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This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File




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    • CUE? Not using SMR?
      Yes, if they notice the CUE they can adjust on their own.  I just had the EED adjusted on my initial claims for asthma and left ankle, the rater looked at my entire record while processing my unadjudicated claim for diabetes.  He immediately file a cue and adjusted the EED.  I didn't have to do anything for the EED/CUE. However, my ED was actually a CU they started them in 98 vs. 97.  
    • C&P Exam Results, WTH is going on, Please Help!!!
      Agree with killemall. You got this Navy04, we can't wait for you to come back here and say DONE!    
    • Code Sheet
      Thanks Asknod My problem is finding out the code for the disability.?? PTSD Code has it at 9411&9435 Code for Unspecific Depresssive Disorder VA Notes from  PCP  has PTSD  As : SCT47505003  My Sleep Apnea Notes has the code as SCT 73430006, Some of these I get confused with Insurance Codes  for Insurance Purposes. Jbasser & Jerrel Cook had a blog talk radio show on these rating codes Last year some times Maybe I'll recheck the Archives Shows. I tried to look up the code for OSA but never found it. just the SCT #73430006..?  And I have a Boo-Coo List of NSC disability's/contentions.  with the SCT# at the end of them
    • Auto Adaptive Reimbursement
      Update. My friend talked to the head of prosthetics in Tucson(kristine) and she informed him that the VA will not cover some items like power options,automatic transmissions and a few others.(I can't remember the list of things he told me).These were all covered by the VA previously.
    • NOD / DRO or TARP?
      All, Thank you for the response's. Due to me posting all of my documents intermittently, there seems to be some confusion with the timeline and issues. I will attempt to run thru this chronologically and repost all documents including my 2015 decision which I had not previously posted and answer all questions. March 2009- Filed original Claim for the following issues and received results October 2009 (see 2009 - Rating Sheet below) I do not have the entire decision packet: TBI - 10 % SC Residuals, gallbladder removal - 0% SC Back Condition - declined SC Psoriasis - declined SC PTSD - declined SC / Stressor conceded as combat action badge. October 2010 - Filed NOD / DRO for PTSD March - 2011 - Appeal decision received. I never stated that PTSD was due to MST. The paragraph on page 2 of 2011Appeal decision below is just the last part of 10 pages that I cut out covering rules and US code that they sent in the letter. The actual decision starts at the bottom of that page. Results: PTSD declined - I did not submit any new evidence. Diagnosed as "adjustment disorder with mixed anxiety and depressed mood". Blamed on me worrying about my husband returning to Iraq, even though he had just returned??? October 2014  - Initiated following claims: (I had transferred to the North Texas VA and had finally began receiving treatment after being fed up with OKC VA. I live in southern Oklahoma, so its a drive for me to go to either one) PTSD - Re-open Claim. TBI - Request for increase. May 2015 -  I reported for C&P exams at the Dallas VA clinic for PTSD and TBI. I'm not sure if this is relevant, but I received a call while my husband and I were driving there stating that the TBI examiner had to leave early and they would have to re-schedule that exam. I protested because it is a 3 hour drive. They called me back 10 minutes later stating that he would conduct the exam. He seemed pissed the whole time. His notes stated that No TBI residuals were present.  This is also the exam where the PTSD screener stated "However, it should be pointed out that most of the symptoms the veteran described during today's MH examination certainly those common to a PTSD diagnosis- she also described during her 7/8/09 Initial PTSD examination, in Oklahoma City, three years PRIOR to her son's illness."  ( see 2015 C&P exam notes below) June 2015 - Latest decision received. Results (see 2015 - decision part 1 &2 below): TBI - Decreased to 0% SC PTSD - 50% SC May 2016 - Wondering what my best next COA should be? Would like to get PTSD effective date back to 2009 and get TBI increased to at least percentage it was before. I have about 50 days to file my NOD. Q&A: Berta: What did the C & P doc diagnose you with? 2009 - TBI (SC) and adjustment disorder with mixed anxiety and depressed mood (not SC) 2015 - No TBI residuals and PTSD w/ major depressive disorder.   Berta: Have you googled the doctor who did the C & P? I do not know the Doctor's name from 2009. But I have found several articles referring to a Dr. Gail Poyner who was conducting PTSD exams at OKC VA at the time. She was fired from the VA in 2010 for applying test to Veterans to see if they were malingering or faking. Her research paper can be found here: http://link.springer.com/article/10.1007%2Fs12207-010-9076-x?LI=true I would like to have my C-File to see if she conducted the evaluation.   Gastone: What did you claim as the PTSD Stressors in your 09 app for PTSD? Combat Action Badge   Gastone: The 1st Denial, discussed "No Evidence of Personal Assault," MST? No MST ever claimed. The paragraph that covers PTSD due to MST was just the last paragraph of 10 pages of regulations that they sent with the decision. Actual decision starts at the bottom of that page.   Gastone: Did you know anything about the DRO Process Requirement, for the N & M Evidence? I did. My fault I didn't send any. I was fed up with OKC VA and assumed they would send me for a new C&P exam. Stupid on my part.   Gastone: Did you ever get a copy of your 09 PTSD C & P DBQ? No, I did not. Blue button records do not go back that far. I have requested a copy of my C-File. EBenefits states that I will get it between NOV 2017 and NOV 2018.   