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    • Well I just wanted to give an update of what has since happened with my NOD/ APPEAL claim. I got a call from the Office of the VA Secretary yesterday in reference to the email i sent them about my claim status. Well I am not surprised (you may not be either if you know my story) to report that they told me that my NOD was either invalid or expired. Ha Ha Ha....They tried it. I have yet to receive the official letter in the mail as they just closed this out yesterday as that being the explanation. They stated that it was expired because my claim was fully developed and there was no decrease in my ratings for my claim that was filed in December 2012 for the PTSD and Back pain. I was never disputing  the December 2012 claim I filed the NOD and TDIU for the claim that was closed out in June 2014 for increase in the PTSD and back pain in which they denied those claims for increase. They also stated something along the lines of that they believed i only filed and was concerned with the IU (which is true). However they cancelled the IU claim because of the open appeal. Well this all seems like a big cluster fart. I am not fretting and I have gotten my C -file ordered. My VSO , Texas Veterans Commission, believes that I should win my TDIU claim based on my file (We spent 2 hours going over the codes and evidence that is in my C-file line by line) my whole case being  as he put it " really complicated" . At this point all i really care about is getting the IU approved and having it back dated to at least the date that I filed the original one in August 2012. The VSO said that they will represent me if I choose to file a CUE and that they have been pretty successful in the past. I guess at this point I am just waiting to hear back from the VA Secretary's Office to see where we go from here. I have all of my documentation ready and now I wait. I was going to send in the quick claim but I dont want them to not get my full SSA record before making the decision. I also dont know if its better to get an attorney or let TVC handle it.
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fireforeffect

Ptsd Inpatient Program Temp 100%

Question

Hi all,

So I've just gone through an Inpatient PTSD Program at the VA Hospital in Lyons, NJ. Had a panic attack at work on August 3rd of this year and was admitted into a 2 week stabilization period on August 4th - started the PTSD program on August 23rd going from the VA Hospital in East Orange to the Lyons Campus. I was finally discharged on Oct. 7th. I had a follow up appointment with an outpatient psych (in a VAMC) and he made the determination for me to return to work on Nov. 5th. So...if we tally that all up it comes out to 93 days (hospitalization and convalescence combined). This total time was all due to my SC for PTSD of which I am rated at 50% for.

Can someone please tell me what kind of temporary 100% disability I can look forward to? Will it cover the 4 months (Aug - Nov)? I have a claim in for it , and this might be a dumb question, but, does the claim take forever like other claims do? I hand delivered my certificate of completion from the program to my regional office in Newark and work with the Military Order of the Purple Heart (VSO) for claim support - anything else I can do?

Plus, I have an increase claim in for PTSD. I've heard so many stories from other vets on what kind of increase I can expect - some have said I'm headed for 100 and others have said I'm probably just gonna get 70% - can anyone clearly advise on this?

I would love to share more of this story: returning home, getting my initial award, struggling with but finally getting some employment and then having severe issues with that employment due to PTSD, being hospitalized and pursuing an inpatient program...maybe we can get some chatter going on this topic. I know some of the vets I went into the program with looked very confused when I mentioned the temp 100%. This is a tragedy. But that's why vets help vets.

This is my first post so, hopefully, I put it in right. Thanks for those who have made this site possible. I've obviously grown tired of waiting and being unclear as to what I should get for a benefit, but, haven't we all?

Hope to hear from anyone soon - thanks.

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5 answers to this question

Gee-when my husband was in the PTSD inhouse program, they handled the temp comp claim right there at the VAMC. It took just a few months for the check to arrive.

I think they will definitely give you 2 months temp 100% comp- and perhaps more- hard to say-

"I'm probably just gonna get 70%" possibly--- because you are still employed.

The temp comp is paid at the 100% rate -someone here will know the exact amount and it should include extra for any dependents.

"I know some of the vets I went into the program with looked very confused when I mentioned the temp 100%. This is a tragedy. But that's why vets help vets. "

That is awful!!!!! Only one vet who was in the same inhouse program with my husband didnt get any 100% temp comp.

The vets at the inhouse program as well as the VA doubted his stressor story.My husband (combat USMC Vietnam)had to wait months to even get into the program but this vet somehow got in right away and he was not even diagnosed with SC PTSD.

I am appalled to learn that the VA is not handing the temp comp claims as part of this program anymore.

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Thanks so much for your response Berta!

Perhaps I do need to wait a little bit more. I have been in touch with some of the other guys from the program and they've gotten their money already (and they graduated around the same time I did).

My real curiosity was how much compensation would be dished out due to the amount of time I was in there. What's clear is that after 21 days, the compensation can be granted. But, are my two weeks in the stabilization period counted? The convalescent leave time - is that counted too? Your response was you were not sure but I'm sure other vets are in similar situations. And, there was a regional rep that came to the program every other Wednesday. I know I already satisfied the 21 day requirement so I filed a claim with him when he visited. But then I brought my certificate of completion to the regional office and filled out a statement in support of that claim noting the extended amount of time that I was hospitalized for. Maybe I filed too much?

