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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | v1_iter_1_VIP_Build_4_Dec_2018_CG.zip\v1_iter_1_VIP_Build_4\portlets\caret-portlet\docroot\WEB-INF\src | PCAFC Discharge Letter.xml | Wed Jan 16 16:06:26 2019 UTC |
| 2 | v1_iter_1_VIP_Build_4_Dec_2018_CG.zip\v1_iter_1_VIP_Build_4\portlets\caret-portlet\docroot\WEB-INF\src | PCAFC Discharge Letter.xml | Wed Jan 16 21:05:43 2019 UTC |
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| 47 | > | |
| 48 | ||
| 49 | </img> | |
| 50 | ||
| 51 | </td> | |
| 52 | ||
| 53 | </tr> | |
| 54 | ||
| 55 | </tbody> | |
| 56 | ||
| 57 | </table> | |
| 58 | ||
| 59 | ||
| 60 | <br> | |
| 61 | </br> | |
| 62 | ||
| 63 | ||
| 64 | <p> | |
| 65 | Dear | |
| 66 | <VeteranNa me> | |
| 67 | </VeteranN ame> | |
| 68 | : | |
| 69 | </p> | |
| 70 | ||
| 71 | <p> | |
| 72 | Your statu s in the P rogram of Comprehens ive Assist ance for F amily Care givers has changed. During ou r conversa tion on | |
| 73 | <span | |
| 74 | style="col or:red;" | |
| 75 | > | |
| 76 | [Date] | |
| 77 | </span> | |
| 78 | , we discu ssed that your clini cal team h as determi ned you no longer me et the eli gibility r equirement s for the Program of Comprehen sive Assis tance for Family Car egivers. | |
| 79 | <span | |
| 80 | style="col or:red;" | |
| 81 | > | |
| 82 | [Insert a dditional informatio n here reg arding the Veteran's progress and gained independe nce and da te of the discharge] . | |
| 83 | </span> | |
| 84 | </p> | |
| 85 | <p> | |
| 86 | If you do not agree with this decision, you may ap peal to th e Departme nt of Vete rans Affai rs (VA) me dical faci lity where you are r eceiving c are. Instr uctions fo r appeal c an be foun d on the n ext page o r on our w ebsite at | |
| 87 | <u> | |
| 88 | <a | |
| 89 | href="http :// DNS . URL /" | |
| 90 | > | |
| 91 | http://DNS .URL | |
| 92 | </a> | |
| 93 | </u> | |
| 94 | </p> | |
| 95 | <p> | |
| 96 | Although y our status has chang ed and you no longer qualify f or the Pro gram of Co mprehensiv e Assistan ce for Fam ily Caregi vers, your caregiver may still qualify f or caregiv er service s and bene fits. In accordance with the Program of Comprehen sive Assis tance for Family Car egivers re gulations, your prim ary family caregiver 's Civilia n Health a nd Medical Program ( CHAMPVA) a nd stipend benefits will conti nue for 90 days afte r the disc harge date . The Off ice of Com munity Car e will sen d a detail ed letter to the pri mary famil y caregive r regardin g benefit terminatio n. | |
| 97 | </p> | |
| 98 | <p> | |
| 99 | Based on s tatute and regulatio ns, caregi vers of en rolled Vet erans of a ll eras re ceive the following general ca regiver se rvices and benefits: education and train ing on car ing for a Veteran; c ounseling and other services; and respit e care. T o access t hese servi ces, pleas e contact | |
| 100 | <CSCName> | |
| 101 | </CSCName> | |
| 102 | at | |
| 103 | <CSCNumber > | |
| 104 | </CSCNumbe r> | |
| 105 | to help l ink you to these pro grams. | |
| 106 | </p> | |
| 107 | <p> | |
| 108 | Caregivers also have access to the | |
| 109 | <b> | |
| 110 | National C aregiver S upport Lin e | |
| 111 | </b> | |
| 112 | , which ca n be reach ed toll fr ee at | |
| 113 | <b> | |
| 114 | 1-855-260- 3274 | |
| 115 | </b> | |
| 116 | . The line is staffe d by licen sed social workers w ho are ava ilable to answer car egiver que stions, li sten to co ncerns, an d provide education on VA supp ortive ser vices and community resources that may a ssist care givers. | |
| 117 | </p> | |
| 118 | ||
| 119 | <p> | |
| 120 | You may al so visit o ur website | |
| 121 | <u> | |
| 122 | <a | |
| 123 | href="http :// DNS . URL /" | |
| 124 | > | |
| 125 | http://DNS .URL | |
| 126 | </a> | |
| 127 | </u> | |
| 128 | to find helpful re sources an d tools. I n addition , the Care giver Supp ort Progra m offers m any unique programs such as Bu ilding Bet ter Caregi vers, Peer Support M entoring, Caregiver Support Li ne Nationa l Educatio n Calls, C aregiver S elf Care C ourses as well as | |
| 129 | <span | |
| 130 | style="col or:red;" | |
| 131 | > | |
| 132 | [insert l ocal careg iver suppo rt service s] | |
| 133 | </span> | |
| 134 | . If you have any q uestions a bout this letter, th e appeals process, i nformation on suppor tive progr ams and se rvices or other matt ers, pleas e feel fre e to conta ct | |
