--- title: "Part X, Subpart ii, Chapter 6, Section B A Child’s Permanent Incapacity for Self-Support" document: "M-21-1" section: "Part X, Subpart ii, Chapter 6, Section B" canonical: "https://veteranai.co/va-regulations/m21-1/x.ii.6.b-a-childs-permanent-incapacity-for-self-support" source: "https://www.knowva.ebenefits.va.gov/system/templates/selfservice/va_ssnew/help/customer/locale/en-US/portal/554400000001018/content/554400000177975/M21-1-Part-X-Subpart-ii-Chapter-6-Section-B-A-Childs-Permanent-Incapacity-for-Self-Support" updated: "2026-09-07T14:37:54.080182Z" --- February 3, 2022 ### X.ii.6.B.1.a. Effect of a Child’s Incapacity for Self-Support on VA Benefits The Department of Veterans Affairs (VA) does not recognize as a dependent child an individual that is age 18 or older **_unless_** the individual * is under the age of 23 and pursuing a course of instruction at an approved educational institution, or * became permanently incapable of self-support by reason of mental or physical defect before reaching age 18. VA has historically referred to an individual in the latter category as a **_helpless child_**. **References:** For more information on * general requirements for recognition of an individual as a child for VA purposes, see * [M21-1, Part VII, Subpart i, 3.A](), and * [38 CFR 3.57]() * conditions which determine permanent incapacity for self-support, see [38 CFR 3.356](), and * deciding the issue of permanent incapacity for self-support, see M21-1, Part X, Subpart ii, 6.B.2.d. ### X.ii.6.B.1.b. Acceptability of Claims Alleging a Child Is Permanently Incapable of Self-Support Effective March 24, 2015, a claim for benefits that alleges a child is permanently incapable of self-support must be received on one of the prescribed forms listed in [M21-1, Part II, Subpart iii, 1.A.1.a]().Use the table below to determine what action to take when communication on something other than a prescribed form is received indicating permanent incapacity for self-support of a child of a Veteran.| **If the correspondence is received …**| **Then treat the correspondence as a …** prior to March 24, 2015| claim. on or after March 24, 2015| request for application. **_**_Note_**_** :**_ _**The policy described in this block also applies to communications regarding a child’s incapacity for self-support that VA receives more than three months prior to the child’s 18th birthday _._ **References:** For more information on * a request for application, see [M21-1, Part II, Subpart iii, 2.G.1.a](), and * claims received more than three months prior to a child's 18th birthday, see M21-1, Part X, Subpart ii, 6.B.1.e. ### X.ii.6.B.1.c. Information Necessary to Establish the Extent of the Child's Disability The information necessary to establish the extent of the child's disability includes * the extent to which the child is and was, prior to reaching age 18, physically or mentally deficient, as evidenced by factors such as the ability to perform * self-care functions, and * ordinary tasks expected of a child of that age * whether or not the child attended school and, if so, the maximum grade attended * if any material improvement in the child’s condition has occurred * if the child has ever been employed and, if so, the * nature and dates of such employment, and * amount of pay received * whether or not the child has ever married, and * a description of the child’s present condition. ### X.ii.6.B.1.d. Reporting Facts Based on Personal Observation The persons making statements pertaining to the child’s permanent incapacity for self-support should give detailed information of the facts known to them personally in regard to the child’s * mental and physical condition when the child attained the age of 18 years, and * present condition. **Important:** All statements should indicate the basis of the knowledge of the facts reported and include the name and signature of the person making the statement. ### X.ii.6.B.1.e. Handling Claims Received More Than Three Months Prior to the Child's 18th Birthday Do _not_ request evidence or refer a claim to the rating activity more than three months prior to the child’s 18th birthday.If a claim alleging a child’s permanent incapacity for self-support is received more than three months prior to the child’s 18th birthday * inform the claimant that consideration will be deferred, and * use diary code 03 (_Helpless Child Review_) to establish control for future development, if necessary, and