Thank you for the reply JaneCares. I took your advice and spoke with a knowledgeable and diligent Accredited Vetrans Service Officer today. She provided a detailed answer to my question: Am I eligible to receive A&A to pay for care givers for my wife's care:
The VA considers each application individually, so some may qualify and some may not; the necessary action is to apply by
1. Submit the Pension application. Countable income is based on income and offset by monthly unreimbursed healthcare expenses paid during the period starting when the intent to file was submitted. Prior expenses do not count.
2. Submit the form 21-2680 that describes my health condition and a second form that describes my wife's health condition. The forms are completed by a physician.
3. It is helpful to engage professional care givers to perform the tasks that are needed for my wife's care, medication management and wound dressing. Have the professional caregiver complete the Attendant Affidavit (no form number).
My brief description will probebly raise more questions in each individual case. I am only describing what I understand for my case, and am at the beginning of the process. I will post what I learn as I go thru the process in the coming months.