ࡱ> #` bjbjmm ;DV=hhh8 ij| ThFn dx(xxxy&y y,@@@@@@$'h"dɒyyɒɒdxx4yɒlxxHɒx:n ph5H<0'Pyd^\(yyyddwyyyɒɒɒɒ T T Tdnd T T Tn4bR Chapter 2. Ratings for Special Purposes 1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the rating determination for Dependents Educational Assistance (DEA) under 38 U.S.C. Chapter 35, including eligibility for DEA based on the entitlement of a current or former active servicemember regaining entitlement to DEA responsibility for determining basic eligibility to DEA when to refer DEA claims to the rating activity when a rating decision is required for DEA the definition of the term total disability, permanent in nature cases meeting the criteria of a total disability, permanent in nature, for DEA death cases meeting the criteria of a total disability, permanent in nature, for DEA evaluation of cases where the Veteran is permanently and totally disabled the effective date when permanency is established, and including DEA eligibility in the rating conclusion. Change DateMarch 30, 2012Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  a. Eligibility for DEA Based on the Entitlement of a Current or Former Active ServicememberA person may derive entitlement to Dependents Educational Assistance (DEA) under HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_35.html"38 U.S.C. Chapter 35, from a Veteran discharged under conditions other than dishonorable a former active servicemember who has a total service-connected (SC) disability, permanent in nature, including a total disability evaluation for the loss of paired organs or extremities under HYPERLINK "http://www4.law.cornell.edu/uscode/38/1160.html"38 U.S.C. 1160 died as the result of a SC disability, or had a permanent and total SC disability at the time of death a current active servicemember who, as a member of the Armed Forces on active duty, has been listed for more than 90 days as missing in action captured in the line of duty by a hostile force, or forcibly detained or interned in the line of duty by a foreign government or power, or a current active servicemember who is hospitalized or receiving outpatient treatment for a permanent and total SC disability, and likely to be discharged for that disability. Note: Disability or death under HYPERLINK "http://www.law.cornell.edu/uscode/38/1151.html"38 U.S.C. 1151 does not establish eligibility. Reference: For more information on a total disability evaluation for the loss of paired organs or extremities under HYPERLINK "http://www.law.cornell.edu/uscode/38/1160.html"38 U.S.C. 1160, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/Advisory/CAVCDAD.htm" \l "bmk"Kimberlin v. Brown, 5 Vet. App. 174 (1993).Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. Regaining Entitlement to DEAUnder the provisions of HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001311----000-.html"38 U.S.C. 1311(e), a surviving spouse who is ineligible for Dependency and Indemnity Compensation (DIC) because he/she has remarried or is living with someone and holding himself/herself out openly as a spouse, may regain eligibility for DIC upon the termination of such relationships. HYPERLINK "http://www.va.gov/ogc/docs/1998/prc13-98.doc"VAOPGCPREC 13-98 held that eligibility for DIC regained under these provisions did not entitle the surviving spouse to Civilian Health and Medical Program (CHAMPVA) benefits, DEA, or loan guaranty benefits. However, Public Law (PL) 106-117, effective November 30, 1999, explicitly restored eligibility for these ancillary benefits. Note: These benefits are not payable for the period from October 1, 1998, to November 30, 1999. Reference: For more information on regaining entitlement to DEA, see HYPERLINK "imi-internal:M21-1MRIII.iii.5.F"M21-1MR, Part III, Subpart iii, 5.F. PRIVATE INFOTYPE="PRINCIPLE"  c. Responsibility for Determining Basic Eligibility to DEAThe rating activity is responsible for a determination of basic eligibility for a child, spouse, or surviving spouse(s) for DEA under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_35.html"38 U.S.C. Chapter 35.Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. When to Refer DEA Claims to the Rating ActivityThe issue of entitlement to DEA under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_35.html"38 U.S.C. Chapter 35 is inferred from a grant of service connection for the cause of death or the assignment of a total SC disability evaluation. If the issue of entitlement to DEA has not been previously addressed, authorization refers claims to the rating activity unless the rating of record denies service connection for the cause of death and for permanent and total SC disability at the time of death shows death was either directly or presumptively SC shows SC total disability either on a schedular basis or due to individual unemployability, with no future examination scheduled shows that a 100 percent evaluation has been granted under the provisions of  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_28.DOC" 38 CFR 4.28,  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_29.DOC" 38 CFR 4.29, or  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_30.DOC" 38 CFR 4.30, or denies service connection for all disabilities, or death is SC without a determination by the rating activity in accordance with HYPERLINK "imi-internal:M21-1MRIII.iii.1.2"M21-1MR, Part IV, Subpart iii, 1.2. PRIVATE INFOTYPE="PRINCIPLE"  e. When a Rating Decision Is Required for DEAA rating decision is required if the issue of permanency has not been disposed of in a prior decision. A rating decision is also required following a rating establishing a total disability, permanent in nature, where no payment was made, or payment was begun and was properly discontinued (other than because of total recoupment as in severance pay cases) before the expiration of the 20-year period (for example, because of election to receive retired pay) and the propriety of continuing that rating can be determined only by reexamination or other adequate medical evidence.Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  f. Definition: Total Disability, Permanent in NatureThe term total disability, permanent in nature, includes cases where the disabilities are evaluated 100 percent under a schedular or extra-schedular evaluation other than for  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_28.DOC" 38 CFR 4.28,  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_29.DOC" 38 CFR 4.29, or  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_30.DOC" 38 CFR 4.30, or on the basis of individual unemployability based on impairment reasonably certain to continue throughout the lifetime of the Veteran as determined in accordance with  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_340.DOC" 38 CFR 3.340 and  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_341.DOC" 38 CFR 3.341. PRIVATE INFOTYPE="PRINCIPLE"  g. Cases Meeting the Criteria of a Total Disability, Permanent in Nature, for DEAThe criteria for a total disability permanent in nature are met if the rating activity has determined the total disability is static and no future examination is required under the provisions of  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_327.DOC" 38 CFR 3.327(b)(2), or a total rating for compensation purposes has been in force for 20 years per  HYPERLINK "http://vbaw.vba.va.gov/bl/21/publicat/Regs/Part3/3_951.htm" 38 CFR 3.951. Note: For historical purposes, it should be noted that cases in which there is a 100 percent rating under the 1925 rating schedule per  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_952.DOC" 38 CFR 3.952 also meet the criteria of a total disability, permanent in nature, for DEA.  