A wartime veteran in Mississippi who needs regular help with everyday tasks like bathing, dressing, or eating can raise their monthly pension through VA Aid and Attendance. For a veteran with a spouse, the pension ceiling reaches $2,874 a month ($34,488 a year) in 2026.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/ It's one of the most underused VA benefits, and many Mississippi veterans and surviving spouses who qualify never apply because they don't know it exists.
This guide walks through who qualifies, how much you can receive, how to apply, and where to get free help filing in Mississippi, including from Mississippi Veterans Affairs and its service officers throughout the state.
In This Guide
- Key Takeaways
- What Is Aid and Attendance?
- Do You Qualify?
- How Much Does VA Aid and Attendance Pay in Mississippi?
- The Net Worth Limit and 3-Year Lookback
- How to Apply for VA Aid and Attendance in Mississippi
- Free Help in Mississippi: Mississippi Veterans Affairs and County Service Offices
- How Aid and Attendance Works with Mississippi Medicaid
- Common Misconceptions
- Frequently Asked Questions
What Is Aid and Attendance?
Aid and Attendance (A&A) is an enhanced VA pension benefit for wartime veterans and their surviving spouses who need help with everyday activities. It isn't a separate program, and it isn't a second check. It's a higher ceiling on the pension itself, what the VA calls the Maximum Annual Pension Rate, and that ceiling already contains the basic pension rate for the veteran's category rather than sitting on top of it, which for a veteran with no dependents is $17,441 a year. The VA pays the difference between your countable income and that ceiling.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
You may qualify if you need help with daily activities such as:
- Bathing or showering
- Dressing and undressing
- Eating or preparing meals
- Using the toilet
- Adjusting prosthetic devices
- Protecting yourself from everyday hazards
You can also qualify if you're bedridden, spend a large part of the day in bed because of illness, live in a nursing home due to mental or physical incapacity, or have severely limited eyesight (5/200 or less in both eyes).U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
This guide covers the pension route, the path VA describes for people who get, or are applying for, a VA pension. VA uses the same Form 21-2680 for Aid and Attendance that will be added to monthly compensation benefits, so a veteran who receives VA disability compensation rather than pension should ask a service officer which application fits.U.S. Department of Veterans Affairs. (n.d.). VA Form 21-2680. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/forms/21-2680/
The money can go toward any purpose, including in-home care, assisted living, or nursing home costs. That flexibility is part of what makes it so useful for Mississippi families piecing together long-term care.
Not sure whether your parent qualifies for Aid and Attendance? Check with Brevy's care navigator at brevy.com.
Do You Qualify?
To receive Aid and Attendance through the VA pension, the veteran must not have received a dishonorable discharge, and you have to meet all four of these requirements.U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
1. Wartime service. How much service is required turns on when the veteran started active duty, not on which war they served in. 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 recognized 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 they were called or ordered to active duty, with some exceptions, again with at least one day during wartime. VA lists a third path as well: a veteran who started on active duty as an officer after October 16, 1981 and had not previously served on active duty for at least 24 months. Qualifying wartime periods include World War II, the Korean War, the Vietnam War, and the Gulf War (which includes all post-9/11 service).U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/,U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/veterans-pension-rates/
2. Age or disability or another qualifying status. The veteran has to meet at least one of VA's four alternatives, any one of which satisfies this test on its own: 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. A wartime veteran under 65 who receives SSI meets this test without any adjudicated disability rating.U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
3. Need for assistance. The veteran or surviving spouse must need regular help with daily activities, be bedridden, be in a nursing home, or have severely limited eyesight as described above.
4. Net worth under $163,699. This is the 2026 limit. VA's net worth calculation combines your and your dependents' assets with your annual income, so comparing savings alone against the limit gives the wrong answer. Your primary home, your car, and basic home items like appliances don't count.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/,U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
Surviving spouses qualify too. If the veteran has passed away and the surviving spouse needs help with daily activities, they can apply for the Survivors Pension with Aid and Attendance, worth up to $18,697 a year in 2026, about $1,558 a month.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
How Much Does VA Aid and Attendance Pay in Mississippi?