referral of the claim to the rating activity approximately three months prior to the child’s 18th birthday. **Notes:** * If the contention of a child's permanent incapacity for self-support is prematurely communicated on something other than a prescribed form, treat the correspondence as a request for application as discussed in M21-1, Part X, Subpart ii, 6.B.1.b. Do _not_ inform the claimant of the deferral of consideration or establish local diary control in the absence of a valid claim on a prescribed form. * At the time when the rating activity reviews the case, if the child’s disability is considered permanent in nature, the rating activity may order an examination without requiring any other medical evidence. **References:** For more information on * establishing a diary, see the _Veterans Benefits Management System (VBMS) Awards User Guide_ , and * responding to the maturation of the diary referenced in this block, see M21-1, Part X, Subpart ii, 6.B.1.f. ### X.ii.6.B.1.f. Responding to Maturation of the Local Diary Upon maturation of a local diary established in compliance with M21-1, Part X, Subpart ii, 6.B.1.e, the system will automatically establish an end product (EP) specific to the benefit type.Once the EP has been automatically established, regional offices are responsible for completing any necessary development, to include issuance of a standard Section 5103 notice, if appropriate, and referring the claim to the rating activity.**References:** For more information on * developing for evidence of permanent incapacity for self-support, see M21-1, Part X, Subpart ii, 6.B.2.a, and * EPs, see [M21-4, Appendix B](). ### X.ii.6.B.1.g. Handling Claims Unaccompanied by Evidence Required to Concede Status as a Child Follow the instructions in the table below if a substantially complete claim alleging a child is permanently incapable of self-support is not accompanied by evidence/information VA requires to establish the child’s age and relationship, as outlined in [M21-1, Part VII, Subpart i, 3.A]()._**Important**_ : Do not refer a claim alleging a child is permanently incapable of self-support to the rating activity before establishing the individual’s age and status as the child of the Veteran on whose service benefits are based. | **Step**| **Action** 1| Did the claimant initiate a claim by submitting a September 2018 or later version of [_VA Form 21-686c, Application Request to Add and/or Remove Dependents_]()? * If _yes_ , go to the next step. * If _no_ , go to Step 3. 2| Is the evidence/information that is missing evidence/information [_VA Form 21-686c_]() specifically instructs the claimant to provide? * If _yes_ , go to Step 5. * If _no_ , go to the next step. 3| Undertake development to obtain the missing evidence/information. 4| Did the claimant provide the missing evidence/information within 30 days? * If _yes_ , * refer the claim to the rating activity to determine whether the child is permanently incapable of self-support, and * disregard the remaining step in this table. * If _no_ , go to the next step. 5| Deny the claim without referral to the rating activity. **Important:** In the decision notice, inform the claimant that the basis for the denial was the absence of evidence/information VA requires to establish the child’s age and/or relationship. **References:** For more information on * establishing a child’s relationship to a Veteran, see * [M21-1, Part VII, Subpart i, 1.A](), and * [M21-1, Part VII, Subpart i, 3.B](), and * decision notice requirements, see * [38 CFR 3.103(f)](), and * [M21-1, Part VI, Subpart i, 1.B.1.b](). ## 2. Developing for and Determining Permanent Incapacity for Self-Support This topic contains information on developing for and determining permanent incapacity for self-support, including * when to send Section 5103 notice regarding the evidence required to establish permanent incapacity for self-support * determining if a VA examination is necessary to determine permanent incapacity for self-support * rating activity considerations in claims alleging a child’s permanent incapacity for self-support * deciding the issue of permanent incapacity for self-support, and * scheduling reexaminations in rare cases involving a child’s permanent incapacity for self-support. September 11, 2025 ### X.ii.6.B.2.a. When to Send Section 5103 Notice Regarding the Evidence Required to Establish Permanent Incapacity for Self-Support Use the table below to determine when to send Section 5103 notice regarding the evidence required to establish a child is permanently incapable of self-support.