7 FAM 540
DEPARTMENT OF VETERANS AFFAIRS
(CT:CON-804; 04-30-2018)
(Office of Origin: CA/OCS)
7 FAM 541 INTRODUCTION
7 FAM 541.1 Summary
(CT:CON-618; 01-07-2016)
The Department of Veterans Affairs (VA) is responsible for
providing federal benefits to veterans and their dependents through
operating programs for health care, financial assistance, education,
rehabilitation, insurance, and burial at national cemeteries. The Regional
Federal Benefits Officer acts as the VAs agent abroad, assisting veterans and
beneficiaries with both the origination of new benefits claims and the
administration of existing ones.
7 FAM 541.2 Authorities
(CT:CON-618; 01-07-2016)
a. Authority for consular assistance to the U.S. VA and
veterans abroad is found in 22 U.S.C. 3904 (3) -Functions of Service (Foreign
Service).
22 U.S.C. 3904 (3) provides
Members of the Service shall, under the direction
of the Secretary
(3) Perform functions on behalf of any agency or
other Government establishment (including any establishment in the
legislative or judicial branch) requiring their services.
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b. Authority for veterans services is found in:
(1) 38 U.S.C. Veterans Benefits; and
(2) 38 CFR Parts 0-18 Department of Veterans Affairs.
7 FAM 541.3 Eligibility for
Veterans Benefits
(CT:CON-618; 01-07-2016)
Generally, 24 continuous months of active military service
is required to establish eligibility for most U.S. VA
benefits. However, disabilities that result from a personal injury or disease
that was incurred or aggravated during military service also establish
eligibility, regardless of the amount of time served. Since eligibility varies
by VA program, the best way to review specific criteria is to visit the VA Web
site. You may also consult the Federal Benefits for Veterans and Dependents
booklet available in both English and Spanish, on the VA Web site and clicking
on Contact VA. In addition veterans may contact the VA on the web or at
1-800-827-1000 (Stateside only for telephone number).
7 FAM 541.4 Obtaining VA Forms
(CT:CON-618; 01-07-2016)
VA forms are available on the VA forms Web site.
7 FAM 541.5 Veterans Can file for
benefits online
(CT:CON-618; 01-07-2016)
Veterans may complete applications for certain benefits online through VAs eBenefits Web site.
7 FAM 541.6 Role of the Consular
Officer
(CT:CON-618; 01-07-2016)
a. Federal law establishes entitlement to federal
benefits. Each federal benefits-paying agency establishes policies and
procedures under which the laws are administered. When policies and procedures
are applied outside the United States, assistance from U.S. embassies
and consulates is required.
b. Posts are expected to provide a broad range of
services, e.g., advising applicants about benefits, providing the necessary
forms, assisting them in completing the forms, arranging medical appointments,
developing claims, providing referrals and following up with VA when
necessary. Seek advice from the regional VA office
when the answer is not clear. The Regional Federal
Benefits Officer is also an alternative avenue for consultation in resolving
policy and procedural issues.
7 FAM 541.7 Role
of CA/OCS/PMO
(CT:CON-618; 01-07-2016)
a. The Program
Management Office in the Bureau of Consular Affairs, Directorate of Overseas Citizens Services (CA/OCS/PMO) is the
Departments liaison with benefits-paying
agencies, consular posts abroad and Congress. CA/OCS/PMO provides
guidance, disseminates information and implements new programs
and procedures
of the other agencies.
b. In essence, CA/OCS/PMO works with Federal benefits-paying
agencies on Federal
Benefits Programs abroad to ensure efficient and fraud-free payment of benefits
as well as the provision of services. CA/OCS/PMOs goal is to ensure that services provided
by the State Department for other benefits-paying agencies are administered in
an efficient and effective way delivering a high quality service.
c. CA/OCS/PMO
has a collective email address FedBen@state.gov, where Regional Federal
Benefits Officers (RFBOs) may send e-mails on policy and complicated issues which arise to them
from posts through the Federal
Benefits Units (FBUs) in their regions.
7 FAM 541.8 Limitations on Consular
Officers Regarding Veterans Affairs Work and Disclosure of Information (Privacy
Act)
(CT:CON-618; 01-07-2016)
a. Do
not disclose information concerning a claimant of veterans
benefits and programs that can be retrieved by personal identifiers contained
in a system of records, except:
(1) As expressly authorized by VA;
(2) After written authorization by the individual who
is the subject of the record, or,
(3) In accordance with the 12 exceptions to the
conditions of disclosure in the Privacy Act, as amended (5 U.S.C. 552a(b)(1)(12)
or the Department's System
of Record Notices (SORNs). 7 FAM 060
provides detailed guidance about the Privacy Act.
b. Any unauthorized disclosure is subject to criminal
penalties pursuant to 5 U.S.C. 552a. (See 7 FAM 069.2.)