The Maximum Annual Pension Rate (MAPR) is the maximum amount of pension payable for your category, and the VA pays the difference between your income for VA purposes and that limit. If your income is low enough, the payment reaches that ceiling. These rates are federal, so they're the same in Mississippi as anywhere else.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
| Category | Maximum Annual Rate | Approximate Monthly |
|---|---|---|
| Veteran, no dependents | $29,093 | $2,424 |
| Veteran with spouse | $34,488 | $2,874 |
| Two veterans married to each other (both A&A) | $46,143 | $3,845 |
| Surviving spouse | $18,697 | $1,558 |
| Veteran, no dependents (Housebound) | $21,313 | $1,776 |
| Veteran, no dependents (basic pension) | $17,441 | $1,453 |
| Each additional dependent | +$2,984 | +$248 |
VA publishes the annual amounts; the monthly column is that yearly figure divided by 12, and each row is a ceiling rather than a payment.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
Here's how the math works. If a veteran with a spouse has $12,000 in annual countable income and qualifies for A&A, the VA pays the difference: $34,488 minus $12,000 leaves $22,488 a year, or about $1,874 a month.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/ Out-of-pocket medical expenses, including what you pay for care, reduce your countable income, which raises your benefit.
The Net Worth Limit and 3-Year Lookback
The 2026 net worth limit is $163,699. This combines your and your dependents' assets (savings, investments, and property other than your home) with your annual income.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/,U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
What counts: bank accounts, stocks, bonds, investment property, IRAs, and other financial assets, plus your annual income.
What doesn't count: your primary residence, your car, and basic home items like appliances. The house you live in doesn't push you over the limit, which matters for the many Mississippi veterans who own their homes outright but live on a modest fixed income.
The 3-Year Lookback Rule
The VA reviews any assets you transferred for less than fair market value in the three years before you file your claim.U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/ If you gave away or sold assets below market value to get under the net worth limit, the VA may impose a penalty period of up to five years during which you won't receive pension benefits.
This rule exists to stop people from simply giving away savings to qualify. If you're thinking about transferring assets, talk to a VA-accredited attorney or an elder law attorney first. The penalty can be steep, so it's worth getting advice before you move money.
How to Apply for VA Aid and Attendance in Mississippi
These steps are the pension route, which VA describes for people who get, or are applying for, a VA pension. It takes two forms and a medical exam, plus an optional intent-to-file form that protects your effective date.U.S. Department of Veterans Affairs. (n.d.). VA Form 21-2680. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/forms/21-2680/
File an intent to file, if you're still gathering information
Submit VA Form 21-0966 (Intent to File) first. In VA's words, "Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive," so you don't lose ground while you collect records.
Get a medical examination
A medical examiner fills out the examination information section of VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), documenting which daily activities you need help with and why. Be thorough. The more detail about specific limitations, the stronger the claim.
Complete the pension application
A wartime veteran pursuing the pension route who is not already receiving VA pension submits VA Form 21P-527EZ (Application for Veterans Pension), which covers service history, income, net worth, and medical conditions. A veteran who receives VA disability compensation rather than pension is on a different track: Form 21-2680 also covers Aid and Attendance that will be added to monthly compensation benefits, so ask a service officer which application fits before filing 21P-527EZ.
Submit everything
You can file online at va.gov, mail the forms, or file through an accredited representative such as a Mississippi Veterans Affairs service officer. Filing online lets you save your progress and track the claim.
Wait for a decision
VA's answer to how long a decision takes is "It depends." It processes claims in the order it receives them, unless a claim requires priority processing. A complete application with strong medical documentation moves faster. Incomplete submissions are the most common reason for delays.
Documents to Gather First
- DD-214 (discharge papers) showing wartime service dates
- Medical records documenting the need for daily help
- Income documentation (Social Security and pension statements)
- Asset information (bank and investment statements)
- Marriage certificate, if claiming as a veteran with a spouse
- Death certificate, if applying as a surviving spouse
Free Help in Mississippi: Mississippi Veterans Affairs and County Service Offices
You don't have to file this claim alone, and you should never pay to file an initial VA claim. Free help is available across Mississippi.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/
Mississippi Veterans Affairs
Mississippi Veterans Affairs is the state agency that helps veterans and their families find and apply for benefits under federal, state, and local laws. Its trained Service Officers are located throughout the state, and all of their services are free of charge.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/ The agency's main office is the War Memorial Building at 120 North State Street in Jackson, and it also runs Veterans Benefits Offices in its Northern and Southern districts.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/
Mississippi Veterans Affairs also operates five Mississippi State Veterans Homes that provide skilled long-term care for eligible veterans and their spouses. The four long-established homes are in Collins, Jackson, Kosciusko, and Oxford, where the agency says it currently serves approximately 600 veterans, and the fifth is the Mississippi State Veterans Home at Tradition in Biloxi, which the agency calls its newest addition. To be admitted, an applicant generally must have been active duty and must not have been discharged under dishonorable conditions, must be or have been a Mississippi resident, and must have a physician's examination within 30 days of admission.msva.ms.gov. (n.d.). Veterans Homes — Mississippi VA. Retrieved Jul 30, 2026, from https://www.msva.ms.gov/homes For a veteran weighing assisted living or nursing care, an A&A award can help cover costs whether they stay at home or move into one of these homes.
