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Awọn Ogbo VA Isanpada Alaabo Idabaa Idinku Idinku tabi Akiyesi Ipinnu: Ibeere igbọran Ipinnu Ọjọ 30-ọjọ ati Awọn Ofin Iwọn Idabobo Ọdun 5, 10

Ṣii lẹta kan lati Ẹka Ile-iṣẹ Awọn Ogbo ti AMẸRIKA (VA) ti o n sọ pe Isakoso Awọn anfani Awọn Ogbo (VBA) ** “Awọn igbero lati dinku igbelewọn alaabo ti o ni asopọ iṣẹ apapọ”** (fun apẹẹrẹ, lati 100% si isalẹ lati 70%, tabi lati 70% si isalẹ lati 30%) tabi ”Awọn imọran lati pin asopọ iṣẹ pajawiri”. Idinku ninu isanpada laisi owo-ori oṣooṣu oniwosan kii ṣe idinku owo-wiwọle oṣooṣu nikan nipasẹ $1,000 si $2,500+, ṣugbọn sisọ silẹ ni isalẹ 100% Yẹ ati Lapapọ (P&T) tabi Apapọ Alaabo Da lori Alainiṣẹ Olukuluku (TDIUIlẹ-ilẹ tun le yọ idile rẹ kuro ti agbegbe ilera ti CHAMPVA, Iranlọwọ Ẹkọ ti Awọn igbẹkẹle Abala 35 (DEA), awọn imukuro owo-ori ohun-ini ipinlẹ, ati itọju ehín. Ti iwọ tabi oniwosan kan ninu ile rẹ ni iriri ẹdun tabi aawọ ilera ọpọlọ lẹhin gbigba akiyesi idinku VA kan, pe tabi firanṣẹ ni Laini Ẹjẹ Awọn Ogbo ni **988 (lẹhinna tẹ 1) *** ni Amẹrika, tọju agbegbe rẹ. pajawiri awọn nọmba wiwọle, ati ki o kan si alagbawo wa Social Security Disability SSDI overpayment ati ifopinsi Itọsọna, tiwa abojuto ailera igba pipẹ ati itọsọna pakute IME, ati tiwa pajawiri isuna nigba owo oya guide.

Labẹ ofin apapo (38 CFR § 3.105(e) ati § 3.105(d)), Iwe lẹta Idinku Idinku ti a dabaa kii ṣe ipinnu ikẹhin, ati pe VA ti ni idinamọ labẹ ofin lati ge ayẹwo oṣooṣu rẹ lẹsẹkẹsẹ. Bibẹẹkọ, o dojukọ awọn akoko ipari tiki meji: akoko ipari ọjọ 30 ** lati ọjọ ti o wa lori lẹta naa lati beere fun ** Igbọran Ti ara ẹni Ipinnu ** (eyiti o di ofin si oṣuwọn isanpada oṣooṣu lọwọlọwọ rẹ ni kikun titi ti igbọran yoo waye ati ipinnu ikẹhin kan ti gbejade), ati akoko ipari ọjọ 60 ** lati fi ẹri-ẹri silẹ. Nipa ipade akoko ipari igbọran ọjọ 30 yẹn ati ṣiṣayẹwo ikuna VA lati gbọràn si Ọdun 5 ()38 CFR § 3.344), Ọdun 10 (38 U.S.C. § 1159), Odun 20 (38 U.S.C. § 110), ati Ọjọ ori-55 (38 CFR § 3.327*** Awọn ofin aabo ti ofin, awọn ogbo nigbagbogbo fi agbara mu VA lati yọkuro awọn idinku idiyele igbero ṣaaju sisọnu dola kan ti isanwo.