| **If the form the claimant used to initiate the claim** **...**| **Then ...** does **_not_** discuss the evidence required to determine whether the child is permanently incapable of self-support| send Section 5103 notice only if * no such notice has been sent within the year prior to the date of claim, and * the benefit cannot be granted on the evidence of record. discusses the evidence required to determine whether the child is permanently incapable of self-support **Example:** [_VA Form 21-686c_]() | do not send Section 5103 notice. A decision on the claim may be made without any additional development. **Note:** This policy applies not only to fully developed claims (FDCs), but also to claims self-excluded from the FDC process. is a [_VA Form 20-0995, Decision Review Request: Supplemental Claim_]()| follow the guidance in * [M21-1, Part X, Subpart ii, 2.A](), and * [M21-1, Part II, Subpart iii, 2.B](). **References:** For more information on * processing FDCs, see [M21-1, Part X, Subpart i, 2.B]() * prescribed forms for the submission of claims involving a child's permanent incapacity for self-support, see [M21-1, Part II, Subpart iii, 1.A.1.a](), and * the action to take when a claimant does not respond to Section 5103 notice within the 30-day response period, see M21-1, Part X, Subpart ii, 6.B.2.d. ### X.ii.6.B.2.b. Determining if a VA Examination Is Necessary to Determine Permanent Incapacity for Self-Support A VA examination is _not_ routinely required to determine a child’s permanent incapacity for self-support, as entitlement is established based on the level of disability prior to the child’s 18th birthday. In most cases, historical evidence is the most relevant to making this factual determination. However, in the rare instances where the rating activity determines an examination is necessary to resolve conflicting evidence, supervisory (assistant coach or above) review and approval of the examination request must be documented in a VBMS note. **Reference:** For more information on evaluating conflicting evidence, see [M21-1, Part V, Subpart ii, 1.A.4.b](). ### X.ii.6.B.2.c. Rating Activity Considerations in Claims Alleging a Child’s Permanent Incapacity for Self-Support Rating determinations will be made under the provisions of [38 CFR 3.356](), which requires the child to be permanently incapable of self-support through the child's own efforts due to physical or mental disabilities as of reaching age 18.The question of permanent incapacity is one of fact for determination by the rating activity based on _**competent evidence**_ of record. **References:** For more information on * the definition of competent evidence, see [M21-1, Part V, Subpart ii, 1.A.2.c]() * when to request evidence of permanent incapacity for self-support, see M21-1, Part X, Subpart ii, 6.B.2.a, and * considering the competency of children permanently incapable of self-support, see [M21-1, Part X, Subpart ii, 6.A.2.c](). ### X.ii.6.B.2.d. Deciding the Issue of Permanent Incapacity for Self-Support The table below describes what happens after * a claimant has established the * age of a child the claimant alleges is permanently incapable of self-support, and * child’s relationship to the Veteran on whose service the claimed benefit is based, and * all appropriate development actions to obtain evidence regarding the child’s capacity for self-support are complete. | **If ...**| **Then the ...** evidence received in connection with the claim sufficiently justifies entitlement under [38 CFR 3.356]()| rating activity will * establish permanent incapacity for self-support, and * address the issue of the child’s competency in accordance with [M21-1, Part X, Subpart ii, 6.A.2.c](). evidence received in connection with the claim does _not_ sufficiently justify entitlement under [38 CFR 3.356]()| rating activity will deny permanent incapacity for self-support. evidence received in connection with the claim is deemed insufficient to resolve the issue in question| rating activity will defer a decision on incapacity for self-support, directing what additional development is needed. no evidence regarding the child’s capacity for self-support is of record (other than the declaration referenced in the note in the next column)| authorization activity will deny the claim, indicating in the corresponding decision