Part X module 2 · 24 section summaries

Use the special procedure when ordinary claims processing is not enough.

Hospital and pension adjustments, COD/LOD, misconduct, insanity, fraud, forfeiture, administrative decisions, hearings, field exams, active duty, COLA, and proceeds.

24 of 24 section summaries shown

X.iii.1.A

Hospital/RO information exchange

Control medical-facility reports that may affect claims or awards and route them for the required rating/payment action.

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X.iii.1.B

Hospitalization/convalescence adjustment

Verify treatment, duration and service connection, then apply the correct 4.29 or 4.30 temporary-rating dates.

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X.iii.1.C

A&A award adjustment

Determine how hospitalization or institutional care affects an existing aid-and-attendance allowance and apply due process.

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X.iii.1.D

Institutional pension adjustment

Verify institutional/Medicaid facts and adjust pension under 3.551/3.556 with correct dates and notice.

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X.iv.1.A

COD and bars

Analyze each service period, discharge, statutory/regulatory bar, exceptions, and health-care eligibility before merits development.

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X.iv.1.C

Willful misconduct/LOD

Determine line of duty, proximate cause, conscious wrongdoing, service-department findings, and applicable presumptions.

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X.iv.1.D

Alcohol/drugs/tobacco

Classify primary abuse, secondary causation/aggravation, misconduct, and statutory tobacco restrictions before deciding.

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X.iv.1.E

Common service accidents

Develop accident facts, duty status, misconduct, reports, injuries, and causation under the accident-specific guidance.

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X.iv.1.F

Reverse COD/LOD/misconduct finding

Revisit a prior determination only under the proper revision basis, evidence standard, protection, and due process.

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X.iv.2.A

Insanity determination

Develop behavior, disease, timing, and medical evidence under VA’s insanity definition as a possible exception to a bar.

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X.iv.2.B

Homicide eligibility

Determine claimant involvement, intentional wrongdoing, legal findings, and benefit-specific bar before payment.

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X.iv.3.A

Fraud/evidence analysis

Preserve suspected evidence, obtain required laboratory/technical review, and use referral safeguards rather than making an unsupported fraud finding.

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X.iv.3.B

Forfeiture

Develop and refer potential forfeiture under the strict statutory procedure; ordinary adverse-action processing is not enough.

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X.iv.4

Renouncement

Confirm a valid renouncement, identify benefits affected, adjust prospectively, and explain how a later application is treated.

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X.v.1.A

Central-office guidance

Request Compensation Service or Pension and Fiduciary guidance when the procedure requires referral or an exceptional issue needs direction.

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X.v.1.B

Equitable relief

Identify administrative error or inequity, document the requested relief, and refer through the authorized equitable-relief channel.

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X.v.1.C

Administrative decisions

State the issue, jurisdiction, evidence, findings, law, analysis, conclusion, signatures, and notice for a formal administrative decision.

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X.v.1.D

RO hearings

Acknowledge and schedule the hearing, preserve rights and evidence, document the record, and complete post-hearing action.

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X.v.1.E

Field examinations

Request a field exam only for a defined factual question and give the examiner the people, records, and issue to investigate.

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X.v.2.A

Pending claim/active duty

When a Veteran returns to active duty, determine the claim’s status, available evidence, exam feasibility, and whether processing can continue.

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X.v.2.B

Active-duty award adjustments

Stop/adjust and later restore compensation using verified entry/discharge dates, waiver rules, notice, and payment controls.

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X.v.2.D

Proceeds

Identify withheld/unpaid proceeds, the entitled recipient, legal/payment status, required memorandum, and release or remediation action.

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