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Five year rule

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slangpdx

Question

As posted in these forums:

Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.

I was granted 70% SC for mental condition on Feb 18, 2011.  Date of application was January, 2010.  In either case it has now been over 10 years regardless of which date is used so SC status is secure, though rating percentage is not.  I was granted SS disability in 2018 for the same reason as the VA SC rating, on the first try with no appeal.  Does SS determination create an automatic presumption against lowering of rating, or greatly argue for not "improved on a sustained basis?"  I have put off applying for TDIU for a while but believe I should now.  I have an application with the county rep prepared and ready to go.  I am 65, have not worked since May 2016.   The SS determination is included as part of the TDIU application. 

Edited by slangpdx
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Not that Im aware of, though if you were called to an RFE or a proposal to reduce you could definitely submit that information as evidence. We only pull it automatically in the case of Housebound/Aid Attendance and IU claims. 

Edited by brokensoldier244th

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

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B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

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I was not asking about whether it is automatically pulled/ gathered.  I was asking about the fact of the determination having been made by SS.  I am including it as part of the TDIU applicaiton. 

Edited by slangpdx
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SS is taken into consideration as evidence, just like anything else. Its not an automatic anything. 

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

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1 hour ago, slangpdx said:

As posted in these forums:

Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.

I was granted 70% SC for mental condition on Feb 18, 2011.  Date of application was January, 2010.  In either case it has now been over 10 years regardless of which date is used so SC status is secure, though rating percentage is not.  I was granted SS disability in 2018 for the same reason as the VA SC rating, on the first try with no appeal.  Does SS determination create an automatic presumption against lowering of rating, or greatly argue for not "improved on a sustained basis?"  I have put off applying for TDIU for a while but believe I should now.  I have an application with the county rep prepared and ready to go.  I am 65, have not worked since May 2016.   The SS determination is included as part of the TDIU application. 

You should file for the TDIU with P&T regardless if your denied..it starts your EED when you do file for the IU. And if you can't work due to your S.C. Disability  File the IU like Yesterday.  and if you do this would be a good time to file on anything else that can be service connected and a rating given.

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

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What most veterans do not understand is when they file a TDIU request they are basically asking VA to increase their rating decisions. That simply means that if they do not specify what disability(IES) causes them to be unemployable, the VA will try to increase any and or all of their service-connected disabilities. In requesting an INCREASE/TDIU claim it is possible that a veteran can get a proposal to reduce letter but that is not likely and extremely rare. Always keep in mind that evidence is key and even if the VA propose to reduce a rating it does not means that they will actually reduce that rating.

My intentions are to help, my advice maybe wrong, be your own advocate and know what is in your C-File and the 38 CFR that governs your disabilities and conditions.

Do your own homework. No one knows the veteran’s symptoms like the veteran. Never Give Up.

I do not give my consent for anyone to view my personal VA records.

 

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