VA Aid and Attendance for Nursing Home Care in Colorado

VA Aid and Attendance can put up to $2,424 a month toward a nursing home in Colorado for a qualifying wartime veteran, and surviving spouses may receive up to $1,558 a month.1 That is a meaningful offset in a state where nursing home costs run well above the national median.

In This Guide

• How much a nursing home costs in Colorado
• How Aid and Attendance helps pay for it
• How nursing home costs lower your countable income
• Who qualifies
• The nursing-home pension cap when Medicaid pays
• How Aid and Attendance works with Colorado Medicaid (Health First Colorado)
• How to apply and get free help
• Frequently asked questions

How Much a Nursing Home Costs in Colorado

Per the CareScout 2025 Cost of Care Survey (released March 2026, the most recent state-level data), a semi-private room in a Colorado nursing home costs about $121,910 a year, roughly $10,159 a month. A private room runs about $146,183 a year (roughly $12,182 a month).2 Colorado's nursing home costs exceed the national medians of about $114,975 for a semi-private room and $129,575 for a private room.3

These are industry-survey medians; the Denver and mountain-resort areas generally run higher than rural counties.

How VA Aid and Attendance Helps Pay for a Colorado Nursing Home

VA Aid and Attendance is an increase added to a qualifying veteran's or survivor's basic VA pension when the person needs help with daily activities, is bedridden, lives in a nursing home due to physical or mental incapacity, or has severely limited eyesight.5 It is not a separate program; it is a higher pension rate.

For 2026, the maximum monthly rates are:1

Against a Colorado nursing home running about $10,159 a month, Aid and Attendance at the single-veteran rate covers roughly 24 percent of the cost, reducing the annual out-of-pocket burden by nearly $29,000.2,1

How Nursing Home Costs Lower Your Countable Income

VA pension, including its Aid and Attendance increase, is a needs-based benefit. The VA pays the difference between a veteran's countable income and the applicable Maximum Annual Pension Rate (MAPR). Because the benefit is keyed to countable income, large recurring care expenses can help a veteran qualify even when their income appears too high at first glance.1

Here is how it works: only the portion of unreimbursed medical expenses (UMEs) that exceeds 5 percent of the applicable MAPR is deductible. For 2026, those annual floors are:1

• $872 a year for a veteran with no dependents (5% of the $17,441 MAPR)1
• $1,141 a year for a veteran with one dependent (5% of the $22,839 MAPR)1

Example: a single veteran has $22,000 in annual income and pays $121,910 a year for a Colorado nursing home. After subtracting the $872 floor, roughly $121,038 in nursing home expenses become deductible. That drives countable income far below the MAPR threshold, making the veteran eligible for the full Aid and Attendance rate.1

Nursing home fees (including meals and lodging) qualify as UMEs under 38 CFR 3.278, as do health insurance premiums and other out-of-pocket medical costs.

Who Qualifies for VA Aid and Attendance

To receive VA Aid and Attendance, a veteran must meet all of the following:5

1. Wartime service: at least 90 days of active duty, with at least one day during a recognized wartime period (World War II, Korea, Vietnam, Gulf War/post-9/11).
2. Age or disability: age 65 or older, OR permanently and totally disabled.
3. Net worth under $163,699 (for 2026): this limit combines assets and annual income; it excludes the primary home, vehicles, and basic household items.5
4. Need for aid and attendance: requires help with daily activities (bathing, dressing, feeding), is bedridden, is a patient in a nursing home due to mental or physical incapacity, or has severely limited vision.

The VA also applies a 36-month look-back on asset transfers for less than fair market value. Transfers made on or after October 18, 2018 can trigger a penalty period of up to five years.5

Surviving spouses of qualifying wartime veterans may be eligible for the Survivors Pension with Aid and Attendance at up to $1,558/month.1

The $90/Month Nursing-Home Pension Cap

This is one of the most important planning facts for families weighing both VA pension and Medicaid.

When a single veteran with no spouse or child is receiving Medicaid-covered nursing facility care, federal law generally limits VA pension, including the Aid and Attendance amount, to no more than $90 per month for any period after the month of admission (38 U.S.C. 5503(d)(2), implemented at 38 CFR 3.551(i)).4,6 This reduced amount is protected as a personal allowance: the facility cannot count it toward the veteran's cost of care, so the veteran keeps the full $90 for personal expenses.

What this means practically: if a veteran enters a nursing home that Health First Colorado is already paying for, the VA pension does not continue at the full Aid and Attendance rate. Given Colorado's above-average nursing home costs, families should coordinate both applications carefully before the veteran enters a Medicaid-funded facility. An accredited VA representative or elder law attorney can help map out the timing to preserve as much benefit as possible.6

How Aid and Attendance Works with Colorado Medicaid (Health First Colorado)

VA Aid and Attendance and Health First Colorado (Colorado's Medicaid program, administered by the Department of Health Care Policy and Financing, or HCPF) are separate programs that can interact for a veteran needing long-term care. Under the general federal framework, the VA reduces countable income by qualifying unreimbursed medical expenses before calculating pension eligibility, so paying for nursing home care can help a veteran qualify for the VA benefit.5

How that VA income is then treated for Health First Colorado eligibility and the Medicaid long-term-care cost-share (patient liability) is governed by Medicaid rules. In many situations the Aid and Attendance portion is treated differently from base pension when a person is also on Medicaid in an institution. Because the exact treatment is fact-specific, a Colorado family should confirm the interaction with a County Veterans Service Officer, Health First Colorado/HCPF, or an accredited benefits counselor before relying on receiving both at full value.5

How to Apply for VA Aid and Attendance for a Nursing Home in Colorado

To apply for Aid and Attendance, you will need:7

• VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), completed by a physician documenting the need for assistance.
• VA Form 21P-527EZ (Application for Veterans Pension), if the veteran is not already receiving VA pension.

Forms can be submitted online at va.gov, mailed to the VA, or filed through an accredited representative. Processing often takes three to six months.7

Free help in Colorado: The Colorado Division of Veterans Affairs operates County Veterans Service Offices in every county. Accredited officers help veterans and their families with VA claims, applications, and appeals at no cost.8 Visit vets.colorado.gov to find your nearest office.

Never pay someone to file an initial VA claim. Accredited representatives are prohibited from charging fees for this service.

Compare Care Settings in Colorado

Aid and Attendance can help pay for any care setting. See how it works for the others:

• How Aid and Attendance Pays for Assisted Living in Colorado
• How Aid and Attendance Pays for In-Home Care in Colorado
• How Aid and Attendance Pays for Memory Care in Colorado

Learn More

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.