M-21-1
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In this document
M-21-1 is organised into 14 parts. Each one opens to its sections, and each section opens to its full text with a link to the official source.
417 sections
Duties, due process, and representation
Subpart iChapters 1–36
- Chapter 1
- ADescription and General Information on Duty to Notify and Duty to Assist
- BGeneral Information on Due Process
- Chapter 2
- AGeneral Information on Power of Attorney (POA)
- BA Representative’s Right to Notification and Review of Records
- CSystem Updates for Power of Attorney (POA) Appointments
- —Chapter 3
Mail intake and claims establishment
Subpart iChapters 1–26
Subpart iiChapters 1–36
Subpart iiiChapters 1–415
- Chapter 1
- AApplications for Benefits
- BScreening Applications for Benefit Eligibility
- CScreening Applications for Substantial Completeness and Notification Requirements
- Chapter 2
- AIntent to File (ITF)
- BSupplemental Claims
- CClaims for Increase
- DClaims Based on Reports of Examination or Hospitalization
- EIncorrectly Established Claims
- FWithdrawal of Initial Claims
- GRequests for Application and Claims Solicitation
- HHistorical Guidance on Formal Applications and Informal Claims Received Prior to March 24, 2015
- Chapter 3
- AClaims Establishmen
- BSystem Updates at Intake
- Chapter 4
- AThe Veterans Online Application (VONAPP) Direct Connect (VDC) Program and Department of Veterans Affairs (VA) Claims Submission Service Websites
- BStakeholder Enterprise Portal (SEP) Claims
Veteran status and claims development
Subpart iChapters 1–29
- Chapter 1
- AEstablishing Veteran Status
- BService Requirements and Verification of Eligibility
- CCivilian Groups Approved for Veteran Status
- Chapter 2
- ADevelopment Duties and Responsibilities
- BDuty to Notify Under 38 U.S.C. 5103
- CDuty to Assist With Obtaining Records
- DEvidence Requested From the Claimant
- ERelevance Determinations
- FRecord Maintenance During the Development Process
Subpart iiChapters 1–312
- Chapter 1
- ARequesting Evidence From Federal Record Custodians
- BDepartment of Veterans Affairs (VA) Requests for Information From the Social Security Administration (SSA)
- CInformation Requests to Other Federal Agencies
- Chapter 2
- AGeneral Information on Service Records
- BProcedures for Obtaining Service Treatment Records (STRs)
- CClinical Records, Personnel Records, and Coast Guard Records
- DControl and Follow-Up of Requests for Service Records
- EService Record Address Codes and Addresses for Military Records Centers and Other Agencies
- FFire-Related Records, Supplementary or Substitute Records, and Records for Unique Situations
- GRecord Exchanges Between the Department of Veterans Affairs (VA) and the Service Departments
- HService Department Organizational Structures and Service Number Assignments
- —Chapter 3
Examinations and medical opinions
Subpart iChapters 1–311
- Chapter 1
- ADuty to Assist With Providing a Medical Examination or Opinion
- BEvidentiary Standards for Finding an Examination or Opinion Necessary
- Chapter 2
- AExamination Requests Overview
- BScheduling Examinations
- CControl of Examinations
- DMedical Examination Coordinators
- EExaminations in Special Situations
- FFailure to Report and Rescheduling Examinations
- Chapter 3
- AGeneral Criteria for Sufficiency of Examination Reports
- BExamination Sufficiency for Specific Disabilities
- CInsufficient Examinations
The rating activity
Subpart iChapter 13
Subpart iiChapters 1–413
- Chapter 1
- APrinciples of Reviewing and Weighing Evidence
- BReviewing Testimony and Lay Evidence
- Chapter 2
- ADirect Service Connection (SC) and Service Incurrence of an Injury
- BPresumptive Service Connection (SC)
- CIn-Service Aggravation of a Pre-Service Disability
- DSecondary Service Connection (SC) and Aggravation of Non-Service-Connected (NSC) Disabilities
