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Home / The VA Announces New Rules affecting the Pension with Aid and Attendance

The VA Announces New Rules affecting the Pension with Aid and Attendance

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The VA Announces New Rules affecting the Pension with Aid and Attendance

October 10, 2018
Written by
Lauren Pitlyk
On September 18, 2018, The Department of Veterans Affairs, (VA) announced new rules applicable to VA needs-based benefit programs.  These rules will impact the little-known, needs-based pension program often called, “Aid & Attendance.” The changes go into effect October 18, 2018.

Why the Changes?

The VA reports in the Federal Register that the new changes will mean more consistent decisions on pension claims. VA decisions regarding an applicant’s net worth have been criticized as inconsistent and sometimes unfair. The rules prior to October 18, 2018 left VA employees to make many judgment calls affecting whether an applicant would qualify.  The changes enact some clear-cut guidelines for VA employees to follow for more consistent results. The VA further explains that it wants to ensure the integrity of the Pension with Aid and Attendance as a needs-based benefit program applying only to those veterans and dependents who are in fact, in need. According to the VA, Congress did not intend for claimants who have sufficient assets for self-support to use the pension program as an estate planning tool, under which they may preserve or gift assets to their heirs and shift responsibility for their support to the government at the expense of taxpayers.

Sweeping VA Changes Should Help More Veterans in Need

While the VA has made several important changes to its needs-based programs including the VA Pension with Aid and Attendance, most noteworthy are net worth eligibility changes. These changes will open the door for more veterans and surviving spouses in need:
  1. Maximum Net Worth Limit of $123,600

  • There is a new net worth limit of $123,600 which will not fluctuate with age or life expectancy.
  • This amount may change each year with a Cost of Living Adjustment (COLA).
  • The Pension’s new net worth limit of $123,600 matches the current maximum Community Spouse Resource Allowance (CSRA) set by Congress for Medicaid.
  • The VA defines net worth as annual income and assets.
  1. Three-Year Look-Back Period

  • Beginning October 18, 2018, the VA will look back 36 months from the date of application for any asset transfers to evaluate net worth.
  • The VA will consider and may penalize the applicant for any assets transferred for less than market value during the “look-back.”
  • Penalties will be no more than five years.
  1. New Rules for Financial Instruments Such As Annuities

  • Beginning October 18, 2018, financial instruments and such as annuities and some trusts will be viewed differently. The purchase of any financial product (such as an annuity or trust) that reduces net worth and would not be in the claimant’s best interest other than to qualify for the pension, may be considered an asset transfer of less than fair market value.
  • Overall, irrevocable trusts can’t be used to reduce assets as they have in the past. If there is no value received for an asset transferred, it counts unless it was more than three years ago.
  • Not all trusts and annuities will be considered a transfer for less than market value. Transfers to annuities or trusts in which the claimant maintains control and can liquidate for a fair market value are not subject to a penalty period. However, the VA will likely count these funds as net worth.
  • Trusts for special needs children are an exception. Money held in a trust for a special needs child will not be counted as a claimant’s assets for VA purposes.
You can find complete information on the VA’s Federal Register website.

Good News for Deserving Veterans and Surviving Spouses

According to the VA, setting the maximum net worth limit at $123,600 allows more claimants to qualify for the benefit than before.

Good News for Social Workers and Service Coordinators

Social workers will be able to point the families of wartime veterans to the VA and/or Veterans Home Care for help. The VA Pension changes will allow more veterans and surviving spouses to qualify, preventing them from living in poverty. The added monetary benefit for “Aid and Attendance” will allow more veterans and surviving spouses to get the necessary help to live safely at home and age in place.

What does all this mean for home care agencies and adult day care providers?

Fortunately, the VA’s October 2018 changes are a good thing for providers. This is an opportunity for home care agencies and adult day care providers to gain more clients. More clients will now have the financial means to afford adult daycare or in-home care. Find out if your clients that are eligible for this benefit. Refer clients who are wartime veterans or the surviving spouses of wartime veterans to us.