PRIVATE INFOTYPE="PRINCIPLE"  h. Death Cases Meeting the Criteria of a Total Disability, Permanent in Nature, for DEAWhen a Veteran who is totally disabled from SC causes dies of a nonservice-connected (NSC) disability, concede permanency of the total SC disability unless the total rating was assigned under  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_28.DOC" 38 CFR 4.28,  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_29.DOC" 38 CFR 4.29, or  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_30.DOC" 38 CFR 4.30. Reference: For more information on death benefits, see HYPERLINK "imi-internal:M21-1MRIII.iv.1"M21-1MR, Part III, Subpart iv.Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  i. Evaluation of Cases Where the Veteran Is Permanently and Totally DisabledVeterans who are considered permanently and totally disabled prior to the assignment of a 100 percent evaluation under a diagnostic code with a limited duration and future examination will be considered permanently disabled during the total evaluation. Example: A Veteran who is considered permanently and totally disabled because of a heart disorder based on metabolic equivalents (METs) undergoes cardiac transplantation surgery. The Veteran would continue to be considered permanently and totally disabled for the duration of the one-year convalescent period under diagnostic code 7019. The status of permanency is reconsidered following completion of the examination. PRIVATE INFOTYPE="PRINCIPLE"  j. Effective Date When Permanency Is EstablishedWhen permanency is subsequently established, the effective date is either the date of examination that established permanency new evidence warranting cancellation of future examination, or review when a future examination is canceled. Important: A rating decision must be prepared whenever permanency is established, whether the permanency is based on new evidence and/or on cancellation of a future examination. This applies regardless of whether or not there appear to be any potential dependents.Continued on next page styleref "Map Title"1. Rating Determination for Dependents Educational Assistance (DEA) Under 38 U.S.C. Chapter 35, Continued  PRIVATE INFOTYPE="PRINCIPLE"  k. Including DEA Eligibility in Rating ConclusionWhenever a total evaluation, either schedular or based on individual unemployability, is granted for an SC disability, unless permanency is not established, the following statement must be included in the rating conclusion: Basic eligibility under 38 U.S.C. Chapter 35 is established from [date]. In death ratings, whenever the issue of service connection for cause of death is granted, the following statement must be included in the rating conclusion: Basic eligibility under 38 U.S.C. Chapter 35 is established. Note: In general, Chapter 35 eligibility should be inferred when there is a reasonable probability of granting the benefit. Do not put the benefit at issue merely to deny it. Reference: For more information on inferred issues, see HYPERLINK "imi-internal:M21-1MRIII.iv.6.B.3"M21-1MR, Part III, Subpart iv, 6.B.3. 2. Rating for Dental Treatment  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on rating for dental treatment, including responsibility for handling dental claims and requesting dental ratings when to prepare a dental rating referring dental claims to the clinic of jurisdiction handling a claim for a dental disability submitted on VA Form 21-526, Veterans Application for Compensation and Pension noncompensable dental conditions denying dental claims for service connection outpatient dental treatment classifications dental treatment eligibility based on other entitlements rating involving dental trauma claims based on extracted teeth cases in which a dental examination may be required the use of service dental records from the Navy, and Army, and tooth-numbering systems used by the service departments and VA. Change DateFebruary 3, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Responsibility for Handling Dental Claims and Requesting Dental RatingsClaims for dental treatment under  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_161.doc" 38 CFR 17.161 are normally handled by the Business Office at the Veterans Health Administration (VHA) facility nearest the Veterans residence or the VHA Health Eligibility Center (HEC) without referral to the Veterans Service Center (VSC) and the rating activity. When necessary, requests for dental ratings are referred by a VHA Business Office or the HEC to the VSC through Automated Medical Information Exchange (AMIE)/ Compensation and Pension Record Interchange (CAPRI) or on VA Form 10-7131, Exchange of Beneficiary Information and Request for Administrative and Adjudicative Action. Reference: For more information on handling VA Forms 10-7131 prior to, and after, rating activity action, see HYPERLINK "imi-internal:M21-1MRIII.v.7.C"M21-1MR, Part III, Subpart v, 7.C. Continued on next page styleref "Map Title"2. Rating for Dental Treatment, Continued  PRIVATE INFOTYPE="PROCEDURE"  b. When to Prepare a Dental RatingPrepare a dental rating only at the request of the dental clinic pursuant to a claim for dental treatment. Whenever service connection is granted, include the following language in both the rating decision and the decision notification letter: Although your dental condition or disability is service connected, eligibility for treatment for that disability is limited by statute. You may not be eligible for VA dental care. Please consult the Business Office at the VHA facility that is nearest to your home for a determination on whether you are eligible for treatment for your service-connected dental condition or disability. Reference: For more information on preparing dental ratings, see the HYPERLINK "http://vbaw.vba.va.gov/VetsNet/RBA2000_Docs/webhelp/RBA2000_Help.htm"RBA2000 User Guide.  