- EService Connection (SC) for Congenital, Developmental, or Hereditary Disorders
- Chapter 3
- ADetermining the Issues
- BMaking Partial Rating Decisions
- CReviewing Diagnoses
- DEvaluating Disabilities
- Chapter 4
- AEffective Dates
- BHistorical Guidance on the Assignment of Effective Dates
Subpart iiiChapters 1–1424
- Chapter 1
- APainful Motion and Functional Loss
- BMusculoskeletal Disabilities of the Extremities and Spine
- CArthritis
- DOsteomyelitis
- EMuscle Injuries
- FOther Musculoskeletal Considerations
- Chapter 2
- AConditions of the Eyes
- BConditions of the Auditory System
- —Chapter 3
- Chapter 4
- ARespiratory Conditions
- BTuberculosis
- —Chapter 5
- —Chapter 6
- —Chapter 7
- Chapter 8
- ADisabilities of the Gynecological System
- BDisabilities of the Breast
- —Chapter 9
- —Chapter 10
- —Chapter 11
- Chapter 12
- ANeurological Conditions and Convulsive Disorders
- BTraumatic Brain Injury (TBI)
- CProgressive Neurological Disorders
- —Chapter 13
- —Chapter 14
Authorization: decisions, notices, and awards
Subpart iChapters 1–24
Subpart iiChapters 1–512
- Chapter 1
- AGeneral Information on Elections
- BMiscellaneous Election Issues
- —Chapter 2
- Chapter 3
- AAdjusting Department of Veterans Affairs (VA) Benefits Based on a Veteran's Receipt of Drill Pay
- BWithholding and Restoration of Benefits Associated With Receipt of Drill Pay
- CExamples of Award Adjustments Necessitated by a Veteran's Election of Drill Pay
- Chapter 4
- AElections and Waivers in Military Retired Pay (MRP) Cases
- BPreparing and Adjusting Awards in Military Retired Pay (MRP) Cases
- CCoordinating Military Retired Pay (MRP) Cases With Retired Pay Centers (RPCs) and Service Departments
- DReconciliation of Department of Veterans Affairs (VA), Department of Defense (DoD), and Department of Transportation (DoT) Records
- EProcessing Audit Error Worksheets (AEWs)
- —Chapter 5
Subpart iiiChapters 1–48
Subpart ivChapters 1–37
- Chapter 1
- AEffects of an Individual’s Incarceration on Department of Veterans Affairs (VA) Benefits
- BIncarceration of Dependents and Certain Survivors
- Chapter 2
- AApportionment Process
- BPaying Benefits to the Dependent(s) of an Incarcerated Veteran
- CApportionment Maintenance and Adjustment
- DLegacy Apportionment Maintenance and Adjustment
- —Chapter 3
Dependency and relationship
Subpart iChapters 1–415
- Chapter 1
- AGeneral Information on Relationship and Dependency
- BVerification of Marital Status and the Status of Dependents
- CAdjusting Awards for Dependents
- DDependency Claims Processed by the Rules-Based Processing System (RBPS)
- Chapter 2
- AEstablishing the Validity of a Marriage for Department of Veterans Affairs (VA) Purposes
- BEstablishing Common Law Marriages
- CEstablishing Other Types of Marriages
- DEstablishing Marital Relationship in Survivors Cases
- ERemarriage of a Surviving Spouse
- Chapter 3
- AEstablishing a Child’s Age and Relationship
- BBiological Children, Adopted Children, and Stepchildren
- CMarriage of a Child
- DChildren With Two Veteran-Parents
- Chapter 4
- AEstablishing Parental Relationship
- BEstablishing Parental Dependency
Subpart iiChapter 12
Service connection for specific conditions and exposures
Subpart iChapters 1–312
- Chapter 1
- AGeneral Information on Claims Based on Herbicide Exposure
- BDeveloping Claims for Service Connection (SC) Based on Herbicide Exposure
- CRatings for Disabilities Associated With Herbicide Exposure
- DProcessing Claims Based on Nautical Herbicide Exposure
- Chapter 2
- ADeveloping Claims Under the Nehmer Stipulation
- BDetermining Eligibility to Retroactive Payment Under the Nehmer Stipulation
- CAuthorization Under the Nehmer Stipulation
- Chapter 3
- AGeneral Chapter 18 Benefits Information
- BProcess Overview for Chapter 18 Benefits
