April 7, 2014 M21-1MR, Part III, Subpart v, Chapter 6, Table of Contents

Chapter 6. Hospitalization at Department of Veterans Affairs (VA) Expense

Table of Contents

Section A: Information Exchange Between VA Regional Offices (ROs) and Medical Facilities

Overview 6-A-1

1. Methods of Information Exchange 6-A-2

2. Initial Actions Upon Receipt of Notice From a VA Medical Facility

of a Veteran’s Hospitalization at VA Expense 6-A-5

3. Handling Requests for Net Worth Determinations From VA Medical Facilities 6-A-11

4. Unsolicited Reports From VA Medical Facilities and the Medical Foster Home

(MFH) Program 6-A-17

5. Notifying VA Medical Facilities of Changes in a Veteran’s Status 6-A-23

Section B: Adjustments Under 38 CFR 3.551 and 3.556

Overview 6-B-1

6.  General Information on the Requirements for Reducing Pension

Under 38 CFR 3.551 6-B-2

7. Reducing Pension Upon the Initial Admission of a Veteran 6-B-11

8. Reducing Pension Upon the Readmission of a Veteran 6-B-16

9. Adjusting Pension for Authorized Absences and Non-Bed Care Status 6-B-19

10. Adjusting Pension When the Veteran Has Dependents 6-B-22

11. Restoring Previous Pension Rate Upon the Discharge of the Veteran 6-B-28

Section C: Adjusting Awards Involving Aid & Attendance (A&A) Allowance

Overview 6-C-1

12.  General Information on the Reduction of Aid and Attendance A&A Upon

Hospitalization 6-C-2

13. Determining the Need for a Hospital Summary 6-C-8

14. Granting or Discontinuing an A&A Award During Hospitalization 6-C-10

15. Adjusting an A&A Award When a Veteran Leaves or Returns to a Hospital 6-C-12

16. Expedited Special Monthly Pension (SMP) Determinations for Chronic Invalids

Hospitalized at VA Expense 6-C-16

Continued on next page


Table of Contents, Continued

Section D: Adjusting Compensation When a Veteran Is Hospitalized in Excess of 21 Days

Overview 6-D-1

17. Requesting Reports/21-Day Certificates for Service-Connected

(SC) Admissions 6-D-2

18. Adjusting an Initial Compensation Award for Hospitalization 6-D-4

19. When VA is Notified of the Discharge, Termination of Treatment,

or Authorized Absence of a Veteran From a Hospital 6-D-7

20. Taking Action on Receipt of a Final Hospital Summary 6-D-13

Section E: Institutional Awards Specific to Incompetent Veterans

Overview 6-E-1

21. General Information on Institutional Awards for Incompetent Veterans 6-E-2

22. General Information on Preparing an Institutional Award 6-E-4

23. Institutional Awards to VA and Non-VA Institutions 6-E-10

24. Transferring a Veteran for Contract Nursing Home Care Under 38 U.S.C. 1720 6-E-13

25. Awards to Dependents of Incompetent Veterans 6-E-17

26. Handling Funds in Personal Funds of Patients (PFOP) Accounts 6-E-20

27. Adjusting an Institutional Award During Non-Bed Care Status 6-E-23

28. Discontinuing an Institutional Award When a Veteran Is Being Discharged

From a Hospital 6-E-27

Section F: Estate Limitations

Overview 6-F-1

29. Regulatory Information Regarding Estate Limitations 6-F-2

Section G: Compensation and Pension Record Interchange (CAPRI)

Overview 6-G-1

30. Overview of CAPRI 6-G-2

31. Overview of User Options in CAPRI 6-G-5

32. Requesting Examinations Through CAPRI 6-G-10

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