PRIVATE INFOTYPE="PROCEDURE"  c. Referring Dental Claims to the Clinic of JurisdictionRefer copies of dental claims for compensation, as well as for treatment, to the outpatient or dental clinic responsible for the Veterans residence. Reference: For more information, see HYPERLINK "imi-internal:M21-1MRIII.ii.2.B.6.c"M21-1MR, Part III, Subpart ii, 2.B.6.c PRIVATE INFOTYPE="PRINCIPLE"  d. Handling a Claim for a Dental Disability on VA Form 21-526Generally, a claim for a dental disability on VA Form 21-526, Veterans Application for Compensation or Pension, should be considered a claim for compensation. However, if the Veteran makes it clear he/she is only applying for dental treatment and is not claiming compensation for SC dental trauma, as described in 38 CFR 4.150, the claim should be referred to the VA medical center (VAMC) dental clinic or eligibility clerk for determination of eligibility.Continued on next page  STYLEREF "Map Title" 2. Rating for Dental Treatment, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Noncompensable Dental ConditionsThe following conditions are not compensable and may be SC solely for the purpose of determining entitlement to outpatient dental treatment or examination under  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_161.doc" 38 CFR 17.161, (Class II): treatable carious teeth replaceable missing teeth dental or alveolar abscesses, and periodontal disease (pyorrhea). Important: Application for dental treatment for Class II conditions must be received within 180 days of release from active service or upgrade of character of service to conditions other than dishonorable, as provided in HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_161.doc"38 CFR 17.161(b)(1). Reference: For more information on service connection for dental treatment purposes, see  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_381.DOC" 38 CFR 3.381. PRIVATE INFOTYPE="PROCEDURE"  f. Denying Dental Claims for Service ConnectionConsider the issue of service connection for the conditions listed in HYPERLINK "imi-internal:M21-1MRIX.ii.2.2.e"M21-1MR, Part IX, Subpart ii, 2.2.e in a formal rating and deny the claim if a Veteran claims compensation for one of these conditions on VA Form 21-526 or elsewhere, and the record shows no complicating condition subject to service connection. In the Reasons for Decision part of the rating decision, cite the provisions of  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_381.DOC" 38 CFR 3.381 and note if dental treatment in service was limited to conditions affecting only the teeth or gums. Continued on next page  STYLEREF "Map Title" 2. Rating for Dental Treatment, Continued  PRIVATE INFOTYPE="PRINCIPLE"  g. Outpatient Dental Treatment ClassificationsThe table below outlines dental treatment classifications and provides a reference for more information on each classification. Dental Treatment ClassificationsReferenceClass I: Compensable dental disabilities under the 9900 diagnostic code series in the Schedule for Rating Disabilities,  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_150.DOC" 38 CFR 4.150See HYPERLINK "imi-internal:M21-1MRIII.v.7.B.13"M21-1MR, Part III, Subpart v, 7.B.13.Class II: Noncompensable dental disabilitiesSee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.14"M21-1MR, Part III, Subpart v, 7.B.14.Class II(a): Combat wounds or service traumaSee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.15"M21-1MR, Part III, Subpart v, 7.B.15.Class II(c): POW statusSee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.15.b"M21-1MR, Part III, Subpart v, 7.B.15.b.Class III: Dental disability aggravating SC medical conditionSee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.16"M21-1MR, Part III, Subpart v, 7.B.16.Class IV: SC disabilities evaluated at 100% or entitlement to individual unemployabilitySee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.16"M21-1MR, Part III, Subpart v, 7.B.16.Class V: Enrolled in vocational rehabilitation trainingSee HYPERLINK "imi-internal:M21-1MRIII.v.7.B.16"M21-1MR, Part III, Subpart v, 7.B.16.Class VI: Dental disability aggravating medical condition being treated under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001710----000-.html"38 U.S.C. 1710See HYPERLINK "imi-internal:M21-1MRIII.v.7.B.16"M21-1MR, Part III, Subpart v, 7.B.16. PRIVATE INFOTYPE="PRINCIPLE"  h. Dental Treatment Eligibility Based on Other EntitlementsMost classes of eligibility for outpatient dental treatment can be decided by other entitlements of record, such as entitlement to total compensation under Class IV, or vocational rehabilitation under Class V. Class II eligibility allows one-time dental treatment for Veterans who apply within 180 days after military discharge, and is usually accomplished without rating action under the provisions of  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_162.doc" 38 CFR 17.162.Continued on next page styleref "Map Title"2. Rating for Dental Treatment, Continued  PRIVATE INFOTYPE="PRINCIPLE"  i. Rating Dental TraumaVeterans who have a dental condition resulting from combat wounds or service trauma may receive any reasonably necessary treatment for the SC dental condition under Class II(a). If a request for a dental trauma rating is received from the dental clinic, prepare a rating identifying the specific tooth number(s) that were injured. Reference: For the specific tooth numbers used by Department of Veterans Affairs (VA), see HYPERLINK "imi-internal:M21-1MRIX.ii.2.2.n"M21-1MR, Part IX, Subpart ii, 2.2.n. PRIVATE INFOTYPE="PROCEDURE"  j. Claims Based on Extracted TeethResolve the issue of service connection in accordance with the provisions of HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_381.DOC"38 CFR 3.381 in claims for treatment under HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_162.doc"38 CFR 17.162(b) for extracted teeth. PRIVATE INFOTYPE="PRINCIPLE"  k. Cases in Which a Dental Examination May Be Required Generally, a dental claim is rated on service records without a dental examination, regardless of whether compensation is claimed on VA Form 21-526, or a dental rating is requested on VA Form 10-7131. However, a dental examination may be required to identify teeth or chronic periodontal disease for which service connection for treatment or examination purposes may be in order under  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_160.doc" 38 CFR 17.160. PRIVATE INFOTYPE="PRINCIPLE"  l. Use of Navy Dental RecordsCopies of dental records have not always been usable for rating purposes because, prior to 1953, different colored markings on the original Naval records represented either disease or fillings and these markings could not be distinguished on photocopies. Accept the record of subsequent dental operations on the bottom of Navy Form H-4, Navy Dental Records (Examination), as sufficient to authorize service connection, even though the reverse side of that form may not record the insertion of fillings. Continued on next page  STYLEREF "Map Title" 2. Rating for Dental Treatment, Continued  PRIVATE INFOTYPE="PRINCIPLE"  m. Use of Army Dental RecordsArmy regulations require that every individual entering active service for more than 60 days have an initial dental examination within 60 days of entry on active service. In the absence of a suitable enlistment examination, for example, if the only examination notation was indefinite, such as acceptable, non-disqualifying, or not examined, accept the first examination within a reasonable period after entrance on active duty as recording the missing or defective teeth at enlistment. Note: Facts in individual cases, such as when a