SMC-R2 is a higher allowance for veterans at maximum rate who need skilled in-home medical care. R2 replaces R1 if criteria are met. Often pays approximately $11,271/month for vet alone (2026). 38 U.S.C. § 1114 and 38 CFR § 3.352 define the rules.
Must be at maximum rate (1114(o) or (p)) and require professional medical care at home. Skilled services (nursing). VA often denies R2 by demanding 100% schedular; clarify TDIU counts as 100%.