7 FAM 542 VA COMPENSATION AND PENSION
BENEFITS VETERANS ABROAD MAY NEED HELP PURSUING
(CT:CON-618; 01-07-2016)
The following are brief definitions and descriptions of
the major benefits available through the Department of Veterans Affairs to
eligible veterans and their dependents who are living abroad. For more
detailed information and eligibility criteria, see the VA Foreign Services
Internet page.
Burial Benefits: Eligible
veterans may be entitled to a burial allowance, a burial flag, a headstone,
niche, or grave marker, a Presidential Memorial Certificate, and/or burial in a
state or national cemetery. For more information see the VA Burial and
Memorial Benefits Internet page.
Dependency and Indemnity Compensation
(DIC): A monthly monetary benefit payable to surviving spouses, certain
children, and low-income parents of service members or veterans who died from:
A disease or injury incurred or aggravated in the
line of duty while on active duty or active duty for training;
An injury incurred or aggravated in the line of
duty while on inactive duty training;
A service-connected disability or a condition
directly related to a service-connected disability;
DIC may also be paid to survivors of veterans
(surviving spouse and children only) who were totally disabled from service-connected
conditions at the time of death, even though their service-connected
disabilities did not cause their deaths.
The survivor qualifies if the veteran was:
Continuously rated totally disabled for a period of 10
years immediately preceding death;
Continuously rated totally disabled from the date of
military discharge and for at least five years immediately preceding death; or
A former POW who died after
September 30, 1999, and who was continuously rated totally disabled for a
period of at least one year immediately preceding death.
Disability Compensation:
Disability compensation is a monthly monetary benefit payable to veterans
disabled by injury or disease that was incurred or aggravated during active
military service.
Education: Monetary assistance
may be available to veterans, surviving spouses and dependent children through
the Post 9/11 GI Bill, Montgomery GI Bill (Active Duty), Montgomery GI Bill
(Selected Reserve), Veterans Educational Assistance Program (VEAP), Reserve Educational
Assistance Program (REAP), and Survivors Dependents Education Assistance
programs. Outside of the United States, the training at the foreign school
must be at an institution of higher learning leading to a standard college
degree, or the equivalent and the program of education at the foreign
institution must have been approved by VA. For more information visit the VA
Educational Benefits Internet page.
Insurance: Two life insurance
and two disabled insurance programs are currently open for new policyholders.
Servicemembers' Group Life Insurance is open to active-duty and reserve members
of the uniformed services. Veterans Group Life Insurance is renewable
five-year term coverage. Veterans who were separated from military service on
or after November 1, 2012, may now apply to convert SGLI to VGLI within 1 year
and 240 days from separation. Evidence of good health is not required for
those who apply within 240 days of separation. Service Disabled Insurance is
available to veterans with service-connected disabilities. Veterans Mortgage
Life Insurance is not available to individuals living abroad. For more
information on insurance plans, visit VA Insurance Web site or call
1-800-669-8477 within the United States.
Pension: Veterans with low incomes
may be eligible for this monetary support if they have 90 days or more of
active military service with at least one day during a period of war. Veterans
who are age 65 or older, OR, have a permanent and total non-service connected
disability. For more information, review VA Fact Sheets Compensation and
Pension Benefits and Veterans Benefits Administration on the VA Internet page.
RFBO: Regional Federal
Benefits Officer. For a current listing of the RFBOs go to the CA web Intranet
page and click on Citizens Services at the top left corner, scroll down to
Non-Emergency Services and click on Federal Benefits.
Survivors' Pension: The survivors Pension benefit is a tax-free monetary
benefit payable to a low-income, un-remarried surviving spouse and/or unmarried
child(ren) of a deceased Veteran with at least one day of wartime service and a
minimum of 90 days active military service. If a deceased Veteran entered
active duty after September 7, 1980, he or she must have served at least 24
months of active duty service. If the total length of service is less than 24
months, the Veteran must have completed their entire tour of active duty.
While an un-remarried spouse is eligible at any age, a child of a deceased
wartime Veteran must be under 18, OR under age 23 if attending VA -approved
school, OR permanently incapable of self-support due to a disability before age
18.
Veteran: A Veteran, for VA
benefits purposes, is anyone who has served on active duty, was discharged or
released under conditions other than dishonorable. Reservists may also qualify
for benefits after fulfillment of certain duty.
Vocational Rehabilitation &
Employment: An eligible service-connected disabled veteran may receive
employment assistance, self-employment assistance, training in a rehabilitation
facility, and college and other training needed to overcome an employment
handicap caused by his/her service-connected disability. While in training,
eligible veterans may receive subsistence allowances in addition to their
disability compensation or retirement pay. The veteran must be training in a
training program approved by a Vocational Rehabilitation Specialist. For more
information see the Vocational Rehabilitation and Employment Benefits VA
Internet page.
7 FAM 543 HOW THE CLAIMANT APPLIES FOR
BENEFITS AND WHAT IS THE CONSULAR ROLE IN VERIFICATION OF INFORMATION?
(CT:CON-618; 01-07-2016)
Developing a claim is a critical responsibility beginning
with the application. The U.S.
