i. Separate Consideration of Each Condition for Dental Treatment Purposes specifies that the rating activity must consider each defective or missing tooth, each disease of the teeth and each periodontal tissue separately to determine whether the condition was incurred or aggravated in the line of duty for the purpose of Class II(a) or II treatment eligibility. Note: This includes determinations of whether there was combat related or other service trauma. j. Dental Conditions on Service Entry and Aggravation - for Treatment Purposes Under 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 for treatment purposes, unless additional pathology developed after 180 days or more of active service. k. Service Connection for Dental Treatment - Noted at Entry and Treated During Service The table below, summarizes guidance on service connection for treatment purposes of dental conditions noted at entry and treated during service. If at entry a tooth is noted to be ... And … Then service connection for dental treatment purposes must be … normal after active service of 180 days or more the previously normal tooth is filled, or extracted established. filled after active service of 180 days or more the filled tooth is extracted, or the existing filling is replaced. established. carious but restorable after active service of 180 days or more extraction of the tooth is required, or new caries develop after established.
4. Rating for Medical Care Introduction This 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 Date April 13, 2009 a. Receiving Requests for Eligibility Determinations for Medical Care VHA submits requests for eligibility determinations under advising what information is required via CAPRI, or on VA Form 10-7131. Reference: For more information on eligibility for VA treatment, see . b. Action to Take After Eligibility for Medical Care Is Determined If the authorization activity has already made a determination of eligibility, furnish the requested information as provided in . 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 Introduction This topic contains information on rating to determine service connection for mental disorders under 38 U.S.C. 1702, including , and
e. Addressing a VHA-requested 38 U.S.C. 1702 determination in the Rating Decision Use the following table when issuing a rating decision in response to a request by VHA for a determination. If ... Then ... The criteria for service connection under are established, the decision should be a separate issue in the rating decision, and the codesheet will show the text Active Psychosis/GW Mental, SC for Treatment Only. If the criteria for service connection under are not established, the decision should be a separate issue in the rating decision and the codesheet will show the text Active Psychosis/GW Mental, NSC-1702 Note: When addressing a VHA request for a 1702 determination, the issue of SC of a mental disorder for treatment purposes under the provisions of should always be listed as a separate or stand-alone issue. Reference: For more information on addressing the subordinate or inferred issue of in the rating decision see . f. Addressing the subordinate issue of 38 U.S.C. 1702 in the Rating Decision Use the following table when considering the subordinate issue of service connection for treatment purposes under based on a denial of service connection for compensation purposes for a psychosis based on wartime service or any mental disorder based on Gulf War service. If ... Then ... The criteria for service connection under are established, in the rating decision address the subordinate Section 1702 issue as a separate decision from the decision on the mental disorder. Ensure that the rating codesheet, shows “Active Psychosis/GW Mental--SC for Treatment Only” or equivalent. Exception: If a previous decision has awarded entitlement, there is no need to address it again. If the criteria for service connection under are not established, Do not address the matter at all in the rating decision.
c. When a Rating Is Required for Civil Service Preference A rating is necessary if a previous rating did not establish entitlement to compensation, which includes Special Monthly Compensation (SMC) or entitlement under d. Rating Conclusion for Civil Service Preference Determinations In the rating conclusion, show the DC, 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 Introduction This topic contains information on rating to extend the delimiting dates for educational assistance based on disability, including , and . Change Date February 3, 2011