Ṣe eyi ni bayi

  1. ** Wo ni gangan ọjọ tejede ni oke ti VA Dabaa Idinku Lẹta ati kalẹnda awọn 30-Day ati 60-Day awọn akoko ipari lẹsẹkẹsẹ.** MAA ṢE fiweranṣẹ Ipe Afikun (VA Form 20-0995), Atunwo Ipele Giga (VA Form 20-0996), tabi Iwe akiyesi Awọn ẹjọ apetunpe ti Awọn Ogbo ti iyapa (VA Form 10182) ni bayi. Labẹ Imudara Awọn apetunpe Awọn Ogbo ati Ofin Igbalaju (AMA), o ** ko le rawọ a "Dabaa" igbelewọn igbese *** nipasẹ awọn deede afilọ ona nitori ti o jẹ ko kan ik ipinnu sibẹsibẹ. Dipo, o wa ni Akoko Ilana Idiye ọjọ 60 (60).38 CFR § 3.105(e))**.
  2. ** Fi ibeere kikọ silẹ fun “igbọran ti ara ẹni ti a ti pinnu tẹlẹ” (under 38 CFR § 3.105(i)) Ṣaaju ọjọ 30 ki VA ti ni idinamọ labẹ ofin lati dinku ayẹwo rẹ.** Eyi ni ofin pataki julọ ninu ofin awọn ogbologbo: ti VA ba gba ibeere kikọ rẹ fun Igbọran Iṣeduro *** laarin awọn ọjọ kalẹnda 30 ** ti ọjọ ti Ifitonileti Idinku ti a dabaa, ** VA MUST tẹsiwaju lati san owo sisan lọwọlọwọ oṣooṣu rẹ ti o wa ni kikun, ile-iṣẹ igbọran igbọran ti ile-iṣẹ titi di akoko igbọran. ṣe ipinnu ipinnu igbelewọn ikẹhin (eyiti o gba awọn oṣu 4 si 10+ nigbagbogbo). Fi ibeere naa silẹ lori ayelujara loni nipasẹ ** VA QuickSubmit (access.va.gov* lori ** VA Fọọmù 21-4138 (Statement in Support of Claim)** ki o firanṣẹ ẹda ẹda-iwe nipasẹ Iwe-ẹri Ifọwọsi.
  3. ** Ṣayẹwo boya idiyele rẹ ti ni ipa fun 5 Years, 10 Years, tabi 20 Years (tabi boya o jẹ Age 55+ tabi 100% P&T()** Ka iye awọn ọdun gangan lati ọjọ ti o wulo ** ti idiyele ailera kan pato ti VA fẹ lati dinku. Ti idiyele yẹn ba ti wa ni aye fun ọdun 5 tabi diẹ sii (Stabilized Rating under 38 CFR § 3.344, idanwo C&P kan ti o fihan pe o ni “ọjọ ti o dara” jẹ ** ko to labẹ ofin bi ọrọ ofin *** lati dinku idiyele rẹ. Ti idiyele naa ba ti ṣiṣẹ fun ọdun 20 tabi diẹ sii (38 CFR § 3.951(b), VA ti ni idinamọ nipasẹ ofin lati dinku nigbagbogbo ni isalẹ ipele yẹn ti ko ni ẹri jegudujera.
  4. ** Beere ẹda lẹsẹkẹsẹ ti Ẹsan ati owo ifẹhinti aipẹ (C&P) Iroyin idanwo (DBQ) ti o fa idinku.** Ti olugbaisese ()Optum Serve / LHI, VES, QTC, or Loyal Source) ṣe idanwo C&P, Ọfiisi Agbegbe VA, tabi ti ifọwọsi ** Oṣiṣẹ Iṣẹ Awọn Ogbo (VSO lati DAV, VFW, American Legion, tabi County Veterans Office) *** pẹlu ** VBMS (Veterans Benefits Management System*** wiwọle, le tẹ sita gangan Iwe ibeere Awọn anfani Alaabo Alaabo (DBQ) fun ọ ni ọsẹ yii ki o le rii gbogbo apoti ti oluyẹwo ko ṣayẹwo.
  5. ** Kojọpọ awọn igbasilẹ itọju aladani, Ero Iṣoogun olominira aladani kan (IMO / DBQ), ati Awọn Gbólóhùn Ọrẹ (VA Form 21-10210) laarin window 60-ọjọ. ** Lati ṣẹgun idinku, fihan pe eyikeyi ilọsiwaju ti a ṣe akiyesi ni idanwo C & P iṣẹju 15 jẹ igba diẹ, pe a ko ṣe ayẹwo rẹ lakoko gbigbọn (DeLuca / Sharp factors), tabi pe ipo naa ko ti waye ** ilọsiwaju ilọsiwaju labẹ awọn ipo lasan ti igbesi aye ati iṣẹ ***.
  6. ** Maṣe foju Atunwo VA C&P ti a ti pinnu (Maṣe yọkuro)38 CFR § 3.655.** Ti idinku igbero rẹ ba ṣẹlẹ nitori o padanu idanwo C&P ti a ṣeto laisi ifitonileti alagbaṣe naa ("Failure to Report"), lẹsẹkẹsẹ fi alaye kikọ silẹ ẹbọ "Idi to dara" (gẹgẹbi ko gba akiyesi ifiweranṣẹ ni adirẹsi lọwọlọwọ rẹ, ile-iwosan, aisan, tabi rogbodiyan iṣẹ) ati sisọ pe o ti ṣetan ati ṣetan lati jabo fun idanwo naa lẹsẹkẹsẹ ***.

Kini idi ti o gbọdọ ṣiṣẹ laarin awọn ọjọ 30 (kii ṣe awọn ọjọ 60) lati jẹ ki Ayẹwo oṣooṣu rẹ jẹ ki a ge.

Gbogbo lẹta Idinku Idinku Rating VA n mẹnuba ** awọn akoko ipari meji oriṣiriṣi ***: ** awọn ọjọ 30 *** ati ** ọjọ 60 *. Ọpọlọpọ awọn ogbologbo ni ṣika lẹta naa ati ro pe wọn ni awọn ọjọ 60 lati dahun. Eyi ni pakute labẹ 38 CFR § 3.105(e) ati § 3.105(i): - O ni ** 60 ọjọ *** lati fi ẹri iṣoogun tuntun silẹ ṣaaju ki VA ṣe ipinnu ipinnu ikẹhin kan. - ** Sibẹsibẹ, o ni 30 ỌJỌ nikan lati ọjọ ti lẹta naa lati beere Igbọran Ipinnu ti o ba fẹ di awọn sisanwo oṣooṣu rẹ ni oṣuwọn lọwọlọwọ lakoko ti VA ṣe ilana ọran rẹ. Ti o ba duro titi di Ọjọ 35 lati beere fun igbọran, VA le funni ni idinku ikẹhin ni Ọjọ 61 ki o ge ayẹwo rẹ ni ọjọ akọkọ ti oṣu kẹta ti o tẹle akiyesi ikẹhin, ti o mu ọ laaye lati gbe lori owo-ori ti o dinku fun ọdun kan tabi diẹ sii nigba ti o ba ja ẹdun naa. Nigbagbogbo fi ibeere igbọran ipinnu ipinnu ọjọ 30 silẹ nigbagbogbo lori Fọọmu VA 21-4138 *** laarin ọsẹ akọkọ ti o ṣii lẹta naa.