Gastone:  Do you currently have a VA MH Psychiatrist/Psychologist that treats you on a regular basis? I was being seen at Bohnam, TX VA. After they kept switching Dr's a few times, I now just get my meds re-filled thru my family physician. My husband is active duty, so we are on tri-care prime remote. I also qualify for VA choice, but have not used it.   Gastone: Have they given you an official PTSD DX? I have a PTSD diagnosis and receive 50% SC in 2015.   Berta: Did they have the incident reports? I faxed in two incident reports. They do not show on the evidence list, but stressor was conceded with CAB.   Flores97: Email congressman for C-File. Thank You for the advice. I emailed my congressman today and reiterated the time crunch I am under.     2011 - Appeal decision.pdf 2015 - C&P exam Notes.pdf 2015 - decision part 1.pdf 2015 - decision part 2.pdf 2009 - Rating Sheet.pdf
    • Full Knee Replacement
      I just came back from the Ortho doctor in town he said I need a full knee replacement for my service connected injury after looking at past 11 years of x-rays from the VA and what he just took today. The Marine Corps. somehow don't keep x-rays after a certain period of time. The VA says they will not do one until I'm 60 years old, all they wanted to do was give me injections for the pain. What I have now is a Torn ACL and I'm running bone on bone, and my knee cap is just about gone so here is the question. I already receive 20% for my left knee, due to the past 3 surgery's. So after having the knee replacement what will I be looking at? for an increase? Does the VA have to pay for this since I live 178 miles from the Nearest VA hospital? because they are still telling me if you were injured on active duty you must go to the VA hospital even through the VA says They will not do a knee replacement until I'm 60? I already talked to two Veterans in town at the Vet center and they had the same problem but they paid for it out of their own pocket for the surgery then filed for an increase award. So far they are still waiting for the VA to answer them back. any ideals on the best route to take? I hate to get this done out in a local hospital then fine out the VA will not pay and give me an increase for the full knee replacement. Thank for any information on this subject.
    • CUE? Not using SMR?
      I'm trying to piece together every decision and the docs from the c-file. I cannot for the life of me find the evidence listed as "treatment records from VAMC dated Sept 2003 and received 10-23-03.  Are they required to have the actual document/documents in the c-file as evidence? Also, there certainly were more progress notes about the foot conditions outside of Sept 2003. Would they have been required to get all records on condition from the VAMC?     Thanks as usual!
    • Code Sheet
      A filing for a disease secondary to an existing one is not an increase. Each disease that evolvves as a secondary is a stand alone claim. If you win, the rating diagnostic code will be an amalgam of the primary rating such as DC 7354 for hepatitis C and the second disease such as Porphyria cutanea tarda. The rating sheet would read 7354-7815. I have two like that. the other one is 7354-7700 ( 60% anemia -old 1994 DC 7700). I appealed for 100% for it based on the similarity to 4.115a (dialysis) because there was no 100% rating for porphyria phlebotomies-just 40% under DC 7704. It's called rating by analogy when there is no specific code for a disease/injury. Look at 38 CFRs 4.20 and 4.27   § 4.20 Analogous ratings. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. Conjectural analogies will be avoided, as will the use of analogous ratings for conditions of doubtful diagnosis, or for those not fully supported by clinical and laboratory findings. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin § 4.27 The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. No other numbers than these listed or hereafter furnished are to be employed for rating purposes, with an exception as described in this section, as to unlisted conditions. When an unlisted disease, injury, or residual condition is encountered, requiring rating by analogy, the diagnostic code number will be “built-up” as follows: The first 2 digits will be selected from that part of the schedule most closely identifying the part, or system, of the body involved; the last 2 digits will be “99” for all unlisted conditions. This procedure will facilitate a close check of new and unlisted conditions, rated by analogy. In the selection of code numbers, injuries will generally be represented by the number assigned to the residual condition on the basis of which the rating is determined. With diseases, preference is to be given to the number assigned to the disease itself; if the rating is determined on the basis of residual conditions, the number appropriate to the residual condition will be added, preceded by a hyphen. Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded “5002-5240.” In this way, the exact source of each rating can be easily identified. In the citation of disabilities on rating sheets, the diagnostic terminology will be that of the medical examiner, with no attempt to translate the terms into schedule nomenclature. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease.
    • CUE? Not using SMR?
      He had 3 0% disabilities that were combined to make the 10%. I guess that ended when he was awarded 30% PTSD IN 2003. 
    • Auto Adaptive Reimbursement
      He deals with a rep in Tucson but I think that falls under Phoenix.It was the Tucson rep that told him that they stopped doing it.I found the link you posted before I asked the question on here.I just wanted to make sure it was still an active program.I will pass this on to him.Thanks.