VA regional benefit offices of jurisdiction process benefit claims including
applications, case inquiries, changes of address, etc. for veterans and
dependents residing in foreign countries. It may take 9-12 months to process
some complex cases.
7 FAM 543.1 First Time Claimants
(CT:CON-787; 02-13-2018)
a. First-time claimants for disability compensation or
pension must submit their claims to the appropriate VA regional office:
(1) A completed Form VA-21-526, Veterans Application
for Compensation and/or Pension, and proof of service (DD-214, DD-215, or for
WWII veterans, a WD form) (See the VA forms Web site);
(2) Supporting documents of the disability (treatment
and medical records); and
(3) If proof of service is not available the claimant
must provide a military service number, branch and dates of service.
b. First-time claimants for Dependency and Indemnity
Compensation (DIC), Survivors Pension and/or Accrued Benefits should be
submitted to the Philadelphia Pension Maintenance Center.
(1) Form VA-21-534, Application for Dependency and
Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving
Spouse or Child (Including Death Compensation if Applicable). (Part VII through
IX need not be completed, unless the claimant also wishes consideration of
pension entitlement); and
(2) Form
VA-21-535, Application for Dependency and Indemnity Compensation by Parent(s)
(Including Accrued Benefits and Death Compensation When Applicable), is to be
used by parents. The form should be completed in its entirety. The following information must be
included on both Form VA 21-534 and Form VA-21-535:
(a) A
copy of the veterans death certificate (must show cause of death);
(b) Copies
of marriage/birth certificates;
(c) Divorce
decrees, if applicable;
(d) A
military discharge certificate; and
(e) Passport, national photo identity
card (foreign nationals) as proof of identity.
c. Intent to File (ITF) is a process that is designed to
allow veterans or surviving spouses additional time to gather the information
needed to file a claim, while protecting the date of claim. The following
claim types can be applied using ITF:
(1) Compensation;
(2) Pension;
and
(3) Survivors Pension and Dependency
and Indemnity Compensation (DIC).
d. A veteran or surviving spouse can
submit an ITF any of the following ways:
(1) By submitting a completed Form
VA-21-966, Intent to File a Claim for Compensation and/or Pension, or
Survivors Pension and/or DIC;
(2) By calling the National Call
Center (NCC) at 1-800-827-1000 or the National Pension Call Center (NPCC) at
1-877-294-6380 and notifying a Public Contact Representative (PCR) of his or
her ITF a claim for compensation, pension, or survivors benefits; and
(3) By initiating an application
for benefits via eBenefits.
NOTE: The VA forms mentioned above can be obtained on the VA forms Web page.
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7 FAM 543.2 Role of the Consular
Officer
(CT:CON-618; 01-07-2016)
a. U.S.
Foreign Service officers are authorized to act on behalf of the
VA; therefore, claims filed in a foreign country will be considered as filed in
the Department of Veterans Affairs as of the date of receipt by the Department
representative.
b. You should:
(1) Verify identity of the claimant;
(2) Offer advice on filling out applications;
(3) Encourage first-time applicants to submit their
claims through the Veterans On-line Applications (VONAPP) or provide forms,
which are available on the VA forms Web site;
(4) Review applications for completeness and
accuracy. Some veterans may need special assistance in completing the forms.
(If fraud is suspected, see Management of a Federal Benefits Unit section for
guidance. (See 7
FAM 590);
(5) Mail completed applications if requested; and
(6) Make appropriate inquiries or referrals on the
beneficiarys behalf.
7 FAM 543.3 Date-stamping Documents
(CT:CON-618; 01-07-2016)
a. The Department of VA
considers most claims effective upon receipt by either the VA or its agents
(Department of State representatives).
The effective date of a claim is a critical issue.
Because the effective date of claim may dictate the effective date of
payment, you must be certain that advice, counseling, claims development and
submissions are prompt and accurate.
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b. Consular officers
should:
(1) Date-stamp documents the day received at post;
(2) Use space provided (usually upper right hand
corner) or stamp in a prominent area;
(3) Initial and place your title under the date stamp;
and
(4) Verify that no alterations have been made to the
supporting documents.
c. As agents of VA, consular personnel may certify the
documents. The following statement must be used when certifying documents:
The original document (or record) of which this is
a copy (or, from which this excerpt was taken) appears to be genuine and
unaltered and to have been made at the time purported. This document consists
of (number of pages) pages.
Signature of Consular Officer
Typed Name of Consular Officer
Title of Consular Officer
Name of Post
City, Country
Date
Seal
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d. To preserve originals (birth certificates, marriage
certificates and discharge papers) copies may be date-stamped. Return
originals to the owner.
Send completed applications to VA on the date they
are stamped so VA can begin processing.
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7 FAM 543.4 Where Veterans Should
Send Claims, Applications, Inquiries, Address Changes, etc. When Abroad
(CT:CON-618; 01-07-2016)
a. Claims should be sent to the addresses noted below.
