VA Aid and Attendance is a higher VA pension for Maine veterans and surviving spouses who need help with daily activities, and it can help a family meet the cost of memory care. It is an increased monthly payment added to a VA pension, and qualifying memory care costs can count as unreimbursed medical expenses that lower the income VA counts against it.,

In This Guide

How Much Memory Care Costs in Maine

Maine's long-term care costs run above the national medians in every setting. According to the CareScout 2025 Cost of Care Survey (the most recent state-level data), CareScout reports Maine assisted living two ways: its state data release puts it at $81,720 a year, while the survey's own data tables put it at $98,460 a year, or $8,205 a month for a private one-bedroom unit. Either way, it is above the national median of about $74,400. These are industry-survey medians, not government figures; they are approximate, and costs vary within the state and rise as care needs grow.

Maine does not issue a stand-alone memory-care license; instead, dementia care is provided within licensed assisted housing programs. Maine's rules for a Memory Care Unit sit in Part B of its assisted housing rule (10-144 C.M.R. Chapter 113), the Residential Care Facility rule, effective September 18, 2025; Part A, the Assisted Living rule, has no Memory Care Unit section. A facility that operates a Memory Care Unit must give residents and family members information that includes its philosophy of care, how it plans services and staffs to meet residents' needs, its security measures, its staff training, and its admission and discharge criteria. New staff assigned to the unit need at least eight hours of classroom and eight hours of clinical orientation before working with residents, plus eight hours of dementia-related training every year. The unit must be locked, segregated or secured, with at least one direct-care staff member for every 12 residents from 7:00 a.m. to 3:00 p.m., every 18 from 3:00 p.m. to 11:00 p.m., and every 30 overnight. The adopted rule does not use the phrase "disclosure statement," so ask each program for the information it must give residents of Memory Care Units, and compare what you are told against what you see on a visit. A secured dementia setting and specialized staffing go beyond standard assisted living, so use those assisted-living figures as a starting point and ask each program for its actual memory care rate.

How VA Aid and Attendance Helps Pay for Memory Care in Maine

Aid and Attendance is an increase to the VA pension for veterans and surviving spouses who need regular help with daily activities. VA pays the pension monthly. VA can also add Aid and Attendance to monthly compensation benefits for a veteran who receives disability compensation rather than pension; this guide covers the pension route.

The benefit is needs-based, so a household qualifies only if its yearly family income and net worth fall within limits Congress sets, and because the benefit is keyed to the income the VA counts, lowering that income can bring a household within those limits. The figures below are the most a household can receive in 2026 (effective December 1, 2025 through November 30, 2026). VA publishes these rates as annual maximums, not payments. Under 38 CFR 3.273, the monthly pension is the applicable annual rate minus the household's countable income, divided by 12.

Who is applying Maximum annual pension at the A&A rate (2026)
Veteran (no dependents) $29,093
Veteran with one dependent $34,488
Surviving spouse (no dependents) $18,697

Even the largest of these maximums, $34,488 a year, sits well below Maine's assisted-living range of roughly $81,720 to $98,460 a year, which is your starting point for pricing memory care until a program quotes its own rate. So even at its maximum, the pension would cover only part of a bill in that range.,

How Dementia Can Meet the Aid and Attendance Need Test

The "aid and attendance" part of the benefit is about whether a person needs help from others. The VA looks for someone who needs regular help from another person with daily activities such as bathing, dressing, or feeding themselves; who needs care or assistance on a regular basis to protect them from the hazards of their daily environment; who is bedridden; who is a patient in a nursing home because of a loss of mental or physical abilities related to a disability; or whose eyesight is limited to 5/200 or less in both eyes (or a visual field contracted to 5 degrees or less).

A diagnosis on its own is not the test; the need for help is. Under 38 CFR 3.352(a), VA counts a physical or mental incapacity that requires care or assistance on a regular basis to protect a person from the hazards or dangers of daily life, not every listed condition has to be present, and the evidence needs to show a regular need for aid and attendance rather than a constant one. So a person whose dementia means they need that kind of supervision, or hands-on help with dressing, keeping clean, or eating, can meet it. A medical examiner documents this need on the VA's examination form, described in the application section below.

