---
title: "North Carolina VA Aid & Attendance | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/north-carolina/va-aid-attendance/
description: "How VA Aid & Attendance intersects with North Carolina Medicaid budgeting, named State Veterans Home locations, and disabled-veteran tax relief."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
North Carolina · VA Benefits

# North Carolina VA Aid & Attendance

Last updated 2026-10-20

For North Carolina Medicaid budgeting purposes, VA pension income — including the Aid & Attendance and Housebound increases — generally counts as unearned income, both for community and institutional cases. The one narrow carve-out is the VA Reduced Improved Pension exclusion, capped at $90 per month.

The rules get more specific once someone is in institutional post-eligibility budgeting. There, the standard $20 unearned-income exclusion that applies elsewhere does not apply to VA income under NCDHHS Policy MA-2250. Instead, MA-2270 provides a $70 Personal Needs Allowance along with other applicable deductions as part of the patient-liability calculation.

## North Carolina figures

- VA Reduced Improved Pension exclusion: $90/month
- Personal Needs Allowance (institutional): $70/month

## Sources and official resources

- [U.S. Department of Veterans Affairs: Aid and Attendance and Housebound](https://www.va.gov/pension/aid-attendance-housebound/)
- [U.S. Department of Veterans Affairs: Veterans Pension Rates](https://www.va.gov/pension/veterans-pension-rates/)
- [NC Medicaid: Nursing Facilities](https://medicaid.ncdhhs.gov/beneficiaries/long-term-services-and-supports/nursing-facilities)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full North Carolina guide](https://fundingltcmarketplace.com/states/north-carolina/)