Other conditions Board decisions

The appeal is denied as there is no legal basis for payment of medical expenses incurred on January 22, 2021.

The appeal is denied as there was no VA authorization for the non-VA medical services provided on February 8, 2021.

The appeal is remanded due to a pre-decisional duty to assist error, and the claim for CHAMPVA benefits related to medical expenses incurred on January 28, 2019, is being remanded for further development.

The Board denied a compensable evaluation for the Veteran's service-connected bilateral shin splints, finding that the evidence did not show malunion of the tibia and fibula with knee or ankle disability.

The appeal is dismissed as the VA has already administratively approved payment for non-VA medical services provided to the Veteran.

The Board has dismissed the appeals for contractual payment rates of home health services provided by MGHI to a veteran from January 3, 2020 to March 30, 2020. The decision is based on statutory and regulatory provisions that do not allow for review by the Board.

The Board has decided to remand the case due to a lack of a VA examination and medical opinion, as the Veteran's current right eye vision disability is presumed to be related to his service. The examiner will need to determine if the disabilities are related to his in-service evaluation for ocular motility.

The Veteran's eligibility for PCAFC benefits is being remanded due to insufficient evidence in the April 2024 decision. The Board requires a medical opinion regarding whether the Veteran needs personal care services or supervision.

The appeal is dismissed as the administrative action for the entire November 17, 2020 episode of care has resolved in favor of the appellant.

The appeal is denied as there is no legal basis for payment of medical expenses incurred on January 5, 2021.

The Board has restored the Veteran's 10% rating for anogenital warts and granted a new initial disability rating of 30%, effective September 18, 2020. The reduction from 10% to 0% was improper due to improvement in his condition.

The Board has decided to remand the case due to a duty to assist error and insufficient medical opinion regarding the relationship between the Veteran's varicose veins and his service-connected disabilities.

The Board has dismissed the appeal as it is not within its jurisdiction to review disputes arising under Veterans Care Agreements (VCAs). The appellant's claim for payment of non-VA dental services provided on March 12, 2020, pursuant to a VCA was resolved through an administrative dispute resolution process.

The Board has denied the Veteran's claims for payment or reimbursement of non-VA medical expenses incurred on August 16, 2021, August 19, 2021, and August 20, 2021 due to a lack of VA authorization.

The appeal is dismissed because the dental services provided by a non-VA provider were subject to a specific administrative dispute resolution process under Veterans Care Agreements (VCAs), which does not allow for appellate review.

The Board has granted the appeals for payment of non-VA medical services provided by the appellant on September 8, 2020, October 5, 2020, December 21, 2020, and December 28, 2020.

The appeals concerning the payment of non-VA medical services provided by the appellant on specific dates have been dismissed as they were resolved in full by administrative action.

The Board has determined that additional development is needed to determine if the Veteran's left-hand nerve damage was caused by VA care and whether it occurred during a referral from VA to UMC, which would be considered an unforeseeable event. The case is being remanded for this purpose.

The Board has decided to remand the Veteran's claim of service connection for chronic congestion due to a lack of adequate medical opinions and examination.

The Board denied the Veteran's claims for payment or reimbursement of non-VA medical expenses incurred on January 11, 2021, January 18, 2021, January 25, 2021, and February 8, 2021 due to a lack of VA authorization.