Rely on Our Expertise…

Veterans Home Care has successfully helped more than 15,000 veterans and surviving spouses gain the VA’s Pension with Aid and Attendance. Regardless of any new rules, you can count on us to help your clients navigate the VA claims process. Veterans Home Care is a private, family-owned company not part of any government agency and not part of the Department of Veterans Affairs (VA). We help those who choose to use their VA Aid and Attendance funds primarily for home care or adult day care. We are sharing information from the VA. For full information, consult with the VA website, contact the VA or a Veteran Service Officer in your community.  
READ MORE ABOUT THE VA RULING

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Saul Avila, SetxHomeCare

“VetAssist is a great service. There are benefits and services available that veterans don’t know about. Nurses and social workers dont’t know about them either, so it’s great to educate the community. The veterans can get services at home, and that’s where they want to be: in their homes.

How long have you been working with VetAssist

“7 years”

What’s your experience working with VetAssist?

“I started with the local Regional Manager. He was a huge help getting this going – the process of helping patients get their documents together, everything they need to get approval. “

What do you thing about the service?

“It’s great! It’s really needed in the community, because if the veterans were to apply for the benefits on their own, they are looking at a year process. We can start services usually within 30-45 days of everything being submitted. They’re able to stay in their own homes longer and get the help they need. “

What has been your experience helping veterans?

“It’s been a honor. They do not want to ask for anything. They want to do it on their own. When we reach out and tell them what’s available, they are very greatful. It means that a lot to me to be able to get it started for them, to make it easier on them. It’s a lot of paperwork.”

Cindy Stamps, AccentCare in Waco, Texas
with VHC Regional Manager, Nicole Figureo

“I’m a daughter, aunt, niece, and cousin of veteran, I did my research among companies similar services before I started working with VetAssist. I have exclusively worked with VetAssist for my veteras for three years.”

How long have you been working with VetAssist

“Exclusively for 3 years; did her research among companies with similar services”

What’s your experience working with Nicole?

“3 years. Also has a private pay; was doing her referrals, got a call from a girl with a strong NY accent looking for Marlena.”

What do you thing about the service?

“I love it because it’s easy to get in contact. They do what they say they’re gonna do. If there’s a mistake or miscommunication, they own up to whatever the problem is and do whatever they can to get it fixed. I have a Robin’s personal cell, David’s personal cel… They take the time to talk to me. I’ve been having problems with portal. It’s nice to know that if I have a question I will get it answered right away.I’m not patient when it comes to my veterans. “

What has been your experience helping veterans?

“It’s amazing. The VA do the veterans justice, and they are even less accomodating to the spouses. To know that I am able to help somebody to get the benefit and the care that they need to stay in their home is satisfying. I had to talk to a veteran the other day about his wife, and they do not qualify for the benefits because he’s already 100 % disabled. It breaks my heart because here are these men and women who served our country, and I can’t help them.”

“In central TX, we have a couple other agencies – I do not know how they are getting away with it – they are charging veterans $1200-1500 up front without a quarantee that they can get them benefits. The veterans reach out to me later and many tell me they do not qualify, and I say, how do you know you do not qualify?” I am often able to help them trough my VetAssist contact”

“I’m so thankful for Bonnie starting this company. I am very particular with my veterans, and I am gratefull that you guys are around, because you help me help my veterans.”

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Robin Borders

Vice President, Sales

With more than a decade of senior care experience, Robin Borders is a respected leader in the home care industry.

Robin started at Veterans Home Care in 2012 in the Client Services Department, then joined the marketing team as a regional manager and was promoted to territory vice president. As a client service specialist, Robin monitored the home care of clients assuring they were getting the services they needed from a home care aide they trusted. Working as a regional manager, Robin made home visits to veterans and their families explaining the VetAssist Program.

Robin is instrumental in marketing our unique business model, educating the public on how we help people apply for a VA pension with Aid and Attendance and provide home care services. As a territory manager, Robin works with home care agencies and senior organizations across the country.

