Can someone receive two personal need allowances one from the VA's Aid and Attendance program and the other from Medicaid?

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My mother has been receiving the VA Aid and Assistance pension for about two years. She has now been approved for one of the New Jersey Medicaid programs. I know that the Personal Needs Allowance under the VA program is $90. Under the New Jersey Medicaid program it's $109. Is she entitled to just one or the other or to both allowances?

I ask this because the state wants to take her entire VA pension and turn it over to the assisted living facility where she resides. This seems to be at odds with the VA guidelines, which state that no part of the $90 monthly Improved Pension may be used to reduce the amount of Medicaid paid to a nursing facility. The guidelines, based on regulations, derive from Federal law.

As one might surmise, it's difficult to get a clear answer on this, either online or from the VA itself. If I decide to appeal to the state of New Jersey I want to make sure I have a basis for doing so.

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Such $90/month payment is not considered income and does not have to be paid to the nursing home, and it is paid in addition to the personal needs allowance.
Note that the $90 limit only applies if the veteran (or spouse of veteran) has no spouse or child. However, if the child has their own money (i.e., is not a dependent) then they are not counted as a child for these purposes (see

You also may like to know that on February 6, 2015, the state of New Jersey settled a class action lawsuit by agreeing not to count VA payments as income for Medicaid purposes

Here's the actual rule: 38 U.S. Code § 5503 and 38 CFR 3.551(i).
ramiller -- Thanks for your input, but it conflicts with the response posted by Gabriel Heiser. I can live with what you've posted, but it runs counter to the law governing the A&A program. I probably will bring this to the attention of the state. It will be interesting to see how they respond.
A person is only allowed one personal allowance, either medicaid or VA the reason is they are both federal programs and there is no double dipping. Usually once a person is approved for medicaid all VA funding stops except for 90.00 personal allowance, now in most states that is more than medicaid would give for instince in michigan medicaid only gives 60.00. In your case medicaid gives more so its better for you to take medicaid allowance. She is not intitled to both, but at least the 109 is more than most states give. Just make sure to spend the money on her each month because you dont want it to build up and put her over the 2000 asset limit and become disqualified, and believe me that can happen.
Yes pls keep us updated. My information comes directly from my VA rep here in michigan. Would like to know if her information is correct or not. Thanks
The difference here is AL verses nursing home. If she were in a nursing home a&a would stop once medicaid started. However for other programs such as in home adult day care and AL the case sited would apply. And this is only in NJ other states may be different.
jandrinpsca, we were told the same by the medicaid office here in new jersey. We would need to pay the entire amount of A&A to the assisted living facility. VA on the other hand is saying my MIL would be entitled to the $90 but they don't say if that would be in addition to or in lieu of the medicaid allowance. It's very hard to get a consistent straight answer on the subject. Very frustrating and time consuming.
My mother is in the State of NJ nursing home. Originally, she was in a AL paying self pay with VA and SS. The PNA was $109 per month. She ran out of money so I got her on Medicaid.  It took the state of NJ 8 months to get their paperwork together because of staff changes and backlog so in the end it was retro back 9 months.  I informed the VA immediately providing them with State documents, medical info, nursing home forms, the VA support forms requested, etc.  They responded that there was not change to amount of VA benefit. Knowing this was wrong I called, faxed and mailed the forms again. Another letter from the VA stated no change. I called today and they put in a report to another department to look into the situation.  Hopefully it will be resolved. I don't want a situation where I pay the NH the VA money then the VA demands it back.  Any feedback on situation?

My mother only gets $35.00 personal needs allowance being in a NJ nursing home. Why would she not get the $109.00 PNA? 

Final question... If and when VA reduces to $90.00 and mom is straight Medicaid and SS does she get to keep the $90.00 for PNA? I know about keeping under $2K. Since they have not been doing $109 and have been doing $35. I am majorly confused.
One quick question is her AL private pay or medicaid paid?
I was to understand that if private pay the A&A can be used towards the AL. Once Medicaid takes over than the A&A stops. Like said, they r both government.
The Social Service person at the facility should know what is what.

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