Also see claims section under specific programs:
(1) Compensation claims are now
centralized. Effective October 1, 2014, all foreign compensation claims are
processed by the Pittsburgh Regional Office. Claims received prior to October
1, 2014 will continue to be processed by the Houston and White River Regional
Offices:
Pittsburgh
VA Regional Office
Foreign
Claims
1000
Liberty Avenue
Pittsburgh,
PA 15222
FAX:
412-395-6057
For
all other inquiries:
Email:
EMBASSY.VBAPIT@va.gov
For
completed exam inquiries only:
Email:
FOREIGNEXAM21.VBAPIT@va.gov
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VA Regional Office
6900 Almeda Road
Houston, TX 77030
FAX: 713-794-3705
Email: foreign.vbahou@va.gov
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VA
Medical and Regional Office Center
215 North Main Street
White River Junction, VT 05009
FAX: 802-296-5174
Email: vsc.vbawrj@va.gov
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(2) Claims
received from Veterans who reside in the Philippines are processed by Manila
Regional Office:
Philippines
(Benefits and Medical Treatment)
VA Out-patient Clinic
1131 Roxas Boulevard
Pasay City, Philippines
FAX: 632-831-4454
Email: Manlvaro.inquiry@VBA.VA.gov
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(3) Pension
and Dependency and Indemnity Compensation (DIC) claims are now centralized as
well. Effective October 1, 2014, all foreign pension and DIC claims are
processed by the Philadelphia Pension Maintenance Center (PMC). Claims
received prior to October 1, 2014 will continue to be processed by the St. Paul
PMC:
Philadelphia
Pension Maintenance Center (PMC)
5100
Wissahickon Ave
Philadelphia,
PA 19144
Phone:
215-381-3762
Pension
Claims for Veterans, Widows and Parents, and Dependency and Indemnity
Compensation are processed by the PMC
All
Other Countries
Fax:
215-381-3777 or 215-381-3780
Email:
pensioncenter.vbaphi@va.gov
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(4) Inquiries
regarding headstones/markers, and Presidential Memorial Certificates should be
forwarded to the following address:
Headstones/Markers,
Presidential Memorial Certificate (All countries) Department of Veterans
Affairs
National
Cemetery Administration
Memorial
Programs Service (41B1)
Attention:
Gina White
5109
Russell Road
Quantico,
VA 22312
Gina
White
Gina.white@va.gov
(202)
501-3028 (Voice)
(202)
501-3109 (Fax)
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(5) Inquiries regarding insurance
should be forwarded to the following address:
Insurance
(All countries)
VA Regional Office and Insurance Center
P.O. Box 13399
5000 Wissahickon Avenue
Philadelphia, PA 19101
FAX: 215-381-3502
Email: vainsurance@va.gov
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(6) Inquiries
about education benefits should be forwarded to the following address:
Educational Assistance (All countries)
VA Regional Office
130 South Elmwood Avenue
Buffalo, NY 14202-2466
FAX: 716-857-3192
Email: vavbabuf/esu/foreignschools@vba.va.gov
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b. When Submitting an Inquiry
to VA:
(1) Provide the veterans full name and claim number
or SSN on all inquiries (including those from a widow/widower or children);
(2) State the question/situation clearly; and
(3) Include all necessary dates in this format:
(month/day/year, e.g., May 24, 1941).
Note: Claimants may submit
inquiries directly to VA by going to VAs Inquiry Routing and Information
System (IRIS). Normally a response should be received within five working
days. Do not give claimants VA E-mail addresses reserved for inquiries from
Posts.
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7 FAM 544 DISABILITY EVALUATION
EXAMINATIONS
7 FAM 544.1 How to Request an
Examination
(CT:CON-618; 01-07-2016)
a. The
U.S. VA requires examinations to establish the presence or
absence of a claimed disease, injury, or residual condition, and, if existent,
the extent of disability.
b. The VA regional office of jurisdiction will notify
the claimant directly that a request for examination has been sent to the
Foreign Service post of jurisdiction. The request will include examination
protocols which the examining physician should follow.
7 FAM 544.2 Role of the Consular
Officer
(CT:CON-637; 02-23-2016)
a. The VA claims processing office will
forward Form VA-21-2507, Request for Physical Examination, to
post, and the request will specify the type of examination(s)
required noting the condition(s) claimed by the beneficiary. Evaluation
guidelines will be provided for all examinations.
b. The consular officer
should assist the veteran by actually scheduling the examinations with a
physician(s) or medical facility using the list of doctors and
hospitals produced and maintained by post. For more information on the list of
doctors see 7 FAM 337.
Do not give the form to the veteran to schedule his/her own appointment.
c. The Foreign Medical
Program (FMP) is an organization within VA that handles healthcare for Veterans
who live abroad. Part "e" of this section
provides more information about the reimbursement process.
NOTE:
Effective February 8, 2016, the Foreign Medical Program (FMP) will no longer
provide reimbursement for travel expenses associated with VA compensation,
pension, and appeals examination(s). Travel reimbursement is available only
for examination(s) completed prior to February 8, 2016. This change does not
affect reimbursement for treatment for service connected conditions.
