tdiu Va Tl 10-04

[fanaticbooks]

NOTE:

This is an extremely long document, especially after I finished converting it. I have tried to make it easier for you by doing the following…

Formatting is different from the original to a certain extent. I have left the Table of Contents with its page numbers. I have also inserted these same page numbers within the document to make it easier to locate specific points of interest. Since this is an extremely long document, the page numbers seemed vital to keep.

I also am not going through and re-underlining or bolding again. It is too much work. I figure the document is all I have time to work right now. At least it is available. Sorry, but ran out of time and energy on this. I have a bunch of other letters I want to work.

I am breaking the Table of Contents into sections to reflect the PART pertinent to the section posted in it. Please note I use page numbers that are reflected in the TofC not from the actual WORD conversion document.

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PART 1 contains the cover letter and the T of C without section breaks through References – through Page 8

TL 10-04 Revised Part 1.pdf

Table of Contents

Background Information ............................................................................................... 1

Accountability ............................................................................................................... 1

Purpose and Objectives ............................................................................................... 7

Background ................................................................................................................... 7

References ..................................................................................................................... 8

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PART 2 Nehmer vs. Traditional Claims Processing through Diagnosis of Presumptive Disabilities – Page 9 through 21

TL 10-04 Revised Part 2.pdf

Nehmer vs. Traditional Claims Processing ................................................................. 9

Comparison Chart ............................................................................................................. 9

Nehmer vs. 38 C.F.R. § 3.114(a) ......................................................................................12

New Presumptive Conditions ..................................................................................... 13

Definition of Ischemic Heart Disease ..............................................................................13

Definition of Chronic B-Cell Leukemia ...........................................................................13

Definition of Parkinson's Disease ...................................................................................14

Adjudication/Readjudication Requirements under the Nehmer Court Order ........ 15

Class Members under the Nehmer Court Order ....................................................... 15

Eligibility Requirements for Retroactive Payment Purposes .................................. 15

Effective Dates for Rating Purposes ......................................................................... 16

Service in the Republic of Vietnam ............................................................................ 16

Claims for Benefits ...................................................................................................... 17

Examples of Claims .........................................................................................................19

Diagnosis of Presumptive Disabilities ...................................................................... 21

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PART # 3 Nehmer Databases through Sending Documents to OGC – Page 22 through 40

TL 10-04 Revised Part 3.pdf

Nehmer Databases ...................................................................................................... 22

End Product Control ................................................................................................... 22

Claims Folder Review ................................................................................................. 23

Development ................................................................................................................ 24

Medical Evidence .............................................................................................................24

Example ............................................................................................................................24

Service ..............................................................................................................................25

Dependency ......................................................................................................................25

Continuous Cohabitation ................................................................................................26

Common Law Marriage ....................................................................................................26

Payee ...............................................................................................................................26

Military Pay ......................................................................................................................27

Burial................................................................................................................................27

Rating .............................................................. ................................................................ 28

Memorandum for the Record ..........................................................................................28

Examples of Memorandums for the Record: ....................................................................29

Confirmed and Continued Rating ...................................................................................30

Examples ...........................................................................................................................30

Coded Ratings ..................................................................................................................30

Total Disability Based on Individual Unemployability (TDIU) .......................................30

Claims for Service Connection ..................................................... ...................................31

Evidence and Evidentiary Basis ........................................................................................31

Coding and Assigning a Percentage .................................................................................32

Special Monthly Compensation ........................................................................................32

Effective Date ...................................................................................................................33

Claims for Service-Connected Death ..............................................................................33

Evidence ............................................................................................................................34

Issue(s), Decision(s), and Reasons for Decision ...............................................................34

Effective Date ...................................................................................................................34

Dependents Educational Assistance (DEA) - Chapter 35 .................................................34

Claims for Service Connection and Service-Connected Death ... ....................................34

Coding Considerations ......................................................................................................34

Issue(s), Decision(s), and Reasons for Decision ...............................................................35

Authorization ............................................................ ...................................................... 35

Live Veterans Claims .......................................................................................................35

Dependents.................................................................... ....................................................36

