Other conditions decisions — 2024

The Veteran's claim for service connection for trouble sleeping/insomnia is being remanded due to the need for a VA examination and consideration of secondary service connection.

The appeal seeking payment or reimbursement for the cost of medical services performed on August 18, 2020 by Aegis Sciences Corporation is dismissed as the benefit has been approved.

The Veteran's death was not service-connected, and the Board has granted nonservice-connected burial benefits. The plot or interment allowance and reimbursement of transportation expenses for burial in a state veterans cemetery are denied.

The Veteran's claim for TDIU on an extraschedular basis prior to May 22, 2010 was denied as the evidence showed he had full-time employment at that time.

The Veteran's adult child, J.M., did not file an application for accrued benefits within one year of the death of his spouse, P.M. in July 2015. The Board denied the claim as it was not filed timely.

The Board has dismissed the appeal for entitlement to a higher payment rate for home health services provided by the appellant from March 2, 2020, to March 21, 2020, as this matter is governed by statutory and contractual authority that does not allow for review by the Board.

The appeal is dismissed because the appellant, Aegis Sciences Corporation, provided medical services to the Veteran through the Veterans Community Care Program and the payment process for these services is governed by statutory and contractual authority that does not allow for review by the Board.

The Board has remanded the Veteran's claims for service connection for right and left foot disorders due to a pre-decisional error in the AOJ decision. The case will be remanded for further development, including a VA examination.

The Board has dismissed the appeals for payment of medical services provided by Aegis Sciences Corporation on February 15, 2021, and subsequent dates due to the governing statutes and regulations not allowing for review by the Board.

The Veteran's ratings for his right tibia fracture and muscle atrophy were restored as the AOJ improperly reduced these ratings. The left knee instability rating remains unchanged, while the back condition claim was dismissed due to lack of specificity.

The veteran's claim for payment or reimbursement of non-VA medical care rendered on July 4, 2023 is denied because the claim was not submitted within 90 days after discharge from the facility that provided the care.

The Veteran's request for an extension of his eligibility period to use Post-9/11 GI Bill benefits beyond October 23, 2020 was denied as none of the limited circumstances allowing for such an extension are applicable in this case.

The appeal is dismissed because the appellant, Aegis Sciences Corporation, provided medical services to the Veteran through the Veterans Community Care Program and the payment process for these services is governed by statutory and contractual authority that does not allow for review by the Board.

The appeal seeking service connection for the cause of the Veteran's death is dismissed because the Appellant did not properly withdraw their previous supplemental claim and the June 2021 VA Form 10182 was invalid.

The Board has granted an effective date of April 9, 2019 for the award of special monthly compensation (SMC) based on aid and attendance. The Veteran's service-connected adenocarcinoma, right lower lobe lung associated with herbicide exposure is not entitled to an earlier effective date.

The Board has determined that the appeal is not about service connection and requires further development to determine if the appellant's claim for payment or reimbursement of non-VA medical care was timely filed, and to obtain relevant EOBs and/or payment information.

The Board has dismissed the appeal regarding the contractual payment rate for medical services provided to a veteran under a Veterans Care Agreement (VCA). The dispute does not involve service connection and is resolved by the terms of the VCA.

The Board has dismissed the appeal for payment of non-VA home health services provided in December 2019, as this dispute is governed by a Veterans Care Agreement (VCA) and does not allow for further review by the Board.

The Board has dismissed the appeal as there is no administrative review process for disputes regarding contractual payment rates under Veterans Care Agreements (VCAs). The appellant's request for additional payment for medical services provided on December 15, 2019, pursuant to a VCA is not subject to further review.

The appeal for payment or reimbursement of non-VA medical services provided to the Veteran has been dismissed as the claim was granted administratively.