The Veteran's claim for an effective date prior to September 17, 2013 for special monthly pension based on the need for aid and attendance was denied as there is no medical evidence or opinion supporting his claim before that date.

The Board has remanded the case due to the need for an A&A examination, as scheduling was not done as per the previous directives. The appellant's claim for special monthly pension (SMP) by reason of need for aid and attendance or being housebound is still pending.

The Veteran is granted special monthly pension benefits based on the need for aid and attendance due to his helplessness, memory difficulties, fall risk, and rectal bleeding. However, he does not qualify for housebound status as he can leave his home with assistance.

The Veteran's claim for an effective date prior to January 15, 2019 for special monthly compensation based on the need for aid and attendance was denied as there was no formal or informal claim received before that date.

The Board granted an effective date of September 10, 2015 for the grant of special monthly pension (SMP) based on the need for aid and attendance. The appellant's claim was initially denied in June 2015 but she submitted additional evidence within one year that established her eligibility as of September 10, 2015.