VA Aid and Attendance in Utah can bring a wartime veteran with a spouse up to $2,874 a month ($34,488 a year) in 2026 when the veteran needs regular help with tasks like bathing or dressing. It's a federal benefit and one of the most underused, and many Utah veterans and surviving spouses who qualify never apply because they don't know it exists.

In This Guide

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. It's the same VA pension paid at a higher maximum rate when you need regular care, so the Aid and Attendance figure is the maximum for the whole pension, not an amount paid in addition to the basic rate.

You may qualify if you need help with daily activities such as:

  • Bathing or showering
  • Dressing and undressing
  • Feeding yourself
  • Using the toilet
  • Adjusting prosthetic devices
  • Protecting yourself from everyday hazards

You can also qualify if illness means you have to stay in bed, or spend a large portion of the day in bed, if you're a patient in a nursing home because of a loss of mental or physical abilities related to a disability, or if your eyesight is limited to 5/200 or less in both eyes (or your visual field is contracted to 5 degrees or less).

Aid and Attendance comes as part of the monthly pension payment VA makes to a qualified veteran or survivor, not as a separate check. For Utah families piecing together long-term care, that monthly payment can help cover paid care at home or in a facility.

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, you have to meet all four of these requirements.

1. Wartime service. How much service the VA requires 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 must have served 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 for which they were called or ordered to active duty, again with at least one day during wartime. A third route covers an officer who started active duty after October 16, 1981 and had not previously served on active duty for at least 24 months. Recognized wartime periods include World War II, the Korean conflict, the Vietnam War era, and the Gulf War, which runs from August 2, 1990 through a future date to be set by law or presidential proclamation.

2. Discharge, plus one of four status tests. The veteran must have no dishonorable discharge, and at least one of these must be true: at least 65 years old; a permanent and total disability; a patient in a nursing home for long-term care because of a disability; or getting Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). These four are independent alternatives, not a single age-or-disability question, so a wartime veteran under 65 who receives SSI meets this test without any permanent-and-total rating.

3. Need for assistance. The veteran or surviving spouse must need regular help from another person with daily activities, have to stay in bed or spend a large portion of the day in bed because of illness, be a patient in a nursing home because of a disability-related loss of abilities, or have severely limited eyesight as described above.

4. Net worth under $163,699. This is the limit from December 1, 2025 through November 30, 2026. VA's calculation combines the claimant's and their dependents' assets with annual income for VA purposes, so comparing savings alone against $163,699 gives you the wrong answer. Your primary residence, your car, and basic home items like appliances are excluded from the asset side.

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 for a surviving spouse with no dependents.

VA Aid and Attendance Rates in Utah (2026)

The VA calculates your payment as the difference between your income for VA purposes and the Maximum Annual Pension Rate (MAPR) for your category. The MAPR is the maximum amount of pension payable, a ceiling rather than a check, so the lower your countable income, the closer your pension comes to it. These rates are federal, so they're the same in Utah as anywhere else.

Category Maximum Annual Rate
Veteran, no dependents $29,093
Veteran with spouse $34,488
Two veterans married to each other (both A&A) $46,143
Surviving spouse, no dependents $18,697
Veteran, no dependents (Housebound) $21,313
Veteran, no dependents (basic pension) $17,441
Each additional dependent +$2,984

VA publishes these rates as annual amounts but pays pension monthly. Under 38 CFR 3.273, the monthly payment is your maximum annual rate minus your countable income, divided by 12, and 38 CFR 3.29(b) rounds the result down to the whole dollar. The one monthly figure VA prints itself is $2,874, the penalty-period rate under 38 CFR 3.276(e)(1), which is the $34,488 veteran-with-spouse rate divided by 12.

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, which VA pays in monthly installments by dividing it by 12. Unreimbursed medical expenses, including care costs that meet VA's conditions under 38 CFR 3.278, reduce your countable income, which raises your benefit. Only the portion above 5% of the applicable MAPR is deductible, which is $872 for a veteran with no spouse or child and $1,141 for a veteran with one dependent.