Igi ipinnu: Idaduro idinku idiyele VA ti a dabaa, ifopinsi TDIU, tabi yiyọ kuro

Tẹle iwe apẹrẹ ipele-igbesẹ-igbesẹ yii ni ọjọ ti VA ti dabaa lẹta igbese ikolu ti de ninu apoti ifiweranṣẹ rẹ.

flowchart TD
    Start["Lẹta VA De: 'Idinku Idinku Ti a Dabaa' tabi 'Iyakuro ti a Dabaa'"] --> CheckType{"1. Njẹ Eyi jẹ Iṣẹ 'Ibaṣe' (Ilana Ọjọ-ọjọ 60) tabi Ipinnu Idiwọn 'IKẸYẸ'?"}

    CheckType -->|"Idinku / Iyasọtọ ti a dabaa (38 CFR 3.105)"| Day30Rule["Igbesẹ pataki 1 (Ṣaaju ỌJỌ ỌJỌ 30): - Ṣe agbejade Fọọmu VA 21-4138 nipasẹ VA QuickSubmit ti n beere fun 'Igbọran Ti ara ẹni ti a ti pinnu tẹlẹ labẹ 38 CFR 3.105(i)' - Eyi ni ofin DI owo sisan oṣooṣu lọwọlọwọ rẹ titi lẹhin igbọran ati ipinnu ikẹhin"]

    CheckType -->|"Ipinnu Ikẹhin ti Ti gbejade (Gege Awọn sisanwo)"| FinalAppeal["Ipinnu Ikẹhin AMA APPEAL LANES (Laarin Ọdun 1): - Ijẹrisi Afikun Faili (Fọọmu VA 20-0995) pẹlu DBQ Aladani tuntun & awọn akọsilẹ itọju - Tabi Atunwo Ipele giga (Fọọmu VA 20-0996) pẹlu Apejọ Informal ti VA ba ṣẹ 38 CFR / CFR 3.3444"]

    Day30Rule --> WhatAction{"2. Iru Iṣe Iṣe buburu wo ni VA n ṣeduro?"}

    WhatAction -->|"Idabaa% Idinku Idiwọn (fun apẹẹrẹ, 70% si 30%)"| AuditYears["AUDIT STATUTORY IDAABOBO OFIN: - 20+ Ọdun (38 CFR 3.951b): IMMUNE lati idinku (ayafi jegudujera) - 5+ Ọdun (38 CFR 3.344): Aabo 'Stabilized Rating': VA ko le din da lori 1 kẹhìn; gbọdọ jẹri ilọsiwaju imuduro ni igbesi aye lasan / iṣẹ - Labẹ Ọdun 5 (38 CFR 3.343 / Ibi idana v. McDonough): VA gbọdọ tun jẹrisi ilọsiwaju gangan labẹ 38 CFR 4.1, 4.2, 4.10"]

    WhatAction -->|"Yiyọ TDIU ti a dabaa (Ige Alainiṣẹ 100%)"| AuditTdiu["AUDIT TDIU IDAABOBO (38 CFR 3.343c): - VA gbọdọ jẹri 'Iṣẹ oojọ gidi' nipasẹ Koṣe & Ẹri ti ko ni iyan - Iṣẹ alapin (labẹ Ilẹ Osi Federal) tabi iṣẹ aabo/iṣẹ idile KO le fopin si TDIU - Tabi oniwosan gbọdọ ni awọn oṣu mejila 12 ti ere ni itẹlera"]

    WhatAction -->|"Imukuro ti Asopọmọra Iṣẹ"| AuditSeverance["AUDIT SEVERANCE STANDARD (38 CFR 3.105d): - 10+ Years Service Asopọ (38 USC 1159): IMMUNE lati severance (ayafi jegudujera) - Labẹ 10 years: Burden jẹ 100% lori VA lati fi mule ṣaaju ki o jẹ 'Kọ kedere ati Unmistakably Errone'"]

    AuditYears --> Submit60["3. Ṣaaju ỌJỌ ỌJỌ 60: Gba C&P DBQ nipasẹ VSO + Fi DBQ Aladani silẹ, Awọn igbasilẹ Itọju & Awọn Gbólóhùn Lay"]
    AuditTdiu --> Submit60
    AuditSeverance --> Submit60

Apá 1: Awọn gangan awqn lati fi lori VA Form 21-4138 ṣaaju Ọjọ 30 lati di awọn anfani rẹ

Lati da VA duro lati dinku ayẹwo oṣooṣu rẹ lakoko ti o n ṣajọ awọn igbasilẹ iṣoogun, ṣe igbasilẹ ** VA Fọọmu 21-4138 (Statement in Support of Claim)** lati va.gov, fọwọsi alaye idanimọ rẹ, ki o si tẹ ibeere ofin gangan yii sinu apoti akiyesi:

"Tun: Akiyesi Idinku Idinku ti a dabaa [tabi Iyasọtọ ti a daba] ti ọjọ [Fi Ọjọ Fi sii Ti a tẹ sori Iwe VA].

1. ** IBEERE LAKOOKO FUN igbọran Ayanmọ (38 CFR § 3.105(i)**: Ni ibamu si 38 CFR § 3.105 (e) ati 38 CFR § 3.105 (i), Mo beere ni ibere fun **Igbọran ti ara ẹni ti a ti pinnu tẹlẹ ** (nipasẹ igbọran tẹlifoonu foju tabi ni Ọfiisi Agbegbe VA agbegbe mi) ṣaaju ṣiṣe ipinnu ipari eyikeyi lori idinku ti a pinnu ti idinku ti a ti sopọ mọ iṣẹ mi (Naa). Nitoripe a ti fi ibeere igbọran yii silẹ laarin **30 ọjọ *** ti ọjọ ti akiyesi ti igbese ikolu ti a dabaa, VA nilo nipasẹ 38 CFR § 3.105(i)(1) lati tẹsiwaju awọn sisanwo isanpada mi ni oṣuwọn lọwọlọwọ wọn titi ti igbọran yoo fi waye, gbogbo ẹri ti a fi silẹ laarin awọn ọjọ 60 ati ni igbọran ni atunyẹwo, ati pe ipinnu igbelewọn ikẹhin ti gbejade.

*2. ** Ibere ​​fun Ijabọ idanwo C&P pipe ***: Mo beere ẹda lẹsẹkẹsẹ ti Biinu ati Ifẹyinti (C&P) ijabọ idanwo (DBQ) ati imọran iṣoogun ti ọjọ [Ọjọ Idanwo] gbarale lati dabaa idinku yii ki dokita atọju mi ​​ati Emi le mura ẹri itusilẹ ṣaaju igbọran ipinnu.