notice that the claimant did not * furnish evidence as requested, or * provide evidence demonstrating the child’s permanent incapacity for self-support. **Note:** No rating activity action is required if a claimant checks a box on a claim form that indicates a child is incapable of self-support or severely disabled but submits no evidence to support the assertion. ### X.ii.6.B.2.e. Scheduling Reexaminations in Rare Cases Involving a Child’s Permanent Incapacity for Self-Support Following a determination of permanent incapacity for self-support, the rating activity _may_ request a reexamination or other form of development, but _only_ under the most unusual of circumstances when evidence compellingly supports the notion that the child may become capable of self-support in the future. Any reexamination deemed necessary by the rating activity must be * reviewed and approved by a supervisor (assistant coach or above), with the approval documented in a VBMS note * fully justified in the rating decision’s narrative, and * scheduled within not less than two years, but not more than five years, following the finding of permanent incapacity for self-support. In a case involving a future examination or developmental control, * establish a diary code 03 (_Helpless Child Review_), and * upon expiration of the control, establish EP 020, 120, or other appropriate EP control, and refer the case to the rating activity for a decision as to whether or not to * schedule an examination, or * refer the case to the authorization activity for further development of the child’s current status. **Note:** If the future diary is not cleared timely, an EP will be system-generated indicating that the action is due. **References:** For more information on * establishing a diary, see the _VBMS Awards User Guide_ * determining the need for review examinations, see * [38 CFR 3.327](), and * [M21-1, Part IV, Subpart ii, 1.A](), and * EPs, see [M21-4, Appendix B](). ## 3. Awarding and Denying Benefits to or for a Child a Claimant Alleges Is Permanently Incapable of Self-Support This topic contains information on awarding and denying benefits to or for a child a claimant alleges is permanently incapable of self-support, including * awards involving a child who is permanently incapable of self-support when the benefit is * disability compensation * Veterans Pension * Survivors Pension, and * Dependency and Indemnity Compensation (DIC) * determining the proper effective date of an award * preparing an award, and * preparing a decision notice. April 22, 2021 ### X.ii.6.B.3.a. Awards Involving a Child Who Is Permanently Incapable of Self-Support When the Benefit Is Disability Compensation If the Veteran qualifies for additional compensation for dependents, add the additional allowance for a child determined to be permanently incapable of self-support.**Note:** Handle an apportionment for a child permanently incapable of self-support in the same manner as for a minor child, but do _not_ use a future discontinuance date.**References:** For more information on * adjustments due to addition of a dependent, see [M21-1, Part VII, Subpart i, 1.C](), and * adjusting apportioned awards, see [M21-1, Part VI, Subpart iv, 2](). ### X.ii.6.B.3.b. Awards Involving a Child Who Is Permanently Incapable of Self-Support When the Benefit Is Veterans Pension A child permanently incapable of self-support is a dependent in protected pension cases when determining a Veteran’s statutory income limitation. In current-law pension cases, such a child is a dependent for the purpose of determining monthly payments.**Reference:** For more information on establishment of a child in current-law pension cases, see [M21-1, Part IX, Subpart iii, 1.F.1.c](). ### X.ii.6.B.3.c. Awards Involving a Child Who Is Permanently Incapable of Self-Support When the Benefit Is Survivors Pension Add a child who is permanently incapable of self-support to a surviving spouse’s award of Survivors Pension. Pay Survivors Pension to a child (or to the child's fiduciary) when the child is permanently incapable of self-support and otherwise entitled to a separate award of the benefit.**Reference:** For more information on Survivors Pension, see [M21-1, Part I, Subpart ii, 2.2.b](). ### X.ii.6.B.3.d. Awards Involving a Child Who Is Permanently Incapable of Self-Support When the Benefit Is DIC Make a separate award of Dependency and Indemnity Compensation (DIC) to a child if the child is 18 or older and permanently incapable of self-support, even though the surviving spouse may * be receiving DIC benefits, and * have custody of the child. **Exception:** Do not pay DIC directly to a child if the rating activity has determined the child is not competent to manage benefit payments.