- CEligibility and Development for Chapter 18 Benefits
- DRating
- EAuthorization Issues
Subpart iiChapters 1–27
- Chapter 1
- AGeneral Information on Presumptive Service Connection (SC) for Persian Gulf Veterans
- BDeveloping Presumptive Service Connection (SC) Claims from Persian Gulf Veterans
- CRating Presumptive Service Connection (SC) Claims for Persian Gulf Veterans
- DPresumptive Service Connection (SC) for Infectious Disease Under 38 CFR 3.317
- Chapter 2
- AGeneral Information on Claims Based on Particulate Matter Exposure Under 38 CFR 3.320
- BDeveloping Claims Based On Particulate Matter Exposure Under 38 CFR 3.320
- CRating Claims Based on Particulate Matter Exposure Under 38 CFR 3.320
Subpart iiiChapters 1–1121
- —Chapter 1
- Chapter 2
- ADeveloping Claims for Service Connection (SC) for Positive Tuberculin Reactions
- BAwards for Graduated Tuberculosis (TB)
- Chapter 3
- ADeveloping Claims for Service Connection (SC) for Disabilities Resulting From Exposure to Mustard Gas or Lewisite
- BRating Claims for Disabilities Associated With Mustard Gas or Lewisite Exposure
- Chapter 4
- ADeveloping Claims for Service Connection (SC) for Disabilities Resulting from Ionizing Radiation Exposure Under 38 CFR 3.309
- BDeveloping Claims for Service Connection (SC) for Disabilities Resulting from Ionizing Radiation Exposure Under 38 CFR 3.311
- CRating Claims for Disabilities Associated With Radiation Exposure
- Chapter 5
- ADeveloping Claims Based on Participation in Chemical Biological Radiological Nuclear and Explosives (CBRNE) Testing
- BRating Claims Based on Participation in Chemical Biological Radiological Nuclear and Explosives (CBRNE) Testing
- Chapter 6
- ADeveloping Claims Based on Participation in Project Shipboard Hazard and Defense (SHAD)
- BRating Claims Based on Participation in Project Shipboard Hazard and Defense (SHAD)
- Chapter 7
- AGeneral Information on Claims Based on Exposure to Asbestos
- BDevelopment and Examination Requests for Claims Based on Exposure to Asbestos
- CEvaluating Evidence of Asbestos Exposure
- DRating Claims Based on Exposure to Asbestos
- Chapter 8
- ADeveloping Claims Based on Exposure to Contaminants in the Water Supply at Camp Lejeune
- BRating Claims Based on Exposure to Contaminants in the Water Supply at Camp Lejeune
- Chapter 9
- AGeneral Information on Exposure to Specific Environmental or Military Occupational Hazards
- BProcessing Claims Based on Exposure to Specific Environmental or Military Occupational Hazards
- —Chapter 11
Subpart ivChapters 1–927
- Chapter 1
- AGeneral Information and Development for Posttraumatic Stress Disorder (PTSD) Claims
- BDevelopment for Posttraumatic Stress Disorder (PTSD) Claims Related to Personal Trauma
- CExaminations for Posttraumatic Stress Disorder (PTSD) Claims
- DEvidence Evaluation and Decisions for Posttraumatic Stress Disorder (PTSD) Claims
- EEvidence Evaluation and Decisions for Posttraumatic Stress Disorder (PTSD) Claims Based on Personal Trauma
- Chapter 2
- AFormer Prisoner of War (FPOW) Status
- BFormer Prisoner of War (FPOW) Service Records
- CDevelopment and Examination Request for Claims Based on Former Prisoner of War (FPOW) Status
- DRating Claims Based on Former Prisoner of War (FPOW) Status
- Chapter 3
- AGeneral Information on (IU) Claims
- BIndividual Unemployability (IU) Claims Development
- CIndividual Unemployability (IU) Rating and Decision Review
- DMonitoring Income for Veterans in Receipt of Individual Unemployability (IU)
- Chapter 4
- ASpecial Monthly Compensation (SMC)
- BHistory of Special Monthly Compensation (SMC)
- —Chapter 5
- Chapter 6
- ADeveloping Claims Filed Under 38 U.S.C. 1151
- BRating Claims Filed Under 38 U.S.C. 1151
- CAuthorization of Awards Under 38 U.S.C. 1151
- Chapter 7
- ACompensation for Paired Organs or Extremities Under 38 CFR 3.383