*3. ** Idinku ti a dabaa **: Idinku ti a dabaa tako 38 CFR §§ 3.344 [ti o ba jẹ ọdun 5+], 4.1, 4.2, 4.10, ati 4.13 nitori ipo mi ko ni iriri gidi, ilọsiwaju ilọsiwaju labẹ awọn ipo lasan ti igbesi aye ati iṣẹ. ”

Where to submit your 30-Day Predetermination Hearing Request TODAY (So you have time-stamped proof):

  1. Upload via VA QuickSubmit (access.va.gov): Log in with your ID.me tabi Login.gov credentials, select QuickSubmit, upload the signed PDF of VA Form 21-4138, and download the confirmation receipt showing the exact date and Document ID.
  2. Send a Duplicate via USPS Certified Mail with Return Receipt Requested to the Evidence Intake Center:

    Department of Veterans Affairs, Claims Intake Center, PO Box 4444, Janesville, WI 53547-4444.

  3. Ask Your Accredited VSO (DAV, VFW, American Legion, or State/County VSO) to upload a copy directly into your electronic VBMS eFolder and confirm that the "Predetermination Hearing Requested" flash is entered in the VA system.

Part 2: The 6 statutory "Protected Rating Rules" (5, 10, and 20-Year Rules + Age 55 & P&T)

VA rating specialists (RVSRs) use automated computer workflows that frequently miss mandatory federal laws protecting long-standing disability ratings. Check your rating history against every single row of this table:

Statutory Protection Rule Itọkasi Federal Exact Legal Protection & How It Defeats the VA's Reduction
1. The 5-Year Rule (Stabilized Ratings) 38 CFR § 3.344(a)-(c) Applies to ANY specific disability percentage rating in effect for 5 consecutive years or more.
- The Rule: Once a rating has stayed at the same level (or higher) for 5+ years, it is legally "Stabilized." The VA cannot reduce it based on a single C&P exam. Instead, the VA must prove through a review of your entire medical history that you have achieved sustained material improvement under the ordinary conditions of life and work (not just temporary relief during bed rest or a 15-minute office exam).
- Under § 3.344(a), if the C&P examiner did not review your complete longitudinal claims file, or if any doubt remains as to whether the improvement will be permanently maintained under the stress of work, the VA is legally prohibited from reducing the rating.
2. The 10-Year Rule (Protection of Service Connection) 38 U.S.C. § 1159 & 38 CFR § 3.957 Applies once "Service Connection" for a condition has been in effect for 10 years or more.
- The Rule: After 10 years from the effective date of service connection, the VA can NEVER sever (cancel) service connection for that disability (unless the VA proves the original grant was procured by actual fraud, or the veteran lacked qualifying military service/character of discharge). (Note: A 10-year condition can still have its percentage lowered if it improves, subject to the 5-year rule above, but it can never be severed.)
3. The 20-Year Rule (Continuous Rating Immunity) 38 U.S.C. § 110 & 38 CFR § 3.951(b) Applies once a disability has been continuously rated at or above a specific percentage (or 100% / TDIU) for 20 years or more.
- The Rule: The VA is permanently barred by federal statute from EVER reducing that rating below the lowest level it held during those 20 years (except upon a showing of actual fraud). For example, if your PTSD was rated at 50% in 2005, raised to 70% in 2012, and it is now 2026, your rating can never be reduced below 50%; and if it was rated at 70% for 20 straight years, it can never be reduced below 70%.
4. The Age 55 Rule (Exemption from Routine Reexaminations) 38 CFR § 3.327(b)(2)(iv) & M21-1 IV.ii.1.A Applies to veterans who are Age 55 or older at the time of the rating decision or scheduled routine future exam (RFE)
- The Rule: Under VA regulations and the M21-1 Adjudication Manual, the VA must not schedule routine future C&P reexaminations for any veteran over 55 years of age (except in rare mandatory temporary post-surgical or active cancer remission schedules under 38 CFR § 4.124a / § 4.97). If you are 55+ and received a routine reexamination notice, demand its cancellation under 38 CFR § 3.327(b)(2).
5. The 100% Permanent & Total (P&T) Rule 38 CFR § 3.327(b)(2) Applies when your rating decision grants Basic Eligibility to Dependents' Educational Assistance (DEA / Chapter 35) or states "No future examinations are scheduled" / "Static Disability."
- The Rule: Disabilities designated as "Static" (permanent in nature with no likelihood of material improvement) are exempt from routine future examinations unless you voluntarily open the door by filing a new claim ("poking the bear") on a related body system or secondary condition.
6. The "Under 5 Years" Rule (38 CFR § 3.343(a) & Kitchen v. McDonough) 38 CFR §§ 3.343(a), 4.1, 4.2, 4.10, 4.13 Ti idiyele rẹ ba ti ṣiṣẹ fun KERE ju ọdun 5 lọ?
Paapaa ti idiyele rẹ jẹ ọdun 2 tabi 3 nikan, Ile-ẹjọ Awọn ẹjọ AMẸRIKA fun Awọn ẹtọ Awọn Ogbo (CAVC, ni awọn iṣẹlẹ bii * Brown v. Brown * ati * Ibi idana v. McDonough *) dimu pe ** VA tun jẹ ẹru ẹri ni GBOGBO idiyele idinku idiyele : VA gbọdọ jẹri nipasẹ iṣaaju ti ẹri pe ** iyipada gangan ninu ailera rẹ ti waye *** ti o mu agbara ** rẹ ṣiṣẹ labẹ awọn ipo lasan ti igbesi aye ati iṣẹ.38 CFR § 4.10, kii ṣe pe oluyẹwo keji ṣe iwọn awọn aami aisan kanna yatọ si ti oluyẹwo akọkọ.