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RockyA1911

Post Exchange And Commisary Privilages

14 posts in this topic

What do we need in order to get PX and Commisary privilages? Do you have to be rated 100% to get an ID card? I am 60%. Am I eligible to use the commissary and PX? A while back someone posted the forms needed to obtain a military ID card, could they post it again?

I am close to a Army Arsenal that has PX and Commissary among the regular Army base activities. I already have a Department of the Army MWR ID card for gaining access to the gym etc., But I think you have to have a military type ID card to use the PX and Commisary. Right or Wrong?

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MMM.. actually my DOD ID has something like VA/MWR/Commissary actually typed onto it in a block. I dont know about a seperate card except the one I've gotten for taking a class on boaters safety, pottery and other stuff and the MWR Travel card thing..(was it a Tiger card, or a gold card... cant remember) I never bothered geting one of those because I never would have used it really.

And you do have to be 100%, either TDIU or schedular. You are also normally entitled to ChampVA at that point and your family can get insurance cards as well.

All you have to do is go to the nearest National Guard center or post, base etc. and with the VA rating decision (or a letter, if you ask for one the VA will make a specific one for them) and the normal other stuff like marriage licenses and birth certificates and probably social security cards. Just call your local guard or reserve unit, and they can tell you what days the are doing ID (some do not do them every day)

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OH are they requiring a specific letter now? I just used my rating decision I think but it was so long ago I dont remember. I know to get my property taxes forgiven I had to have a specific letter, as well as for car registration and tags.

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And you do have to be 100%, either TDIU or schedular. You are also normally entitled to ChampVA at that point and your family can get insurance cards as well.

Do you know this to be fact? My brother is 70% but is TDIU. He looked into it and was told he could not get commisary/PX priveledges or ID card unless he was 100% schedular. Was he misinformed? Thanks

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He was misinformed. He can be 100% TDIU if it is P&T and get the card the ChampVA for spouse and kids. The real key is P&T.

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I received an ID card and commissary/px privilages when I was only 80% getting 100% IU, WITHOUT being P&T.

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Yeah I got mine when I was 80% and TDIU as well. I'm over 100 now, but I got it when I was TDIU total and permanent. Maybe you can get the DOD ID without being total and permanent I'm not really certain, but for ChampVA you have to be T&P...

Edited by sixthscents

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He was misinformed. He can be 100% TDIU if it is P&T and get the card the ChampVA for spouse and kids. The real key is P&T.

i think it depends on the place you go i received a ID when i was 70% and I U before i became PT i did get a letter from the VA saying i was allowed

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As many have posted here, if you are 100% schedular or 100% because of IU, then you are authorized a DoD ID card, more sprecifically DD Form 2765. The DoD ID cards for 100% disabiled veterans used to be DD Form 1173, but they changed it awhile back due to some confusion with eligible dependents of active duty personnel.