Prior to working at Veterans Home Care, Robin owned her own business as a manufacturer’s representative of restaurant equipment managing four states. Robin, a daughter of a Marine Korean War veteran and granddaughter of a Navy WWII veteran, grew up in St. Louis, Missouri and graduated with an associate degree from Florissant Valley Community College. Robin volunteers for the Alzheimer’s Association and is a member of the St. Louis Home Care Alliance.

Robin is a sought-after speaker and presenter based at our St. Louis, Missouri headquarters and oversees regional managers and company growth in 48 states

Howard Laiderman

Chairman

Howard began his career in his family’s automotive tire and auto parts wholesale and retail business which at one time was ranked 8th largest US tire dealer by Crane Publishing. He developed his skills in operations and executed marketing programs that resulted in sales from Fortune 500 companies including Walmart.

After the passing of Howard’s father, he ventured out on his own and started Ness Trading Company. With the help of his wife Bonnie and their two daughters, his new family operation quickly grew to one of the largest closeout and surplus specialists in the automotive parts and custom wheels industry.

Since 2003, Howard has worked with Bonnie growing Veterans Home Care to become the largest company of its kind offering in-home care to our deserving veterans through the unique VetAssist Program. Howard has been an integral part of the organization’s effort to brand the VetAssist Program and scale the business through provider contracting and client relationship management (CRM) technology.

Today Veterans Home Care has multiple locations throughout the country, and serves veterans in 48 states with a network of more than 4,000 home care providers. Veterans Home Care has also earned the Better Business Bureau’s Torch Award for Ethics and the Inc. 5000 Award of Fastest Growing Companies seven times.

Howard supports national veterans’ organizations and travels to Capitol Hill advocating for veterans and educating policymakers about the needs of veterans.

Bonnie Laiderman

Founder and Chairwoman Emeritus

As the founder and owner of Veterans Home Care®, Bonnie Laiderman has helped more than 20,000 veterans and their spouses receive in-home care through the unique VetAssist® Program.

Bonnie started the business in 2003 to answer a need in the military veteran community. Many veterans and their families don’t utilize available benefits from the Department of Veterans Affairs (VA) due to a lack of awareness. As a caregiver for her late mother, Bonnie personally experienced the frustration of failing to access available VA benefits in her mother’s time of need.

Bonnie has overseen the growth of the company from a one-woman operation to become one of the largest women-owned companies in the St. Louis Metro Region with multiple locations throughout the country, serving veterans in 48 states with a network of more than 4,000 home care providers.

Veterans Home Care has also earned the Better Business Bureau’s Torch Award for Ethics and the Inc. 5000 Award of Fastest Growing Companies seven times.

Bonnie personally has been recognized with numerous awards including the:

  • KTVI-Fox2 News Most Remarkable Women
  • McKnight’s News Publications’ Hall of Honor
  • Missouri Athletic Club’s Women of Distinction
  • St. Louis Business Journal’s Most Influential Women
  • Ingrams Magazine’s 50 People You Should Know and
  • Missouri Council for In-Home Service’s

In addition to growing Veterans Home Care to become the largest provider of its kind in the industry, Bonnie has been a strong supporter of numerous charitable and social organizations with both a local and national impact. Wings of Hope and Lydia’s House have both benefited from Bonnie’s support to continue services to our most vulnerable in need. Bonnie also is active in the American Red Cross as: a Tiffany Circle member, (a national society of women leaders), a chairperson for the Service Armed Forces Committee and a mentor in the Society of Women Leaders.

Carmen Perry-Tevaga

Vice President, Strategic Partnerships

As Vice President of National Accounts, Carmen develops and supports a nationwide network of home care and other senior care providers for Veterans Home Care’s brands. Carmen is responsible for these valued stakeholder relationships, identifying sales opportunities and developing comprehensive growth strategies for all parties involved.

Carmen’s 20+ years of healthcare administration experience spans multiple levels of care from physician practices to renown hospitals and rehabilitation services.

Having an extensive consulting background and subject matter expertise in VA Aid and Attendance benefits for older adult care, she’s a well-received speaker, podcast guest and presenter.