- BAwards and Offsets for Paired Organs and Extremities Under 38 CFR 3.383
- Chapter 8
- APrestabilization Ratings Under 38 CFR 4.28
- BHospitalization Ratings Under 38 CFR 4.29
- CConvalescent Ratings Under 38 CFR 4.30
- DOther Temporary Total Evaluations
- Chapter 9
- AClaims Based on Participation in Special Operations Incidents
- BDiving-Related Disabilities
Pension and Parents' DIC
Subpart iChapters 1–36
Subpart iiChapters 1–25
- Chapter 1
- AGeneral Information on Requirements for Aid and Attendance (A&A) and Housebound Status Under 38 CFR 3.351
- BAid and Attendance (A&A) Status for Beneficiaries Who Are Patients in a Qualified Nursing Home
- Chapter 2
- ARequirements for Veterans Pension Ratings
- BDetermining Disability, Unemployability, and Marginal Employment for Pension
- CSpecial Monthly Pension (SMP) Ratings
Subpart iiiChapters 1–214
- Chapter 1
- AGeneral Information on the Effect Income and Net Worth Have on Pension and Parents’ Dependency and Indemnity Compensation (DIC)
- BSocial Security Administration (SSA) Benefits Program
- CSection 306 Pension and Old-Law Pension
- DParents’ Dependency and Indemnity Compensation (DIC) Authorization
- EPension - Basic Rate Determinations
- FDependents for Current-Law Pension Purposes
- GPension - Deductible Medical Expenses
- HAdjustments Based on Changes in Status
- ICounting Specific Types of Income
- JNet Worth, Asset Transfers, and Penalty Periods
- KOther Deductible Expenses
- Chapter 2
- APension Reductions for Medicaid-Covered Nursing Facility Care
- BPension Adjustments in Unusual Situations
- CElections Between Pension Programs
Priority and special claims processing
Subpart iChapters 1–621
- —Chapter 1
- Chapter 2
- AGeneral Information About the Fully Developed Claim (FDC) Program
- BProcessing Fully Developed Claims (FDCs)
- Chapter 3
- AJurisdiction for Special Act and Foreign Residency Claims
- BAdjudication Procedures for Foreign Claims
- Chapter 4
- AGeneral Information on Philippine Cases
- BEligibility for Benefits Based on Philippines Service
- CDevelopment of Philippine Claims
- DAwards and Payments for Benefits Due to Philippine Service
- Chapter 5
- AEstablishing Veteran Status Based on Merchant Marine Service
- BObtaining Merchant Marine Service Records
- Chapter 6
- AIntroduction to Pre-Discharge Claims
- BBenefits Delivery at Discharge (BDD) and Initial Processing
- CDivision of Responsibilities – Benefits Delivery at Discharge (BDD) and BDD-Excluded Claims
- DAncillary Benefits and Other Issues Involving Pre-Discharge Claims
- EIntegrated Disability Evaluation System (IDES), Referrals, and Initial Processing
- FIntegrated Disability Evaluation System (IDES) Development and Examinations
- HIntegrated Disability Evaluation System (IDES) Proposed Ratings
- IIntegrated Disability Evaluation System (IDES) Processing Based on Service Department Outcomes
- JIntegrated Disability Evaluation System (IDES) Final Ratings
- KSpecial Situations Related to Integrated Disability Evaluation System (IDES)
Subpart iiChapters 1–621
- Chapter 1
- AFinality of Decisions
- BProtected Ratings
- Chapter 2
- ARevision Based on Specific Types of Submissions, Including Supplemental Claims
- BRevision Based on Receipt of Supplemental Service Records
- Chapter 3
- ANotice of Proposed Adverse Action
- BAdverse Action Proposal Period
- CContemporaneous Notice
- DCompleting Proposed Rating Decisions
- Chapter 4
- ARating Decisions for Reduction Due to Improvement
- BAuthorization for Reductions in Disability Evaluations Under 38 CFR 3.105(e)
- Chapter 5
- ARevision Due to Clear and Unmistakable Error (CUE)
- BSeverance of Service Connection (SC)
- CDue Process and Authorization Issues for Clear and Unmistakable Error (CUE)
- Chapter 6
- AEvaluating and Rating Competency
- BA Child’s Permanent Incapacity for Self-Support