The Net Worth Limit and 3-Year Lookback

The net worth limit for December 1, 2025 through November 30, 2026 is $163,699. VA's calculation combines the claimant's and their dependents' assets (savings, investments, and property other than your home) with annual income for VA purposes, so assets alone are not the test.

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 Utah veterans who own their homes outright but live on a modest fixed income. That house may also carry a tax break: Utah exempts qualifying disabled veterans from property tax on their residence, a state benefit claimed through the county and separate from anything the VA pays, and our guide to Utah's disabled veteran property tax exemption explains the rating it takes and how to apply.

The 3-Year Lookback Rule

The VA reviews any assets you transferred for less than fair market value in the 36 months (three years) before VA receives your pension claim. If you gave away or sold an asset below market value and keeping it would have put your net worth over the limit, the VA will assess a penalty period of up to five years. Putting money into an annuity, a trust, or another financial product that lowers your net worth counts as that kind of transfer too, unless you can cash out the whole balance for your own use, in which case VA counts it as part of your net worth.

If you're thinking about moving assets, talk to a VA-accredited attorney or an elder law attorney first.

How to Apply for VA Aid and Attendance in Utah

These steps describe the pension route: the VA's condition for it is "You may be eligible for this benefit if you get a VA pension." Form 21-2680 itself serves both routes, since it also covers Aid and Attendance that will be added to your monthly compensation benefits.

1
Step 1

File an intent to file, if you're still gathering paperwork

A claimant still collecting information can submit VA Form 21-0966 (Intent to File) first. Per the VA, submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive, and the form covers disability, Veterans pension, survivors pension, and DIC claims. Once you've notified VA, you have 1 year to complete and file the claim.

2
Step 2

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.

3
Step 3

Complete the pension application

A wartime veteran pursuing the pension route who is not already receiving VA pension also files VA Form 21P-527EZ (Application for Veterans Pension), which covers service history, income, net worth, and medical conditions. This is the wartime, means-tested pension application, so it is not the right form for a veteran seeking Aid and Attendance added to VA disability compensation.

4
Step 4

Submit everything

You can file online at va.gov, mail the forms to the VA Pension Intake Center, bring them in person to a VA regional office, or file through an accredited representative such as a Utah veteran service officer. If you start the pension application online while signed in with an identity-verified account, that automatically notifies VA of your intent to file, with no separate form needed.

5
Step 5

Wait for a decision

Asked how long a decision takes, the VA answers "It depends." It processes claims in the order it receives them, unless a claim requires priority processing. Send everything at once, with strong medical documentation, so the claim isn't waiting on missing pieces.

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 Utah: UDVMA and Veteran Service Officers

You don't have to file this claim alone. Free, accredited help is available in Utah, and the services an accredited VSO representative provides on your VA benefit claims are always free.

The Utah Department of Veterans and Military Affairs (UDVMA)

The Utah Department of Veterans and Military Affairs, known as UDVMA, is the state agency that connects veterans, retired service members, and their families to the benefits they earned, including federal VA pension benefits like Aid and Attendance. UDVMA doesn't decide your VA claim itself (the federal VA does that), but it offers free assistance to veterans and their family members with claims, applications, and appeals to the VA. Its veteran service officers are trained and accredited to represent Utah veterans in filing claims with the VA and during the appeals process. You can reach UDVMA's main office at 801-326-2372 and schedule to meet with a VSO in person, over the phone, or by video conference.