True, since going back to work - which is a bit more do-able now with medication on board (all 9 medications) - probably would deny me of 100% SC. I do have a claim in for the increase for PTSD and a separate claim in for TBI, Short-term memory loss due to PTSD and for my back. I have gone to C&P for all claims noted and, obviously, it's a waiting game. But, some vets have mentioned that if I get an increase awarded, let's say up to 70% from 50%, and I have 10% for tinnitus, that my TBI could be awarded and possibly combine with everything to get to 100%. I'm unclear on this idea too. And, furthermore, I'm unclear on the VA math system that is applied to percentages awarded after you recieve your initial 50%. Not only does the VA make you wait forever but they've cleverly figured out a way to round up/down and short change a compensation award which makes a combined 100% verrrryy difficult to achieve.

Not to sound so money-hungry, but that significant amount of time in the hospital left me high and dry. "Hurry up and wait" is almost non-applicable - I can't afford to hurry right now.

Thanks again, maybe there's something I can do to get this moving along.

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Newark is one of the better offices we have re time for claims getting processed. As you went in for PTSD, we usually consider an increase in whatever the disability was that caused you to be admitted to the hospital in the first place for either paragraph 29 (hospitalization in excess of 21 days) or paragraph 30 (convalescence). The temporary 100% can be dished out beginning when you were admitted and extended to up to 3 months without need of a veterans service center manager review...they can grant longer if the evidence shows you need more than that. As for your PTSD evaluation, since you are still employed, chances are you will not get the 100% disability since you are still at a job.

As for the VA math...i never liked regular math, let alone this kind! But we have a calculator program that figures it out for us so that there's no human error re combining the evaluations. If you give me a tally of all your disability evaluations now (not what you expect to get) i can try to figure it out for you.

Thanks so much for your response Berta!

Perhaps I do need to wait a little bit more. I have been in touch with some of the other guys from the program and they've gotten their money already (and they graduated around the same time I did).

My real curiosity was how much compensation would be dished out due to the amount of time I was in there. What's clear is that after 21 days, the compensation can be granted. But, are my two weeks in the stabilization period counted? The convalescent leave time - is that counted too? Your response was you were not sure but I'm sure other vets are in similar situations. And, there was a regional rep that came to the program every other Wednesday. I know I already satisfied the 21 day requirement so I filed a claim with him when he visited. But then I brought my certificate of completion to the regional office and filled out a statement in support of that claim noting the extended amount of time that I was hospitalized for. Maybe I filed too much?

True, since going back to work - which is a bit more do-able now with medication on board (all 9 medications) - probably would deny me of 100% SC. I do have a claim in for the increase for PTSD and a separate claim in for TBI, Short-term memory loss due to PTSD and for my back. I have gone to C&P for all claims noted and, obviously, it's a waiting game. But, some vets have mentioned that if I get an increase awarded, let's say up to 70% from 50%, and I have 10% for tinnitus, that my TBI could be awarded and possibly combine with everything to get to 100%. I'm unclear on this idea too. And, furthermore, I'm unclear on the VA math system that is applied to percentages awarded after you recieve your initial 50%. Not only does the VA make you wait forever but they've cleverly figured out a way to round up/down and short change a compensation award which makes a combined 100% verrrryy difficult to achieve.

Not to sound so money-hungry, but that significant amount of time in the hospital left me high and dry. "Hurry up and wait" is almost non-applicable - I can't afford to hurry right now.

Thanks again, maybe there's something I can do to get this moving along.

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If you are working and you have a rating of less than 100% for physical problems it is going to be very hard to get to the 100% rate. I am rated 90% TDIU. I have 7 SC disabilites and the closer I get to 100% the harder it gets. VA math makes it hard. If you can get a rating of 70% for PTSD/TBI that would put you in a good position the day you find you can't work anymore. It will make getting TDIU much easier than starting at lower level of disability. The maximum you can get for a mental disorder and still be working is probably 50-70%. If the VA grants 70% then know it is a matter of time before you pull the TDIU plug.

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Are you saying that when you enter the inpatient program you can put in for your temp 100% and they will begin paying you then or once the 21 days have passed. Also how long does it take to get it processed once you apply, is it like a regular claim or is it faster. Please advise and thnx in advance.

Newark is one of the better offices we have re time for claims getting processed. As you went in for PTSD, we usually consider an increase in whatever the disability was that caused you to be admitted to the hospital in the first place for either paragraph 29 (hospitalization in excess of 21 days) or paragraph 30 (convalescence). The temporary 100% can be dished out beginning when you were admitted and extended to up to 3 months without need of a veterans service center manager review...they can grant longer if the evidence shows you need more than that. As for your PTSD evaluation, since you are still employed, chances are you will not get the 100% disability since you are still at a job.

As for the VA math...i never liked regular math, let alone this kind! But we have a calculator program that figures it out for us so that there's no human error re combining the evaluations. If you give me a tally of all your disability evaluations now (not what you expect to get) i can try to figure it out for you.

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