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Responses: 201
PO3 Kinte Grant
Can we speed up the claims process.
HN Hospital Corpsman
HN (Join to see)
1 y
Yes, so true!!
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
Thank you for sharing your feedback. Every claim is different - depending on what evidence VA may need to gather, a Veteran's claim may take more or less time, depending on the circumstances. We encourage you to contact our national call center at [login to see] or your local VA regional office should you need further assistance with your Veteran benefits.
SSG Richard Cosner
Under the current system when a Veteran requests an evaluation or re evaluation the process is to submit a request with appropriate records to support the claim, the VA sends the Vet to VES for a physical exam. At which point the VA determines if it's a valid claim or not. If the veteran requests a supervisor review of the claim and they find that the VA made an error in determining the denial of benefits then that re evaluation of the review is then processed under the same and put back into the que as if it were a new claim. This creates a double jeopardy for the vet as they have probably already waited for the initial review and now they have to wait for the new review again when it was identified as an error on the part of the VA.

Request that when an error on the part of the VA has been identified that those claims no longer be placed in the standard que for review but escalated to the top as the Vet has already waited for the standard que but now, due to no fault of the veteran, they have to wait again.

Background: using Community Services I had Left Knee Replacement done. I asked about the process for increasing my rating as we get a temporary 100% until the vet heals. I was told to refile my claim, which I did but was given the wrong info as I should have filled out a different Temporary request vs a claim after the fact. My initial claim was denied, I then I submitted a review. They found that the VA had made an error, 15 months after my initial denial I was awarded the Temporary 100%, their excuse was the Surgeons Report wasn't submitted, yet I have fax confirmation logs from the Surgeons Office showing they were submitted, on top of that there was an Explanation of Benefits showing the Surgeon had been paid for services, yet my claim was denied. Granted in hindsight I was provide incorrect information, if I had had the surgery in the VA Hospital, my benefit would have been almost Immediate, yet as a Vet I had to wait 16 months after my surgery to receive the temporary 100%.

As the VA Secretary what can you do to improve Vet engagement for Temporary 100% for those members in Community Care? What can you do to improve records management from Community Care Providers to the VA System? Obviously if a Surgeon gets paid but no Surgery Report is in the veterans records something is wrong! What is the check and balance? Finally, what can you do to improve veteran outcomes when the VA identifies an error for a veteran due to the VAs oversight, lack of oversight, records management, failures in VA systems, or failures in the Community Care Records, or other VA issue that caused the initial denial.

As stated, veterans who submitted claims have already waited their turn in line to be denied, yet upon review a member of the VA found that a mistake was made, so putting the veteran back at the end of the line for the same claim they already waited on just doesn't feel like the VA is placing the veteran first when they made a mistake!

How can you fix this so vets don't face double wait times for claims they have already submitted but errors were found during the review? This has happened to me twice, both times due to Community Care Records Management issues.