Utah's State Veterans Homes

UDVMA also oversees four state veterans nursing homes for veterans who need long-term care, with day-to-day operations provided by a contracted private healthcare provider: the William E. Christoffersen Salt Lake Veterans Home in Salt Lake City, the George E. Wahlen Ogden Veterans Home in Ogden, the Mervyn Sharp Bennion Central Utah Veterans Home in Payson, and the Southern Utah Veterans Home in Ivins. Care levels vary by home: the Salt Lake City home is a skilled nursing facility with a memory care unit, and the Ogden home provides rehabilitation, extended skilled nursing care, and specialized memory care. On cost, UDVMA says there is no cost for veterans with a 70% or higher service-connected disability, and for veterans with no service-connected disability or one under 70%, the VA subsidizes the cost with a per diem of approximately $120 a day. UDVMA says that in general a veteran is eligible for admission if they served on active duty or deployed while serving in the reserves, and that spouses of veterans and Gold Star parents are also eligible, though the VA does not cover or subsidize their cost of care. The National Association of State Veterans Homes describes a narrower test (including more than 180 consecutive days of active duty and an honorable separation), so a veteran who falls between the two, or a surviving spouse, should confirm eligibility with the home. 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.

Veteran Service Officers

A Utah veteran service officer can help you file your claim with the VA and represent you during the appeals process, at no cost to you. UDVMA also lists accredited representatives at other organizations, including the Disabled American Veterans (DAV), the American Legion, and the Veterans of Foreign Wars (VFW), who can help veterans and members of the military file claims for benefits with the VA. Contact a service officer early rather than waiting until a care crisis forces the issue.

Utah's Veteran Population

The VA's National Center for Veterans Analysis and Statistics puts Utah's veteran population at 126,203 for 2025 in its FY2025 Utah state summary, down from 127,944 for 2024 and 129,785 for 2023, against 17,587,676 veterans nationally in 2025. These are modelled estimates from VA's population projection model, not a head count. The Census Bureau's QuickFacts series, which uses its own definition, runs lower, putting Utah's veterans at 111,760 for 2020-2024, and the same VA summary projects the state's count will fall to 93,933 by 2053.

A word of caution: be wary of companies that charge fees to help with VA claims. Any individual providing VA benefits claims assistance must be accredited by the VA, and an accredited VSO representative never charges for help with your claim.

How Aid and Attendance Works with Utah Medicaid

Aid and Attendance and Utah Medicaid are run separately, by different agencies and under different rules. A veteran can receive both at the same time, and Utah's eligibility rules treat the A&A allowance favorably.

  • Utah Medicaid excludes the A&A allowance from countable income. The Utah Department of Health and Human Services eligibility policy manual (section 415-2) explicitly excludes the VA Aid and Attendance or Housebound allowance from countable income, and also excludes VA payments for unusual (unreimbursed) medical expenses.
  • The $90 nursing-home pension is treated as non-countable. When a recipient of the common "improved" VA pension enters a nursing home, Utah's manual says the payment is reduced to $90 and that the $90 is an Aid and Attendance payment not counted as income. Federal law limits who that reduction reaches: a veteran with no spouse or child (or a surviving spouse with no child) whose nursing-facility care Medicaid covers, for the period after the month of admission, and not in a State veterans home for which VA pays the nursing-home per diem. An older "protected" pension, which a veteran whose first pension check came before December 31, 1978 may have elected, is instead counted as income.
  • Receiving A&A doesn't by itself disqualify you. Because the A&A portion is not counted, receiving it does not on its own disqualify a veteran or surviving spouse from Utah Medicaid long-term-care coverage, though the basic pension and other income are still subject to Medicaid's income and asset rules.
  • That exclusion settles eligibility only, not the bill. For a nursing-facility resident, the federal share-of-cost rule (42 CFR 435.725) says income that was disregarded in determining eligibility must be considered in that calculation. Where VA has cut the pension to $90, that $90 does not count toward the bill: Utah's manual excludes it, and federal law bars it from reducing Medicaid's payment to the facility. If VA still pays Aid and Attendance at the full rate (for example, to a veteran with a spouse or child, or in the month of admission), ask Utah DWS or Utah Medicaid how Utah counts it before you budget. Whatever income does count, the agency is required to deduct a personal needs allowance (Utah's manual sets it at $45) and incurred expenses for medical or remedial care that no third party pays before the rest goes to the facility.
  • State veterans homes have their own rule. For a veteran with no spouse or child, or a surviving spouse with no child, living in a State veterans home for which VA pays the nursing-home per diem, federal Medicaid law counts any pension above $90 a month, including Aid and Attendance, only to apply that excess toward the home's cost of care.
  • A waiver is a different calculation. The facility rule above does not set the post-eligibility calculation for someone receiving Medicaid home- and community-based waiver services at home, so ask Utah Medicaid which rule applies to a waiver participant and what it leaves the household each month.
  • The two programs cover different things. A&A can pay for costs Utah Medicaid often doesn't, such as room and board in assisted living, while Medicaid may cover the care services themselves and long-term nursing care.

