Other conditions Board decisions

The Board dismissed the appeal as the administrative action approving payment of non-VA care provided by Actikare in Home Care Services (AHC) on August 3, 2019, resolved the issue in full.

The Board denied the Veteran's claim for service connection for menorrhagia as there is no current diagnosis of this condition at the time her claim was filed or in close proximity to it.

The Board denied reinstatement of pension benefits because the Veteran's income exceeded the applicable maximum annual pension rates (MAPRs) since 2019, and he failed to provide necessary evidence regarding his income prior to that period.

The Board denied the claim for payment or reimbursement of non-VA medical expenses incurred on August 18, 2021 due to a lack of VA authorization.

The Board has determined that there was a duty-to-assist error in the original decision regarding the October 6, 2023, episode of care and remands the case for further development to comply with applicable regulations.

The Board denied the claim for payment or reimbursement of non-VA medical expenses incurred on January 25, 2021 due to a lack of VA authorization.

The Veteran's overpayment of $3,393.95 was due to a mistaken payment sent to her bank account instead of another Veteran's account. The Veteran contends she did not learn about the mistake until years later. The Board has decided to remand this issue for further review.

The Board denied the claim for the surviving spouse's month of death payment as the Appellant is not a valid claimant and the benefit was paid to the surviving spouse, who had passed away.

The Veteran's eligibility for benefits under the VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) is being remanded due to a legally inadequate decision based on insufficient medical reasoning.

The Board found that the Veteran received concurrent VA compensation and military pay for 88 days in FY 2021, leading to a reduction of his VA disability compensation benefits. The appeal is denied as the withholding was proper based on the evidence of record.

The Veteran's appeal for a temporary total evaluation due to hospital treatment in excess of 21 days was denied as the domiciliary program he was admitted to did not meet the criteria for hospital care.

The Veteran's claims for increased ratings for muscle injury to the right posterior thigh and posterior tibial nerve inflammation of the right posterior thigh have been denied. The evidence does not support a higher rating based on current functional impairment.

The Board dismissed the appeal because it does not have authority to decide whether VA should pay for medical services provided by a non-VA provider under the VCCP.

The appeal has been dismissed as the claim for payment of non-VA medical care provided from April 13, 2020, to April 17, 2020, was administratively approved while this appeal was pending.

The Board has decided that the Veteran's gynecological disability, specifically leiomyomata (uterine fibroids), is not service-connected due to a current IUD. However, the claim is being remanded for further evaluation of whether her pre-service menstrual issues are related to her current condition.

The Board has remanded the case due to errors in explaining how the overpayment of tuition and fees and housing allowance benefits was created, as well as failing to provide a waiver decision that complies with the requirements of 38 U.S.C. § 5104(b).

The Board has decided to remand the case due to an error in determining the validity of the overpayment debt. The Veteran's claim for a waiver of overpayment will be referred to the Committee on Waivers and Compromises.

The Board has granted the Veteran's request to add his stepfather as a dependent parent, based on evidence showing that the stepfather stood in the relationship of a parent for a substantial period prior to the Veteran's entry into active service and provided reasonable maintenance.

The Board has determined that the evidence is incomplete and requires additional development to accurately determine the Veteran's service during Fiscal Year 2021, the appropriate withholding amount for this period, and any adjustments from prior withholdings. The appeal will be remanded for these purposes.

The Veteran's claim for payment or reimbursement of non-VA medical expenses incurred from July 3, 2023 to August 3, 2023 at Mcleod Regional Medical Center was denied due to the presence of other healthcare coverage (Medicare). The Board has decided that partial coverage under a health plan does not preclude eligibility for VA reimbursement. However, further development is needed to ascertain the type and amount of remaining balance from Medicare.