V ETERANS
Fast
Letter
BENEFI
TS 13-12, Section 5103 Notice Initiative
Martiez
Taylor,
ADMI NI STRATI
ON Change Management Agent
VETERANS BENEFITS ADMINISTRATION
June 13, 2013
Subsequent Claim Section 5103 Waiver Initiative
•
A one-time initiative for supplemental live compensation claims pending initial
development
•
Approximately 180,000 claims identified with 19,000 of those in Winston
•
VA Central Office (VACO) mail the 38 U.S.C §5103 (formerly VCAA) notice
•
Claimant given the option to have claim processed with the evidence of record
VETERANS BENEFITS ADMINISTRATION
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Process
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Claimant is mailed the special §5103 notice (multiple batches)
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A Veterans Benefits Management System (VBMS) eFolder is established
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A tracked item titled “5103 Waiver Review” is established in VBMS and MAP-D
•
RO will ship any paper records associated with these claims to be scanned into VBMS
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Claims Processing
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Claimant can submit elections by
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Telephone (800-827-1000)
Mail (address found at top of letter)
eBenefits (Premium account)
Email (VAintakeCenter@va.gov)
Fax (855-329-2821)
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Exclusion Reasons
•
Reasons the claim can be excused from the initiative:
– Claimant has an appeal pending at the time of receipt of the election and the
claims folder is not located at the home RO (excluding the case of a paper claims
folder located at the scanning vendor)
– Claim requires a character of discharge determination
– Claim requires development for records in the custody of the Veteran’s
Guard/Reserve unit(s), or further evidence from the claimant or an identified
private medical provider
– Claim requires any development beyond developing for:
• Federal records in the custody of the Federal government
• A VA examination
– Claimant fails to report for an examination and requests that VA reschedule the
exam.
– Supplemental claim, additional evidence, or a notice of disagreement on any
claim is received from the claimant after receipt of the election
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Previously Denied Claims
•
Previously denied issues (appeal period expired), new and material language
required
•
Continue processing claim
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Questions
VETERANS BENEFITS ADMINISTRATION
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Contact
Martiez.Taylor@va.gov
(336) 251-0793
VETERANS BENEFITS ADMINISTRATION
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