first examination report is more than 90 days after enlistment, may warrant an exception to this general rule. PRIVATE INFOTYPE="CONCEPT"  n. Tooth Numbering SystemsTooth numbering by VA and service departments has been the same since 1953, but differed previously. Listed below are the numbering systems for the service departments prior to 1953 and the VA numbering system. UpperRightLeftVA1 2 3 4 5 6 7 89 10 11 12 13 14 15 16Army (WWI)8 7 6 5 4 3 2 11 2 3 4 5 6 7 8Army (WWII)8 7 6 5 4 3 2 11 2 3 4 5 6 7 8Navy1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16LowerRightLeftVA32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17Army (WWI) 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8Army (WWII)16 15 14 13 12 11 10 9 9 10 11 12 13 14 15 16Navy17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Note: The Coast Guard and Public Health Service (PHS) have the same tooth numbering system as VA. 3. Rating Principles for Dental Conditions  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the principles for making rating decisions and granting service connection for various dental conditions, including general information on rating dental rating rating principles for dental claims when a Veteran has two periods of service separate consideration of each tooth or tooth disease for service connection considering dental conditions existing at the time of entry into active service service connection for dental conditions noted at entry and treated during service dental conditions not considered SC, and rating bony abnormalities of the jaw. Change DateFebruary 3, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. General Information on Rating Dental ClaimsThis topic contains information for rating consideration of dental claims referred by the Veterans Health Administration (VHA) (usually the VAMC). References: For information on handling initial dental claims received from Veterans, see HYPERLINK "imi-internal:M21-1MRIII.v.7.B"M21-1MR, Part III, Subpart v, 7.B. For information on handling dental claims referred from the VAMC, see HYPERLINK "imi-internal:M21-1MRIII.v.7.C"M21-1MR, Part III, Subpart v, 7.C. For more information on preparing a dental rating, see the HYPERLINK "http://vbaw.vba.va.gov/VetsNet/RBA2000_Docs/webhelp/RBA2000_Help.htm"RBA2000 User Guide.Continued on next page  STYLEREF "Map Title" 3. Rating Principles for Dental Conditions, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. Rating Principles for Dental Claims When a Veteran Has Two Periods of Service If a Veteran has two periods of service and, during the second period of service, incurs a new condition in the same tooth or aggravates a dental condition that was previously service connected based on the first period of service, show the incurrence of the new condition or the aggravation of the preexisting condition in the second period of service. This is done to ensure the Veterans entitlement to treatment based on the subsequent service.  PRIVATE INFOTYPE="PRINCIPLE"  c. Separate Consideration of Each Tooth or Tooth Disease for Service ConnectionThe rating activity must consider each defective or missing tooth and each disease of the teeth and periodontal tissues separately to determine whether the condition was incurred or aggravated in the line of duty during active service. Service connection of a tooth is solely for purposes of entitlement to Class II dental treatment or examination under  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_160.doc" 38 CFR 17.160 or  HYPERLINK "http://www.benefits.va.gov/warms/docs/Regs/38CFR/BookI/Part17/s17_161.doc" 38 CFR 17.161. When applicable, the rating activity must determine whether the condition is due to combat or other in-service trauma, or consider whether the Veteran was interned as a former POW. The dental ratings should include all qualifying teeth, as described in HYPERLINK "imi-internal:M21-1MRIX.ii.2.3.e"M21-1MR, Part IX, Subpart ii, 2.3.e, and not differentiate between carious and missing teeth, nor only show conditions that may currently require correction. Important: Identify each SC tooth by number on the dental diagram.  PRIVATE INFOTYPE="PRINCIPLE"  d. Considering Dental Conditions Existing at Time of Entry Into Active ServiceIn determining service connection, the condition of teeth and periodontal tissues at the time of entry into active duty must be considered. Treatment during service, including filling or extraction of a tooth, or placement of a prosthesis, must not be considered evidence of aggravation of a condition that was noted at entry, unless additional pathology developed after 180 days or more of active service. Teeth extracted because of chronic periodontal disease are SC only if they were extracted after 180 days or more of active service, per HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001712----000-.html"38 U.S.C. 1712.Continued on next page styleref "Map Title"3. Rating Principles for Dental Conditions, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Service Connection for Dental Conditions Noted at Entry and Treated During ServiceThe table below lists the principles that apply to the establishment or denial of service connection for treatment purposes for dental conditions noted at entry and treated during service. If teeth are noted at entry as ...Then service connection must be ...normal established if they were filled or extracted after 180 days or more of active service.filledestablished if they were extracted, or if the existing filling was replaced, after 180 days or more of active service.carious but restorabledenied on the basis that they were filled during service. However, new caries that developed 180 days or more after such a tooth was filled must be SC.non-restorabledenied, regardless of treatment during service.missingdenied, regardless of treatment during service. Note: If service dental records are incomplete, be sure to consider the doctrine of reasonable doubt under  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_102.DOC" 38 CFR 3.102. PRIVATE INFOTYPE="PRINCIPLE"  f. Dental Conditions Not Considered SCThe following must not be considered SC for treatment purposes: calculus acute periodontal disease third molars, unless disease or pathology of the tooth developed after 180 days or more of active service, or was due to combat or in-service trauma, and impacted or malposed teeth, and other developmental defects, unless disease or pathology of these teeth developed after 180 days or more of active service.Continued on next page styleref "Map Title"3. Rating Principles for Dental Conditions, Continued  PRIVATE INFOTYPE="PRINCIPLE"  g. Rating Bony Abnormalities of the JawRate bony abnormalities of the jaw that are subject to service connection according to the 99-series of diagnostic codes in the rating schedule. 