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d. The consular officer should advise the health care
provider to let the post know if payment has not been received within 90 days
after the examination report has been returned to Post. In such a case, you
should advise the VAs Foreign Medical Program of the delinquency.
e. The consular officer should forward examination
reports and invoices to VA through the post scheduling the examination as
specifically instructed on the transmittal letter sent with the Request for
Examination. Examination reports and a copy of Form VA-21-2507 should be
returned to the VA regional office that requested the examination. The
physicians invoice and a copy of Form VA-21-2507 should be sent to the Foreign
Medical Program Office in Denver, Colorado. Advise the physician that the
report and invoice should be made on the physicians letterhead and address all
items included in the examination protocol(s). Advise the physician that
reports should be completed within 30 days of the examination.
f. The process of sanitizing the mail in the
Department of State destroys information which is printed on any type of heat
sensitive paper, i.e., thermal paper; this includes medical reports,
compensation and pension medical examinations, EKG printouts and any other
reports which are printed on heat sensitive paper. Therefore, you should
photocopy material printed on heat sensitive paper and forward the photocopy
with the examination to the VA Regional Office of jurisdiction. The
photocopies should be certified. The original documents should be retained for
six months in the event VA needs to retrieve them.
g. What if the claimant fails to
report for examination? You should return Form VA-21-2507 to the VA Regional
Office of jurisdiction for cancellation if the claimant does not report for the
examination as scheduled and does not contact Post to reschedule within one
week after missing the appointment.
h. What if the veteran asks to
reschedule an examination? The veteran must provide a reasonable
justification for rescheduling in writing. The rescheduled examination should
be conducted within 30 days of the date the request for rescheduling is
received by post.
i. What if travel is necessary for a
Disability Examination? The VA will send the veteran Form VA-07-3542,
Authorization to Report Voucher for Mileage Allowance (or an allowance for
another mode of transportation) as part of the examination request. The
veteran should send the completed mileage voucher, to:
Chief Business Office Purchased Care Health
Administration Center (CBOPC@HAC)
Foreign Medical Program
P.O. Box 469061
Denver, CO 80246-9061
1-800-733-8387
CBOPC also has toll free service to certain foreign
countries
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7 FAM 545 MEDICAL TREATMENT AND
SERVICES
(CT:CON-618; 01-07-2016)
Reimbursed medical care and medical equipment is limited
to services that are required to treat adjudicated service-connected
conditions. See below for specific information by geographic region.
Prescriptions and prosthetic appliances may also be provided.
NOTE: For further
information, visit the U.S.VA Foreign Medical
Program and VA Health Administration Center (HAC) sites.
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7 FAM 545.1 Foreign Medical Program
(FMP) for all Countries Except the Philippines
(CT:CON-618; 01-07-2016)
a. Application (Prior to treatment): Veterans should
register with the FMP before obtaining health services. The registration form
can be obtained by contacting the FMP office or going to the VA Foreign Medical
Program site.
Foreign Medical Program Office (FMP)
Health Administration Center
P.O. Box 469061
Denver, CO 80246-9061
Telephone: 303-331-7590
U.S. toll-free: 1-877-345-8179
FAX: 303-331-7807
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b. Authorization:
(1) FMP will confirm eligibility and forward an FMP
authorization directly to the veteran;
(2) The authorization will identify him/her VA
adjudicated service-connected condition(s) for which treatment is authorized
and provide a certification that the Department of Veterans Affairs will assume
payment for treatment that is medically necessary for those identified
conditions and is accepted by the VA/US medical community; and
(3) Pre-authorization is not required. FMP approves
medical equipment requests and authorizes the veteran to purchase the item
locally at VA expense.
c. Claims:
(1) May be submitted by the veteran/fiduciary or the
provider of services;
(2) Must be submitted directly to FMP office;
(3) Must be submitted no later than two years from the
date of treatment/service; and
(4) Must include:
(a) Veterans full name;
(b) VA Claim Number;
(c) U.S. Social Security number;
(d) Providers full name and billing address;
(e) Providers itemized billing statement with a medical
diagnosis of condition(s) treated, a narrative description of each service, the
billed charge, and the date(s) of service;
(f) Medical record documentation (i.e., outpatient
notes, hospital discharge summaries and operative reports) which justifies the
necessity of the service and its relationship to the veterans adjudicated
service-connected condition(s); and
(g) Claims for prescription drugs indicating the names
and quantities of each drug dispensed, and/or prosthetic appliances.
d. Payments: All payments are made in U.S. currency
based on the exchange rate effective on the date of service. For episodes of
hospitalization, the exchange rate is based on the date of discharge.
e. Where to Send: Authorization requests, claims,
inquiries, etc. dealing with the Foreign Medical Program, except the
Philippines, should be directed to:
Chief
Business Office Purchased Care
Foreign Medical Program (FMP)
P.O. Box 469061
Denver, CO 80246-9061
FAX: 303-331-7807
E-Mail:
HAC.FMP@VA.Gov
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7 FAM 545.2 Foreign Medical Program
(FMP) Philippines
(CT:CON-618; 01-07-2016)
a. General: The U.S. VA Regional Office &
Outpatient Clinic Manila administers VA medical care in the Philippines.
