![]() ![]() The Nation's #1 Independent Veterans Web Site Click here to make VA Watchdog dot Org your homepage VA NEWS FLASH from Larry Scott at VA Watchdog dot Org -- 10-13-2007 #1 |
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AWARDS -- "...New procedures...to follow in cases involving awards with an effective date retroactive eight or more years or that result in a lump-sum payment of $250,000 or more..."
The VA has a new policy..."...New procedures...to follow in cases involving awards with an effective date retroactive eight or more years or that result in a lump-sum payment of $250,000 or more..." I was sent a VA Fast Letter explaining this change and asked a veterans' benefits attorney to comment. Attorneys thoughts are in italics. "In essence now the VA Central Office C&P service in Washington will make the decision with regard to the effective date and the amount of the award. While I'm not sure there is a legal problem with this procedure (this procedure is similar to that by which an extraschedular rating is granted or denied), the new procedure will obviously result in a delay of payment to a veteran or surviving spouse or children. It also appears somewhat smelly." I asked the attorney: Does this mean that VACO could actually change the date/amount awarded to a veteran? If so...explain, please? "In short, yes. The Fast Letter states '[w]henever
a rating decision grants service connection with an effective date
retroactive eight or more years, the claims folder must be flashed to
alert the authorization activity of the extraordinary award. This
instruction also applies whenever an earlier effective date of eight or
more years is granted for a previously service-connected disability.'
Thus, the provisions of the Fast Letter apply to both claims for service
connection (S/C) and claims for an earlier effective date (EED) where S/C
was previously granted. As usual, the wording of the Fast Letter leaves
much to be desired. For example, the Fast Letter does not discuss from
what date the 'eight or more years' is to be calculated. Without going
into all the possible scenarios, suffice it to say there are several
different ways an ED for a grant of S/C or an EED for a previously granted
claim can be assigned, and each of these ways present different
possibilities for the determination of a starting date from which to
calculate the 'eight or more years.'
Download VA Fast Letter here in PDF format... Fast Letter printed below: ------------------------- DEPARTMENT OF VETERANS AFFAIRS Veterans Benefits Administration Washington, D.C. 20420 August 27, 2007 Director (00/21) In Reply Refer To: 211B All VA Regional Offices Fast Letter 07-19 SUBJ: Procedures for Handling Extraordinary Awards Background The Compensation and Pension (C&P) Service Bulletin dated June 2007 discussed new procedures for regional offices (ROs) to follow in cases involving awards with an effective date retroactive eight or more years or that result in a lump-sum payment of $250,000 or more. These awards require a review by the C&P Service prior to award authorization. This fast letter (FL) provides more detailed guidance for handling these types of cases. Responsibility for Identifying These Cases The Rating, Appeals, and Post-Determination Teams are responsible for identifying cases that meet these criteria. Procedures for Appeals and Rating Teams Whenever a rating decision grants service connection with an effective date retroactive eight or more years, the claims folder must be flashed to alert the authorization activity of the extraordinary award. This instruction also applies whenever an earlier effective date of eight or more years is granted for a previously service-connected disability. After flashing the folder, forward the case to the Post-Determination Team. Do not offer these rating decisions to any veteran’s representative for review until the C&P Service makes a final determination regarding the propriety of the decision. Procedures for Post-Determination Teams Rating Veterans Service Representatives (RVSRs) and Decision Review Officers (DROs) should be the first to identify a case involving an effective date retroactive eight or more years. However, Veterans Service Representatives (VSRs) and Senior Veterans Service Representatives (SVSRs) on the Post-Determination team are ultimately responsible for
Page 2. Director (00/21) identifying these cases, as well as any awards involving a lump-sum payment of $250,000 or more. If using VETSNET Awards, the application will automatically calculate the retroactive amount. The VSR or SVSR who identifies a rating decision meeting the established criteria will prepare the referral memorandum for the Veterans Service Center Manager (VSCM) to request an administrative review by the C&P Service (see enclosed). The VSCM will then review the decision and sign the memorandum if he or she agrees with the decision. Signature responsibility may only be delegated to an individual serving as VSCM in an acting capacity. For additional information on requesting an administrative review, please refer to M21-1MR, Part III, Subpart vi, Chapter 1, Section A, Topic 3. Please note: Do not leave any of these awards in GAP’d status or authorize them until the C&P Service concurs with the Veterans Service Center (VSC) decision. Procedures for Transferring the Claims Folder to C&P Service After completing the memorandum and attaching it to the file, the VSC will send the claims folder via Federal Express to: C&P Service (211B, Advisory Review) 810 Vermont Ave, NW Washington, DC 20420 Reflect a temporary transfer of the claims folder in COVERS and update the suspense accordingly. In addition, before the claims folder leaves the RO, add the claimant flash “250K Retro Review” via the VETSNET Participant Profile application. The C&P Service will review these cases and return them to the VSC by Federal Express within five days of receipt. Procedures Upon Return of the Claims Folder From C&P Service If the C&P Service concurs with the VSC decision, the veteran’s representative (if applicable) will then be allowed to review the decision prior to its promulgation. These new procedures do not replace the three-signature requirement for awards exceeding $25,000 (whether processed through BDN or VETSNET). The VSC must still follow the three-signature award procedures as outlined in M21-1, Part V, 9.01(b). If the C&P Service determines the decision is improper, it will provide specific corrective action. Page 3. Director (00/21) Cases Involving BVA or CAVC Decisions Ratings based on decisions by the Board of Veterans’ Appeals (BVA) or the U.S. Court of Appeals for Veterans Claims (CAVC) will be excluded from the C&P Service review only when BVA or CAVC assigns the effective date and/or the retroactive increased evaluation. Otherwise, when processing decisions by BVA or CAVC, follow the procedures outlined in this FL whenever the rating decision involves an effective date retroactive eight or more years or the award results in a lump-sum payment of $250,000 or more. Cases Processed Under the Nehmer Court Order Cases processed under the Nehmer v. U.S. Veterans’ Administration court order are exempt from the provisions of this FL because these cases are already being reviewed by the C&P Service. Questions Questions concerning this fast letter should be submitted to VAVBAWAS/CO/21Q&A. /s/ Bradley G. Mayes Director Compensation and Pension Service Enclosure: Sample Memorandum
Department of Veterans Affairs Memorandum Date: From: Veterans Service Center Manager, _________ Regional Office Subj: Administrative Review-Retroactive Effective Date/Lump-Sum Payment File number: _________________ To: Director, Compensation and Pension Service Issue(s) At issue in this case is whether the effective date and/or amount of payment are appropriate. Background Please see rating decision in claims folder dated ________. Conclusion We propose to .... (Propose a recommendation for each issue cited in the first paragraph. Example: “We propose to pay $275,000.00 retroactive benefits for the period 07/01/97 to 08/01/07.”) Your concurrence is requested. ___________________________ Signature ( ) CONCUR ( ) DO NOT CONCUR: See attached. ________________________________________ ___________ Director, Compensation and Pension Service Date -------------------------
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