4. Rating for Medical Care  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating for medical care, including receiving requests for eligibility determinations for medical care, and the action to take after eligibility for medical care is determined. Change DateApril 13, 2009 PRIVATE INFOTYPE="PRINCIPLE"  a. Receiving Requests for Eligibility Determinations for Medical CareVHA submits requests for eligibility determinations under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001710----000-.html"38 U.S.C. 1710 advising what information is required via AMIE/CAPRI, or on VA Form 10-7131. Reference: For more information on eligibility for VA treatment, see HYPERLINK "imi-internal:M21-1MRIII.v.7.A"M21-1MR, Part III, Subpart v, 7.A. PRIVATE INFOTYPE="PROCEDURE"  b. Action to Take After Eligibility for Medical Care Is DeterminedIf the authorization activity has already made a determination of eligibility, furnish the requested information as provided in HYPERLINK "imi-internal:M21-1MRIII.v.7.A"M21-1MR, Part III, Subpart v, 7.A. For any condition not covered in a prior rating decision, prepare a rating using the following statement under the part Decision: Eligibility for medical care under 38 U.S.C. 1710 [is] [is not] established. 5. Rating for Service Connection for Mental Disorders Under 38 U.S.C. 1702  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating to determine service connection for mental disorders under 38 U.S.C. 1702, including the entitlement criteria for service connection for mental disorders under 38 U.S.C. 1702 treatment for mental disorders that preexisted service or resulted from misconduct the forms used to request a determination of service connection under 38 U.S.C. 1702 inferring entitlement to medical treatment under 38 U.S.C. 1702, and rating decision for medical treatment under 38 U.S.C. 1702. Change DateMarch 30, 2012 PRIVATE INFOTYPE="PRINCIPLE"  a. Entitlement Criteria for Service Connection for Mental Disorders Under 38 U.S.C. 1702A Veteran of World War II, Korean Conflict, or Vietnam Era service is entitled to service connection for psychosis under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001702----000-.html"38 U.S.C. 1702 to provide hospital and medical treatment, including outpatient treatment, if he/she develops an active psychosis either within two years from the date of separation (under other than dishonorable conditions) from such service, and within two years of the end of the war period. A Veteran of Gulf War service is eligible for service connection for any mental disorder for treatment purposes under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001702----000-.html"38 U.S.C. 1702, if he/she develops the mental disorder either within two years from the date of separation (under other than dishonorable conditions) from such service, and within two years of the end of the war period. Note: It is not necessary for the Veteran to have had 90 days of service to qualify. Reference: For a definition of psychosis, see HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_384.DOC"38 CFR 3.384, and HYPERLINK "imi-internal:M21-1MRIII.iv.4.H.27.d"M21-1MR, Part III, Subpart iv, 4.H.27.d.Continued on next page  STYLEREF "Map Title" 5. Rating for Service Connection for Mental Disorders Under 38 U.S.C. 1702, Continued  PRIVATE INFOTYPE="PRINCIPLE"  PRIVATE INFOTYPE="PRINCIPLE"  b. Forms Used to Request a Determination of Service Connection Under 38 U.S.C. 1702VHA submits requests for determination of service connection under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001702----000-.html"38 U.S.C. 1702 via AMIE/CAPRI on VA Form 10-7131 accompanied by a copy of a completed VA Form 10-10, Application for Medical Benefits, or VA Form 10-10r, Reapplication for Medical Benefits, and VA Form 10-10m, Medical Certificate, and any other available professional report submitted with, or developed in conjunction with, the application for hospital or outpatient treatment. Note: The authorization activity furnishes the requested information after a determination has been made as provided in HYPERLINK "imi-internal:M21-1MRIII.v.7.C.17"M21-1MR, Part III, Subpart v, 7.C.17. c. Inferring Entitlement to Medical Treatment Under 38 U.S.C. 1702In general, an issue should be inferred only when entitlement can be granted. Entitlement to medical treatment under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001702----000-.html"38 U.S.C. 1702 is an exception to the general practice. The issue of entitlement to medical treatment under HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001702----000-.html"38 U.S.C. 1702 is routinely inferred whenever VA denies service connection for a psychosis based on World War II, Korean Conflict, or Vietnam Era service, or any mental disorder based on Gulf War service. Reference: For more information on inferred issues, see  HYPERLINK "imi-internal:M21-1MRIII.iv.6.B.3.d" M21-1MR Part III, Subpart iv, 6.B.3.d. Continued on next page  STYLEREF "Map Title" 5. Rating for Service Connection for Mental Disorders Under 38 U.S.C. 1702, Continued d. Rating Decision for Medical Treatment Under 38 U.S.C. 1702If medical treatment under 38 U.S.C. 1702 is denied, there is no need to create a separate issue in the rating decision. Instead discuss the denial in the issue of denial of service connection for the psychosis or mental illness, and backfill the denial under 38 U.S.C. 1702 into the Veterans RBA2000 record so the denial displays on the rating codesheet show Active Psychosis/GW MentalNSC-1702. If medical treatment under 38 U.S.C. 1702 is granted, the decision should be a separate issue in the rating decision. On the rating codesheet, show Active Psychosis/GW Mental--SC for Treatment Only Reference: For instructions on entering a rating decision in RBA2000 related to 38 U.S.C. 1702, see the  HYPERLINK "http://vbaw.vba.va.gov/VetsNet/RBA2000_Docs/webhelp/RBA2000_Help.htm" RBA2000 Users Guide. 6. Rating for Insanity Determination  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating for an insanity determination, including when a rating for insanity is required, and making a rating determination of insanity. Change DateNovember 21, 2006 PRIVATE INFOTYPE="PRINCIPLE"  a. When Rating for Insanity Is RequiredA rating of insanity is required to determine whether the Veteran was insane at the time of commission of an act or acts that resulted in a service department character of discharge, line-of-duty, or misconduct determination which precludes entitlement to benefits. Ratings of insanity are prepared only at the request of the authorization activity because of a specific allegation by the claimant, or question raised by the evidence in the claims folder. Reference: For more information on cases involving the sanity of a beneficiary involved in homicide, see HYPERLINK "imi-internal:M21-1MRIII.v.1.E"M21-1MR, Part III, Subpart v, 1.E. PRIVATE INFOTYPE="PROCEDURE"  b. Making a Rating Determination of InsanityPrior to making a determination as to whether a Veteran was insane at the time he/she committed an offense leading to his/her court-martial, discharge, or resignation request all obtainable evidence related to the period involved state under Decision on the rating decision, The Veteran [was] [was not] insane at the time [he] [she] committed an offense, and apply the definition of insanity found in  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_354.DOC" 38 CFR 3.354. Result: A rating decision finding the Veteran to have been sane at the time in question, supported by the necessary explanation, is sufficient as to the particular period of service or offense at issue. 