As Rickb54 posted, awhile back there was also confussion as to whether Iu veterans were authorized a DoD ID card because, technically, they weren't a 100%; however, the DoD General Council wote a opion (can't rememeber the number) stating that all RAPIDS issunig faciities were to honor all IU veterans for issuing the DD Form 2765. The only thing that is required due to this opinion is a letter from VA stating that the veteran is in receipt of 100% disability. A letter stating that a veteran has, for example, 80% but receiving IU generally won't work. The VA knows this, so when one callls to get the letter, they just need to say they need a letter from VA for purposes of getting issued a DoD ID card. The VA will know what is neede and send required letter to theveteran. Having said that, some rapid sites will still issue a DOD ID card with just a DD 214 and the rating decision, which is technically wrong, but some do it any ways. The best thing to do is just request letter from VA and take that with a copy od your DFD 214 to the nearest RAPIDS site and there won't be any problems.

Also, as Rickb54 posted, the reasoning behind the future exam things is to determine whether the ID card shows IDEF or not. If there is a future exam scheduled, then, normally, the expiration date shows a date 60 days after the scheduled C&P exam. If there isn't a future exma scheduled, meaning P&T, then the expiration date reads INDEF.

I thing to keep in mind that I also see alot is that the DD Form 2765 does not authorize Space A travel on DoD military aircraft. The only thing currently autorized for 100% or IU veterans in this sense is we are authorized Space A flights on Coast Gaurd aircraft only. The ratiinal behind this the Coast Gaurd was a part of the Department of Transpotaion (Now the Department of Homeland Security), not DoD as the other service departments. Having said this, there have been numerous bills in recent years that have been purposed in the House and Senate to change this current DoD policy. Whether or not it gets changed or not is up in the air. It seems everytime it comes up for ratification, it gets stalled in some sub-committee.

Vike 17

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What do we need in order to get PX and Commisary privilages? Do you have to be rated 100% to get an ID card? I am 60%. Am I eligible to use the commissary and PX? A while back someone posted the forms needed to obtain a military ID card, could they post it again?

I am close to a Army Arsenal that has PX and Commissary among the regular Army base activities. I already have a Department of the Army MWR ID card for gaining access to the gym etc., But I think you have to have a military type ID card to use the PX and Commisary. Right or Wrong?

Sounds like you already have the DoD ID card. Mine is a photo ID, basically tan in color, Says DAV (which either means disabled army vet or disabled american vet) on it, and MWR (moral, welfare and recreation), Indef if you are P&T or an expiration date if not P&T. I use it for hotel discounts, base privileges, base transient housing, etc, or anywhere I can get a discount. Handy thing to have.

pr

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Widows of 100% P & Ts get this too-

I imagine spouses of living vets would also-if the vet is 100% P & T ?

Do they?

I never used this - I bought a bunch of stuff at Lackland BX but my daughter, with me, was in uniform at the time- so maybe this is why they didnt check me out?

I had Rods DD 214 and DD 215 and even his award letter because I thought they would need to check about the medals I bought-but they didnt.

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Berta,

Spouses of 100% disabled veterans are issued DD Form 1173 and have an expiration date of, I think, 5 years from the date they were issued. At least my wifes was five years.

Vike 17

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Do you know this to be fact? My brother is 70% but is TDIU. He looked into it and was told he could not get commisary/PX priveledges or ID card unless he was 100% schedular. Was he misinformed? Thanks

"Commisssary/Exchange card:

You must bring in the VA letter (VA 20-8992), which states that you are authorized Commissary and Exchange privileges and whether or not any further physicals are required. Also, a copy of your DD-214 must be brought with the VA letter. The DD Form 2765 (Tan) ID card will apply. "

If there is a future exam scheduled the card will expire 60 days after the exam date shown on the letter.

Ralph

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You can all have my retired militay ID card........Don't need it.........don't use it............wish I had never served 20 years in the service.........soon as you retire you are another has been...................take my medals........take my ribbonns.......take my performance reports.........

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