The Veteran is granted a higher special monthly compensation (SMC) rate under 38 U.S.C. § 1114(r)(2) due to the need for regular aid and attendance.
The deciding factor: The evidence shows that the Veteran's Amyotrophic Lateral Sclerosis (ALS) has progressed, requiring a higher level of care including assistance with ADLs, oxygen therapy, and a Hoyer lift. The Veteran meets the criteria for SMC at the 'o' rate under 38 U.S.C. § 1114(o), which qualifies him for the highest SMC rate.
- Claimed conditions
- Amyotrophic Lateral Sclerosis (ALS)
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 20, 2025
- Citation
- A25090039
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