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historic diagnose will VA Accept one 10 years old?

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Buck52

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  • HadIt.com Elder

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Will the va take an older diagnose that was in the veterans medical records? say 5/10 years ago?

Like a Veteran was diagnose for Sleep apnea back in 2010...but never filed a claim for it   now this veteran wants to put in a claim for it.

He uses  the VA PRESCRIBE  C-PAP

He has a Mild Diagnose for Sleep Apnea  but no where in his records does it say is medically required...so under the M-21  it says must necessary medically to use''

the manual now says,

“Use absent a medical determination that the device is necessary does not qualify.  The regulation requires that the device be necessary and this is a medical question.

He never had OSA in military  but has it now years later after separation due to his PTSD. 

His VA M.H. Phyistrist Suggested he see the VA sleep clinic & he did a sleep study  and they diagnose him with the Mild OSA and gave him a  C-pap TO USE (*THIS WAS 10 YEARS AGO*) But no where I can find in his records the Dr said it is medically necessary to use''??

I mention to him they will go by the date he filed his claim for sleep apnea  but we have not filed it yet...I am trying to get all his T's  and I's crossed  we don't want a denial.

How will he over come the new regulation in M-21 below

“Use absent a medical determination that the device is necessary does not qualify.

I am thinking he needs a Sleep Dr  or a Qualified Dr to render his medical opinion that the C-pap machine is medically ''REQUIRED'' this veteran is necessary to use his c-pap machine prescribe by the VA

We are going to file a secondary to his PTSD. AS SOON AS I CAN GET HIM TO SEE A SPECIALIST OPINION FOR THE C-PAP MACHINE REQUIRED USE AND MEDICALLY NECESSARY TO USE FOR HIS WELL BEING 

Need some opinions on this please.

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  • HadIt.com Elder

Roger that!

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  • Content Curator/HadIt.com Elder
2 hours ago, Buck52 said:

I want a Dr to state in his medical records it is medically necessary this veteran Require the use of a breathing assistance device such as a continuous positive airway pressure (CPAP) Machine

The ultimate statement would also scold the VA for being stupid. "Additionally, medical devices, such as CPAP machines, are not prescribed unless they are medically required for treatment."

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  • HadIt.com Elder
3 hours ago, Vync said:

The ultimate statement would also scold the VA for being stupid. "Additionally, medical devices, such as CPAP machines, are not prescribed unless they are medically required for treatment."

Vync you and I and the other members here know that..but the VA Obviously don't.

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