**Reference:** For more information on DIC, see * [M21-1, Part XII, Subpart i, 3.A](), and * [M21-1, Part XII, Subpart i, 4.A](). ### X.ii.6.B.3.e. Determining the Proper Effective Date of an Award The rating activity is responsible for * determining the effective date of _entitlement_ to benefits based on a finding that a child is permanently incapable of self-support, and * entering the date in VBMS-Rating. The authorization activity determines the effective date of _payment_.Consideration must be given to * the type of claim filed * the date of claim, and * when the child turned 18. **References:** For more information on * establishing an effective date for an award to or for a child who is permanently incapable of self-support, see [38 CFR 3.403(a)(1)]() * effective dates for additional compensation for dependents, see [M21-1, Part VII, Subpart i, 1.C](), and * the difference between the effective date of entitlement and the effective date of payment, see [M21-1, Part VI, Subpart i, 1.A.2.b](). ### X.ii.6.B.3.f. Preparing an Award When preparing an award to or for a minor, or a child who is both permanently incapable of self-support **_and_** incompetent, follow guidance in [M21-1, Part X, Subpart ii, 6.E.2]().**Reference:** For more information on processing decisions, see [M21-1, Part VI, Subpart i, 1.A.2](). ### X.ii.6.B.3.g. Preparing a Decision Notice After VA decides a claim for benefits for a child the claimant alleges is permanently incapable of self-support, provide the claimant a decision notice that meets the requirements outlined in [M21-1, Part VI, Subpart i, 1.B.1.b]() in accordance with [38 CFR 3.103(f)]().**Reference:** For more information on the denial of benefits, see [M21-1, Part VI, Subpart i, 1.A.3](). ## 4. Reconsidering the Status of a Child Deemed Permanently Incapable of Self-Support This topic contains information on reconsidering the status of a child deemed permanently incapable of self-support, including * consequences of the marriage of a child deemed permanently incapable of self-support * discontinuing an award due to marriage * restoring the award if the marriage is dissolved, and * handling * subsequent findings of competency, and * discontinuance of a surviving spouse’s entitlement. April 22, 2021 ### X.ii.6.B.4.a. Consequences of the Marriage of a Child Deemed Permanently Incapable of Self-Support Entitlement to benefits based on a child’s permanent incapacity for self-support ends when the child marries, _except_ in the case of a child of a Spanish-American or Indian War Veteran.Under the laws in effect prior to April 1, 1944, the marriage of children of Spanish-American or Indian War Veterans * merely creates a presumption that the child is no longer permanently incapacitated, and * under [38 CFR 3.950](), positive proof of continuing incapacity can overcome the presumption. **Reference:** For more information on developing for permanent incapacity for self-support, see M21-1, Part X, Subpart ii, 6.B.2. ### X.ii.6.B.4.b. Discontinuing an Award Due to Marriage Follow the instructions in the table below upon receipt of notice of the marriage of a child deemed permanently incapable of self-support. **Note:** It is not necessary to refer the case to the rating activity. | **If ...**| **Then ...** VA is paying benefits **_to_** the child| discontinue the child’s award effective the first day of the month in which the marriage occurred. the child is a dependent on a beneficiary’s award| remove the child from the award effective the first day of the month following the month in which the marriage occurred. **Important:** If the beneficiary is receiving pension, and removal of the child will result in an _increase_ in benefits, follow the instructions in [M21-1, Part IX, Subpart iii, 1.F.3.i](). **References:** For more information on * when to restore an award if a marriage is dissolved, see M21-1, Part X, Subpart ii, 6.B.4.c * when to apply due process, see [M21-1, Part I, Subpart i, 1.B]() * reducing or discontinuing benefits due to the marriage of a child, see [M21-1, Part VII, Subpart i, 3.C.1]() * an adjustment under [38 CFR 3.500(n)(2)]() of a surviving spouse’s or consolidated award in cases of marriage of a child, see [M21-1, Part VII, Subpart i, 3.C.1.e](), and * discontinuing or adjusting an award to or for a child incapable of self-support for reasons other than the child’s marriage, see M21-1, Part X, Subpart ii, 6.B.5.c. ### X.ii.6.B.4.c. Restoring the Award if the Marriage Is Dissolved Use the table below to determine when to restore an award if the marriage of a child deemed permanently incapable of self-support is dissolved.