7. Rating Determination for Veterans Civil Service Disability Preference  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating determination for Veterans civil service disability preference, including certifying civil service disability preference the requirements for civil service evaluations when a rating is required for civil service preference, and the rating conclusion for civil service preference determinations. Change DateNovember 16, 2004 PRIVATE INFOTYPE="PRINCIPLE"  a. Certifying Civil Service Disability PreferenceFor the purpose of certifying civil service disability preference, a SC disability may be assigned an evaluation of less than ten percent for any directly or presumptively SC disease or injury that exhibits some extent of actual impairment. PRIVATE INFOTYPE="PRINCIPLE"  b. Requirements for Civil Service EvaluationsFor noncombat disabilities, there must be ascertainable residuals before a less than ten percent evaluation may be assigned. Ascertainable residuals means symptoms that can be objectively verified on examination. Combat incurred noncompensable disabilities warrant an evaluation of less than ten percent. PRIVATE INFOTYPE="PRINCIPLE"  c. When a Rating Is Required for Civil Service PreferenceA rating is necessary if a previous rating did not establish entitlement to compensation, which includes Special Monthly Compensation (SMC) or entitlement under  HYPERLINK "http://vbaw.vba.va.gov/bl/21/publicat/Regs/Part3/3_324.htm" 38 CFR 3.324.  PRIVATE INFOTYPE="PROCEDURE"  d. Rating Conclusion for Civil Service Preference DeterminationsIn the rating conclusion, show the diagnostic code, diagnosis, and an evaluation of either less than ten percent, or The noncompensable service-connected disabilities have no ascertainable residuals. 8. Rating to Extend the Delimiting Dates for Educational Assistance  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating to extend the delimiting dates for educational assistance based on disability, including Regional Processing Office (RPO) jurisdiction when the delimiting dates may be extended determining whether the disability was the result of willful misconduct when medical infeasibility may be found the time limitation for requesting a delimiting date extension when to refer claims for delimiting date extensions to the rating activity processing claims for delimiting date extensions reviewing medical records for evidence relating to non-Education Service benefits, and the rating conclusion for determinations of delimiting date extensions. Change DateFebruary 3, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. RPO JurisdictionThe jurisdiction of all rating determinations required in claims for extension of the educational assistance delimiting date resides with the Regional Processing Offices (RPO) in Atlanta Buffalo St. Louis, and Muskogee. If an RO receives a request for a delimiting date extension, the RO should route the request to the RPO of jurisdiction. Note: The address of the claimants educational facility determines which RPO has jurisdiction over the claim. Reference: For information on the alignment of ROs and RPOs, see HYPERLINK "imi-internal:M21-1MRIX.ii.2.12"M21-1MR, Part IX, Subpart ii, 2.12.Continued on next page  STYLEREF "Map Title" 8. Rating to Extend the Delimiting Dates for Educational Assistance, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. When Delimiting Dates May Be ExtendedThe delimiting date for educational assistance may be extended for the following beneficiaries, if the rating activity determines that mental or physical disability not the result of misconduct, prevented their initiation or completion of a chosen program of education within the applicable 10, 12, 15, or 20-year period of eligibility: Veterans eligible for HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_30.html"38 U.S.C. Chapter 30, HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_31.html"38 U.S.C. Chapter 31, HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_32.html"38 U.S.C. Chapter 32, and  HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_33.html" 38 U.S.C. Chapter 33 benefits reservists eligible for HYPERLINK "http://law.cornell.edu/uscode/html/uscode10/usc_sup_01_10_10_E_20_IV_30_1606.html"38 U.S.C. Chapter 1606 benefits, and spouses or surviving spouses eligible for  HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_33.html" 38 U.S.C. Chapter 33 or HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_35.html"38 U.S.C. Chapter 35 benefits. PRIVATE INFOTYPE="PRINCIPLE"  c. Determining Whether the Disability Was the Result of Willful MisconductA determination as to whether the disability was the result of willful misconduct is made by the rating activity or authorization activity according to the provisions of HYPERLINK "imi-internal:M21-1MRIII.v.1.D"M21-1MR, Part III, Subpart v, 1.D. PRIVATE INFOTYPE="PRINCIPLE"  d. When Medical Infeasibility May Be FoundMedical infeasibility to pursue training ordinarily may not be found for any period during which the claimant was employed full-time unless either the medical evidence indicates that the employment was part of a medically prescribed rehabilitation program the employment was of a marginal nature and the disability can reasonably be deemed to have restricted the claimant from concurrent pursuit of the chosen program of training, or the nature of the disability actually precluded the claimant from pursuing the desired program of training.Continued on next page styleref "Map Title"8. Rating to Extend the Delimiting Dates for Educational Assistance, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Time Limit for Requesting a Delimiting Date ExtensionUse the table below to determine the appropriate time limit for requesting a delimiting date extension. If applying for educational benefits under Then HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_31.html"38 U.S.C. Chapter 31there is no time limitation for requesting a delimiting date extension.HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_30.html"38 U.S.C. Chapter 30 HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_32.html"38 U.S.C. Chapter 32  HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_33.html" 38 U.S.C. Chapter 33 HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sup_01_38_10_III_20_35.html"38 U.S.C. Chapter 35, and HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode10/usc_sup_01_10_10_E_20_IV_30_1606.html"38 U.S.C. Chapter 1606the application for an extension of the delimiting date must be received in VA within one year of the latter: the last date of the delimiting period, otherwise applicable, or the termination of the period of mental or physical disability. PRIVATE INFOTYPE="PRINCIPLE"  f. When to Refer Claims