Even with Utah's favorable treatment, the order in which you apply and how income is documented can still matter, so it's worth talking to a benefits counselor who understands both programs before you file.

Frequently Asked Questions

How much does VA Aid and Attendance pay in Utah in 2026?

The maximum depends on your situation, and the VA publishes it as a yearly ceiling: up to $29,093 a year for a veteran alone, up to $34,488 a year ($2,874 a month) for a veteran with a spouse, and up to $18,697 a year for a surviving spouse with no dependents. VA pays the pension monthly, dividing your annual rate, less countable income, by 12. These are federal rates, identical in Utah. 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 Utah?

Contact the Utah Department of Veterans and Military Affairs (UDVMA) at 801-326-2372, and schedule to meet with a veteran service officer in person, over the phone, or by video conference. UDVMA's assistance with claims, applications, and appeals is free, and it also lists accredited representatives at the VFW, American Legion, and DAV.

Can I receive Aid and Attendance and Utah Medicaid at the same time?

Yes. Utah's treatment is favorable at the eligibility stage: its Department of Health and Human Services eligibility policy manual explicitly excludes the A&A or Housebound allowance from countable income, so receiving it does not by itself disqualify a veteran or surviving spouse from Utah Medicaid long-term-care coverage. That settles eligibility, not the bill. If VA has reduced your pension to $90 in a Medicaid-covered nursing facility, that $90 does not count toward what you owe the facility. If VA is still paying Aid and Attendance at the full rate, for example because you have a spouse or a child, ask Utah DWS or Utah Medicaid how it counts toward your monthly share of cost, since the federal rule (42 CFR 435.725) says income disregarded at eligibility must be considered in that calculation. If you are on a home- and community-based waiver instead, the facility rule doesn't set your calculation, so ask Utah Medicaid which rule applies to you. The basic pension and other income are still subject to Medicaid's rules, so talk to a benefits counselor before applying.

How long does it take to get approved?

Asked how long a decision takes, the VA answers "It depends." It works claims in the order it receives them, unless a claim requires priority processing. You can't control the queue, but you can avoid holding up your own claim: have the medical examiner be detailed on VA Form 21-2680 and submit all supporting documents at once.

Learn More

MedicaidMedicaid Planning StrategiesSee which assets you keep, how the 5-year look-back works, and the legal moves that qualify you for Medicaid long-term care without losing the house. Care TypesAssisted Living in UtahAssisted living in Utah runs below the national median of about $6,200/month. Type I vs Type II licensing, what it costs, and where Medicaid helps. Care TypesNursing Homes in UtahNursing homes in Utah in 2026: what a semi-private and private room cost, how to check a facility's record, and how Medicaid pays for long-term care. Care TypesMemory Care in UtahUtah has no standalone memory care license. Secure dementia care is a secure unit in a Type II assisted living facility. See the rules, cost, and how to vet. Care TypesCost of Senior Care in UtahWhat senior care costs in Utah in 2026, from assisted living to nursing homes to in-home help, using the latest CareScout survey, plus how families pay. Care TypesAssisted Living vs. Nursing Home in UtahAssisted living vs. a nursing home in Utah comes down to two things: the level of care your parent needs, and who pays. Here is how each setting works in 2026.
Your next step Find personalized help applying for VA Aid and Attendance in Utah 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.

Still have questions?

Brevy answers from this guide and every other guide here, and can check what you qualify for.

BC

Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.