My father is a 104 World War II vet. SInce he came to live with us in September, 2014, he has had congestive heart failure and a stroke. He needs a lots more help now with activities of daily living. He can walk using a walker as long as someone walks with him, and can feed himself, but needs help with most other things. He doesn't have dementia or Alzheimer's, thank goodness. The VA has only given my father 10 hours of caregiving per week, which isn't nearly enough. I am having his doctor fill out a new VA form 21-2680. Since this is a new application, is there a case number that I need to put on, which it asks for? My father does get 30 hours a week from Medicaid also, but my husband and I work fulltime on our business at our house and could use more hours in the afternoon for a caregiver to look after my father. My father refuses to go to adult daycare. Private pay for caregivers starts at $15.00 in our area of Virginia, and my father has no savings left. There are no other relatives to help care for him.
The question becomes not the number of hours, but the monthly benefit in dollars. They have limits to the benefit. 10 hours a week is roughly $1000 per month they reimburse you? Create a case of the number of hours he needs and calculate that monthly financial need and submit it. The VSO should be able to help you determine how to best represent the need.
I do not recall the frequency which you can re-apply to adjust benefit / pension amount. For sure yearly, but during the year it may be every 6 months. I would estimate something more than the max benefit in anticipation that his needs will increase and easier to do this once. Again the VSO can help there. Good luck.