Carmen serves on the Home Care Association of America’s (HCAOA) Veterans Affairs Committee and serves as a board member for the National Aging In Place Council, (NAIPC) with whom she co-wrote a book on senior care.

Donna Appel

Vice President, Marketing

In her role as Vice President, Marketing, Donna oversees VHC’s marketing outreach and branding. Donna has more than 35 years of experience in sales, sales training and marketing.

Her wealth of business expertise includes a focus on the needs of older adults, caregivers and family members in need of home care solutions. She’s a resource to veterans’ organizations and senior care providers across the country and champions the mission to assist veterans, their spouses and their families with resources for them to age in place.

Those resources include the VetAssist® Program, which helps deserving veterans stay at home, if it is their choice, by obtaining home care with no out of pocket cost. As a daughter (and daughter-in-law) of a WWII veteran and a Veterans Home Care client, Donna is proud to serve these heroes and their families.

Donna is a member of the Veterans Council of Broward County and is currently on the Advisory Council for the Aging and Disability Resource Center of Broward County. Ms. Appel also mentors at risk teenagers through Take Stock in Children, an organization that funds college scholarships for at risk youth. Donna is part of a team for the Stepp’n Up Shoe Project that collects new shoes for Broward County children and distributes them to The Children’s Home Society, Child Net, Kids in Distress, The Anne Stork Center and several other organizations.

Marcy Seeney

Senior Vice President of VetAssist

Marcy Seeney, a dedicated advocate for senior care, has been an integral part of Veterans Home Care since January 2006. With a wealth of experience in the industry, Marcy was among the pioneering team members who joined her family on the company’s mission to support Veterans and Surviving Spouses in accessing essential care while maintaining their independence and dignity at home.

Over her remarkable 17-year journey, they have positively impacted over 22,000 families by facilitating their eligibility for the Aid & Attendance pension. Marcy is passionate about serving others and ensuring their well-being. Marcy continues to make a difference through her unwavering commitment to excellence in senior care. Networking in this space, she led the way for St. Louis and helped teach and train those who have gone on in the community to careers in home care.

Evan Kaltman

Chief Revenue Officer

Since opening the local Veterans Home Care NYJ office in 2009, Evan has overseen the expansion of the operations to include all of New Jersey as well as Pennsylvania, New York and Delaware. Evan is based at our Cedar Knolls, New Jersey office and leads sales operations nationwide.

Evan is a member of the New Jersey Association of Veterans Service Officers (NJAVSO). In addition, he serves as a board member for Welcome Home Vets of NJ.

Evan is a sought-after public speaker and strongly believes in educating social workers about the funding options available for our veterans and surviving spouses to receive in-home care. He is certified by the National Association of Social Workers – New Jersey Chapter (NASW-NJ) to provide training and issue “VA Benefits for Long Term Care” continuing education credits (CEU’s).

Heidi Friedman

General Council

Heidi is a distinguished VA accredited attorney and one of a few Florida Board Certified Elder Law Attorneys. With an unwavering commitment to honoring veterans and their families, Heidi has dedicated her career to providing expert legal assistance to veterans and their surviving spouses in obtaining VA Aid and Attendance benefits to assist with paying for the extraordinary cost of long-term care. Throughout her legal career, Heidi has amassed a wealth of experience in navigating the intricate landscape of VA benefits. Her expertise extends to advocating for veterans and surviving spouses, ensuring they receive the support they rightfully deserve.

Beyond her legal expertise, Heidi shares deep personal connections with the military community. As the proud sister of two army veterans and an aunt to a nephew currently serving in the armed services, her dedication goes far beyond professional duties. This unique perspective drives her passion for supporting those who have selflessly served our nation.

Heidi’s in-depth understanding of Elder Law and VA regulations has empowered numerous veterans to access essential benefits and resources. She possesses a rare ability to simplify complex legal processes, making it accessible for veterans and their families to navigate their journey smoothly. While her professional achievements are impressive, Heidi is not defined solely by her legal endeavors. She is the proud mother of two sons, one of whom has special needs, enriching her perspective and reinforcing her commitment to helping families navigate challenges with empathy and understanding.