- CGeneral Information on Incompetency and Fiduciary Cases
- DProcessing Awards to Incompetent Beneficiaries
- EAuthorizing Awards for Fiduciary Cases
- FAwards Specific to Institutionalized, Incompetent Veterans
- GCompetency Determinations for the Insurance Center (IC)
- HHistorical Information on Estate Limitations
Subpart iiiChapter 14
- Chapter 1
- AReports of Hospitalization and Other Information Exchanges Between Department of Veterans Affairs (VA) Regional Offices (ROs) and Medical Facilities
- BAdjusting Compensation When a Veteran Is Hospitalized in Excess of 21 Days or Receives Care Consistent With 38 CFR 4.30
- CAdjusting Awards Involving an Aid and Attendance (A&A) Allowance
- DAdjusting Pension Under 38 CFR 3.551 and 3.556
Subpart ivChapters 1–410
- Chapter 1
- ACharacter of Discharge (COD) and Bars to Benefits
- CWillful Misconduct and Line of Duty (LOD)
- DDisability or Death from Use of Alcohol, Drugs, or Tobacco Products
- EProcessing Cases Involving Common Accidents in Service
- FReversal of Prior Determinations Related to Character of Discharge (COD), Line of Duty (LOD), or Willful Misconduct
- Chapter 2
- AInsanity Determinations
- BConsidering Eligibility When Homicide Is Involved
- Chapter 3
- AFraud and Laboratory Analysis of Evidence
- BForfeiture of Benefits
- —Chapter 4
Subpart vChapters 1–29
- Chapter 1
- ACompensation Service and Pension and Fiduciary (P&F) Service Guidance
- BEquitable Relief
- CAdministrative Decisions
- DRegional Office (RO) Hearings
- ERequests for Field Examinations
- Chapter 2
- AEvaluating a Pending Claim When a Veteran Returns to Active Duty
- BAward Adjustments Necessitated by a Veteran's Return to and Discharge From Active Duty
- CCost-of-Living Adjustment (COLA)
- DProceeds
Notice of death processing
Subpart iChapters 1–27
- Chapter 1
- AGeneral Policies for Veteran First Notice of Death (FNOD) Processing
- BSystem Information for Veteran Notice of Death (NOD) and Month of Death (MOD) Processing
- CErrors During Notice of Death (NOD) Processing
- DGeneral Procedures for Non-Veteran Beneficiary Notice of Death (NOD) Processing
- Chapter 2
- AReports of Casualty
- BFinding of Fact and Date of Death
- CPresumption of Death
Subpart iiChapters 1–48
Dependency and Indemnity Compensation
Subpart iChapters 1–414
- Chapter 1
- AOverview of Dependency and Indemnity Compensation (DIC)
- BCommon Dependency and Indemnity Compensation (DIC) Processing Issues
- CIn-Service Death and Former Prisoner of War (FPOW) Dependency and Indemnity Compensation (DIC) Claims
- Chapter 2
- ARatings for Dependency and Indemnity Compensation (DIC)
- BAid and Attendance (A&A) and Housebound Determinations for Survivors
- Chapter 3
- ADependency and Indemnity Compensation (DIC) Initial Authorization Issues
- BDependency and Indemnity Compensation (DIC) Awards Following Death of a Surviving Spouse or Dependent
- CAwarding Dependency and Indemnity Compensation (DIC) to Children Based on the Determination of Surviving Spouse Entitlement
- DAwards Barred by Receipt of Federal Employees' Group Life Insurance (FEGLI)
- EAllowance, Allotments, or Service Pay Under 38 U.S.C. 5110(j)
- FProhibition Against Duplication of Benefits
- Chapter 4
- ADependency and Indemnity Compensation (DIC) Benefits Based on Social Security Administration (SSA) Application
- BDependency and Indemnity Compensation (DIC) Allowance Under 38 U.S.C. 1311(a)(2) and Other Allowances
- CSurvivor Benefit Plan (SBP) Offsets
Subpart iiChapters 1–38
- —Chapter 1
- Chapter 2
- ASpecial Allowance Under 38 U.S.C. 1312(a)
- BEligibility Determinations and Claims for the Special Allowance Under 38 U.S.C. 1312(a)
- CDevelopment of Claims for the Special Allowance Under 38 U.S.C. 1312(a)
- DAuthorization and Notification for the Special Allowance Under 38 U.S.C. 1312(a)
- Chapter 3