Medical care may be provided for service-connected disabilities and, with
limitations, for the non-service-connected disabilities of those veterans who
also have recognized service-connected disabilities. Outpatient medical care
for treatment of service-connected disabilities will be provided at the VA
Outpatient Clinic Manila and through contract inpatient and/or outpatient, fee
basis providers. Outpatient medical care for treatment of the
non-service-connected disabilities mentioned above is limited to the care that
can be provided at the VA Outpatient Clinic Manila.
b. Application (Prior to treatment) You should advise
veterans to submit their requests for VA authorized treatment in writing and
send them to:
VA Outpatient Clinic
1131 Roxas Boulevard
Pasay City, Philippines
FAX: 011-632-838-4566
Include the same information as indicated in 7 FAM 544.2.
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c. Claims Reimbursement for medical care not
authorized by the Manila Clinic will be requested through Form VA-10-583, Claim
for Payment of Cost of Unauthorized Medical Services, and submitted to the
address specified in 7 FAM 544.1.
Payment for unauthorized medical care will be made by the Manila Clinic
directly to the claimant in Philippine currency.
d. Authorization: Upon receipt of a treatment request,
the Manila VA Outpatient Clinic will confirm eligibility through the Manila VA
Regional Office. Upon verification of eligibility, the VA clinic will
coordinate medical care directly with the veteran. Unless the need for
emergency care precludes otherwise, pre-authorization will be required for
medical care and services not provided through the Manila VA Outpatient Clinic.
7 FAM 545.3 Dental Examinations and Treatment
(CT:CON-698; 02-09-2017)
Visit Web site Foreign Medical Program handbook.
7 FAM 546 Benefit Checks
7 FAM 546.1
Methods of Payment
(CT:CON-618; 01-07-2016)
a. Currently, VA has established
international direct deposit (IDD) of VA payments in Germany,
Ireland and the United Kingdom. VA hopes to expand IDD to as many foreign
counties as possible.
b. If IDD is not possible, U.S. citizen applicants may
arrange to have direct deposit to a U.S. account through their banking facility
in the U.S. Otherwise, the VA mails monthly benefit checks via International
Priority Airmail (IPA) directly to the recipient. In countries where IPA is
not feasible, the checks are mailed via APO/FPO facilities or pouched to the
consular posts.
c. If the checks are sent in bulk shipments to your
post, Post is then responsible for distributing the
checks to the recipients through the local postal service or other appropriate
means. For further information, see 7 FAM 520.
7 FAM 546.2
What if a Benefit Check is not Received?
(CT:CON-618; 01-07-2016)
a. See 7 FAM 523.
b. The VA needs to know:
(1) Name of the beneficiary (veteran, widow, child of
veteran, parent of veteran);
(2) VA claim number or Social Security number of the
veteran and the payee number if known (00-veteran, 10-widow, 11-19 or 31 for
children, etc);
(3) Date of the check (for example, January 1, 2002);
(4) Type of benefit (pension, compensation, education,
etc.) if known;
(5) Current address of claimant; and
(6) If the address has changed since the previous
check was issued, VA will input the new address, reissue the check, and direct
it to the corrected address. A change of address must be processed by the 15th
of the month to be effective on the next check. If the replacement check is
returned, benefits will be suspended immediately.
c. What you should do for bulk shipments:
(1) Verify that a payment has been issued with the
check list enclosed in the bulk shipment;
(2) Allow a minimum of 10 calendar days after date of
payment to elapse; and
(3) See 7 FAM 526d(1)
and 7 FAM 527.1.
d. What post should do if the check was
sent by International Priority Airmail. See 7 FAM 526c, 7 FAM 527.2
and 7 FAM 527.3.
e. What the Claimant should know:
(1) If the Department of Treasury finds no indication
that the check has been negotiated (the quality of being negotiable or
transferable by endorsement, Section 7020, Treasury
Financial Manual, Chapter 7000, Cancelations, Deposits, and Claims for Checks Drawn
on the U.S. Treasury), they will issue a courtesy replacement
check. (It will take up to four weeks or more to replace a current month
non-negotiated check.);
(2) If the Department of Treasury determines that the
missing check was actually negotiated, they will send the payee an image of the
check and Form FMS-3858, Claims Package that includes the Form FMS-1133, Claim
against the United States for the Proceeds of a Government Check;
(3) If the payee agrees that he/she did in fact sign
the check, no further action is necessary. (This usually takes six weeks to
provide.); and
(4) If the payee claims that he/she did not endorse
the check and forgery is alleged, the payee must complete the Form FMS-1133,
Claim against the United States for the Proceeds of a Government Check and
return it to the address provided. Upon receipt of the claim form, Treasury
will adjudicate the claim. If Treasury determines that a forgery has occurred,
a settlement check is authorized to the payee or a transfer is authorized to
the agency. (Forgery investigations usually take about one year and
replacement checks are not issued until Treasury completes the investigation).