How Memory Care Costs Lower Your Countable Income for Aid and Attendance in Maine

Social Security or pension income alone doesn't settle whether a parent is over the VA pension's income limit, because the VA lets you deduct unreimbursed medical expenses from the income it counts. VA's rules name health, medical, hospitalization, and long-term care insurance premiums, including premiums for Medicare Parts A, B, and D, as medical expenses, and set a separate clinician-certification condition for paid in-home attendant care. A memory care community is generally treated under VA's rule for a care facility other than a nursing home (38 CFR 3.278(d)(3)). Payments for health care from a health care provider there are medical expenses. Payments for help with daily activities count too, even when the helper is not a health care provider, if the resident receives health or custodial care in the facility and either needs aid and attendance or has a physician, physician assistant, certified nurse practitioner or clinical nurse specialist state in writing that, because of a physical, mental, developmental or cognitive disorder, the resident needs to be in a protected environment. The meals-and-lodging part of the bill counts if the facility provides or contracts for the resident's health or custodial care, or if one of those clinicians states in writing that the resident must live in such a facility to receive that care from a third-party provider or from family or friends. The facility must be licensed where Maine requires a license, and a residential facility must be staffed with care providers 24 hours a day. Keep the community's itemized monthly statements and the medical documentation of your relative's care needs, and have a Maine Bureau of Veterans' Services officer review them with you before you count on the deduction.

There is one threshold to know. Only the portion of unreimbursed medical expenses that exceeds 5% of the applicable maximum annual pension rate is deductible. For 2026 that floor is $872 per year for a veteran with no spouse or child, and it is higher for a veteran with dependents, because the floor is figured on the pension rate including family members but not on the Aid and Attendance increase. It is an annual amount, and a small one next to a Maine care bill: $872 a year against Maine assisted-living costs of roughly $81,720 to $98,460 a year. Against a bill that size, the 5% threshold takes little off the deduction. The bigger question is which of the community's charges VA accepts as unreimbursed medical expenses, which is the question to put to a Veteran Service Officer before you file.

Who Qualifies

Beyond the need for daily help, Aid and Attendance has a few more gates:

  • Wartime service, with the required length keyed to when the veteran entered active duty. A veteran who started active duty before September 8, 1980 needs at least 90 days of active duty with at least one day during a wartime period. A veteran who started active duty as an enlisted person after September 7, 1980 generally needs at least 24 months, or the full period for which they were called or ordered to active duty, again with at least one day during wartime. An officer who started active duty after October 16, 1981 and had not previously served on active duty for at least 24 months also needs at least one day during wartime. The veteran must also not have received a dishonorable discharge. The wartime periods VA recognizes for pension include World War II, the Korean conflict, the Vietnam era, and the Gulf War, which VA's list runs from August 2, 1990 through a future date to be set by law or presidential proclamation.
  • Age, disability, or one of two other routes. The veteran must meet at least one of four alternatives: be at least 65 years old; have a permanent and total disability; be a patient in a nursing home for long-term care because of a disability; or be getting Social Security Disability Insurance or Supplemental Security Income. These branches are independent, so a wartime veteran under 65 who receives SSI meets this test without any adjudicated disability rating.
  • Net worth under $163,699 (2026). VA's net worth calculation counts the claimant's and their dependents' assets and annual income together; it excludes the primary residence, a vehicle, and basic home items.

One caution on assets: the VA applies a 3-year (36-month) look-back on assets transferred for less than fair market value before filing, and a transfer can trigger a penalty period that may not exceed five years., Before giving away money or property to qualify, talk with an accredited representative.

How Aid and Attendance Works with Maine Medicaid

In Maine, Medicaid is called MaineCare and is administered by the Maine Department of Health and Human Services. A veteran or surviving spouse can potentially receive both Aid and Attendance and MaineCare long-term care, but the two programs interact and can offset each other.

