Texas VA Aid and Attendance

Texas Medicaid doesn't treat every VA payment the same way. HHSC's rules exempt VA Aid and Attendance, housebound allowances, and payment adjustments tied to unusual medical expenses from both Medicaid eligibility calculations and co-payment calculations. Regular VA pension and compensation, apart from those specific allowances and adjustments, generally does count as income under HHSC's VA-income rules (HHSC VA-benefits policy).

That protective treatment can disappear if the money isn't handled carefully. HHSC specifically warns that excluded Aid and Attendance or housebound amounts become countable for co-payment purposes the moment they're deposited into a Qualified Income Trust account — a detail easy to overlook when consolidating funds (HHSC VA-benefits policy).