- AOverview of the Restored Entitlement Program for Survivors (REPS)
- BHandling Claims for Restored Entitlement Program for Survivors (REPS) Benefits
- CSt. Louis Regional Office (RO) Actions on Claims for Benefits Under the Restored Entitlement Program for Survivors (REPS)
Dependents' Educational Assistance and related ratings
Subpart iChapters 1–822
- Chapter 1
- ARatings for Dependents Educational Assistance (DEA)
- BNotification and Award Actions for Dependents' Educational Assistance (DEA)
- CRatings to Extend the Delimiting Date for Educational Assistance
- Chapter 2
- AAutomobile and Adaptive Equipment Allowance Under 38 U.S.C. Chapter 39
- BSpecially Adapted Housing (SAH) or Special Home Adaptation (SHA) Grants
- Chapter 3
- AGeneral Information on Eligibility for Medical Services
- BHealthcare Eligibility Determinations for Former Service Members Discharged Under Other-Than-Honorable (OTH) Conditions
- CService Connection (SC) for Mental Conditions for Treatment Purposes Under 38 U.S.C. 1702
- DEligibility for Medical Services Associated With Aid and Attendance (A&A) or Housebound Status
- EMedical Treatment for Veterans Showing a Positive Tuberculin Reaction
- FMedical Treatment for Veterans Treated with Nasopharyngeal Radium Irradiation (NRI)
- GEligibility for Medical Services for Polish and Czechoslovakian Armed Forces
- HCivilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Eligibility Determinations
- Chapter 4
- AOverview of Classes of Eligibility for Dental Treatment
- BProcessing Dental Claims
- CRatings for Dental Treatment Purposes
- Chapter 5
- AVeteran Readiness and Employment (VR&E) Eligibility
- BMemorandum Vocational Rehabilitation/Employment (VR&E) Ratings
- —Chapter 6
- Chapter 7
- ADepartment of Veterans Affairs (VA) Home Loan Program
- BDepartment of Veterans Affairs (VA) Pension-Related Home Loans
- Chapter 8
- AClothing Allowance
Subpart iiChapters 1–517
- Chapter 1
- ASocial Security Administration (SSA) Requests for Medical Evidence
- BSocial Security Administration (SSA) Requests for the Amount of Department of Veterans Affairs (VA) Benefits Received
- CCompensation-Based Income Calculations for Social Security Administration (SSA) Purposes
- DPension-Based Income Calculations for Social Security Administration (SSA) Purposes
- ECalculating Income for Survivor's Benefits for Social Security Administration (SSA) Purposes
- Chapter 2
- ACivil Service Veterans' Preference Letter
- BRatings for Veterans' Civil Service Disability Preference
- CState or Municipal Disability Preference Certificate
- DInformation Sharing With the Office of Personnel Management (OPM)
- Chapter 3
- ACertificate of Preference for Public Housing
- BRequests from Public Assistance Agencies
- CPublic Benefit Eligibility for Legal Aliens
- Chapter 4
- ACertifications of Permanent and Total (P&T) Disability for Internal Revenue Service (IRS) Purposes
- BRequest for Information Regarding State Bonus or Tax Exemption
- Chapter 5
- ACertification for Service Academy Appointment
- BCertificate of Permanent and Total (P&T) Disability for Discontinuation of Survivor Benefit Plan (SBP) Participation
- CInformation Requests for Research Purposes
Data matching programs
Chapters 1–813
- —Chapter 1
- Chapter 2
- ASocial Security Income Match
- BSocial Security Death Master File (DMF) Match
- CSocial Security Number (SSN) Verification
- —Chapter 3
- Chapter 4
- AFederal Tax Information (FTI) Match: General Info
- BFederal Tax Information (FTI) Match: Safeguarding
- CFederal Tax Information (FTI) Match: Post Award Audit (PAA) for Pension and Parents' Dependency and Indemnity Compensation (DIC) Beneficiaries
- DFederal Tax Information (FTI): Income Verification Match (IVM)
- —Chapter 5
- —Chapter 6
- —Chapter 7
- —Chapter 8
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