| **If the marriage of a child deemed permanently incapable of self-support was terminated by death or divorce …**| **Then benefits payable to or for the child …** prior to November 1, 1990| can be restored. **Note:** The instruction in this cell assumes VA determined the child’s incapacity for self-support * did not cease during the period of marriage, and * will not cease in the future. **Reference:** For more information on the marriage of a child deemed permanently incapable of self-support that was terminated by death or divorce prior to November 1, 1990, see * [38 CFR 3.55(b)(2)](), and * [M21-1, Part VII, Subpart i, 3.C.2](). on or after November 1, 1990| cannot be restored after marriage unless the marriage is * annulled, or * determined to be void. **Reference:** For more information on criteria necessary to restore benefits, see [38 CFR 3.55(b)(1)](). ### X.ii.6.B.4.d. Handling Subsequent Findings of Competency The rating activity must decide whether a child continues to be permanently incapable of self-support under the following conditions: * VA receives evidence showing, or a Veterans Service Center Manager or Pension Management Center Manager certifies, that a court of jurisdiction has ruled the child is competent, and * the rating activity previously decided the child is incompetent for VA purposes. **References:** For more information on * considering the competency of a child deemed permanently incapable of self-support, see [M21-1, Part X, Subpart ii, 6.A.2.c](), and * supervised direct payment, see [M21-1, Part X, Subpart ii, 6.D.4](). ### X.ii.6.B.4.e. Handling Discontinuance of a Surviving Spouse’s Entitlement Use the table below to determine the action to take if an award of DIC or Survivors Pension to a surviving spouse, which includes benefits for a child deemed permanently incapable of self-support, is discontinued because the surviving spouse is no longer entitled.| **If VA deemed the child permanently incapable of self-support based on…**| **Then …** mental impairment| refer the claim to the rating activity, if the child is otherwise separately entitled to benefits, to determine whether the child is competent to handle funds.**Note:** If the rating activity determines the child is competent to handle funds, benefits may be paid directly to the child. **References:** For more information on the action taken concerning the surviving spouse’s award * in Survivors Pension cases, when the surviving spouse’s award is terminated for excessive income, see [M21-1, Part IX, Subpart iii, 1.E.4]() * in DIC cases, when the surviving spouse’s entitlement has not been resolved, see [M21-1, Part XII, Subpart i, 3.C](), and * upon the remarriage of the surviving spouse, see [M21-1, Part VII, Subpart i, 2.E](). physical impairment| authorize payment to or on behalf of the child, if the child is otherwise separately entitled to benefits, without referral to the rating activity, as described in * M21-1, Part X, Subpart ii, 6.B.3 * [M21-1, Part VII, Subpart i, 2.E](), and * [M21-1, Part X, Subpart ii, 6.E](). ## 5. Discontinuance of Benefits When a Child Is No Longer Permanently Incapable of Self-Support This topic contains information on the discontinuance of benefits when a child is no longer permanently incapable of self-support, including * protection of disability ratings under 38 U.S.C. 110 * considering qualification under school attendance provisions, and * procedure for reducing or discontinuing benefits. January 6, 2025 ### X.ii.6.B.5.a. Protection of Disability Ratings Under 38 U.S.C. 110 Disability ratings are provided some protection from reduction under [38 U.S.C. 110](). This protection does _not_ apply to a rating of permanent incapacity for self-support. ### X.ii.6.B.5.b. Considering Qualification Under School Attendance Provisions Determine whether the child may be entitled to benefits as a schoolchild before discontinuing benefits based on a child’s permanent incapacity for self-support. ### X.ii.6.B.5.c. Procedure