Answer: The VA will accept a personal services contract and the fees paid under the contract are permissible, deductible medical expenses to reduce income for VA purposes (as long as the claimant has been rated in need of aid and attendance). I don’t do lump sum personal services contracts for VA Accept purposes, but imagine it could be done to reduce the assets. Must be very careful; however, as to how it is claimed as medical deductions vs. annual income when doing a lump sum arrangement vs. monthly payments under the contract.
Victoria L. Collier, Attorney at Law
Collier & St. Clair, LLP
Decatur, Georgia 30030