Thank you.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
Thank you for sharing your concerns and experience. We agree that your noted experience is unacceptable and not the level of customer service for which we aspire to achieve. We hope that this experience does not dissuade you from seeking out other VA benefits you have earned and deserve. We encourage you to contact our national call center at [login to see] or your local VA regional office should you need further assistance with your Veteran benefits.
SPC Sandra Rist
Why doesn't the VA provide vision and dental care to Veterans who were in during peacetime? I feel as if I am being punished for not fighting even though I was ready, willing, and able to do so. Now, my teeth are a mess and I am not qualified for dentak care. I get glasses but only because I have diabetes. Surely, I an not the only one who needs a dentist and/or glasses. Thank you for your time.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
The VA would like all Veterans to have access to good oral health care; however, VA is limited to providing dental benefits to those Veterans who meet certain eligibility criteria. Eligibility for VA dental care is governed by statute and provided in accordance with the provisions of existing law and regulations. These laws and regulations mandate dental care as a benefit for certain defined Veterans groups. The VA is obligated to fulfill the requirements of the statutes enacted by Congress and to follow their intent. Another option for Veterans who are enrolled in the VA health care system, and beneficiaries and their dependents of the Civilian Health and Medical Program of the VA (CHAMPVA), is the Veterans Affairs Dental Insurance Program : https://www.va.gov/healthbenefits/vadip/
A1C Anthony Herrington
Chaplain A. Herrington
Hello,
Why does it take so long to receive your VA disability claim response. It should not take a year or more. VA should hire veterans to help with the process as well
MAJ Harvey Johnson
MAJ Harvey Johnson
1 y
My Higher-Level Review (after they made me wait half a year to deny my claim) was started October 2023. They determined they made an error by March 2024 and sent it back to the Regional Office. My claim has been sitting with a rater again for about 8 months now. I call and the say they're waiting for a medical opinion. They've been saying that since June 2024. Are we going for half a year to get a medical opinion?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
VA recognizes that the process of obtaining a VA disability rating can be complex and time-consuming for several reasons. First, the legal requirements for VA's duty to assist in the development of a claim, as outlined in 38 CFR §3.103, can contribute to the duration of the process, as it involves careful collection and examination of all pertinent information to ensure that Veterans receive accurate decisions on their claims. Second, VA receives a high volume of claims, which can lead to extended processing times in some cases. VA continuously strives to improve the claims process to reduce wait times and increase efficiency, acknowledging the importance of timely resolution for Veterans. Lastly, if a claim is initially denied, the appeal process can involve multiple steps, including gathering new evidence, providing additional documentation, attending hearings, and potentially attending additional medical evaluations, each of which can add to the timeline.
SGM Mikel Dawson
Why are some of the questions being deleted? I posted another question and that one is deleted. It was a completely different topic which justified another post.
Mike Dollar
Mike Dollar
1 y
The VA is unequipped to handle evidence of their corruption. The VA incentivizes C&P examiners to deny or prolong claims. This is not speculation, this has been proven.
LCpl Ron Rouse
LCpl Ron Rouse
1 y
Mike Dollar - Guess I won't be surprised when my question is deleted... It was about VA accountability using my claim as an example.
PO3 Matthew "DOC" Campbell
PO3 Matthew "DOC" Campbell
1 y
Hi SGM Mikel Dawson not sure what happened there sir. I still see a question directly below about living in Denmark and under the FMP. ...
SGM Mikel Dawson
Edited 1 y ago
I live in Denmark, under the FMP. Last year I was scheduled to get an exam. This was arranged by one of your contractors. I had to cancel the exam because my wife needed cancer surgery. 2 months later I was abLE to attend the exam. I contacted the original contractor telling them so. My file had been returned. It was then given to another contractor, fine. The first contractor had me going to a doctor in Denmark. The second contractor said they had no doctors in Denmark thus sending me to Germany. Worst part was the second contractor has me talking to a person who's english was so bad I could not understand this person on the phone. Why can't these contractors work together? You have do idea what I went through to get the exam. When it is all said and done, you no longer pay travel expenses for us Vets under the FMP, but if I was in the States, yes I get travel, WHY? Are we just second rate Vets because we live OCONUS?
SFC Jo Ann Klawitter
SFC Jo Ann Klawitter
1 y
SGM Mikel Dawson thank you For telling me what to do
But it happened again this morning
When I called the Community Care VA and they say they don’t have my referral
COL Randall Cudworth
COL Randall Cudworth
1 y
SFC Jo Ann Klawitter - I think you're conflating two seperate things.