for Reducing or Discontinuing Benefits Follow the steps in the table below upon receipt of * information showing a child deemed permanently incapable of self-support has * obtained employment, or * otherwise regained the capacity for self-support, or * a request from the beneficiary to remove a child deemed permanently incapable of self-support from the award based on the child potentially regaining the capacity for self-support. **Exception:** If a beneficiary requests removal of the child from the award, but there is no indication that the reason for the request is the child potentially regaining the capacity for self-support or getting married, it should be treated as a request for a partial renouncement of benefits and denied, as provided in * [38 CFR 3.106]() * [M21-1, Part X, Subpart iv, 4.1.a](), and * [M21-1, Part VII, Subpart i, 1.C.4.i](). | **Step**| **Action** 1| Develop to obtain the following information about the child from the beneficiary: * the nature of the child’s employment and income * whether or not the child’s employment is * full time * permanent * temporary, or * therapeutic, and * any other pertinent evidence relating to the child’s capacity for self-support. 2| * Extend the suspense date 30 days from the date of the development letter under * EP 020 (if the beneficiary is entitled to disability compensation or DIC), or * EP 120 (if the beneficiary is entitled to pension). * Go to the next step when the response period expires or when the beneficiary responds to the development letter, _whichever occurs first_. 3| Refer the case to the rating activity for a determination as to whether or not the child is still permanently incapable of self-support. 4| Did the rating activity confirm the child _remains_ permanently incapable of self-support? * If _yes_ , * notify the beneficiary of the decision, and * disregard the remaining steps in this table. * If _no_ , go to the next step. 5| Was the initial information showing the child has regained the capacity for self-support received _from the beneficiary_ (making a notice of proposed adverse action and due process unnecessary)? * If _yes_ , go to Step 9. * If _no_ , go to the next step. 6| * Send the beneficiary a notice of proposed adverse action that informs the beneficiary of * VA’s proposal to discontinue or reduce benefits (whichever applies) because the child is no longer permanently incapable of self-support * the evidence VA considered in making its decision * the basis for the decision * the beneficiary’s procedural rights, and * the 60-day time limit for submitting evidence showing the child remains permanently incapable of self-support. * Go to the next step when the beneficiary responds to the notice of proposed action or 65 days after sending the notice of proposed adverse action, _whichever occurs first_. **Note:** If the beneficiary requests a hearing within 30 days of the date of the notice of proposed adverse action, go to the next step only after VA * holds the hearing, and * completes any other necessary development actions. 7| Refer the case to the rating activity for a final decision on the proposed adverse action. 8| Did the rating activity affirm the child is now capable of self-support? * If _yes_ , go to the next step. * If _no_ , * notify the beneficiary of VA’s determination that the child remains permanently incapable of self-support, and * disregard the remaining steps in this table. 9| Is the beneficiary entitled to pension? * If _yes_ , go to the next step. * If _no_ , go to Step 11. 10| * Discontinue or reduce benefits (whichever applies), effective the date in the LAST PAID DATE field on the AWARD INFORMATION page in VBMS. * Go to Step 12. 11| Discontinue or reduce benefits (whichever applies), effective the first of the month following the month in which a 60-day time period that commences on the date of the decision notice ends. 12| Prepare a decision notice that informs the beneficiary of * VA’s determination that the child is now _capable_ of self-support, and * the action VA took based on its decision. **References:** For more information on * rating activity determinations regarding a child’s incapacity for self-support, see M21-1, Part X, Subpart ii, 6.B.2.c * the date of discontinuance of an award to or for a child deemed permanently incapable of self-support, see [38 CFR 3.503(a)(3)](), and * notice of proposed adverse action requirements, see [M21-1, Part X, Subpart ii, 3.A]().