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Can they make dec on PTSD claim without CNP

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KDM

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Anythings possible, usually VA requires a Forensic PTSD/MSA Exam. With that said, all MSA Medical Exam and subsequent Legal Filings with the PD or MP's with legal jurisdiction along with a VA Psychiatrist PTSD MSA DX, could make the actual  In-person Forensic C & P unnecessary.

The VA Forensic examiner could and would probably still have to review all the Medical and Legal Evidence provided, and complete the Rater Requested PTSD/MST DBQ. As long as you currently present with the MSA Markers, a PTSD/MSA SC should be a lock.

Semper Fi

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Yes.   There are 2 examples when a C and P is unnecessary:

1.  There is sufficient evidence in the file to grant benefits.  (OR DENY).  If probative evidence is already there, then a c and p exam is not necessary.

2.  There is a deal breaker.  A great example is if you dont have the requisite military service or discharge.  No c and p needed to deny you.  

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How can VA determine current level of disability based on no C&P exam?   If you were 100% and housebound how would they determine that if you don't get C&P.   At my VARO if you skip a C&P it is automatic denial  in  my experience.  If the VA is going to grant 100% but not P&T and housebound then you should appeal and part of that appeal should be that you did not get C&P.  When VA fails to grant P&T and housebound to 100% vet they know that the vet will have to wait years potentially to get those benefits and that you might die in the meantime which is their fondest wish.  For the VA the only good 100% is a dead 100% vet.

            John

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