for Delimiting Date Extensions to the Rating ActivityVeterans Claims Examiners at RPOs refer claims to the rating activity of the RO co-located with the RPO when the following evidence is of record: the claimants statement as to the origin, if known, and nature of the disability upon which the claim for extension is based and the period(s) during which training was precluded because of disability employment history during the period(s) in which educational pursuit was prevented by disability, including the dates and weekly hours of employment, names and addresses of employers, and types of jobs held, and the exceptional circumstances which prevented the claimant from enrolling in or pursuing a program of education during the period of disablement, if the disabling period was 30 days or less, and medical evidence of the disability, including a statement by a physician, indicating diagnosis and treatment, the period(s) of disability, the dates during which, in the physicians opinion, training was medically infeasible, and an evaluation of current feasibility of employment or training, and hospital reports, laboratory tests, and other relevant medical evidence referred to by the claimant or the attending physician.Continued on next page styleref "Map Title"8. Rating to Extend the Delimiting Dates for Educational Assistance, Continued  PRIVATE INFOTYPE="PROCESS"  g. Processing Claims for Delimiting Date ExtensionaThe table below describes the actions that the RPOs and the co-located ROs take when processing claims for delimiting date extensions. StepAction1An RPO receives a claim for a delimiting date extension.2Is there sufficient evidence of record to warrant referral of the claim to the rating activity at the co-located RO? If yes, the RPO scans the evidence into The Image Management System (TIMS), an electronic database forwards the hard copy of the evidence to the RO rating activity, and goes to Step 4. If no, the RPO sends a development letter to the claimant, and goes to Step 3. Reference: For information on when to refer claims to the rating activity, see HYPERLINK "imi-internal:M21-1MRIX.ii.2.9.f"M21-1MR, Part IX, Subpart ii, 2.9.f.3Did the claimant provide the evidence requested? If yes, the RPO scans the medical evidence into TIMS forwards the hard copy of the medical evidence to the RO rating activity, and goes to Step 4. If no, the RPO denies the claim, and notifies the claimant of the decision.Continued on next page  STYLEREF "Map Title" 8. Rating to Extend the Delimiting Dates for Educational Assistance, Continued  STYLEREF "Block Label" g. Processing Claims for Delimiting Date Extensiona (continued) StepAction4The RO rating activity prepares a rating decision, and furnishes the RPO a copy of the decision, and the evidence considered in the claim.5The RPO scans the rating decision into TIMS takes final action on the claim based on the rating determination, and notifies the claimant of the decision. Note: Information from a Veterans Compensation and Pension (C&P) claims folder needed to process a claim should be furnished electronically (via telephone, fax, e-mail, etc.) whenever possible. If review of a claims folder is required, an RPO may request its temporary transfer.  PRIVATE INFOTYPE="PROCEDURE"  h. Reviewing Medical Records for Evidence Relating to Non-Education Service BenefitsRO Rating Veterans Service Representatives (RSVRs) must carefully review medical records furnished by RPOs for evidence that could relate to non-Education Service benefits. When reviewing medical records, RSVRs should access the appropriate Benefits Delivery Network (BDN) or Share screens to determine the existence and location of the Veterans C&P claims folder, and what SC disabilities, if any, have been established contact the RO where the claims folder is located for clarification of SC disabilities, if necessary examine the medical records for any informal or formal claims for non-Education Service benefits, such as compensation, and records that pertain to a previously-established SC disability, and forward the pertinent medical records and/or claims for benefits to the RO where the claims folder is located.Continued on next page  STYLEREF "Map Title" 8. Rating to Extend the Delimiting Dates for Educational Assistance, Continued  PRIVATE INFOTYPE="PROCEDURE"  i. Rating Conclusion for Determination of Delimiting Date ExtensionIn the rating decision, under the Decision, show either Extension of Delimiting Date Under Ch. 30, 38 U.S.C. 3031(d) [is] [is not] granted Extension of Delimiting Date Under Ch. 31, 38 U.S.C. 3103 [is] [is not] granted Extension of Delimiting Date Under Ch. 32, 38 U.S.C. 3232(2)(A) and (B) [is] [is not] granted Extension of Delimiting Date Under Ch. 33, 38 U.S.C. 3312(b)(1) [is] [is not] granted Extension of Delimiting Date Under Ch. 35, 38 U.S.C. 3512(B) [is] [is not] granted, or Extension of Delimiting Date Under Ch. 1606, 10 U.S.C. 16133(b)(3) [is] [is not] granted. In the coded conclusion, show either Training medically infeasible from [date] through [date], or Disability did not make training medically infeasible. 9. Rating for Insurance Purposes  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating for insurance purposes, including eligibility for Service-Disabled Veterans Insurance (SDVI) when to apply for SDVI who may apply for SDVI eligibility for Gratuitous SDVI after death when a rating decision is required for determination of SDVI eligibility handling insurance cases involving coma incident to the terminal state handling insurance cases involving suicide, and preparing the rating decision for insurance purposes. Change DateNovember 21, 2006 PRIVATE INFOTYPE="PRINCIPLE"  a. Eligibility for SDVIVeterans may apply for non-participating Service-Disabled Veterans Insurance (SDVI) if they were released from active service on or after April 25, 1951, under other than dishonorable conditions, and have a SC disability or disabilities evaluated at zero percent or higher. Note: SDVI is also called RH Insurance because the policy numbers are prefixed with RH. PRIVATE INFOTYPE="PRINCIPLE"  b. When to Apply for SDVIApplication for SDVI must be made within two years from the date of notice initially granting service connection for a disability.Continued on next page styleref "Map Title"9. Rating for Insurance Purposes, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. Who May Apply for SDVIThe Veteran must be in good health to apply for SDVI, with the exception of the SC disability. If the applicant is shown to have been mentally incompetent during any part of the two-year period, only a legal guardian may apply for this insurance, and if required by state law, after the court has authorized the guardian to make such application. Note: Since the Veteran must be in good health except for the SC disability, the mental incompetency must be due to SC disability. PRIVATE INFOTYPE="PRINCIPLE"  d. Eligibility for Gratuitous SDVI After DeathGratuitous SDVI may be granted on behalf of mentally incompetent Veterans who were otherwise eligible to be granted SDVI