Note: All Special Monthly Compensation applies ONLY TO VA Disability, not DoD.
The VA should automatically give you Special Monthly Compensation if you qualify for it. You do not have to apply. If, however, you feel that you qualify and you are not receiving, contact your local VA office.
Extra VA Disability (special monthly compensation) is given for especially serious disabilities or combination of disabilites. The basic idea is that the VA wants to give additional disability pay in cases where the disability is so severe that the regular ratings just don’t cut it. For example, the loss of one hand and a foot is more serious than just the loss of one hand.
Note: All Special Monthly Compensation Rates are given instead of the standard VA Disability Rates, except for Category K. Category K is given in addition to your standard disability pay. All Special Monthly Compensation is tax-free.
There are different categories that determine the type and amount of Special Monthly Compensation. Each one has different requirements for the conditions and combinations that qualify for Special Monthly Compensation under that category.
VERY IMPORTANT! For a condition to qualify under any category, it must be determined service-connected and rated by the VA.
Special Monthly Compensation is only for VA Disability so nothing related to DoD Disability applies.
It is given automatically if a veteran qualifies for it, however if the VA did not give Special Monthly Compensation in a case that qualifies, the veteran can submit an appeal, and Special Monthly Compensation will then be given dating back to the original VA Rating Decision.
Once you know what category of Special Monthly Compensation you qualify for, you can find the exact monetary amount you’ll receive for that category on our Special Monthly Compensation Rates page.
Before we discuss the different categories and conditions that qualify for Special Monthly Compensation, here are a few important definitions:
A few guidelines before jumping into the categories:
1.) Only one Special Monthly Compensation rating can be given for Categories L through O. Category L is the lowest Special Monthly Compensation, and Category O is the highest. Pick the highest category that best fits the conditions. (Remember to check Category K, below, because even if your condition doesn’t qualify under Categories L through O, you might still qualify under K. Category K also gives ADDITIONAL money for conditions that qualify under L through O, so make sure to check it out.)
2.) Once the proper category is determined, if there are additional conditions rated by the VA that are not used to qualify for that category and they together equal a rating of 50% or more (again, not including the conditions used to qualify in the category), then the category is moved up to the next ½ category. For example, let’s say an individual has both feet amputated (100% rating), arthritis in the wrist (30%), and asthma (30%). The amputated feet qualify for Special Monthly Compensation under Category L. The arthritis and asthma do not qualify for Special Monthly Compensation, but since together they equal a 50% rating (see the VA Math section to make sure you are adding the ratings together correctly—a 30% rating and a 30% rating equal a 50% rating, not a 60%), the Category L for the feet is pushed up to a Category L ½ (an L ½ would move up to M, etc.). The highest category for this principle is Category O. Nothing can be pushed up higher than O, so if it already qualifies for a Category O, then it cannot be raised further.
3.) Instead of a 50% rating, if there is a single condition that is not used to qualify for SMC and it is rated 100% by itself (and not including unemployability), then the category is moved up an entire step instead of a ½ step. So, if an individual has both feet amputated (SMC-L) and ALS independently rated at 100%, the Category L would move up to a Category M (or L ½ to M ½, etc.). Again, the highest category for this principle is Category O.
4.) If the conditions that qualify for Special Monthly Compensation are caused by a disease, then that disease cannot count as the 50% or 100% rating to increase the Special Monthly Compensation category.
5.) If three extremities (two legs and one arm, or one leg and two arms) qualify for Special Monthly Compensation, then the category for only two extremities is raised to the next ½ category. So, if a veteran has both feet amputated (Category L) and one hand amputation, then it would be rated under Category L ½.
6.) If separate conditions qualify for ratings under two or more different categories between L and N ½, then only one Special Monthly Compensation is given under Category O. A single condition can only be used to qualify under ONE category. For example, let’s say that a veteran has both feet (below the knee) amputated, Category L, and both hands (below the elbow) amputated, Category M. There isn’t a category that lists amputation of all four extremities (if it did, it would have to be rated there instead of Category O), so since these conditions qualify under two different categories, one Special Monthly Compensation is given under Category O.
One last thing to know: If it says “amputation of the knee”, it doesn’t necessarily mean that knee itself has to be removed. Basically, the requirement is that the amputation is at such a place that the use of the knee is impossible. So, technically, the leg could be amputated below the knee, but as long as the knee cannot be used at all, it qualifies as “amputation of the knee.” This goes for any joint.
On to the categories.
Category L
The following conditions qualify for a rating under Category L:
Category L ½
The following conditions qualify for a rating under Category L ½:
Category M
The following conditions qualify for a rating under Category M:
Category M ½
The following conditions qualify for a rating under Category M ½:
Category N
The following conditions qualify for a rating under Category N:
Category N ½
The following conditions qualify for a rating under Category N ½:
Category O
The following conditions qualify for a rating under Category O:
Special Monthly Compensation under Category S is given if the veteran has at least one condition rated 100% and one or both of the following:
-OR-
This Special Monthly Compensation cannot be given in additional to Special Monthly Compensation under Categories L through O.
Category K gives extra Special Monthly Compensation based solely on the loss of (amputation or removal) or loss of use of a body part or function. This is in addition to:
Category K can be given even if the condition does not qualify for any other Special Monthly Compensation. A single amount is given for EACH body part that is lost or cannot function, so in theory, you could add up as many Category K amounts as you have qualifying conditions as long as the total Special Monthly Compensation does not exceed the limits noted above.
