Section summaries · M21-1 Part IX

Develop pension as an income-and-eligibility benefit.

Part IX covers pension and Parents’ DIC development, income/net worth, medical expenses, pension ratings, special monthly pension, and payment adjustments.

14 of 14 section summaries shown

IX.i.1

Pension/Parents’ DIC overview

Identify the benefit, claimant, qualifying service, disability/age, income/net-worth, and dependency requirements before development.

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IX.i.2

Original pension development

Develop service, age/disability, income, net worth, dependency, medical expenses, and any A&A/housebound issue on the proper forms.

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IX.i.3.A

Income and net worth—general

Identify the claimant’s household, countable income, assets, transfers, exclusions, and applicable reporting period.

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IX.i.3.B

Income/net-worth evidence

Use the required forms or an acceptable statement that supplies every material income, asset, household, and expense fact.

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IX.i.3.C

Pension income development

Verify income source, amount, frequency, start/stop dates, exclusions, and changes before computing entitlement.

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IX.ii.1.A

A&A/housebound requirements

Determine whether medical and factual evidence meets the applicable aid-and-attendance or housebound standard under 3.351.

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IX.ii.1.B

Qualified nursing home A&A

Verify nursing-home status, level/type of care, and required certification before applying the special A&A rule.

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IX.ii.2.A

Veterans Pension rating

Determine permanent and total disability, schedular/extraschedular entitlement, age-based rules, and any A&A/housebound issue.

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IX.ii.2.B

Pension unemployability

Evaluate disability, age, work history, marginal employment, and employability under pension—not compensation IU—standards.

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IX.iii.2.A

Medicaid nursing-facility reduction

Verify covered Medicaid nursing care, beneficiary status, dates, notice, and the statutory pension limit before reducing.

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IX.iii.2.B

Unusual pension adjustments

Use the dedicated rule for unusual payment, institutional, dependency, income, or eligibility situations and document the calculation.

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IX.iii.2.C

Pension-program elections

Identify available pension programs, compare payment/legal effect, obtain a valid election, and use the correct effective date.

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