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Medicaid QMB with VA benefits

80 yr old veteran currently living with his son and me as of October 18. Literally just dropped off after a disagreement with the daughter he was living with. Previous to this he was living with another daughter in the same city and last year lived with a different daughter in a different city.

I find he started recently receiving Aid and Attendance benefits of $715, approved several months ago for his non-military related disability, but deposited into his acct for the first time on October 11, which is added to a pension he's been receiving of $127 for idk how long. He receives $945 in SS monthly. He also has Medicaid QMB with Community Attendant Services approved since Feb 2016. He has Medicare.

I'm concerned. He's been moved from house to house and nobody has followed up on any of this. He hasn't had any care that I know of since Community Attendant Services were approved, but QMB is paying his Medicare premium's or whatever they're called, and whatever else. He hasn't been hospitalized for several years.

My concern is that his 945 SS and 127 VA pension give him too much income for QMB eligibility, which has been paying whatever on his Medicare.

His $1788 per month is going to be spent on a low income apartment with the rest presumably going for utilities food etc
This is ridiculous. He's approved for Community Attendant Services thru Medicaid, but doesn't receive them. He's receiving Aid and Attendance of $715 from VA which is about $2000 a month shy of any assisted-living facility quote.
Visiting aides will do 40 hours/mo for $1100 a month which leaves nothing for groceries or utilities.

The only thing one Health Provider offered was to request what they called "the rest" of his Aid and Attendance benefits, caring for him with a loan we sign so we don't have to pay them for three months until approved.

I am so confused. It seems like we have everything but nothing works.

Status: Open    Nov 11, 2016 - 07:50 AM

VA Benefits, Medicare/Medicaid

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Expert Answers

Nov 14, 2016 - 08:23 AM

It sounds like the veteran was receving 10% disability from the VA (the $127, which should be $133.34 for 2016). Once he started receiving Aid & Attendance the $127 would stop and he would just receive the Non-Service Connected Pension as it is the greater benefit and you cannot receive both concurrently. The health provider was correct in saying "the rest" of the A&A benefits as he is not receiving the maximum benefit under A&A (that is $1788.00 per month, for a single veteran w/ no dependents). Does Medicaid cover all of his medical expenses? The VA Non-Service Connected Pension is income and medical expense based so a change in those expenses would be a change in income for VA purposes. I would recommend that you find a Veteran Service Officer (VSO) to sit down with to figure everything out as I do not want the veteran to lose benefits or owe the VA any money. You can locate a VSO in your state via the VA's website here: OGC - Accreditation Search If you have any other questions please feel free to follow up and I will assist you the best that I can.
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By lovelydestruction on Nov 14, 2016 - 08:50 AM | Like (0)  |  Report

Medicaid covers QMB for him, and it says he's been eligible for Medicaid Community Attendant Services since February 2016, but he's never recieved it. I don't think anyone was aware.
As far as I can tell, they were still sending correspondence to an address he had three or four moves ago, at an apartment with a daughter in a different city. She threw up her hands and moved to a different state, and he was abruptly shuttled around between his other daughters until they all had nervous breakdowns (he's passive aggressive and manipulative) and dropped him off here.

By lovelydestruction on Nov 14, 2016 - 09:06 AM | Like (0)  |  Report

Medicaid maybe pays for dialysis? Idk how it works. He goes to local VA for exams and labs, hasn't been hospitalized since a severe health problem a few years back.

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