| 135 | <CSCName> | |
| 136 | </CSCName> | |
| 137 | at | |
| 138 | <CSCNumber > | |
| 139 | </CSCNumbe r> | |
| 140 | . | |
| 141 | </p> | |
| 142 | ||
| 143 | <p> | |
| 144 | Thank you for your service. | |
| 145 | </p> | |
| 146 | ||
| 147 | ||
| 148 | <p> | |
| 149 | Sincerely, | |
| 150 | </p> | |
| 151 | ||
| 152 | <span | |
| 153 | class="low Margin" | |
| 154 | > | |
| 155 | <CSCName> | |
| 156 | </CSCName> | |
| 157 | </span> | |
| 158 | <br/> | |
| 159 | ||
| 160 | <span | |
| 161 | class="low Margin" | |
| 162 | > | |
| 163 | Caregiver Support Co ordinator | |
| 164 | </span> | |
| 165 | <br/> | |
| 166 | ||
| 167 | ||
| 168 | <p> | |
| 169 | cc: | |
| 170 | <CGName> | |
| 171 | </CGName> | |
| 172 | </p> | |
| 173 | ||
| 174 | ||
| 175 | <br/> | |
| 176 | <br/> | |
| 177 | <p | |
| 178 | class="cen terHeading " | |
| 179 | > | |
| 180 | <b> | |
| 181 | YOUR RIGHT S TO APPEA L THE DECI SION | |
| 182 | </b> | |
| 183 | </p> | |
| 184 | ||
| 185 | <p | |
| 186 | class="sub Heading" | |
| 187 | > | |
| 188 | <b> | |
| 189 | HOW CAN I APPEAL A C LINICAL DE CISION? | |
| 190 | </b> | |
| 191 | </p> | |
| 192 | <p> | |
| 193 | If you dis agree with this deci sion, you may appeal to the De partment o f Veterans Affairs ( VA) medica l facility where you are recei ving care. Attempts will be m ade to res olve clini cal disput es at the clinical t eam level. Clinical disputes not resolv ed at the clinical t eam level will be el evated to the medica l facility 's Chief o f Staff. If you are not satis fied with the decisi on of the VA medical facility, you may r equest to have your decision r eviewed by the Veter ans Integr ated Servi ce Network (VISN) Di rector or his/her de signee. | |
| 194 | </p> | |
| 195 | <p> | |
| 196 | NOTE: To a void unnec essary del ays, the a ppeal shou ld be subm itted in a ccordance with the l ocal clini cal appeal s process. Please c ontact me, your clin ical team or your Pa tient Advo cate for l ocal VA me dical faci lity polic y, procedu res and ti melines fo r appeals. | |
| 197 | </p> | |
| 198 | ||
| 199 | <p | |
| 200 | class="sub Heading" | |
| 201 | > | |
| 202 | <b> | |
| 203 | WHAT CAN I EXPECT IF I APPEAL TO THE VA MEDICAL FA CILITY AND /OR VISN D IRECTOR? | |
| 204 | </b> | |
| 205 | </p> | |
| 206 | <p> | |
| 207 | A clinical appeal is your form al request to have t he VA medi cal facili ty, review your disp ute. Subm it your di sagreement to me or 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 Advoca te Trackin g System. The Chief of Staff or designe e will con tact you o r your rep resentativ e to notif y you of r eceipt of your dispu te and may request i nformation that will support y our appeal . | |
| 208 | </p> | |
| 209 | <p> | |
| 210 | If you are not satis fied with the VA med ical facil ity's deci sion, you can appeal to the VI SN Directo r. The VI SN Directo r or desig nee, if ne cessary, m ay request an indepe ndent exte rnal revie w of your dispute. In general , you can expect to have a fin al decisio n within 3 0 days of the initia l receipt of the app eal reques t. Howeve r, if an e xternal re view is re quested, t he time fr ame for a final deci sion will be extende d to 45 da ys from th e appeal r equest. | |
| 211 | </p> | |
| 212 | ||
| 213 | <p | |
| 214 | class="sub Heading" | |
| 215 | > | |
| 216 | <b> | |
| 217 | CAN I GET A HEARING WITH THE B OARD OF VE TERANS' AP PEALS? | |
| 218 | </b> | |
| 219 | </p> | |
| 220 | <p> | |
| 221 | 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' Appe als. Purs uant to 38 C.F.R. 20 .1010(b), medical de terminatio ns are bey ond the Bo ard's juri sdiction. You shoul d follow t he clinica l appeals process as outlined in this le tter. The clinical decision i s final an d cannot b e appealed to a high er authori ty. | |
| 222 | </p> | |
| 223 | ||
| 224 | <p | |
| 225 | class="sub Heading" | |
| 226 | > | |
| 227 | <b> | |
| 228 | CAN I GET SOMEONE TO HELP ME W ITH MY APP EAL? | |
| 229 | </b> | |
| 230 | </p> | |
| 231 | <p> | |
| 232 | 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 ar e not requ ired to ha ve someone represent you. It is your ch oice. | |
| 233 | </p> | |
| 234 | ||
| 235 | ||
| 236 | </body> | |
| 237 | ||
| 238 | </html> | |
| 239 | </wrapper> |
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