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Understanding The Smc Rating Process

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Special Medical Compensation (SMC)

For an explanation of how the SMC category of compensation works, go to:

www.warms.vba.va.gov/admin21/m21_1/mr/part4/subptii/ch02/ch02_sech.doc

Note that virtually all the references for what is compensable and how/when to combine are based on standards listed in the Code of Federal Regulations or the United States Code.

For an explanation of the additional 100% and 50% evaluations, see Item #41.

The statutory requirements for Housebound (Schedule “S” – 60% Rule) are covered in Item #46.

(Direct entitlement to Housebound is also covered in Item #46.)

Although the reference contains a number of examples, it still leaves a huge number of disability combinations open for interpretation. A claimant will have to research the specifics of his/her situation very carefully. Following the logic of the examples given to interpret your unique case and finding the appropriate CFR/USC definitions will help you guide the RVSR into looking at your case the way you want done. There is general agreement that RVSRs and even DROs are confused by the SMC rating process, so there is ample room to guide their thinking along your lines IF you can provide logical documentation of CFR/USC permission. It’s still a crap shoot, but you at least get to shave the dice! :)

Ralph

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