Kicker / Public Law 101-508 ............................................................................................36

Liesegang, et al v. Secretary of Veterans Affairs .............................................................36

Withholding for Military Pay ............................................................................................36

DIC Claims .......................................................................................................................37

Additional Allowances ......................................................................................................37

Death Prior to December 31, 1992 ...................................................................................37

Withholding for SBP Payments ........................................................................................38

Remarriage of the Surviving Spouse ................................................................................38

Month of Death Payment ..................................................................................................38

Burial Claims ....................................................................................................................38

Burial Claims Prior to the Current December 1, 2001, Rate ............................................38

Prior Payments of NSC Burial ..........................................................................................39

Retroactive Benefits ........................................................................................................39

Award Annotation ............................................................................................................39

Notification Letter ............................................................................................................39

SME Quality Reviews .......................................................................................................40

Sending Documents to OGC ...........................................................................................40

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PART #4 Appendices, Appendix 1, 2, 3, 4 – Pages 41 through 59

TL 10-04 Revised Part 4.pdf

Appendices ..................................................................................... ................................ 41

Appendix 1 – List of Presumptive Conditions in 38 C.F.R. § 3.816 ...............................42

Appendix 2 – Information on Vietnam Naval Operations ..............................................43

Appendix 3 – Naval and Coast Guard Development ......................................................49

Appendix 4 – List of APOs for Verification of RVN Service ..........................................51

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PART #5 Appendix 5, 6, 7, 8 – Pages 60 through 89

TL 10-04 Revised Part 5.pdf

Appendix 5 – Workflow for Processing Nehmer Claims ...............................................60

Appendix 6 – Contact Information for Processing Nehmer Claims ..............................61

Appendix 7 – Example Rating Decisions .......................................................................62

Appendix 8 – Disability Benefit Questionnaires ............................................................83

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PART #6 Appendix 9, 10, 11, 12, - Pages 90 through 113

TL 10-04 Revised Part 6.pdf

Appendix 9 – Rating Schedule ........................................................................................90

Appendix 10 – Example Notification Letters ..................................................................91

Appendix 11 – The Cardiovascular System in 38 C.F.R § 4.100 (Prior to January 12,

1998)............................................................................................................................... 104

Appendix 12 – MAP-D Notification/Development Paragraphs for Nehmer ................ 112

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PART #7 Appendix 13, 14, 15, 15, 16, 17, 18 – Pages 114 through 151

TL 10-04 Revised Part 7.pdf

Appendix 13 – Nehmer Readjudication (EP 687) Review Worksheet 1 ...................... 114

Appendix 14 – Nehmer Readjudication Data Collection for EP 687 ........................... 126

Appendix 15 – Nehmer Adjudication (EP 681) Review Worksheet 2 .......................... 129

Appendix 16 – Nehmer Adjudication (EP 681) Data Collection for EP 687 ................ 139

Appendix 17 – Nehmer SME Checklist and Instructions ............................................. 142

Appendix 18 – Footnote 1: Need for Amendment to 38 C.F.R. § 3.816 Regarding

Nehmer Claims .............................................................................................................. 147

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PART #8 Appendix 19, 20, Training Guide Revisions, Training Case Scenarios VSR/RVSR – Pages 152 through 165

TL 10-04 Revised Part 8.pdf

Appendix 19 – VSR and SVSR Responsibilities........................................................... 152

Appendix 20 – Training Guide Revisions ..................................................................... 153

Training Case Scenarios ..................................................... .... .................................... 155

VSR Scenario 1 .............................................................................................................. 156

VSR Scenario 2 .............................................................................................................. 157

VSR Scenario 3 .............................................................................................................. 158

VSR Scenario 4 .............................................................................................................. 159

VSR Scenario 5 .............................................................................................................. 160

RVSR Scenario 1 ........................................................................................................... 161

RVSR Scenario 2 ........................................................................................................... 162

RVSR Scenario 3 ........................................................................................................... 163

RVSR Scenario 4 ........................................................................................................... 164

RVSR Scenario 5 ........................................................................................................... 165

Edited August 28, 2011 by fanaticbooks