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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.Picked By
Lemuel, -
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Post in Re-embursement for non VA Medical care.
broncovet posted an answer to a question,
Welcome to hadit!
There are certain rules about community care reimbursement, and I have no idea if you met them or not. Try reading this:
https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/
However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.
When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait! Is this money from disability compensation, or did you earn it working at a regular job?" Not once. Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.
However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.
That rumor is false but I do hear people tell Veterans that a lot. There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.
Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.
Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:
https://www.law.cornell.edu/cfr/text/38/3.344
Picked By
Lemuel, -
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Post in What is the DIC timeline?
broncovet posted an answer to a question,
Good question.
Maybe I can clear it up.
The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more. (my paraphrase).
More here:
Source:
https://www.va.gov/disability/dependency-indemnity-compensation/
NOTE: TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY. This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond. If you were P and T for 10 full years, then the cause of death may not matter so much.Picked By
Lemuel, -
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Question
allan
##### START #####
IV. Advice to Advocates
A. At The Regional Offices - Suggested Boilerplate
Advocates should submit the following boilerplate (suggested language) in
support of all pending claims and with all new claims for VA benefits.
The Veterans Claims Assistance Act of 2000 (VCAA or Act) was signed into
law on November 9, 2000. See Pub. L. No. 106-475, 114 Stat. 2096 (2000).
The VCAA eliminates the well-grounded claim requirement and requires the VA
to explain to all claimants what evidence is needed to substantiate their
claims.
The Act requires that the VA comply with the duty to assist unless the VA
determines that no reasonable possibility exists that VA assistance would
aid in substantiating the claim. Therefore, if you decide not to assist
this claimant please explain why no reasonable possibility exists that the
claimant could obtain benefits. See 38
USC. § 5104 (where the Secretary denies a VA benefit, he must provide a
statement of reasons for the decision and a summary of the evidence
considered).
Please note that the VCAA requires the VA to make reasonable efforts to
obtain relevant (non-federal) records. Also, the VCAA requires the VA to
continue to attempt to obtain relevant federal records until it is
reasonably certain the federal records are unobtainable or that they do not
exist. Of course, we request that if you can make a favorable decision on
all or some of the claims submitted by the claimant that you do not wait to
make such decisions. Also, please let my client know if additional
information is needed in order to obtain relevant private or federal records.
If a medical examination and/or medical opinion is needed to determine
nexus or linkage issues please delay that examination until my client has a
reasonable opportunity to submit continuity of symptomatology and other
supportive evidence. Also, we request that you advise the VA examiner that
linkage does not have to be established to a medical certainty because the
standard of proof in VA claims is the “benefit of the doubt” or the “as
likely as not” standard.
Also, when you schedule an examination please advise the examiner what
facts have been accepted as true by the regional office. A medical opinion
would be inadequate if the examiner based the opinion on facts that were
not accepted as true by the RO.
Under the VCAA, 38 U.S.C. § 5103(a) mandates that, in the case of every
claim submitted to the VA, the VA shall (must) notify the claimant and the
claimant’s representative of “any information, and any medical or lay
evidence, not previously provided to the Secretary that is necessary to
substantiate the claim.” In addition, the VA is required to explain to the
claimant what evidence the claimant must obtain and what evidence the VA
will attempt to obtain. Therefore, please explain to the claimant what
types of evidence would help substantiate this claim. We specifically want
to know if lay or “buddy” statements are needed to substantiate (1) what
happened in service, (2) allegations of continuity of symptomatology by the
veteran, and/or (3) the current severity of any disability at issue. For
example, if a lay statement from a family member
indicating that the veteran, during service, told the family member of an
in-service knee injury would help substantiate that a knee injury occurred
during service, please suggest that we submit such evidence.
in some instances, there may be positive and negative evidence in the VA
record. If you determine there is negative evidence in this claimant’s
record please let my client know what this evidence is and please let us
know what types of evidence would tend to rebut this negative evidence and
thus substantiate this claim.
If a decision (RO, BVA, CAVC, or Federal Circuit) became final on or after
July 14, 1999, wherein the claim was denied as not well grounded, advocates
representing claimants before ROs should file a request for readjudication
with the RO. Advocates can use VA Form 21-4138 to request readjudication,
or simply submit a written request for readjudication. The request for
readjudicatton should indicate that the VCAA mandates that a denial of a
claim as not well grounded, which became final on or after July 14, 1999,
must be readjudicated as if the denial or dismissal had not been made. An
advocate’s action on this front should make it possible for claimants to
obtain the earliest possible effective date. Advocates or claimants have
two years from November 9, 2000, to make a written request for readjudication.
-------------- END Boiler Plate --------------
B. At The BVA
Advocates should ask for a remand when either the notice requirements of
the VCAA have not been satisfied or when the RO denied the claim as not
well grounded. Of course, other failures by the RO (for example, failure in
the duty to assist, or misinterpretation of a statute or regulation) should
also be argued. Most likely many remands will be generated because the VA
failed to explain to the claimant what evidence, including evidence such as
medical opinions and lay statements, would substantiate the claim.
##### END #####
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