Apakan 3: Bibori awọn ẹgẹ idinku VA kan pato (TDIU Unemployability, C&P Flare-Ups, Cancer Remission, and Missed Exams)

Pakute 1: VA ni imọran lati yọ tirẹ kuro 100% TDIU (Individual UnemployabilityNitori Aabo Awujọ (SSA) Iroyin Oya

Ni gbogbo ọdun, VA n ṣiṣẹ ibaramu kọnputa adaṣe kan pẹlu Isakoso Aabo Awujọ (SSA / Faili Titunto IRS) lati rii boya awọn ogbo ti n gba ** 100% Alaabo Lapapọ Da lori Ainiiṣẹ Olukuluku (TDIU, 38 CFR § 4.16*** mina eyikeyi W-2 tabi 1099 owo-wiwọle. Ti kọnputa ba rii owo-iṣẹ, o firanṣẹ ** VA Fọọmu 21-4140 (Employment Questionnaire)** tabi daba lati dinku ọ lati 100% TDIU pada si isalẹ si idiyele eto rẹ (fun apẹẹrẹ, 70%). - ** Mọ Pẹpẹ Ofin ti o muna fun yiyọ TDIU kuro (38 CFR § 3.343(c): 1. ** Ẹri Ti o han gbangba ati Ailagbara ti Iṣẹ oojọ gidi : Labẹ 38 CFR § 3.343(c)(1), VA ** ko le dinku idiyele TDIU ayafi ti o ba jẹri nipasẹ ** ẹri ti o han gedegbe ati aibikita ** pe oniwosan ti gba pada ** “iṣẹ oojọ gidi.” 2. ** Ilana Oṣooṣu 12-Tẹlera (38 CFR § 3.343(c)(2)*** Paapaa ti o ba gbiyanju lati pada si iṣẹ, ti o ba bẹrẹ ṣiṣe ni iṣẹ ti o ni ere pupọ lẹhin Oṣu Kini Ọjọ 1, Ọdun 1985, ** VA ti ni eewọ labẹ ofin lati dinku iwọn TDIU rẹ ayafi ti o ba ṣetọju iṣẹ ṣiṣe ti o ni anfani pupọ fun awọn oṣu 12 Lẹsẹkẹsẹ (uninterrupted). Ti o ba gbiyanju lati ṣiṣẹ fun oṣu meje ati pe o ni lati dawọ duro nitori awọn alaabo ti o sopọ mọ iṣẹ rẹ, a ko le fi ọwọ kan TDIU rẹ. 3. Iṣẹ oojọ” ati awọn imukuro “Ayika aabo / aabo” (Awọn imukuro)38 CFR § 4.16(a): - ** Owo ti n wọle ni isalẹ Ipele Osi Federal (about $15,650-$16,320/year for 1 person: Eyikeyi iṣẹ ti o sanwo kere ju aaye osi eniyan kan ti US Census Bureau jẹ asọye nipasẹ ofin bi “Iṣẹ Alailowaya”, kii ṣe oojọ ti o ni anfani pupọ, ati pe ** ko lailai* kọ ọ kuro ni 100% TDIU. - ** Ayika Iṣẹ ti o ni aabo / idabobo *: Paapa ti o ba jo'gun ** diẹ sii *** ju ala osi lọ, ti o ba ṣiṣẹ fun iṣowo ẹbi, agbanisiṣẹ alaanu, tabi iṣẹ idabobo ti o fun ọ ni awọn ibugbe pataki awọn oṣiṣẹ ti kii ṣe alaabo yoo wa ni ina fun (unlimited unscheduled absences during PTSD/migraine flare-ups, taking naps at work, reduced production quotas), fi alaye ti o fowo si lati ọdọ alabojuto rẹ ti n ṣe akosile awọn ibugbe wọnyẹn lati jẹrisi pe o jẹ ** Idabobo / Iṣẹ oojọ labẹ 38 CFR § 4.16(a).

Pakute 2: Orthopedic / Awọn Idinku Ijọpọ (Knee, Back, Shoulder, Neck) Nibo ti Oluyẹwo C&P ti foju kọju si “Irora lori Gbigbe iwuwo & Awọn ifunpa”

Nigbati oniwosan kan ba lọ si idanwo C&P fun ẹhin ti o sopọ mọ iṣẹ (lumbar spine) tabi idiyele orokun, oluyẹwo naa nlo goniometer ike kan lati wiwọn bi o ṣe le tẹ lẹẹkan ni yara idanwo ti afẹfẹ ni “ọjọ ti o dara,” o kọwe si pe iwọn iṣipopada rẹ dara si, ti nfa idinku lati 40% si 10%. - ** Bii o ṣe le Sofo Idanwo C&P Orthopedic ti ko pe (DeLuca, Mitchell, Sharp, ati Correia Awọn ofin) **: - Labẹ abuda Federal Circuit ati CAVC precedent ( DeLuca v. Brown *, * Sharp v. Shulkin *, ati * Correia v. McDonald ), Ayẹwo C & P orthopedic jẹ ** aiṣedeede labẹ ofin ati pe ko le ṣee lo lati dinku idiyele kan ** ti oluyẹwo ba kuna lati ṣe idanwo ati iṣiro (ni awọn iwọn gangan ti isonu-ti-iṣipopada): 1. ** Pipadanu iṣẹ-ṣiṣe lakoko Flare-Ups *** (paapaa ti o ko ba ni igbona lakoko idanwo, oluyẹwo ** gbọdọ beere lọwọ rẹ *** lati ṣapejuwe awọn igbona rẹ ati ṣe iṣiro iwọn afikun ti išipopada ti o sọnu lakoko igbona); 2. ** Idanwo Atunwo-Lilo ** (o kere ju awọn atunwi 3); ati 3. ** Ibiti Iṣipopada Nṣiṣẹ ATI Palolo, mejeeji Gbigbe iwuwo ati Ti ko ni iwuwo *** ( ofin Correia *). - Jẹ ki dokita aladani rẹ tabi oniwosan ara ẹni fọwọsi ikọkọ ** Pada (Thoracolumbar) tabi Orunkun DBQ *** ṣe akọsilẹ ni gbangba ni opin iwọn-iṣipopada rẹ ** lakoko awọn igbona-ina *** ati ** labẹ iwuwo-ara ***.