Under general federal rules, VA pension is treated as income for Medicaid purposes, except that the portion attributable to Aid and Attendance (the increased amount VA pays because the veteran or survivor needs help with daily activities) is generally not counted as income when MaineCare determines long-term care eligibility. What happens after eligibility, when MaineCare works out how much of a person's income goes toward the cost of care, depends on where the care is delivered. Maine's MaineCare Eligibility Manual (10-144 C.M.R. Chapter 332, Section 3.4.59) excludes the Aid and Attendance portion of a VA pension as income, with two exceptions, both about the cost of care. First, there is no exclusion when determining the cost of care in a residential care facility, a cost reimbursement boarding home or an adult family care home. Second, for a veteran or surviving spouse with no dependents living in a State Veterans' Nursing Home, benefits above $90 a month count toward the cost of care. For someone in a Home and Community Based Waiver, the manual says Aid and Attendance pensions are not used to determine the cost of care. For a resident of an ordinary nursing facility, the manual's cost-of-care steps don't say how Aid and Attendance is treated, so ask the Maine DHHS Office for Family Independence whether any of it counts. Maine's Memory Care Unit rules sit in its Residential Care Facility rule, so ask the Office for Family Independence how the first exception applies to the program you choose.

Whatever income does count toward a nursing-facility resident's cost of care is reduced first by five deductions federal rules (42 CFR 435.725) require, in this order: (1) a personal needs allowance the resident keeps for clothing and other personal needs; (2) for a resident with only a spouse at home, an amount for that spouse's maintenance needs; (3) for a resident with a family at home, an amount for the family's maintenance needs; (4) incurred expenses for medical or remedial care that no third party will pay; and (5) any SSI and state supplementary payments the resident keeps receiving. All five are deductions the agency has to make, not benefits a family applies for. Separately, federal law (38 U.S.C. 5503(d)) caps the VA pension at $90 a month, from the month after admission, for a veteran with no spouse or child, or a surviving spouse with no child, whose nursing-facility care Medicaid covers, and the facility's Medicaid payment can't be reduced by that $90. The cap does not reach a State home that receives VA per diem payments for nursing home care, where a separate federal rule applies, so check any planned move with a Veteran Service Officer. Because both programs are income- and asset-tested and the rules are complex, confirm how your specific benefits interact with MaineCare through the Maine DHHS Office for Family Independence or a Maine Bureau of Veterans' Services officer before relying on both.

How to Apply and Get Free Help

The steps below are the pension route, the one this guide covers: VA's condition for it is "You may be eligible for this benefit if you get a VA pension and you meet at least 1 of these requirements," meaning the aid-and-attendance needs described above. Two forms sit at its center.

  • VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance). A medical examiner must fill out the examination information section, documenting the need for help. This is also the form VA uses for Aid and Attendance that will be added to monthly compensation benefits, so a veteran who receives disability compensation rather than pension still files it.
  • VA Form 21P-527EZ (Application for Veterans Pension). On the pension route, a wartime veteran who is not already receiving a VA pension also files this pension claim.

You can file online at VA.gov, by mail to the VA Pension Intake Center, or in person at a VA regional office, and an accredited representative can help you file the claim. If you are still gathering information, you can submit VA Form 21-0966 (Intent to File) first, which VA says can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. On how long a decision takes, VA's own answer is "It depends." It processes claims in the order received, unless a claim requires priority processing.

You do not have to do this alone, and you should not have to pay for help. The Maine Bureau of Veterans' Services employs Veteran Service Officers who help Maine veterans and families apply for VA benefits (including the pension and Aid and Attendance) at no cost, and the Bureau states its highly-trained VSOs are available to help veterans for free. You can reach the Bureau's central office at 207-287-7020 or contact a field or itinerant Veterans' Services Office to begin.

Frequently Asked Questions

Does Aid and Attendance pay for memory care in Maine?

It can help. Aid and Attendance is an increased monthly payment added to a VA pension, and qualifying memory care costs can count as unreimbursed medical expenses that lower the income VA subtracts from the pension rate., In 2026 the maximum annual pension at the Aid and Attendance rate is $29,093 for a veteran with no dependents, $34,488 for a veteran with one dependent, and $18,697 for a surviving spouse with no dependents; VA subtracts countable income from that annual rate and divides the rest by 12 to set the monthly payment.

