The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred at Halifax Hospital on June 3, 2014 is denied because the treatment was not an emergency and VA facilities were feasibly available.

The Veteran is granted special monthly compensation based on the regular need for aid and attendance due to his service-connected disabilities.

The Board granted service connection for a psychiatric disorder, diagnosed as adjustment and other specified trauma- and stressor-related disorders. The initial evaluations for right shoulder labral tear, right ankle sprain, left ankle sprain, right hip strain with limitation of flexion, right hip strain with limitation of extension, right hip strain with impairment of thigh, and allergic rhinitis were denied.

The Board granted a 40 percent disability rating for degenerative arthritis of the lumbar spine with herniated disc at L3-L5 and IVDS, denied ratings in excess of 10 percent for left ankle sprain and left knee patellofemoral pain syndrome, and granted earlier effective dates for service connection for certain conditions.

The Board granted restoration of a 20 percent evaluation for left ankle sprain from August 18, 2020, and a 30 percent evaluation for the left foot disability. The claims for increased ratings for painful and unstable left ankle scars and residual left ankle scars were denied, as was the claim for TDIU.