County Veterans Service Officers
County Veterans Service Officers have to be certified by Mississippi Veterans Affairs, which requires annual training and a written examination, and none is entitled to compensation for the role unless they are certified each year. Mississippi Veterans Affairs publishes county-by-county listings running from Adams County to Yazoo County, so there is help within reach no matter where in the state you live.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/
Mississippi's Veteran Population
Mississippi counted 179,985 veterans in FY2024, according to the VA's National Center for Veterans Analysis and Statistics (NCVAS), and about 41.3% of them, 74,268 people, are 65 or older, a smaller share than the national 45.6%.U.S. Department of Veterans Affairs. (n.d.). Veteran Population - National Center for Veterans Analysis and Statistics. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/vetdata/veteran_population.asp NCVAS projects the state's veteran population will decline roughly 1.5% a year, to 115,904 by 2053, and its Mississippi state summary is the authoritative source for the exact count in any given year.U.S. Department of Veterans Affairs. (n.d.). Veteran Population - National Center for Veterans Analysis and Statistics. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/vetdata/veteran_population.asp With this many veterans statewide, it's worth contacting a service officer early rather than waiting until a care crisis forces the issue.
A word of caution: be wary of companies that charge fees to help with VA claims. VA-accredited attorneys may charge for appeals, but the initial claim filing should be free through Mississippi Veterans Affairs or a Veterans Service Organization like the VFW, American Legion, or DAV.
How Aid and Attendance Works with Mississippi Medicaid
Aid and Attendance and Mississippi Medicaid are run separately, by different agencies and under different rules. A veteran can potentially receive both at the same time, but the two count money differently, so a few points are worth understanding.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/
- A&A is calculated against your VA countable income. The VA pays A&A as an add-on to the basic pension, equal to the difference between your countable income, after subtracting qualifying unreimbursed medical expenses, and the Maximum Annual Pension Rate.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/,U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/veterans-pension-rates/
- Mississippi Medicaid covers long-term care for aged, blind, or disabled people. Administered by the Mississippi Division of Medicaid for those in nursing facilities or home and community-based services waivers, it generally counts income toward eligibility and toward your share of care costs.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/
- The A&A amount is not counted at Medicaid eligibility. At the eligibility step, Mississippi applies SSI income rules, under which the Aid and Attendance allowance is not counted as income at all, so only the basic pension counts toward Medicaid's income limit. An exclusion at the eligibility step is not the end of the analysis, though: once you are eligible and living in a nursing facility, federal rules require income that was disregarded in determining eligibility to be considered in the share-of-cost calculation (42 CFR 435.725), so the A&A amount does count toward what you owe the nursing facility. That section covers people in medical institutions and intermediate care facilities; a home and community-based services waiver share of cost is set under a separate rule, so ask the Division of Medicaid.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/
- Five deductions come off your income before the nursing home is paid. Incurred medical expenses are only one of them. Before the agency reduces its payment to the institution, 42 CFR 435.725(c) requires it to deduct five amounts from your total income, in this order: (1) a personal needs allowance for your clothing and other personal needs while you are in the institution; (2) for someone with only a spouse at home, an additional amount for that spouse's maintenance needs; (3) for someone with a family at home, an additional amount for the family's maintenance needs; (4) incurred expenses for medical or remedial care that are not subject to payment by a third party, including Medicare and other health insurance premiums, deductibles, or coinsurance charges; and (5) the full amount of any SSI and state supplementary payments you continue to receive. All five are deductions the agency has to make, not benefits you apply for, and the amount for a spouse at home comes off before anything reaches the facility.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/
- Mississippi gives a higher personal-needs allowance to veterans on the reduced $90 VA pension. For veterans, and surviving spouses of veterans, who receive a $90 VA pension, Mississippi sets the nursing-facility personal-needs allowance at $90 a month instead of the standard $44. That is the allowance amount, not an addition to it.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/
Because the two programs interact and the order in which you apply can matter, talk to a benefits counselor or a Mississippi Veterans Affairs service officer who understands both before you file.