Pakute 3: Dandan 100% idariji akàn tabi Awọn idinku iṣẹ abẹ lẹhin (Prostate, Breast, PACT Act Cancers)

Nigbati akàn ti o ni asopọ iṣẹ ti nṣiṣe lọwọ (bii Agent Orange prostate akàn tabi Burn Pit / PACT Ìṣirò atẹgun/akàn ikun ikun) lọ sinu idariji itọju, awọn ilana ijọba (e.g., 38 CFR § 4.115b Diagnostic Code 7528) nilo atunyẹwo C&P ni oṣu mẹfa lẹhin itọju ti pari, ni imọran lati dinku idiyele akàn ti nṣiṣe lọwọ fun igba diẹ 100 ** si isalẹ si idiyele iṣẹku ** (nigbagbogbo 10% tabi 20%). - ** Bii o ṣe le Mu Rating Residual Post-Cancer rẹ pọ si : Paapa ti akàn funrararẹ wa ni idariji ile-iwosan, VA gbọdọ ṣe iwọn ** gbogbo iyoku onibaje ati ipa ẹgbẹ itọju *** lọtọ (38 CFR § 4.115b), pẹlu: - ** Aisedeede Difo / Igbohunsafẹfẹ ito tabi ailabawọn (requiring absorbent pads: 20%, 40%, or 60% rating: Yiyipada awọn paadi ifunmọ 2 si awọn akoko 4 fun ọjọ kan jẹ iwọntunwọnsi 40% **; awọn paadi iyipada diẹ sii ju awọn akoko 4 fun ọjọ kan jẹ deede idiyele ** 60% **; - Kimoterapi-Ifanusi Agbeegbe Neuropathy (CIPN ni ọwọ mejeeji ati ẹsẹ mejeeji (4 separate bilateral ratings); - Atẹtẹ Radiation, Ailera Erectile (SMC-K), Awọn aleebu iṣẹ abẹ, ati Ibanujẹ Atẹle / Aibalẹ ti o ṣẹlẹ nipasẹ ayẹwo akàn ati awọn iṣẹku onibaje.

+-----------------------------------------------------------------------------------+
|            WHAT IF YOUR PROPOSED LETTER SAYS "PROPOSED SEVERANCE"                 |
|             (CANCELLING SERVICE CONNECTION UNDER 38 CFR § 3.105(d))               |
+-----------------------------------------------------------------------------------+
| Sometimes the VA does not just propose lowering your percentage: it proposes     |
| "Severing Service Connection" altogether, claiming it made a mistake years ago    |
| when it granted your disability.                                                  |
|                                                                                   |
|   -> THE "CLEAR AND UNMISTAKABLE ERROR (CUE)" SHIELD:                             |
|      Under 38 CFR § 3.105(d), the VA CANNOT sever your service connection simply  |
|      because a new C&P doctor disagrees with the prior doctor who granted your    |
|      claim. A "difference of medical opinion" is NEVER grounds for severance.     |
|      Instead, the VA bears the crushing burden of proving that the original grant |
|      was "Clearly and Unmistakably Erroneous": meaning NO reasonable person      |
|      could have agreed with the original decision based on the law and evidence   |
|      that existed at the time. (And after 10 years, severance is barred.)         |
+-----------------------------------------------------------------------------------+

Kini idi ti O yẹ ki o ronu lẹẹmeji Ṣaaju 'Poking Bear' Ni kete ti O Ni 100% P&T tabi Iwọn Giga Gigun Gigun

Ọpọlọpọ awọn idinku igbelewọn ti a dabaa ṣẹlẹ nitori oniwosan ti o ti di ** 70%, 90%, tabi 100% Yẹ & Lapapọ (P&T*** Rating ṣe faili ẹtọ iyasọtọ-tuntun fun ipo atẹle kekere tabi ilosoke lori isẹpo atijọ. Nigbati o ba ṣajọ ẹtọ tuntun tabi ẹtọ ile-iwe keji ti o ni asopọ si ailera ti o wa tẹlẹ, ero isise VA ṣii gbogbo rẹ ** VBMS eFolder *** ati nigbagbogbo paṣẹ idanwo C&P tuntun kan lori ** ailagbara akọkọ ti o wa ni ipilẹ **, fifun oluyẹwo olugbaisese ni aye lati kọ silẹ pe ipo akọkọ 70% PTSD tabi 40% ipo ẹhin “o dara si.” Ṣaaju ki o to iforuko eyikeyi ibeere titun nigbati o ba wa tẹlẹ ni 100% P&T (tabi ni idiyele pataki 70%+ ti o wa labẹ ọdun 20), nigbagbogbo ni ifọwọsi *VSO tabi agbẹjọro ti VA-VA ṣe atunyẹwo * Iwe koodu koodu ** inu VBMS lati rii daju iru awọn idiyele rẹ ti samisi, “Static-1” ati ọdun 5 20-odun *** aabo milestones.