SGM Mikel Dawson is referring to the challenges his is facing with the VA while overseas, you're referring to the challenges you are experiencing in obtaining community care referrals from the VA.
Sgt Connie Plate
Sgt Connie Plate
1 y
If a C&P exam cannot be done locally, and travel pay is not authorised, then a telehealth appointment should be offered. The VA informed me it may be used against me if I do not get a DBQ completed even though their contracted and paid C&P schedulers could not find a doctor in my country to complete it. Furthermore, the powers that be need to stop privatizing the VA by outsourcing these exams adn their schduling, and instead use the money to hire more doctors and allow the VA doctors to do the exams or nexus letters within the available parameters limited by a teleheath appointment. If our duly elected representatives will not fight for this for us, we need to choose representatives that will when the next election cycle arrives.
SGM Mikel Dawson
SGM Mikel Dawson
1 y
Sgt Connie Plate - Oh, there was a doc available in my country, but the two different contractors couldn't/wouldn't talk, work together. This is the biggest BS living OCONUS and not near a vet population.
LTC Kevin B.
What are some of the biggest challenges facing the VA, especially where your mission has grown without Congressional funding keeping pace?
PO3 Bria n O‘Connell
I’m working on a redisign with. Congressman. I was a corpsman and a nurse . Disabled vet . Just get rid of a separate insurance company for community care . Just run all community care billing though Medicare and Tricare . The reimbursement tables and staff are already set up .
Update the computer systems . I can talk to astronauts on the space station using my iPhone from home . But a doctor in Florida va can’t see the actual swallow study or MRI I had done at Albuquerque va .
Referrals to a clinic should be for a period of one year . Several years ago a orthopedic surgeon wrote I need both knees replaced and to call when ready . Tge doctor is still at the va . I am being made to go back to primary care for a consult . Your doubling and tripling the work on primary care doctors . I have a known condition . I should just be able to call ortho clinic and make the appointment. I have much more . .
My spine is destroyed . I have been to 12 surgeons accross the country . VA surgeons already said it’s too complex for them . Three different surgeons in three states . Send veterans to the BEST surgeons not the closest . A neurosurgeon may do a lot of brain surgery but not spine surgery . This leads to bad surgery which cripples veterans even more . Send me to cedars Sinai in California. No 1 sound team in the nation . Just down the road from then is west LA V/A . Transfer me there for recovery and rehab . That saves money . You can. Duplicate this for Arizona Bartow spine , Minnesota Mayo Clinic , Jacksonville Mayo Clinic , sand diego scripts , New York Lennox hill hospital . There is always a local va hospital to recover and rehab in to save money . The government flies illegals and criminals all over the country , gives them phones , 10 k cash . 9 k food stamps , $1,000 a night hotel rooms . Yet you can’t send us to THE BEST surgeons ??
SFC Jo Ann Klawitter
SFC Jo Ann Klawitter
1 y
I agree with you I know your problems are much more worse than mine, but I was told if I didn’t want this problem I should go back to the VA clinic, which is over an hour away
TSgt Aerospace Medical Service
With such a shortage of providers making an impact on access to care across the VA health system, why not take advantage of other existing mid-level providers (that have NPIs recognized by CMS) and allow them to transition from active duty into the VA? The Intermediate Care Technician was a step in the right direction; however, it only takes advantage of the experience and skill of the traditional, basic military “medic” or brings the civilian EMT up to that level. It fails to tap the experience, education, and experience of the IDMT (USAF) or IDC (USN) that was designed to operate in remote and austere environments, as the only medical provider for miles or days. Tapping into this resource could open up countless numbers of account or urgent care appointments, in some cases still using a physician preceptor model, but freeing up physicians for more complex cases. Due to the needless restrictions in civilian practice, there is a wealth of untapped knowledge and experience as healthcare providers who are working as customer service reps at LOWES rather than become an underutilized component of the wasteful and inappropriately managed US EMS system. With the ability to perform advanced assessments, perform and interpret diagnostics, place referrals, limited prescription authority, and perform procedures (among a number of other things), why not improve access and cut cost by tapping into this otherwise wasted resource?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
While there may be opportunities to further leverage Sharing Agreements and partner with DoD, we must recognize the skills that separating servicemembers possess and identify the best way they can support the mission needs of our organization. Currently, the Intermediate Care Technician (ICT) role coupled with VA Skillbridge provides a variety of avenues for current and transitioning military members to continue their service to their country through roles providing support to their sisters and brothers in arms. The Independent Duty Medical Technician (IDMT) and Independent Duty Corpsman (IDC) roles introduce additional pathways where VA could seek to leverage partnerships and continue to establish and strengthen these relationships. The qualifications and responsibilities of IDMTs and IDCs do not fall into currently established occupational series within VA. The role closest to IDC is found aligned as a paramedic or EMT, while IDMTs may be more closely aligned with Physician Assistants (PAs). Current VA qualification standards, which are developed in collaboration with clinical subject matter experts, VA Program Offices, and the VHA’s Office of Workforce Management and Consulting, have established industry acceptable requirements at levels above the threshold of those found in the Armed Services. While this is not a prohibition on expanding and creating additional opportunities to partner with DoD, it would require significant foundational work to establish these types of roles within the organization along with clinically approved correlations for military service in such MOSs.
Sgt Thomas Meehan
Why does the V.A. Require a combat veteran to be 100% disabled to give them Dental Care... Because, I was not injured in Vietnam,, I will have to pay many thousands of dollars to have all of my teeth removed because of V.A. Nuclear Treatment for tongue cancer .. the roots are all dead and infected..
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
1 y
The VA would like all Veterans to have access to good oral health care; however, VA is limited to providing dental benefits to those Veterans who meet certain eligibility criteria. Eligibility for VA dental care is governed by statute and provided in accordance with the provisions of existing law and regulations. These laws and regulations mandate dental care as a benefit for certain defined Veterans groups. The VA is obligated to fulfill the requirements of the statutes enacted by Congress and to follow their intent. Another option for Veterans who are enrolled in the VA health care system, and beneficiaries and their dependents of the Civilian Health and Medical Program of the VA (CHAMPVA), is the Veterans Affairs Dental Insurance Program: https://www.va.gov/healthbenefits/vadip/.

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