ptsd Ptsd In-Patient Treatment Program

[halos2]

Veteran waited over 1 1/2 years to be accepted in a PTSD Tx program for approximately 7 weeks duration. Was advised he would be receiving 100% temp rating for 2 months.

Letter received yesterday: The temp 100% eval is effective the first day of your hospitalization, Mar 8, 2011. It is terminated the last day of the month in-patient treatment for your service connected disability was terminated. In this case, your in-patient treatment was terminated April 23, 2011, so the temp 100% stops April 2011.

Well the award letter on the first page lists:

Monthly Entitlement Start date: April 1, 2011. @ 100% rate.

Monthly Entitlement End Date : May 1, 2011 @ 60% ( previous rate)

Now they are only trying to pay 1 month @ the 100% rate...Too bad they can't read their own Regs and also the letter stating the entitlement qualifications.

24 days in March, and 23 days in April. Plus the papers were sent in for the increase prior to admission and faxed from the hosp on the admission date...A few got their 2 months pay with in 2-3 months post discharge.

Now he is going to have to start over again for the other month. Plus they still have not paid him for his travel to the facility, only home. (over 375 miles one way)

Any comments, suggestions, opinions, or similar situations?? Please post if you have same type of issues too.

Edited September 26, 2011 by halos2

[Philip Rogers]

Sounds like a simple error to me. All he/she needs to do is appeal it. jmo

pr

[Berta]

I think he should try , prior to any formal appeal, sending them a brief letter that questions them as to the apparent financial error.

He could send it Attention to the VSM at this VARO and then Re: Finance Error.

And refer to and enclose copy of his Hosp. Discharge certificate that shows the full length of Hospitalization.

Over the years VA has made many financial errors on my claims (actually on every one of them)and some were resolved very fast this way-because VARO sent my letter directly to their Finance department.

Does he have a vet rep? A vet org with an office in or near the same VARO building might be able to get this corrected faster too.

[Gulfvet45]

About 20% of these are done wrong. Just get with your VSO to get it fixed

Veteran waited over 1 1/2 years to be accepted in a PTSD Tx program for approximately 7 weeks duration. Was advised he would be receiving 100% temp rating for 2 months.

Letter received yesterday: The temp 100% eval is effective the first day of your hospitalization, Mar 8, 2011. It is terminated the last day of the month in-patient treatment for your service connected disability was terminated. In this case, your in-patient treatment was terminated April 23, 2011, so the temp 100% stops April 2011.

Well the award letter on the first page lists:

Monthly Entitlement Start date: April 1, 2011. @ 100% rate.

Monthly Entitlement End Date : May 1, 2011 @ 60% ( previous rate)

Now they are only trying to pay 1 month @ the 100% rate...Too bad they can't read their own Regs and also the letter stating the entitlement qualifications.

24 days in March, and 23 days in April. Plus the papers were sent in for the increase prior to admission and faxed from the hosp on the admission date...A few got their 2 months pay with in 2-3 months post discharge.

Now he is going to have to start over again for the other month. Plus they still have not paid him for his travel to the facility, only home. (over 375 miles one way)

Any comments, suggestions, opinions, or similar situations?? Please post if you have same type of issues too.

[halos2]

VSO says he thinks 1 month worth of payment. We called the infamous call center to which a supervisior there said it is right 1 month. They are saying march pmt paid in April and no payment for April cause it ended 23rd...doesn't reg 4.29 state after 21 days...well 24 days 1st mth and 23 second month.??

Yes Berta, we will follow your advice and send a letter to VARO. Thanks to those who have posted, and if anyone has other info regarding their experience with this feel free to add.

[halos2]

M21-1MR,Part lV, Subpart ii, Chapter 2, Section J

60. General Information on Hospitalization Ratings Under 38 CFR 4.29...

4.29-1 Ratings for service-connected disabilities requiring hospital treatment or observation.

A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required hospital treatment in a Department of Veterans Affairs or an approved hospital for a period in excess of 21 days or hospital observation at Department of Veterans Affairs expense for a service-connected disability for a period in excess of 21 days.

(a) Subject to the provisions of paragraphs (d), (e), and (f) of this section this increased rating will be effective the first day of continuous hospitalization and will be terminated effective the last day of the month of hospital discharge (regular discharge or release to non-bed care) or effective the last day of the month of termination or treatment or observation for the service-connected disability....

So this says 2 months worth right?? For this vet...24 days in March, and 23 days in April....