Bii o ṣe le Gba Iwe koodu Rating VA rẹ loni lati Wo Awọn alaabo wo ni Ti samisi 'Static'

Iwe Akopọ Anfani VA deede rẹ lori va.gov nikan fihan apapọ idapọ rẹ, kii ṣe ipo inu ti o farapamọ ti ailera kọọkan. Pe Oluṣẹṣẹ Iṣẹ Awọn Ogbo ti o ni ifọwọsi DAV, VFW, American Legion, or your County Veterans Service Office) ki o si beere lọwọ wọn lati wo profaili rẹ ni VBMS ki o fi ẹda kan ranṣẹ si ọ ti ** Iwe koodu Rating rẹ *. Iwe koodu naa ṣafihan: (1) deede ** Ọjọ Munadoko ** ti gbogbo igbelewọn (nitorinaa o le ṣe iṣiro awọn ọjọ 5, 10, ati 20 ọdun rẹ si ọjọ gangan), (2) ** Koodu Aisan , ati (3) boya ipo kọọkan jẹ ami ifihan bi ”Ami (Static)No Future Exam)" tabi o ni eto ** Idanwo Ọjọ iwaju Iṣe deede (RFE ọjọ.

Ekun ogbo 'anfani afilọ ati ombudsman oro

  • ** Orilẹ AmẹrikaDepartment of Veterans Affairs: VBA***:
  • ** VA QuickSubmit (Evidence Intake Portal: Ṣe agbejade Ibeere igbọran ipinnu-ọjọ 30 rẹ (VA Form 21-4138 ati ni ikọkọ DBQs lẹsẹkẹsẹ ni access.va.gov (yan QuickSubmit).
  • ** Ile-iṣẹ Ipe ti Orilẹ-ede VA & Iwe-aṣẹ VSO ti o ni ifọwọsi ***: Ipe 1-800-827-1000 lati rii daju ipo ti ibeere igbọran ti ipinnu tẹlẹ, tabi wa aṣoju VSO ti o ni ifọwọsi ọfẹ, aṣoju ti o ni ẹtọ, tabi agbẹjọro ti VA nipasẹ Ọfiisi **VA ti Ṣiṣawari Ifọwọsi Igbimọ Gbogbogbo *** ni va.gov/ogc/apps/accreditation/index.asp.
  • ** Laini Idaamu Awọn Ogbo ***: Pe ** 988 ki o tẹ 1 ***, ọrọ 838255, tabi iwiregbe ni veteranscrisisline.net.
  • ** Canada (Veterans Affairs Canada: VAC***:
  • Bureau of Pensions Advocates (BPA) & Atunwo Awọn Ogbo ati Igbimọ Ẹbẹ (VRAB: Ti o ba jẹ ** Ogbo Affairs Canada (VAC** tun ṣe ayẹwo tabi dinku ** Irora ati Biinu ijiya (PSC*** tabi ** Anfaani Rirọpo owo oya (IRB*** iṣiro, o ni ẹtọ lati ** aṣoju ofin ọfẹ nipasẹ agbẹjọro kan ** lati Ile-iṣẹ Awọn alagbawi Awọn ifẹhinti (Bureau of Pensions).BPA ni 1-877-368-0859*** ṣaaju ** Atunwo Awọn Ogbo ati Igbimọ Ẹbẹ (VRAB*, ati pe o le gbe iṣakoso aiṣododo ga si ** Ọfiisi ti Ombud Ogbo (1-877-330-4343 / ombudsman-veterans.gc.ca).
  • ** Ijọba GẹẹsiArmed Forces Compensation Scheme: AFCS & War Pension Scheme***:
  • ** Atunyẹwo Dandan Awọn Ogbo UK & Ile-ẹjọ ipele akọkọ (War Pensions and Armed Forces Compensation Chamber: Ti ** Awọn Ogbo UK (Ministry of Defence dinku tabi fopin si isanwo owo-wiwọle ti o ni idaniloju AFCS (GIP*** tabi ** Owo ifẹhinti alaabo Ogun , beere atunyẹwo tabi bẹbẹ lọna ominira si ** Ile-ẹjọ ipele akọkọ (War Pensions and Armed Forces Compensation pẹlu aṣoju ọfẹ lati ** Royal British Legion (0808 802 8080)**.
  • ** Australia (Department of Veterans' Affairs: DVA***:
  • ** Igbimọ Atunwo Awọn Ogbo (VRB) & MRCA / DRCA / VEA Awọn aabo : Ti o ba jẹ pe ** DVA *** daba idinku ninu ** Oṣuwọn Pataki (TPI tabi ** Ailagbara Yẹ (MRCA*** ẹsan, ẹbẹ si ** Igbimọ Atunwo Awọn Ogbo (VRB ni 1800 550 460 / vrb.gov.au*** pẹlu agbawi ọfẹ lati ** RSL (Returned & Services League)**.

Awọn ibeere ti a beere nigbagbogbo

Mo kan gba lẹta VA kan sọ pe wọn “dabaa lati dinku” idiyele ailera mi lati 70% si 30%. Ṣe Mo yẹ ki n ṣafilọ Ipele Afikun tabi Atunwo Ipele-giga lẹsẹkẹsẹ?

Rara. MAA ṢE ṣe faili Ijẹrisi Afikun (Fọọmu VA 20-0995) tabi Atunwo Ipele giga (Fọọmu VA 20-0996) ni idahun si lẹta idinku “Idabaa”. Labẹ awọn ilana VA (38 CFR § 3.105 (e)), idinku ti a dabaa kii ṣe ipinnu ipari sibẹsibẹ, nitorinaa VA yoo kọ awọn fọọmu afilọ boṣewa bi ti tọjọ. Dipo, o gbọdọ fi alaye kikọ silẹ lori Fọọmu VA 21-4138 laarin awọn ọjọ kalẹnda 30 ti ọjọ lori lẹta ti o n beere fun “Igbọran Ti ara ẹni ti a ti pinnu tẹlẹ labẹ 38 CFR § 3.105(i).” Ipade akoko ipari ọjọ 30 yẹn ni ofin fi agbara mu VA lati tẹsiwaju isanwo ni kikun 70 ogorun ayẹwo oṣooṣu lakoko ti o ṣajọ ẹri iṣoogun ati duro de igbọran rẹ.

