Should my father to reapply for more hours for Aid and Attendance since his physical condition worsensed?

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My father is a 104 World War II vet. SInce he came to live with us in September, 2014, he has had congestive heart failure and a stroke. He needs a lots more help now with activities of daily living. He can walk using a walker as long as someone walks with him, and can feed himself, but needs help with most other things. He doesn't have dementia or Alzheimer's, thank goodness. The VA has only given my father 10 hours of caregiving per week, which isn't nearly enough. I am having his doctor fill out a new VA form 21-2680. Since this is a new application, is there a case number that I need to put on, which it asks for? My father does get 30 hours a week from Medicaid also, but my husband and I work fulltime on our business at our house and could use more hours in the afternoon for a caregiver to look after my father. My father refuses to go to adult daycare. Private pay for caregivers starts at $15.00 in our area of Virginia, and my father has no savings left. There are no other relatives to help care for him.

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Ramiller, thanks for the information about the fast tracking and for your kind wishes. My dad's initial application when he first came to live with us was fast tracked, so hopefully this one will be fast tracked also. Hug to you also.
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Wow, that is just amazing. He sounds like quite a man. One thing I was told by my VA rep was that any who applied who was over 91 would have their application fast tracked. My moms application was approved in 3 months. I do hope you get the help you need. Hug to all of you.
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Ferris, thanks for your lovely comments and so sorry your husband has dementia. I am very fortunate that my father was 45 when I was born, so I am only 59 and am in good condition and can take care of him, with my husband's help. My dad already does get Aids and Attendance, but we want to have the amount increased because his physical condition isn't as good as it was a year and a half ago. I was told on the phone that it would take three to six months to process a new application. My father watches tv and sleeps part of the day, but he also does his exercises every day and goes to physical therapy twice a week.
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I meant to say "genes", since you have more than one! Ferris (too early in the a.m.)
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God love him for living to 104! The VA Aid and Attendance is primarily based on income, and I believe he will die before he gets any funds from that resource. Having said that, enlist the aid of the local VA chapter counselor to start the process, and when approved the payment is retroactive back to the date of application. Again, it has been my experience with A&A that income is really the criteria, and since he doesn't have dementia (which is rare at this age), he must have great gene to still be alive. Put a rush on it, but if you work in your home at your business, you are available to help him if he needs help. I suspect he is sleeping in the afternoon. I don't know how old you are, but he might outlive you given what condition you say he is in, and do as he wishes with his care. Again, thank him for his service, and tell him my husband also served in WWII, Korea, and Vietnam, but has dementia.
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luvdawgs, I'm in New York State (not NYC, where things may be different) and I got such a runaround, such differing stories. Someone told me Medicaid would pay for home health care, and then the Visiting Nurses said Medicaid was phasing home health care out. There were different criteria for different things, it was all very complicated. By the time my mother needed full-time care she was placed in a nursing home and that is paid for by Medicaid, Medicare, her social security and pension. We had to spend down anyway in order for her to get Medicaid. I understand they would cover things like crutches and eye exams, but we needed full time caregivers, and they only offered a few hours a month 'respite' care. And the day care a few days a week.
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Lassie, what state do you live in, if you don't mind my asking. I am surprised they won't pay for home care in your state because it would cost them a lot less to pay for homecare than it does for them to pay for a nursing home. It doesn't make financial sense to me. That's terrible that you had to pay and use up your mother's money for private care.
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Debdaughter, my dad received the 10 hours a week of care in addition to getting the VA pension money. He didn't start getting the money or the care until he after he fell and broke his pelvic bone, which after he had three months of rehab moved into our house in Sept. 2014 and we applied for the A&A care and VA pension for him. He lived by himself and took care of himself before that until he was 103 and had the fall. My father was seen in the VA clinic when he first came down here, but it is an all day trip and difficult because of his age for him and for us to spend the six hours taking him there and home, going through security, seeing the dr. there, etc., so we decided to have my dad see a local doctor. We do not live far enough away from the clinic for the VA to pay a local doctor though. We could take him to the VA doctor if we wanted to though.
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luvdawgs, my dad got around the same SS as yours and he got at least twice as much A&A as your dad - that's the part I'm not understanding - I'm guessing you're saying it's just paying for 10 hrs. a week, because you are paying for that yourself with the A&A money, right? not that those hours are in addition, which he should be able to get as well; at least my dad did. Were you already paying for that much before? It was our VA rep who told us about the caregiver agreement that allowed us to get what we did; with us, he was in the clinic where dad was being seen; your dad is being seen medically at a VA clinic, isn't he?
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Well, I am flabbergasted. Medicaid doesn't pay for SQUAT in this state, they are phasing out home care altogether. I think I was told they would pay for a couple of hours of 'respite care' a MONTH. And I think they would pay for the adult day care a couple of times a week. The only thing Medicaid does pay for is part of the nursing home cost. I had to pay out of pocket (using up my mother's money) for caregivers at $25 an hour, and at $100 a day, and it certainly wasn't enough!
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