Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Review to Prep for Decision without C&P?

Rate this question


Abyss

Question

I'm currently 70% for PTSD with TDIU. Award has been effective since mid 2014, and a claim was filed on my behalf on July 31 for RFE - which I believe means a review. I've been checking the status on ebenefits and it just moved to Preparation for Decision... I have not had a C&P. Is this favorable? If they checked the VA records they would see my multiple (about 10) psychiatric hospitalizations since my award, and I even was conserved for 3 months due to my mental state. I don't think they would lower me without a C&P would they? Thanks for any help you can provide.

Link to comment
Share on other sites

  • Answers 7
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • 0

The VA isn't supposed to be able to reduce your rating without evidence of ongoing improvement, and if they were considering a reduction, they should/would have sent you a "Proposal" letter saying they were going to reduce.  If you were to get such a letter, you are then allowed to disagree with the proposal.

That "Preparation for Decision" may mean that no C&P exam was necessary due to your records of treatment and hospitalization.

With all of those hospitalizations, and if there has been no "Proposal" letter, I don't think you're looking at any reduction.  Sometimes a C&P is just a paperwork review that doesn't require any exam or other action on your part.  At one time eBenefits showed a C&P exam requested for me, but it was really only a paperwork thing, asking the earlier C&P examiner to give more information on a single issue.  I didn't have to be examined or do anything else for that.

I'm not a VSO or attorney, nor am I an expert, so maybe one of the resident mavens will chime in on this thread.  However, I think you have nothing to worry about.  Best of luck to you.

Edited by acesup
Link to comment
Share on other sites

  • 0
On 9/8/2018 at 6:39 AM, acesup said:

The VA isn't supposed to be able to reduce your rating without evidence of ongoing improvement, and if they were considering a reduction, they should/would have sent you a "Proposal" letter saying they were going to reduce.  If you were to get such a letter, you are then allowed to disagree with the proposal.

That "Preparation for Decision" may mean that no C&P exam was necessary due to your records of treatment and hospitalization.

With all of those hospitalizations, and if there has been no "Proposal" letter, I don't think you're looking at any reduction.  Sometimes a C&P is just a paperwork review that doesn't require any exam or other action on your part.  At one time eBenefits showed a C&P exam requested for me, but it was really only a paperwork thing, asking the earlier C&P examiner to give more information on a single issue.  I didn't have to be examined or do anything else for that.

I'm not a VSO or attorney, nor am I an expert, so maybe one of the resident mavens will chime in on this thread.  However, I think you have nothing to worry about.  Best of luck to you.

Thank you for the reply. I have not received any proposal letter saying they wanted to reduce my benefits so I remain cautiously optimistic.

Link to comment
Share on other sites

  • 0
4 hours ago, Abyss said:

Thank you for the reply. I have not received any proposal letter saying they wanted to reduce my benefits so I remain cautiously optimistic.

That does not actually stop them from marking online, that a development/decision/proposal "was sent".  Best to check online with eBenefits and Vets.gov, and if you have already hired a lawyer have them check.

And yes, IMO you should consider hiring an attorney at this point.

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Fretag Abyss hasn't been on line for over a year and a half, so it's not likely he will be answering. What's the details on your concern? How long have you been s-c for your disability? What does your decision letter say or not say about future exams? Do you have letter from your RO saying they are proposing to reduce your ratings? If so, what is the date?

Link to comment
Share on other sites

  • 0

@GBArmy I just saw your comment, thanks for reaching out! I am in the middle of an RFE, and I was trying to understand what I needed to do to ensure it went smoothly. I received a letter from LHI stating that my exam (RFE) will be completed utilizing the ACE method, and provided the Nurse Practitioner's name who was completing the ACE. I did not receive a letter stating they were going to reduce my rating. I uploaded all my medical records since my 100% SC decision back in Dec 2016. 

I'm beginning to think that this is just a back and forth between VA "players". It's very stressful! My claim was going to be completed this past week, and now they estimate Nov 2020.

Any help is greatly appreciated!

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Tim Walsh earned a badge
      First Post
    • Tim Walsh earned a badge
      Conversation Starter
    • BirddogM578 earned a badge
      Week One Done
    • BirddogM578 earned a badge
      One Month Later
    • Bubbleboy929 earned a badge
      Week One Done
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      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”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • 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.   
    • 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

       
    • 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. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use