My parent's income seems too high. Can they still qualify?

Possibly. The VA deducts unreimbursed medical expenses from the income it counts, and only the portion above an annual floor of $872 for a veteran with no spouse or child (higher for a veteran with dependents) is deductible. A large care bill can therefore bring a household that looked over the limit back within it. How much of a memory care community's charge VA accepts depends on the care provided and the documentation, so ask a Maine Bureau of Veterans' Services officer to review the statement before you assume it.

Does a dementia diagnosis automatically qualify a veteran?

No. The VA looks at the need for help, not the diagnosis: whether a person needs regular help from another person with daily activities, or care on a regular basis to protect them from the hazards of their daily environment. A veteran with dementia who has either need can meet the test, and a medical examiner documents it on VA Form 21-2680.,

Can a veteran get both Aid and Attendance and MaineCare?

Potentially yes, but the programs interact. Under general federal rules the Aid and Attendance portion of the pension is generally not counted as income for MaineCare long-term care eligibility. Whether it counts toward the cost of care afterward depends on the setting: Maine's eligibility manual does not exclude it in a residential care facility, counts benefits above $90 a month for a veteran or surviving spouse with no dependents in a State Veterans' Nursing Home, and does not use it in a Home and Community Based Waiver. For an ordinary nursing facility the manual doesn't say, so ask. You should confirm your specific situation with the Maine DHHS Office for Family Independence or a Maine Bureau of Veterans' Services officer.

What if the Aid and Attendance claim is denied?

A denial is not the end. After an initial VA decision you have three decision review options: a Supplemental Claim, filing new and relevant evidence the VA did not have when it reviewed the case before; a Higher-Level Review, in which a higher-level reviewer looks at the case with no new evidence submitted; or a Board Appeal, in which a Veterans Law Judge at the Board of Veterans' Appeals reviews the case. You elect one of the three rather than filing several: under 38 CFR 3.2500(b), once you have filed under one option you cannot file under a different one while that review is pending final adjudication. The one-year clock runs from the date on the letter for the decision you want reviewed: a Higher-Level Review must be requested within one year of VA's decision on an initial claim or Supplemental Claim, and a Board Appeal within one year of the decision on an initial claim, Supplemental Claim, or Higher-Level Review, apart from exceptions set out in 38 CFR 3.2500. A Supplemental Claim can still be filed after that year, but one received more than one year after the decision notice takes an effective date no earlier than the date VA receives it, so filing late can cost back pay. A Maine Bureau of Veterans' Services officer can help you file the review at no cost, just as with the original claim.

Next Steps

Start by asking the memory care communities you are considering for their actual rate and the information Maine requires them to give residents of a Memory Care Unit. Then gather what VA asks for on a Veterans Pension claim: the veteran's DD214 or other separation documents, service treatment records, and medical evidence such as doctor's reports. For a surviving spouse's claim, VA also asks for the veteran's death certificate and a marriage certificate or other evidence of the marriage. From there, contact the Maine Bureau of Veterans' Services at 207-287-7020 to have a Veteran Service Officer help you file the claim for free; the Bureau can also help you get a copy of a DD 214. VA processes claims in the order it receives them, and an Intent to File can secure the earliest possible effective date while you gather documents.

Compare Care Settings in Maine

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

Learn More

VA BenefitsVA Aid and Attendance in MaineVA Aid and Attendance in Maine for 2026: who qualifies, the $34,488 yearly rate for a veteran with a spouse, how to apply, and free help from Maine VSOs. Care TypesMemory Care in MaineMaine has no separate memory care license. Memory Care Units fall under Chapter 113 Part B, which sets staffing ratios, training hours and family information. Care TypesCost of Senior Care in MaineWhat senior care costs in Maine: assisted living runs about $81,720 to $98,460 a year and a nursing home tops $167,000 a year. See every setting and how to pay. VA BenefitsVA Aid and Attendance for Assisted Living in MaineHow VA Aid and Attendance helps pay for assisted living in Maine: 2026 rates, the 5% medical-expense rule, who qualifies, MaineCare, and free help applying.
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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.

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