02282017 References M211MR Part III subpart I Chapter 2 predischarge claims M211MR IIIiv3A4 and 5 exams FL 0931 Guard and Reserve attending Demobilization and Pre Discharge claims worked at the RO ID: 696010
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Slide1
BDD and Quickstart claims
02/28/2017Slide2
References
M21-1MR Part III, subpart I, Chapter 2 (pre-discharge claims)
M21-1MR III.iv.3.A.4 and 5 (exams)
FL 09-31 (Guard and Reserve attending Demobilization and Pre- Discharge claims worked at the RO)Slide3
EP controls
Original BDD EP’s 011,
111
Original QuickStart EP’s 017,
117
CFI/Reopen/New claim EP’s for BDD
021
CFI/Reopen/New claim EP’s for QuickStart
027
Claims for Reinstatement EP’s are always
290
IDES EP’s are
689
No
DATES of CLAIM are put in system---they are set up as diaries with the date after separation as diary due dateSlide4
What is a Pre-discharge claim?
A pre-discharge claim is a claim accepted from a service member who is still on active duty
.
The
claim may be a(n)
original claim
reopened claim
claim for an increased evaluation, or
claim for resumption of compensation.
The goal of pre-discharge claims is to begin the payment of the Department of Veterans Affairs (VA) benefits as soon as possible following a Veteran’s discharge from active duty.Slide5
Who can file one?
Any service member on active duty may file a pre-discharge claim. This includes
reservists serving on active duty in an Active Guard Reserve (AGR) role under
10 U.S.C.
full-time National Guard members serving in an AGR role under
32 U.S.C.
, and
service members undergoing medical evaluation board (MEB) or physical evaluation board (PEB) proceedings.Slide6
Requirements for filing?
In order to file a pre-discharge claim, a service member must
be within 180 days of discharge
complete one of the following forms:
VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits
(preferred)
VA Form 21-526c, Pre-Discharge Compensation Claim
, or
VA Form 21-526, Veteran's Application for Compensation and/or Pension
,
and
provide photocopies of the service treatment records (STRs) for the current period of service. Slide7
QuickStart
0-59 days prior to discharge, or
Files claim w/in 180 days of discharge but is unavailable to attend all exams prior to discharge
What is the difference?
BDD
60-180 days prior to discharge
Must be available to attend ALL exams prior to dischargeSlide8
Exclusions from BDD and Quickstart
claims requiring case management for a service member who is
very seriously injured/ill (VSI)
seriously injured/ill (SI), or
a “special category person” (SCP), which is a service member who has suffered loss of a body part
claims involving a terminally ill service member
claims requiring a VA examination that must be completed in a foreign country,
except
when the examination can be completed through VA offices in
Landstuhl
, Germany, or
Yongsan
, Korea
claims involving a service member who is awaiting discharge, while hospitalized in a VA or military treatment facility, or
claims from pregnant service women
.Slide9
Process
Claim received at an Intake Site
RO Coordinator is responsible for:
Collect claims, obtain STRs, schedule exams, conduct other development
Refer completed claim to rating activity once all evidence obtainedSlide10
Rating Activity Sites (RAS)
Unique to BDD claims only—
Salt Lake City
Covers: West Coast, Midwest, and Korea
Winston Salem
Covers: East Coast, South, and GermanySlide11
Claims Processing Sites (CPS)
Unique to QuickStart—
San Diego
Covers: West Coast, Midwest and Korea
Winston Salem
Covers: East Coast, South and Germany
QS claims received from demobilizing National Guard or Reserve units will be forwarded to the CPS with
juris
over the ROJ where the service member resides.
QS claims with contentions related to the contaminated drinking water at Camp Lejeune should be processed at one of the above RAS
locations
QS claims are excluded from RACC. Slide12
Rating
Following the completion of all development actions (including verification of service), and
after
the service member’s discharge from active duty, complete the rating decision, with consideration being given to the guidance below.
Be
sure to take into account whether an examination was conducted in-service or post-service, as this can have an effect on the evidence required for SC.
A diagnosis of a chronic disability on an
in-service
VA examination is a diagnosed disability while on active duty.
A BDD or QS claim is filed by the claimant while still on active duty; therefore, you inherently have
in-service
symptoms/complaints. Slide13
Other claims and ancillary benefits
Intake sites may receive claims from service members for Vocational Rehabilitation and Employment (VR&E) benefits under
38 U.S.C. Chapter 31
that they may use while on active duty or after separation.
A service member who is separating from service may be eligible for the funding fee waiver if the evidence of record establishes he/she will be in receipt of VA disability compensation after separation.
Civil Service Preference Letters (CSPL) can only be created by the VA when there is a prior period of verified, completed, other than dishonorable service of record. Slide14
Integrated Disability Evaluation System(IDES)
The purpose of the Integrated Disability Evaluation System (IDES) is to save time and resources by combining multiple aspects of the disability evaluation process individuals go through when
the service department calls into question the service member's fitness for duty, and
the service
member
files a claim for Department of Veterans Affairs (VA) benefits.
IDES participants undergo only one examination (or one set of examinations), the results of which meet the needs of both VA and the Department of Defense (DoD). If, based on the results of the examination(s), a physical evaluation board (PEB) decides a participant is unfit for duty, VA prepares a rating decision to determine the amount of VA benefits to which he/she is entitled. DoD uses this same decision to determine the amount of DoD benefits to which the participant is entitled.Slide15
Terms we may hear
1. Military Services Coordinator (MSC)
are VA representatives that work at IDES intake sites
.
2. A
Physical Evaluation Board Liaison Officer (PEBLO) is a DoD
employee
3. Disability
Rating Activity Sites (DRASs) serve as the PEBs’ primary point of contact with
VA---
Seattle RO (SeaTac)—all Army PEBs
Providence RO—all Air Force and Navy PEBs
4. The
Veterans Tracking Application (VTA) is a web-based application PEBLOs, MSCs, DRASs, and PEBs use to track IDES participants as they proceed through the program.