but due to mental incompetency died without filing an application. The mental incompetency must have arisen from a SC disability either at the time of release from active service during any part of the two-year period from the date any disability is first determined to be SC, or any time after release from service if service connection is not established until after death. Note: To be eligible for Gratuitous SDVI, the Veteran must have remained continuously mentally incompetent until date of death, and must have died before the appointment of a guardian, or within two years after the appointment of a guardian. PRIVATE INFOTYPE="PRINCIPLE"  e. When a Rating Decision Is Required for Determination of SDVI EligibilityA rating decision is required when the Insurance Center (IC) refers an e-mail request, or VA Form 29-4373, Request for Disability Compensation Rating for Insurance Purposes--Government Life Insurance.Continued on next page styleref "Map Title"9. Rating for Insurance Purposes, Continued  PRIVATE INFOTYPE="PRINCIPLE"  f. Handling Insurance Cases Involving Coma Incident to the Terminal StateBrief periods of coma incident to the terminal state are commonly encountered. In the absence of other manifestations of mental incapacity to contract, manage personal affairs, or disburse funds, such brief periods of coma may be insufficient to support a rating of mental incompetency under HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001922----000-.html"38 U.S.C. 1922(b). The fact that service connection has been established for the cause of death does not carry with it the implication that the Veteran was mentally incompetent at the time of death or at any time during the critical period for purposes of HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001922----000-.html"38 U.S.C. 1922(b). PRIVATE INFOTYPE="PRINCIPLE"  g. Handling Insurance Cases Involving SuicideA finding in a death rating that a Veteran was of unsound mind at the time of suicide under the provisions of  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_302.DOC" 38 CFR 3.302 does not mean the Veteran was mentally incompetent for purposes of HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001922----000-.html"38 U.S.C. 1922(b). Make a rating under HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001922----000-.html"38 U.S.C. 1922(b) based on all the evidence of record, and support any rating of mental incompetency by objective evidence that shows the Veterans state of mind. Reference: For a definition of mental incompetency, see  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_353.DOC" 38 CFR 3.353. PRIVATE INFOTYPE="PRINCIPLE"  h. Preparing the Rating Decision for Insurance PurposesWhen preparing the rating decision prepare a copy of the rating for the IC under the Decision, show either Incompetency for insurance purposes [is] [is not] established, or Entitlement to Gratuitous Insurance under 38 U.S.C. 1922 [is] [is not] established show the Veterans address, including the zip code above the Jurisdiction section dispose of conditions listed on VA Form 29-4373, which are considered to be symptoms of a rated disability by a statement to this effect in the Reasons for Decision part of the rating decision, and in the coded conclusion, show the codes and evaluations appropriate to compensation entitlement. 10. Rating for the Polish and Czechoslovakian Armed Forces Under 38 U.S.C. 109(c)  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on rating for the Polish and Czechoslovakian Armed Forces under 38 U.S.C. 109(c), including the jurisdiction for determinations under 38 U.S.C. 109(c) basing rating determinations 38 U.S.C. 109(c) on the evidence, and the rating decision for eligibility under 38 U.S.C. 109(c). Change DateNovember 21, 2006 PRIVATE INFOTYPE="PRINCIPLE"  a. Jurisdiction for Determinations Under 38 U.S.C. 109(c)The Veterans Service Center (VSC) of the Wilmington VA Medical and Regional Office Center (VAM&ROC) has sole jurisdiction for all rating determinations required for the Polish and Czechoslovakian Armed Forces under HYPERLINK "http://assembler.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00000109----000-.html"38 U.S.C. 109(c) per  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_359.DOC" 38 CFR 3.359. Route requests received by any other RO to the Wilmington VAM&ROC with information as to the referral provided to the submitting health care facility. PRIVATE INFOTYPE="PRINCIPLE"  b. Basing Rating Determinations Under 38 U.S.C. 109(c) on the EvidenceBase rating determinations on the evidence submitted with the request. The medical facility is responsible for fully developing the claim before sending the request directly to MAS (136) in the Wilmington VAM&ROC. Reference: For more information on jurisdiction over claims folders, see HYPERLINK "imi-internal:M21-1MRIII.ii.5.A"M21-1MR, Part III, Subpart ii, 5.A.Continued on next page styleref "Map Title"10. Rating for the Polish and Czechoslovakian Armed Forces Under 38 U.S.C. 109(c), Continued  PRIVATE INFOTYPE="PROCEDURE"  c. Rating Decision for Eligibility Under 38 U.S.C. 109(c)In the rating decision, under the part Decision, show Eligibility for hospital or outpatient treatment Under 38 U.S.C. 109(c) [is] [is not] established. In the coded conclusion, evaluate conditions established as SC with a statement of either 50 percent or more or less than 50 percent. Notes: Apply existing criteria for the determination of service connection and degree of disability. Return the completed rating and all other materials to the Medical Administration Service, Wilmington, for their maintenance of eligibility records. 11. Addendum A. Alignment of ROs and RPOs Change DateFebruary 3, 2011 PRIVATE INFOTYPE="CONCEPT"  a. Alignment of ROs and RPOs for Jurisdiction of Education ClaimsThe jurisdiction of an RPO over an education claim is based on the address of the educational facility where the beneficiary is enrolled. For example, if the beneficiary attends a college in Ohio, the Buffalo RPO would have jurisdiction over the education claim. The table below shows which ROs are aligned with RPOs in Atlanta Buffalo St. Louis, and Muskogee. RPO AtlantaRPO BuffaloRPO St. LouisRPO MuskogeeAtlantaBaltimoreChicagoAlbuquerqueColumbiaBostonDenver/CheyenneAnchorageJacksonBuffaloDes MoinesBoiseMontgomeryClevelandDetroitHonoluluSan JuanHartfordFargoHoustonSt. PetersburgHuntingtonFt. HarrisonLittle RockWinston-SalemManchesterIndianapolisLos AngelesNewarkLincolnManilaNew YorkLouisvilleMuskogeePhiladelphiaMilwaukeeNew OrleansPittsburghNashvilleOaklandProvidenceSioux FallsPhoenixRoanokeSt. LouisPortlandTogusSt. PaulRenoWhite River JunctionWichitaSalt Lake CityWilmingtonSan DiegoWROSeattleWaco  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT  ADDIN \* MERGEFORMAT      M21-1MR, Part IX, Subpart ii, Chapter 2 M21-1MR, Part IX, Subpart ii, Chapter 2 2-PAGE 34 2-PAGE 1 O W  C K g O V    1 2 m n zljhhpeU hhpehhojhhoUhhj@5CJhhFmHnHujhhj@U hhYbI hhRb hh3*hhj@56 hhW hhSnhhj@jhhj@U hhj@&)B C ! 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