Produced by Araxis Merge on 4/12/2018 3:18:59 PM Eastern Daylight Time. See www.araxis.com for information about Merge. This report uses XHTML and CSS2, and is best viewed with a modern standards-compliant browser. For optimum results when printing this report, use landscape orientation and enable printing of background images and colours in your browser.
| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | CareT v1_iter1_build_2.zip\core\portlets\caret-portlet\docroot\letters | Veteran_No_Longer_Clinically_Eligible.docx | Thu Apr 12 13:26:31 2018 UTC |
| 2 | CareT v1_iter1_build_2.zip\core\portlets\caret-portlet\docroot\letters | Veteran_No_Longer_Clinically_Eligible.docx | Thu Apr 12 13:29:27 2018 UTC |
| Description | Between Files 1 and 2 |
|
|---|---|---|
| Text Blocks | Lines | |
| Unchanged | 2 | 104 |
| Changed | 1 | 2 |
| Inserted | 0 | 0 |
| Removed | 0 | 0 |
| Whitespace | |
|---|---|
| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
| CR/LF characters | Not shown in the comparison detail |
No regular expressions were active.
| 1 | Date Dear | |
| 2 | ||
| 3 | ||
| 4 | Veteran No Longer Cl inically E ligible Le tter | |
| 5 | ||
| 6 | As you are aware, co ntinued el igibility for the Pr ogram of C omprehensi ve Assista nce for Fa mily Careg ivers requ ires ongoi ng assessm ent by you r clinical team. The purpose o f these as sessments is to dete rmine cont inued clin ical eligi bility and to evalua te the lev el of Care giver assi stance tha t might be required to meet yo ur needs i n the home setting. | |
| 7 | ||
| 8 | During our conversat ion onwe d iscussed t hat | |
| 9 | the clinic al team ha s determin ed you no longer mee t the elig ibility re quirements for the P rogram of Comprehens ive Assist ance for F amily Care givers. | |
| 10 | ||
| 11 | ||
| 12 | ||
| 13 | In accorda nce with t he Program of Compre hensive As sistance f or Family Caregivers guideline s your Pri mary Famil y Caregive r’s CHAMPV A and Stip end benefi ts will be extended for 90 day s after th e revocati on date. T he Chief B usiness Of fice, Purc hased Care will send a detaile d letter t o the Prim ary Caregi ver regard ing benefi t terminat ion. | |
| 14 | YOUR RIGHT S TO APPEA L THE DECI SION HOW C AN I APPEA L A CLINIC AL DECISIO N? | |
| 15 | You may ap peal to th e VA Medic al Center (VAMC) whe re the Vet eran is re ceiving ca re by expl aining why you disag ree with t he decisio n. If you are not s atisfied w ith the VA MC Directo r’s decisi on you may request t o have you r decision reviewed by the Vet erans Inte grated Ser vice Netwo rk (VISN) Director o r his/her designee. | |
| 16 | ||
| 17 | ||
| 18 | NOTE: To a void unnec essary del ays, the a ppeal must be submit ted to the address o f the VA M edical Cen ter. Plea se contact your Care giver Supp ort Coordi nator or P atient Adv ocate for local VA M edical Cen ter policy , procedur es and tim elines for appeals. | |
| 19 | ||
| 20 | ||
| 21 | WHAT CAN I EXPECT IF I APPEAL TO THE VAM C DIRECTOR AND/OR VI SN DIRECTO R? | |
| 22 | A clinical appeal is your form al request to have t he VAMC Di rector or designee, review you r dispute. Submit y our disagr eement to your local VA Patien t Advocate . The Pat ient Advoc ate at the facility enters the clinical appeal int o a nation al compute rized Pati ent | |
| 23 | ||
| 24 | Complaint database w here the a ppeal was originated . All det ails and d ecisions m ust be inc luded in t he final d ocumentati on before the case i s closed. The dispu te must ar ise from c linical ev aluations that may r esult in a different outcome o r an error in fact r elated to the evalua tion. The Chief Med ical Offic er or desi gnee will contact yo u or your representa tive withi n five day s to notif y you of r eceipt of your appea l and to r equest inf ormation t hat will s upport you r disagree ment. | |
| 25 | ||
| 26 | If you are not satis fied with the local VA facilit y’s decisi on, you ca n elect to appeal yo ur decisio n to the V ISN Direct or. A fai r and impa rtial revi ew will be conducted of the do cumentatio n received . The VIS N Director or design ee, if nec essary, ma y have an external p rofessiona l board re view your disagreeme nt; you ca n expect t o have a f inal decis ion within 30 days o f the appe al request . However , if an ex ternal pro fessional board revi ews your c omplaint; you can ex pect a fin al decisio n within 4 5 days of the appeal request. | |
| 27 | ||
| 28 | CAN I GET A HEARING WITH THE B OARD OF VE TERANS APP EAL? | |
| 29 | No. The c linical ap peals proc ess does n ot allow f or you or your repre sentative to appeal a clinical decision to the Boa rd of Vete rans Appea l. You sh ould follo w the clin ical appea ls process as outlin ed in this letter. The clinic al decisio n is final and canno t be appea led to a h igher auth ority. | |
| 30 | ||
| 31 | CAN I GET SOMEONE TO HELP ME W ITH MY APP EAL? | |
| 32 | Yes. You can have a Veterans’ Service O rganizatio n represen tative, an attorney- at-law, or an "agent " help you with your appeal. But you’re not requi red to hav e someone represent you. It’s your choi ce. | |
| 33 | ||
| 34 | ||
| 35 | GENERAL CA REGIVER SE RVICES AND BENEFITS | |
| 36 | ||
| 37 | Even thoug h you no l onger qual ify for th e Program of Compreh ensive Ass istance fo r Family C aregivers, your Care giver may still qual ify for Ge neral Care giver serv ices and b enefits. B ased on th e law and Federal re gulations, Caregiver s of enrol led Vetera ns of all eras recei ve the fol lowing Gen eral Careg iver servi ces and be nefits: ed ucation an d training on caring for his o r her Vete ran; couns eling and other serv ices under 38 U.S.C. § 1782 (H ealth Care of Person s Other Th an Veteran s); and re spite care under 38 U.S.C. § 1 720B (Resp ite and Re lated Serv ices Provi ded to Vet erans Resi ding at Ho me). | |
| 38 | ||
| 39 | Caregivers also have access to the Natio nal Caregi ver Suppor t Line, wh ich can be reached t oll free a t 1-855-26 0-3274. Th e line is staffed by licensed independen t social w orkers who are avail able to an swer Careg iver quest ions, list en to conc erns, and provide ed ucation on VA suppor tive servi ces and co mmunity re sources th at may ass ist Caregi vers. | |
| 40 | ||
| 41 | You may al so visit o ur website to find h elpful res ources, to ols, and s upport inf ormation. Our websit e is locat ed at http :// DNS . URL . In addit ion, the C aregiver S upport Pro gram offer s many uni que progra ms such as Building Better Car egivers, P eer Suppor t Mentorin g, Caregiv er Support Line Nati onal Educa tion Calls , Caregive r Self Car e Courses as well as Please con tact me if you | |
| 42 | would like additiona l informat ion about these supp ortive pro grams and services. | |
| 43 | ||
| 44 | If you hav e question s regardin g the info rmation co ntained in this lett er, the ap peals proc ess or abo ut other m atters, pl ease feel free to co ntact me a t | |
| 45 | ||
| 46 | ||
| 47 | Sincerely, | |
| 48 | ||
| 49 | ||
| 50 | ||
| 51 | ||
| 52 | ||
| 53 | Caregiver Support Co ordinator cc: |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.