Dear Berta and friends, in Jan30, 2007 had a C/P for my SMC at the Temple VA in Texas, to my surprice the staff was efficient and courteous. The doctor came into the waiting room call my name and we were off, in his desk were all my medical records, it look like a mountain of paper, he asked me why was the reason I was requesting SMC, I proceeded to tell him why, and at the same time I gave him a letter written by my mother in support of my SMC. He did examing me and after the examination he stated that I was in need of aid and attendance of another for my service connected PTSD.
feb 24, 2007 received the white enveloped with the rating decision:
We granted entitlement to special monthly compensation based on need for aid and attendance criteria being met effective June 21, 2000
This constitutes a total grant for special monthly compensation based on aid and attendance.
Your overall or combined rating is 100%. We do not add the individual percentage of each condition to determine your combine rating. We use a combined rating table that considers the effect from the most serious to the least serious conditions.
REASONS FOR THE DECISION (This may help somebody)
Entitlement to special monthly compensation is warranted in this case because the criteria regarding aid and attendance have been met.
Letters from you received August 21, 2006, October 27, 2006, November 7, 2006, and January19, 2007, indicate you continue to disagree with VA decision regarding your claim. Information received from Texas Department of Aging and Disability Services dated March 28, 2006, to September 8, 2006, reveal that you have received services for the aid and attendance. Invoices and Time Sheets fro Auxi Helth Care from May 1, 2006 to September 30, 2006 indicate you receive service to help you with bathing, dressing, feeding, grooming, hair/skin care, transfer/ambulation; cleaning, laundry; meal preparation; shopping and assistance with self-administered medication. VA Examination, VA Medical Center, Temple, TX, dated January 30, 2007, show you require the regular assistance. You currently have posttraumatic stress disorder evaluated as 100 percent. Your posttraumatic stress disorder is severe disabling. You live with your mother who takes care of you with the help of other family members, outside help from nursing and home health providers. Your postraumatic stress disorder manifest with frequent episodes od rage, anxiety, panic, terror which includes aggressive, violent behavior and suicidal homicidal gestures. Your require medical surveillance/precautions. Medications are kept locked up due to prior suicidal overdosage attempts. You do not go out of the house socially only for medical appointments. You become essentially helpless for hours to days after episodes of violence, rage and terror/panic. The other condition which is not service connected is postphlebitic syndrome in both lower extremities which affects your independence to a much lesser degree. You do not go anywhere by yourself, do not drive and demonstrate anxiety and social ambivalence and avoidance. You are able to ambulate independently. You have psychological hindrances to coping with the stress and relationships of life. You are not physically hindered from the outside or from the environment but mentally and emotionally you are debilitated. You are capable of handling your VA benefits. The examiner diagnoses posttraumatic stress disorder severe and disabling. The examiners opines that this is the predominant condition causing you to need aid and attendance because you are emotionally unstable and unpredictable and sometimes become helpless in a histrionic fashion. The secondary diagnosis of postphlebitic and chronic pain syndrome of both lower extremities. Treatment Reports, Central Texas Health Care System (VAMC Waco, Temple and Austin Outpatient Clinic), dated September 16, 2006, show you reported for Kinesiotherapy.
The findings indicate you are in need of aid and attendance due to your service-connected postraumatic stress disorder; therefore, entitlement is established from June 21, 2000, the date of claim.
Even though my claim for SMC was granted, some important evidence is missing, some of the explanations given on my behalf makes no sence. I`m going to recuest the c/p.
Sorry this was long but I think is important for veteran`s to learn about the VA and their rating decisions.
Question
rigo
Dear Berta and friends, in Jan30, 2007 had a C/P for my SMC at the Temple VA in Texas, to my surprice the staff was efficient and courteous. The doctor came into the waiting room call my name and we were off, in his desk were all my medical records, it look like a mountain of paper, he asked me why was the reason I was requesting SMC, I proceeded to tell him why, and at the same time I gave him a letter written by my mother in support of my SMC. He did examing me and after the examination he stated that I was in need of aid and attendance of another for my service connected PTSD.
feb 24, 2007 received the white enveloped with the rating decision:
We granted entitlement to special monthly compensation based on need for aid and attendance criteria being met effective June 21, 2000
This constitutes a total grant for special monthly compensation based on aid and attendance.
Your overall or combined rating is 100%. We do not add the individual percentage of each condition to determine your combine rating. We use a combined rating table that considers the effect from the most serious to the least serious conditions.
REASONS FOR THE DECISION (This may help somebody)
Entitlement to special monthly compensation is warranted in this case because the criteria regarding aid and attendance have been met.
Letters from you received August 21, 2006, October 27, 2006, November 7, 2006, and January19, 2007, indicate you continue to disagree with VA decision regarding your claim. Information received from Texas Department of Aging and Disability Services dated March 28, 2006, to September 8, 2006, reveal that you have received services for the aid and attendance. Invoices and Time Sheets fro Auxi Helth Care from May 1, 2006 to September 30, 2006 indicate you receive service to help you with bathing, dressing, feeding, grooming, hair/skin care, transfer/ambulation; cleaning, laundry; meal preparation; shopping and assistance with self-administered medication. VA Examination, VA Medical Center, Temple, TX, dated January 30, 2007, show you require the regular assistance. You currently have posttraumatic stress disorder evaluated as 100 percent. Your posttraumatic stress disorder is severe disabling. You live with your mother who takes care of you with the help of other family members, outside help from nursing and home health providers. Your postraumatic stress disorder manifest with frequent episodes od rage, anxiety, panic, terror which includes aggressive, violent behavior and suicidal homicidal gestures. Your require medical surveillance/precautions. Medications are kept locked up due to prior suicidal overdosage attempts. You do not go out of the house socially only for medical appointments. You become essentially helpless for hours to days after episodes of violence, rage and terror/panic. The other condition which is not service connected is postphlebitic syndrome in both lower extremities which affects your independence to a much lesser degree. You do not go anywhere by yourself, do not drive and demonstrate anxiety and social ambivalence and avoidance. You are able to ambulate independently. You have psychological hindrances to coping with the stress and relationships of life. You are not physically hindered from the outside or from the environment but mentally and emotionally you are debilitated. You are capable of handling your VA benefits. The examiner diagnoses posttraumatic stress disorder severe and disabling. The examiners opines that this is the predominant condition causing you to need aid and attendance because you are emotionally unstable and unpredictable and sometimes become helpless in a histrionic fashion. The secondary diagnosis of postphlebitic and chronic pain syndrome of both lower extremities. Treatment Reports, Central Texas Health Care System (VAMC Waco, Temple and Austin Outpatient Clinic), dated September 16, 2006, show you reported for Kinesiotherapy.
The findings indicate you are in need of aid and attendance due to your service-connected postraumatic stress disorder; therefore, entitlement is established from June 21, 2000, the date of claim.
Even though my claim for SMC was granted, some important evidence is missing, some of the explanations given on my behalf makes no sence. I`m going to recuest the c/p.
Sorry this was long but I think is important for veteran`s to learn about the VA and their rating decisions.
What level of SMC do I qualify under, thanks Rigo
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