NOTE: Once a replacement check has been
requested, under no circumstances should the beneficiary cash the original
check. It should be returned to the Treasury. If both checks are cashed, an
overpayment will be created and benefits will be withheld from a future check
without notification.
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7 FAM 547 Education Benefits
(CT:CON-637; 02-23-2016)
a. U.S. Veterans of the
post-Korea conflict period, including current members of the Armed Forces, are
eligible for education benefits.
b. For education benefits to be paid outside the United
States, the beneficiary must be enrolled in a program of study approved by VA.
c. For more information, visit the VA Educational
Benefits website.
7 FAM 548 Other Services
7 FAM 548.1 Burial Flags
(CT:CON-618; 01-07-2016)
a. Summary: Foreign Service posts serve as the issuing
agents for U.S. burial flags. The number of flags to be maintained at each
post is determined by the veteran population in the consular district, but a
minimum of two should always be available. A burial flag should not be removed
from its carton until used for a veterans funeral.
See VA Burial and Memorial Benefits Web page
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b. Number of Flags May Be Distributed: The VA is
authorized to issue only one flag per deceased veteran. Once a flag is
presented it cannot be replaced under any
circumstances.
c. Eligibility: The following deceased veterans are
eligible to receive a United States flag to drape the casket or accompany the
urn. Those who:
(1) Served in any war;
(2) Died while on active duty;
(3) Served after January 31, 1955;
(4) Served at least one enlistment or had been
discharged or released from active service for a disability incurred or
aggravated in the line of duty; and
(5) Are entitled to retired pay for service in the
National Guard or Reserves at the time of death, or would have been entitled to
retired pay, but for being under 60 years of age.
d. Application: In regards to the Application for United States Flag
for burial purposes, Form VA-27-2008,
VA does not dictate who must complete it. Generally, the next of kin or the
funeral director may complete the form which is available on the VA
forms site. If available, a copy
of the death certificate and military separation or discharge document should
be included.
e. U.S. Citizen Victims of Terrorism: Review Burial
Flags section of 7 FAM 1800 Consular Crisis Management for guidance about
transporting the remains of U.S. citizen victims of terrorism abroad and the
propriety of using burial flags.
f. Authorized uses of the flags: Flags may be used
to:
(1) Drape the casket of the veteran prior to
interment, entombment, or interment;
(2) Accompany remains of the veteran in transit to the
place of final disposition;
(3) Burial purposes in connection with the death of
in-service personnel who die at points where armed forces cannot supply such
flags in time for burial; and
(4) As a memorial after final disposition as indicated
on Form VA-21-2008.
g. Ordering New Flags:
The Service Distribution Center (SDC) distributes and replenishes burial flags;
however, the VA office will need the following:
(1) Your complete mailing address, including
the name of your point of contact and telephone number since they use parcel
post for overseas shipments of this type;
(2) The number of burial flags you immediately need;
(3) To initiate and expedite
future replenishments, for burial flags send the entire original completed
copy VA 27-2008, Application for United States Flag for Burial Purposes with
attach copy of DD 214, Certificate of Release or Discharge from Active Duty; or
other documentation that contains acceptable evidence of the eligibility of the
deceased Veteran whenever possible as you receive them to the VASDC/OPERATION
address noted below;
and
(4) The purpose for submitting the
completed application with attached copy of the DD 214 immediately to the
VASDC/OPERATION address -noted below- is to ensure timely notification of the
Veterans death to the Department of Veterans Affairs. Please insert the
appropriate information noted under the Notification of Issuance of Flags, at
the bottom portion of VAF 27-2008. Documents should be mailed to:
VASDC/OPERATIONS
PO BOX 27
HINES, IL 60141
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7 FAM 548.2 Fiduciary Field
Investigations
(CT:CON-618; 01-07-2016)
a. VA's
Fiduciary Program was established to protect Veterans and other
beneficiaries who, due to injury, disease, or due to age, are unable to manage
their financial affairs. VA will only determine an individual to be unable to
manage his or her financial affairs after receipt of medical documentation or
if a court of competent jurisdiction has already made the determination.
b. On
occasion, VA may request that Post conduct a field visit to a VA
beneficiary to assist the VA in determining if he/she is competent to handle
his/her funds or to observe daily living in the household when claimant may be
competent, but incapacitated. VA will provide post with specific written
instructions, including travel reimbursement procedures, on a case-by-case
basis. After review of information obtained by the consular officer during the
visit, the VA will make the determination.
c. Upon
determining a beneficiary is unable to manage his/her financial affairs, VA
will appoint a fiduciary. The fiduciary, normally chosen by the beneficiary,
must undergo an investigation of their suitability to serve. This investigation
includes a criminal background check, review of credit report, personal
interview, and recommendations of character references. Only after a complete
investigation is a fiduciary appointed to manage a beneficiaries VA benefits.