The following body parts can be rated under this category:
A veteran qualifies for Aid and Attendance if they require the help of another person every day to perform the activities of daily living, including:
Another person does not need to be with the veteran at all times for them to qualify. They just have to be unable to perform the majority of the above activities without help every day.
A veteran can also qualify if:
There are two different categories that compensate for Aid and Attendance: Category L and Category R (this category). Category R requires a number of additional circumstances in order for the veteran to qualify. If the veteran meets the requirements for Aid and Attendance discussed above, but does not meet the ones discussed below, then they only qualify for Category L.
In order to receive any type of Aid and Attendance, whether SMC-L or SMC-R, a veteran must submit VA Form 21-2680 that has been completed by their physician to show proof of the need for Aid and Attendance.
To qualify for Category R, a veteran must require Aid and Attendance and one of the following:
If the veteran’s conditions does not qualify under these categories, even if aid and attendance is required, they do not qualify for Category R, only SMC-L.
Category R compensation is NOT given if the individual is hospitalized or in a care institution, only if they are being cared for at home. This is because the VA will already be covering the costs of hospitalization if a veteran is hospitalized for a service-connected condition. When the veteran is not hospitalized, however, this extra compensation helps support their need for daily care. In order to apply for care at a care facility, the veteran must submit VA Form 21-0779 that has been completed by the care facility.
There are two different levels under Category R: Category R1 and Category R2.
Category R1: For this category, the person helping the veteran does not have to be a professional. They can be a family member, friend, etc.
Category R2: For this category, the person helping the veteran must be a licensed medical professional or someone working on behalf of a licensed medical professional. In addition, the VA must judge that the veteran would have to be hospitalized, put in a nursing home, or otherwise institutionalized if they did not have this professional-level care at home.
Note: The amounts shown in the Special Monthly Compensation Rates table for Categories R1 and R2 are the total amount the veteran receives each month if they qualify for Category R. They do not also receive standard disability compensation or compensation for other categories (except Category K).
Additional Category K Special Monthly Compensation can be given, but ONLY if it is based on a different condition than the one that qualifies them for Category R. For example, if the veteran has extremely severe dementia that qualifies them for aid and attendance under Category R, and they had one leg amputated, then the amputated leg does qualify for additional Special Monthly Compensation under Category K since it was not needed to qualify them for Category R.
Note: There are two different things that the VA refers to as “Aid and Attendance.” Please note that the Aid and Attendance discussed here is only for veterans with service-connected disabilities. The VA also gives Aid and Attendance to veterans who receive pensions. That Aid and Attendance is similar, but does have significant differences than the one described here.
Veterans with Chronic symptoms caused by traumatic brain injury (TBI) may qualify for Special Monthly Compensation under Category T if they meet all of the following:
Note: The amount shown in the Special Monthly Compensation Rates table for Category T is the total amount veterans receive each month if they qualify for Category T. They do not also receive standard disability compensation or compensation for other categories.
It is important to understand how all these categories work together.
A condition can only be categorized under ONE of the categories between L and O.
If a condition qualifies under Category S, then it is categorized just under S, and not under Categories L through O.
Category K can be given in addition to any category except Category R unless the condition that qualifies for Category K is not used to qualify for Category R. You can’t use the same condition to qualify for both Category K and Category R.
Category R is unique. It completely replaces any other rating for any condition. If you qualify for Category R, then you will only receive compensation for that category, and won’t receive any other disability pay from the VA, including the normal VASRD disability rating pay. The only thing you can receive in addition to Category R is Category K for entirely separate conditions.
That’s the entire Special Monthly Compensation system. Again, once you know what category you fall under, you can find the exact amount you should be receiving on our Special Monthly Compensation Rates page.
To find the current pay rates, check out the table on our Special Monthly Compensation Rates page.
SMC is additional monthly compensation given to veterans with combinations of disabilities or special needs that result in a higher level of overall disability. There are various SMC categories that cover multiple circumstances from the need for regular assistance (Aid and Attendance) to the loss of both legs, etc.
Current SMC rates depend on the SMC category and the number of dependents the veteran has. All of the current rates can found in our Special Monthly Compensation Rates page.
Congress decides the exact rates of all VA Disability compensation, including SMC. Every few years or so, Congress will increase the rates to reflect inflation and the cost of living.
If you have an 8-digit hyphenated code, like 8099-8001, then you have an analogous code. Analogous codes are used for conditions that do not have their own codes in the VASRD. These conditions are rated analogously on the closest conditions that are in the VASRD. The first four digits identify it as an analogous code, and the last four are the code it is rated under.
The rating requirements in the VASRD were created with the intent of compensating veterans for any lack of income resulting from their condition. Each condition has its own set of requirements that assigns ratings based on that condition's unique symptoms, physical limitations, treatments, etc. Since the VASRD cannot possibly cover every possible condition in the world, it uses the principle of Analogous codes and equivalent codes to cover everything not directly listed.
If you qualify for multiple categories, then the VA will pay you at the category with the highest rate. You cannot receive multiple categories. The exception to this is SMC-K, which can be given in addition to other categories. The amount for SMC-K is added to the monthly amount for the other category.
It is extremely rare for the VA to award SMC and later take it away, however, it can happen. If your conditions improve to the point that you no longer qualify for SMC, then the VA will only compensate you at the level for which you qualify.
If your conditions have worsened and you now qualify for SMC, you can submit a claim for an increased evaluation (check the box). Make sure to submit medical records and other evidence that proves that you qualify for SMC. If you already submitted a claim, but it was denied, you can submit an appeal.