Common Misconceptions
"My father served in peacetime, so Aid and Attendance doesn't apply." Wartime periods are specific calendar ranges, and many veterans who think of themselves as peacetime veterans actually served during one. A&A requires only 90 days of active duty with at least one day during a recognized wartime period, such as World War II, the Korean War, the Vietnam War, or the Gulf War, for a veteran who started active duty before September 8, 1980, or generally 24 months (with some exceptions) for one who started as an enlisted person after September 7, 1980. VA lists a third path for a veteran who started on active duty as an officer after October 16, 1981 and had not previously served on active duty for at least 24 months. Combat service isn't required.U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/,U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/veterans-pension-rates/
"Aid and Attendance is only for service-connected disabilities." No. A&A under the VA pension program is for wartime veterans who are 65 or older, have a permanent and total disability, are in a nursing home for long-term care because of a disability, or are getting SSDI or SSI, and the disability does not have to be connected to military service. Service-connected compensation is a separate, more generous benefit with its own rules.U.S. Department of Veterans Affairs. (n.d.). Eligibility For Veterans Pension. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/pension/eligibility/
"Her net worth is around $200,000, so she can't qualify." The net worth limit of $163,699 in 2026 counts your and your dependents' assets plus annual income, but your primary home, your car, and basic home items are excluded. Because out-of-pocket medical and care costs reduce your countable income, high care bills can pull a family under the limit even when their bank balance looks too high on paper.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/
"I'll have to pay someone to file the claim." You should never pay to file an initial VA claim. Mississippi Veterans Affairs has trained Service Officers throughout the state who help veterans and their families find and apply for benefits free of charge, with county-by-county listings running from Adams County to Yazoo County.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/
Frequently Asked Questions
How much does VA Aid and Attendance pay in Mississippi in 2026?
The maximum depends on your situation. The pension ceiling is $29,093 a year (about $2,424 a month) for a veteran alone, $34,488 a year ($2,874 a month) for a veteran with a spouse, and $18,697 a year (about $1,558 a month) for a surviving spouse.U.S. Department of Veterans Affairs. (n.d.). Current Pension Rates For Veterans. va.gov. Retrieved Sep 3, 2026, from https://www.va.gov/pension/veterans-pension-rates/ These are federal rates, identical in Mississippi, and each covers the whole pension rather than an extra amount on top of it. Your actual payment is reduced by your countable income, and out-of-pocket medical expenses can lower that income and raise your benefit.
Where can I get free help applying in Mississippi?
Contact Mississippi Veterans Affairs, whose trained Service Officers are located throughout the state, or your County Veterans Service Officer, who has to be certified by the agency.U.S. Department of Veterans Affairs. (n.d.). Get Help From A VA Accredited Representative Or VSO. va.gov. Retrieved Aug 25, 2026, from https://www.va.gov/get-help-from-accredited-representative/ All of Mississippi Veterans Affairs' services are free of charge. You should never pay to file an initial claim.
Can I receive Aid and Attendance and Mississippi Medicaid at the same time?
Often, yes. At the eligibility step, Mississippi applies SSI income rules, under which the Aid and Attendance allowance is not counted as income at all, so only the basic pension counts toward Medicaid's income limit. Once someone is eligible and living in a nursing facility, federal rules bring income that was disregarded at eligibility back into the share-of-cost calculation, so the A&A amount does count toward what they owe the facility. Not all of it reaches the nursing home. Before the agency pays the facility, 42 CFR 435.725(c) requires it to deduct five amounts in this order: a personal needs allowance, a maintenance needs amount for a spouse at home, a maintenance needs amount for a family at home, incurred medical or remedial care expenses no third party will pay, and any SSI and state supplementary payments the resident keeps receiving. For veterans, and surviving spouses of veterans, who receive a $90 VA pension, Mississippi sets the nursing-facility personal-needs allowance at $90 a month rather than the standard $44. That section covers people in medical institutions and intermediate care facilities; a waiver share of cost is set under a separate rule, so ask the Division of Medicaid.U.S. Department of Veterans Affairs. (n.d.). Aid And Attendance Benefits And Housebound Allowance. va.gov. Retrieved Jul 30, 2026, from https://www.va.gov/pension/aid-attendance-housebound/ Confirm your own figures with the Mississippi Division of Medicaid and talk to a benefits counselor before applying, because timing can affect eligibility.
How long does it take to get approved?
VA's own answer is "It depends." It works through claims in the order it receives them, unless a claim requires priority processing.U.S. Department of Veterans Affairs. (n.d.). VA Form 21-2680. va.gov. Retrieved Jul 31, 2026, from https://www.va.gov/forms/21-2680/ The most common cause of delay is an incomplete application, so have the medical examiner be detailed on VA Form 21-2680 and submit all supporting documents at once.
That house may be worth something on the tax side, too. Mississippi clears the full assessed value of a qualifying disabled veteran's homestead, on a track entirely separate from the VA pension you are applying for here, and our guide to the Mississippi disabled veteran property tax exemption covers who qualifies and the narrow filing window it runs on.
Learn More
Find personalized help applying for VA Aid and Attendance in Mississippi at brevy.com.
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.