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Va Press Release On Claims Today

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Berta

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Office of Public and Intergovernmental Affairs

VA to Expedite Claims Decisions for Veterans Who Have Waited a Year or More

April 19, 2013

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WASHINGTON – The Department of Veterans Affairs announced today it is implementing an initiative to expedite compensation claims decisions for Veterans who have waited one year or longer. Effective today, VA claims raters will make provisional decisions on the oldest claims in inventory, which will allow Veterans to begin collecting compensation benefits more quickly, if eligible. Veterans will be able to submit additional evidence for consideration a full year after the provisional rating, before VA issues a final decision.

“Too many Veterans wait too long for a decision, and this has never been acceptable,” said VA Secretary Eric Shinseki. “That is why we are implementing an aggressive plan to eliminate the backlog in 2015. This initiative is the right thing to do now for Veterans who have waited the longest.”

Provisional decisions will be based on all evidence provided to date by the Veteran or obtained on their behalf by VA. If a VA medical examination is needed to decide the claim, it will be ordered and expedited.

“Issuing provisional decisions not only provides Veterans with applicable benefits much more quickly, but also gives them an additional one-year safety net to submit further evidence should it become available. Our door will remain open and if a Veteran has additional evidence, their case will be fast tracked,” said Allison Hickey, Undersecretary for Benefits.

If any increase is determined to be warranted based on the additional evidence received, benefits will be retroactive to the date the claim was initially filed. The initiative protects the Veteran’s right to appeal the decision. If no further evidence is received within that year, VBA will inform the Veteran that their rating is final and provide information on the standard appeals process, which can be found at http://www.bva.va.gov/

Throughout this initiative, VA will continue to prioritize claims for homeless Veterans and those claiming financial hardship, the terminally ill, former Prisoners of War, Medal of Honor recipients, and Veterans filing Fully Developed Claims. More information about filing Fully Developed Claims is available at: http://www.benefits.va.gov/transformation/fastclaims/

Claims for Wounded Warriors separating from the military for medical reasons will continue to be handled separately and on a priority basis with the Department of Defense through the Integrated Disability Evaluation System (IDES). Wounded Warriors separating through IDES currently receive VA compensation benefits in an average of 61 days following their separation from service.

As a result of this initiative, metrics used to track benefits claims will experience significant fluctuations. The focus on processing the oldest claims will cause the overall measure of the average length of time to complete a claim - currently 286 days - to skew, rising significantly in the near term because of the number of old claims that will be completed. Over time, as the backlog of oldest claims is cleared and more of the incoming claims are processed electronically through VA’s new paperless processing system, VA’s average time to complete claims will significantly improve. In addition, the average days pending metric - or the average age of a claim in the inventory - will decrease, since the oldest claims will no longer be part of the inventory.

While compensation claims are pending, eligible Veterans are able to receive healthcare and other benefits from VA. Veterans who have served in recent conflicts are eligible for 5 years of free healthcare from VA. Currently, over 55% of returning Iraq and Afghanistan Veterans are using VA health care, a rate of utilization greater than previous generations of Veterans.

Veterans can learn more about disability benefits on the joint Department of Defense—VA web portal eBenefits at: https://www.ebenefits.va.gov/ebenefits-portal/ebenefits.portal.

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GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

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Bronco,

I stormed the castle down in Detroit Last Monday and one of the things I wanted answers on was a dependent claim. At one time I had 4 of them chating in the corner behind the service desk trying to figure out what was happening. In relation to my Dependent claim the person indicated that one of the reasons no work had been done on my dependancy claim was that Detroit still had the paper system and was transitioning and my dependency claim was filed using the online dependent application...I asked "are you telling me my dependancy claim hasn't been worked, because it was filed in the on-line system" She got one of those looks in her eyes just like a deer in the middle of the road in the glare of an F150's headlights. Her nervous reply was "well I really don't know", she even had less of an answer when I plopped down a copy of the dependancy section from M21-1MR that states if the VA is made aware of the intent to continue school after the age of 18 the dependent should not be removed from the award and proceeded to inform her that I had the return receipt for VA's acceptance of the package that included his acceptance letter, deposit receipt and suggested freshman schedule. She indicated she couldn't explain that, but assured me they would include that with the promulgation work for the decision eBenfits says was mailed on the 26th of March.

I only mention this in the rare occasion that you might be receiving the same excellent service due to the same situation (dependancy app filed on-line?).

Best regards,

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"71"

Yes, I appreciate you telling me this. Like yourself, I have been plenty mad to go stick it to my RO...I dont do it because I realize I will wind up in jail with nothing accomplished.

I did go to the RO about 6 months ago, and accomplished nothing but "lip service".

It is one of their new fandangled government programs, that result in government contracts being awarded, VA exec bonuses being paid, and politicians getting re elected, while Vets wait still longer for their benefits.

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Berta, thank you for posting this info. One can hope it will make a difference in our wait times.

Will this help expedite the NODs at regional offices ( appeals ) or not ? My 4/2011 claim is at NOD. Thanks

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  • Content Curator/HadIt.com Elder

Berta, thank you for posting this info. One can hope it will make a difference in our wait times.

Will this help expedite the NODs at regional offices ( appeals ) or not ? My 4/2011 claim is at NOD. Thanks

Bump on this! I have a strange feeling this will only impact 'original' claims, not appeals of any sort.

One of my claims was originally filed in 2008, denied, rinse/repeat, and I kept it active until the DAV advised me to file a DRO NOD in 8/2011 (now over 600 days old). I have never filed a Form 9, so it's not in the big void with the board appeals.

Would I be correct to assume this will have no positive impact on NOD's?

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

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I guessing I'll be one of the "provisional" claims to be decided. My claim date is Sept. 2011. It will be interesting to see what I get.

I've told them and signed the development letter saying all evidence has been received, decide my claim.

Seattle is really backed up and we may see a flood of decisions coming.

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