Other conditions decisions — 2024

The appeal for payment of non-VA medical services provided on November 13, 2020, and December 11, 2020, is dismissed as the claims were administratively approved.,The appeal for payment of non-VA medical services provided on December 11, 2020, is dismissed as the claims were administratively approved.,Payment for non-VA Covid-19 testing provided to the Veteran on December 4, 2020, is granted.

The Board has granted service connection for restless leg syndrome in both the right and left legs as secondary to the Veteran's service-connected urticaria and lichen simplex chronicus.

The Board dismissed the appeal as the VHA had already corrected and paid the underpayment of non-VA medical care provided by HHHC from July 1, 2019, to July 31, 2019.

The Board has dismissed the appeal regarding the contractual payment rate for medical services provided under a Veterans Care Agreement (VCA) due to the specific dispute resolution process established by law, which does not allow for further review by the Board.

The Veteran's lodging expenses for travel to a non-VA facility from December 16, 2023 to December 21, 2023 were not pre-authorized and thus the claim for reimbursement was denied.

The Board dismissed the appeal as the VA had already administratively approved and paid for the non-VA medical services provided to the Veteran between December 21, 2019 and December 22, 2019.

The Board has granted service connection for the Veteran's spinal disc herniation, finding that it is due to his active duty service.

The Board has dismissed the appeal as the claims for payment or reimbursement of non-VA medical services provided to the Veteran by Breathe Easy Dentistry on November 12, 2019, and November 26, 2019, have been resolved in full by administrative action.

The appeals concerning the cost of non-VA medical services provided on September 18, 2020, September 25, 2020, and October 2, 2020 are dismissed. The appeal for payment of the cost of non-VA COVID-19 testing provided to the Veteran on October 9, 2020 is granted.

The Board has remanded the Veteran's claims for a disability rating in excess of 10 percent for paresthetica meralgia of the left thigh and entitlement to TDIU due to pre-decisional duty-to-assist errors. The Veteran will need to undergo a VA examination, and additional development regarding his employment history is required.

The Board has dismissed the appeal as no further action is needed since the appellant's claim for payment of ambulance services provided to the Veteran on August 27, 2019, was approved and the appellant received an explanation of payment (EOP).

The Board dismissed the appeal as the claim for payment of non-VA medical services provided on November 27, 2020, was administratively approved.

The Veteran's constipation is rated at a 60 percent rating from January 23, 2023 onwards. SMC based on loss of use and higher level aid and attendance are denied.

The Veteran's eligibility for benefits under the Program of Comprehensive Assistance for Family Caregivers (PCAFC) is being remanded due to inadequate notice in the April 2021 decision. The claim will be evaluated again using the correct statutory criteria for 'need for supervision, protection, or instruction' as per the Federal Circuit ruling in Veteran Warriors v. Secretary of Veterans Affairs.

The Veteran's service-connected disabilities have a combined evaluation of 100 percent, making the issue of Total Disability Rating for Individual Unemployability moot and dismissed.

The Veteran's appeal regarding recognition of his spouse and children for the purpose of receiving an increased rate of compensation based on additional dependency allowance has been withdrawn by the appellant through their attorney.

The Board has dismissed the appeals for payment of non-VA medical services provided on December 18, 2020 and December 27, 2020 as both claims were administratively approved.

The Veteran's biological child, C. N. S., received an earlier effective date of June 9, 2020 for additional DIC benefits due to the Appellant filing a claim on behalf of C. N. S.

The Board denied the Veteran's claim for service connection for post traumatic loss of tooth with fixed partial denture due to lack of evidence showing bone loss of maxilla or mandible as a result of in-service trauma.

The Board has found the VA examination and opinion to be inadequate, as it did not adequately address the evidence of record. The Veteran's pilonidal cysts are remanded for a new VA examination.