The fiduciary is responsible to the beneficiary and oversees financial
management of VA benefit payments. Generally, family members or friends serve
as fiduciaries for beneficiaries; however, when friends and family are not able
to serve, VA looks for qualified individuals or organizations to serve as a
fiduciary.
d. VA
may also request the
consular officer to investigate the fitness and suitability of
guardians or other court fiduciaries as well as recognition of legal custodians
for minor or incompetent beneficiaries.
7 FAM 548.3 Vocational
Rehabilitation and Employment Program
(CT:CON-618; 01-07-2016)
Visit VA Educational Benefits Internet page and VA foreign
schools Internet page.
7 FAM 548.4 Military Medals and
Military Records
(CT:CON-618; 01-07-2016)
For information about U.S. military
medals and U.S. military records, see the National
Personnel Records Center, Military
Personnel Records Internet page.
7 FAM 548.5 Home Loan Guaranty
(CT:CON-618; 01-07-2016)
a. VA Home Loan Guaranties are only
available in the United States and its territories. Veterans who reside
overseas may be eligible for Specially Adapted Housing (SAH)
or Special Housing Adaption (SHA).
b. The SAH grant is designed to help
disabled Veterans by providing a barrier-free living environment, such as a
wheelchair accessible home, that affords Veterans a level of independent living
they may not otherwise enjoy. Veterans and Servicemembers with specific
service-connected disabilities may be entitled to a grant for the purpose of
constructing or modifying a home to meet their adaptive needs.
c. The SAH grant is available to
certain Veterans and Servicemembers who are entitled to disability compensation
due to loss or loss of use of both lower extremities, such as to preclude
locomotion without the aid of braces, crutches, canes, or a wheelchair;
blindness in both eyes, plus loss or loss of use of one lower extremity; loss
or loss of use of one lower extremity together with (1) residuals of organic
disease or injury, or (2) the loss or loss of use of one upper extremity,
affecting balance or propulsion as to preclude locomotion without the aid of
braces, crutches, canes, or a wheelchair; loss or loss of use of both upper
extremities at or above the elbows, or a severe burn injury.
d. The SHA grant can be used to
increase the mobility of eligible Veteran and Servicemembers throughout their
residences. The SHA grant is available to certain Veterans and Servicemembers
who are entitled to disability compensation due to blindness in both eyes with
20/200 visual acuity or less in the better eye with the use of a standard
correcting lens; the anatomical loss or loss of use of both hands or
extremities below the elbow, or a severe burn injury.
7 FAM 549 NOTIFY THE DEPARTMENT OF
VETERANS AFFAIRS OF CHANGES OF STATUS AND ADDRESS OF BENEFICIARIES
7 FAM 549.1 Change of Address, Citizenship
Status, Name, Claim Number
(CT:CON-637; 02-23-2016)
Report the following changes
of status to the Pittsburgh Regional Office for veterans
receiving compensation and the Philadelphia Pension Maintenance Center for
veterans and/or dependents receiving pension, DIC, survivors and parents
pension via email or fax (VA office contact information is provided in 7 FAM 543.4):
(1) Change of address;
(2) Beneficiarys name;
(3) Claim number; and
(4) Citizenship status.
7 FAM 549.2 Report Deaths of
Beneficiaries
(CT:CON-618; 01-07-2016)
The Consular Officer
should notify the appropriate VA office:
a. Death of veterans who were in
receipt of compensation should be reported to the Pittsburgh Regional Office.
b. Death of veterans and/or
dependents who were in receipt of pension, DIC, survivors and parents' pension
should be reported to the Philadelphia Pension Maintenance Center.
c. The report should
be done via email or fax. (VA office contact information is provided in 7 FAM 543.4).
The following should be included in the notification:
(1) The beneficiarys name;
(2) Claim number;
(3) Date of death;
(4) Place of death; and
(5) Information for survivor benefits (name, address
and telephone number of surviving family member.
7 FAM 549.3 Marriages, Birth of
Dependents and Other Changes of Status
(CT:CON-618; 01-07-2016)
a. Veterans abroad can notify the VA
directly of changes in beneficiaries including spouses, children and dependent
parents. This can be accomplished using Form VA-21-686c,
Declaration of Status of Dependents, or VA Form VA-21-674,
Request for Approval of School Attendance for dependents over age 18 and
attending school, or Form VA-21-P509
Statement of Dependency of Parent(s), and Electronically via VONAPP. The
VONAPP (Veterans On Line Application)
website is an official U.S. Department of Veterans Affairs (VA) website that
enables service members, veterans and their beneficiaries, and other designated
individuals to apply for benefits using the Internet.
b. Consular officers or RFBOs may
also assist veterans in reporting marriages and birth of dependents, and other
changes of status to the appropriate VA Foreign Desk This information may come
to post's attention when assisting a veteran residing in the consular district
with issuance of a Consular Report of Birth of a U.S. Citizen Abroad or other
service. When the change of status relates to veterans who were in receipt of
compensation, it should be reported to the Pittsburgh Regional Office. When it
relates to veterans and/or dependents that were in receipt of pension, DIC,
survivors and parents' pension, it should be reported to the Philadelphia
Pension Maintenance Center. (VA office contact information is provided in 7 FAM 543.4).