants of nature, adjusting prosthetic devices, or protecting yourself from the hazards of your daily environment.
- You are bedridden, in that your disability or disabilities requires that you remain in bed apart from any prescribed course of convalescence or treatment.
- You are a patient in a nursing home due to mental or physical incapacity.
- Your eyesight is limited to a corrected 5/200 visual acuity or less in both eyes; or concentric contraction of the visual field to 5 degrees or less.
Under current law, VA recognizes the following wartime periods to determine eligibility for VA Pension benefits:
Mexican Border Period (May 9, 1916 – April 5, 1917 for Veterans who served in Mexico, on its borders, or adjacent waters)
World War I (April 6, 1917 – November 11, 1918)
World War II (December 7, 1941 – December 31, 1946)
Korean conflict (June 27, 1950 – January 31, 1955)
Vietnam era (February 28, 1961 – May 7, 1975 for Veterans who served in the Republic of Vietnam during that period; otherwise August 5, 1964 – May 7, 1975)
Gulf War (August 2, 1990 – through a future date to be set by law or Presidential Proclamation)
You may apply for Aid and Attendance benefit by visiting the local regional benefit office below:
West Los Angeles Vet Center:
5730 Uplander Way Suite 100
Culver City, CA 90230
Phone: 310-641-0326 Or 310-641-0326
Hours of Operation:
Monday: 8:00 am to 8:00 pm
Tuesday: 8:00 am to 7:30 pm
Wednesday: 8:00 am to 6:00 pm
Thursday: 8:00 am to 7:00 pm
Friday: 8:00 am to 4:30 pm
Sunday: 9:30 am to 6:00 pm
For assistance after hours, weekends, and holidays call: 1-877-WAR-VETS (1-877-927-8387)
You should include copies of any evidence, preferably a report from an attending physician validating the need for Aid and Attendance type care.
The report should be in sufficient detail to determine whether there is disease or injury producing physical or mental impairment, loss of coordination, or conditions affecting the ability to dress and undress, to feed oneself, to attend to sanitary needs, and to keep oneself ordinarily clean and presentable.
The report should indicate how well the applicant gets around, where the applicant goes, and what he or she is able to do during a typical day. In addition, it is necessary to determine whether the claimant is confined to the home or immediate premises.
LONG TERM CAREINSURANCE
For Those Planning Ahead
Long Term Care Insurance or LTC insurance is and insurance product designed to help pay for costs of long-term care not covered by health insurance, Medicare, or Medicaid. As you age, you may require more assistance and choose to live in an assisted living facility.
Features and benefits when paying for assisted living vary by the insurance company and by the policy. Know the type of services you want or need determines the best type of policy and the insurance company to choose.
Remember that some long-term care insurance policies stipulate paying for assisted living and determined on a person's ability to perform two or more "activities of daily living." Some insurers may ask for a physician evaluation of the insurance company's choice, not yours to see if your condition qualifies for coverage.
ASSISTED LIVING WAIVERPROGRAM
For Low-Income Seniors
The Assisted Living Waiver Program (ALWP) was established to enable Medi-Cal eligible seniors and persons with disabilities, who would otherwise require nursing facility services, to remain in or relocate to a community setting.
The goal of the ALWP is to:
- Facilitate a safe and timely transition of Medi-Cal eligible seniors and persons with disabilities from a nursing facility to a community home-like setting.
- Offer eligible seniors and persons with disabilities, who reside in the community, but are at risk of being institutionalized, the option of utilizing ALW services to develop a program that will safely meet his/her care needs while continuing to reside in a community home-like setting.
ALWP participants have access to:
Assisted Living Services:
- Assistance with activities of daily living
- Personal care and laundry
- Meals and snacks
- Assistance with self-administration of medications
- Transportation coordination
- Recreational activities
- Identify, organize, coordinate and monitor services needed by participants.
Nursing Facility Transition Care Coordination:
- Help transition participants from a nursing home to the community.
To be eligible to receive services as an ALW Participant, an individual must meet all of the following ALW eligibility criteria:
- Age 21 or older;
- Have full-scope Medi-Cal eligibility with zero share of cost;
- Have care needs equal to those of Medi-Cal-funded residents living and receiving care in Nursing Facilities;
- Willing to live in an assisted living setting as an alternative to a Nursing Facility;
- Able to reside safely in an assisted living facility or public subsidized housing;
- Willing to live in an assisted living setting located in one of the following counties providing ALW services: Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Mateo, Santa Clara, and Sonoma counties.
Participants pay for their room and board, and Medi-Cal pays for their care and services. In 2015, for participants with monthly SSI income of $1,145.00, the room and board rate is $1,014.00. For participants with income of $1,165 or greater, the room and board rate is $1,034.00.
Medi-Cal pays the RCFEs and home health agencies for five levels of care and services, with daily rates ranging from $52 per day for tier 1 to $200 per day for tier 5. RCFEs and home health agencies cannot negotiate the services to be delivered or the payment rate.
Medi-Cal members do not submit applications. Medi-Cal members are enrolled through Care Coordination Agencies, which are providers within the ALW program. Medi-Cal members must contact a Care Coordination Agency, who determine each individual's care needs. Assessments are done by registered nurses employed by a Care Coordination Agency (CCA). Click on the Care Coordination Agencies link below and contact one of the CCAs in your county of residence to request an assessment. A pre-screening "assessment" will be done over the phone before an appointment is set up for the actual assessment.
Care Coordination Agencies -> http://www.dhcs.ca.gov/services/ltc/Documents/CareCoordinationAgencies2017.pdf
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