Kini iyatọ laarin akoko ipari ọjọ 30 ati akoko ipari ọjọ 60 ni lẹta Idinku Rating VA kan?

Akoko ipari ọjọ-ọjọ 60 ni window ti o ni lati fi ẹri iṣoogun silẹ, awọn DBQ ikọkọ, ati awọn alaye dubulẹ ṣaaju ki VA ṣe ipinnu ipari kan. Bibẹẹkọ, akoko ipari ọjọ 30 jẹ iyara diẹ sii: labẹ 38 CFR § 3.105(i), ti VA ba gba ibeere kikọ rẹ fun Igbọran Ipinnu laarin awọn ọjọ 30 ti ọjọ akiyesi, VA ko le dinku isanwo oṣooṣu rẹ titi lẹhin igbọran naa yoo waye ati ti gbejade ipinnu ikẹhin. Ti o ba padanu akoko ipari igbọran ọjọ 30 ati pe o fi ẹri silẹ nikan ni Ọjọ 45, VA le lọ siwaju ati ge ayẹwo oṣooṣu rẹ ni Ọjọ 61 lakoko ti o duro awọn oṣu fun afilọ kan.

Iwọn VA mi ti wa ni 70% fun ọdun 6, ati oluyẹwo C&P kan ti o jẹ oluyẹwo rii mi fun iṣẹju mẹwa 10 ni ọjọ to dara o sọ pe Mo ni ilọsiwaju. Njẹ VA le ni ofin ge idiyele mi ti o da lori idanwo kan?

Rara. Ni kete ti eyikeyi ipin ogorun ailera kan pato ti wa ni ipa fun ọdun 5 itẹlera tabi diẹ sii, o di “Iwọn Iduroṣinṣin” ti o ni aabo nipasẹ 38 CFR § 3.344. Labẹ § 3.344 (a) (c), VA ti ni idiwọ labẹ ofin lati dinku iwọn imuduro ọdun 5 ti o da lori idanwo C&P kan. Dipo, VA gbọdọ jẹri nipasẹ gbogbo igbasilẹ iṣoogun gigun rẹ pe ipo rẹ ti ṣaṣeyọri “ilọsiwaju idaduro” ati pe ilọsiwaju naa yoo wa ni itọju labẹ awọn aapọn lasan ti igbesi aye ati iṣẹ. Ti tọka si 38 CFR § 3.344 ni igbọran ipinnu ipinnu rẹ ati fifisilẹ awọn akọsilẹ itọju ti nlọ lọwọ fẹrẹẹ nigbagbogbo fi agbara mu VA lati fagile idinku idanwo-ẹyọkan.

Kini yoo ṣẹlẹ ti lẹta Idinku ti a dabaa mi sọ pe VA n ge idiyele mi nitori Mo padanu idanwo C&P ti a ṣeto (“Ikuna lati jabo”)?

Labẹ 38 CFR § 3.655, ti o ba padanu atunyẹwo C&P ti a ṣeto laisi “Idi ti o dara,” VA ni imọran lati dinku tabi da isanpada rẹ duro fun ipo yẹn. Lẹsẹkẹsẹ fi Fọọmu VA 21-4138 silẹ laarin awọn ọjọ 30 ti n beere fun igbọran ipinnu, ṣalaye Idi ti o dara fun sisọnu idanwo naa (fun apẹẹrẹ, iwọ ko gba ipe foonu olugbaisese tabi lẹta ninu meeli, o ṣaisan, tabi o ni iṣẹ / pajawiri idile), ati sọ ni gbangba ni kikọ: “Mo ṣetan ati setan lati jabo fun atunyẹwo C&P lẹsẹkẹsẹ.” Ni kete ti o ba ṣafihan ifẹ lati wa ati fi idi idi to dara mulẹ, VA gbọdọ ṣe atunto idanwo naa ki o da idinku naa duro.

Jẹmọ awọn itọsọna

Awọn orisun ati osise itoni

  • ** Koodu ti Awọn ilana Federal (Title 38: Pensions, Bonuses, and Veterans' Relief): **38 CFR § 3.105(d) & (e) (Akoko Ilana ti Ọjọ 60-ọjọ fun Iyasọtọ ti a pinnu ati Idinku); 38 CFR § 3.105(i) (Ibeere igbọran ipinnu ipinnu ọjọ 30 lati Tẹsiwaju Awọn anfani); 38 CFR § 3.344 (Ofin Iwọn Iduroṣinṣin Ọdun 5); 38 CFR § 3.957 (10-Odun Idaabobo ti Iṣẹ Asopọ); 38 CFR § 3.951(b) (20-odun Tesiwaju Rating Idaabobo); 38 CFR § 3.343(c) (Awọn Iwọn Idinku TDIU); ati 38 CFR § 3.327(b)(2) (Ọdun 55 ati Awọn idasilẹ Idanwo Aisedeede Aimi).
  • ** Ile-ẹjọ Apetunpe Amẹrika fun Awọn ẹtọ Awọn Ogbo (CAVC): *** Brown v. Brown (5 Vet. App. 413: Ẹru ti Ẹri lori VA ni Rating Reductions); Idana v. McDonough (34 Vet. App. 191: Ohun elo ti 38 CFR §§ 4.1, 4.2, ati 4.10 si Awọn Idinku Labẹ Awọn Ọdun 5); DeLuca v. Brown (8 Vet. App. 202& Correia v. McDonald (28 Vet. App. 158: Dandan Gbigbọn-soke ati iwuwo-Ti nso Ibiti-ti-išipopada Igbeyewo)*.
  • ** U.S. Department of Veterans Affairs (VBA):** M21-1 Awọn ilana Ilana Idajọ, Apá X, Abala ii, Abala 4 (Atunyẹwo ti Awọn ipinnu: Idinku ati Awọn Iyasọtọ) ati Apá IV, Abala ii, Abala 1 (Awọn idanwo ojo iwaju ti o ṣe deede).