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M21-1 Adjudication Procedures



Part 1 - Introduction
Part 2 - Clerical Procedures
Part 3 - Authorization and Clerical Procedures
Part 4 - Authorization Procedures
Part 5 - Computer Processing
Part 6 - Rating Board Procedures
Part 7 - Direct Services Activities
Part 8 - Fiduciary and Field Examination Procedures


Part I. Introduction

Chapter 1 - Introduction
Chapter 2 - The Adjudication Division
Chapter 3 - Laws - Regulations - Regulations - Records
APPENDIX A - Rating Paragraphs and Codes
APPENDIX B - Rate Tables
Section A - Improved Death Pension
Section B - Improved Disability Pension
Section I - Section 306 Death Pension
Section II - Old Law Death Pension
Section III - Death Compensation
Section IV - Dependency and Indemnity Compensation - Parents
Section V - Dependency and Indemnity Compensation - Widowers and Children
Section VI - Section 306 Disability Pension/Indian Wars, SAW, Mexican Border Period, WWI, WWII, Korean Conflict and Vietnam Era
Section VII - Old Law Disability Pension WWI, WWII, Korean Conflict (38 U.S.C. 1521 - Prior to 7/1/60)
Section VIII - Disability Compensation -- Wartime
Section IX - Disability Compensation Veteran Alone (PL 141-73)
Section X - Disability Compensation Additional Disability Compensation for Dependents
Section XI - Disability Compensation-Basic Peacetime Rates 38 U.S.C. 334
Section XII - Special Monthly Compensation Codes and Rates
Section XIII - Emergency Officer's Retirement Pay - Codes and Rates PL 506-70TH C.
Section XIV - Special Benefit Allowances
Section XV - Burial, Plot and Headstone/Marker Benefits
Section XVI - Spina Bifida Benefits (38 U.S.C. Chapter 18)
Section XVII - Children of Women of Vietman Veterans Born with Certain Birth Defects
APPENDIX C - Tables and Codes
INDEX - Consolidated Index
Transmittal

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Part II. Clerical Procedures

Introduction - Introduction
Index - Index
Chapter 1 - Claims Establishment and Mail Management
Chapter 2 - Folder Establishment
Chapter 3 - Files and Folder Control
Chapter 4 - Jurisdiction and Transfer
Chapter 5 - FNOD Processing
Chapter 6 - Beneficiary Identification and Records Locator Subsystem (BIRLS)
Chapter 7 - Veterans Appeals Control and Locator System (VACOLS)
Transmittal

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Part III. Authorization and Clerical Procedures

Introduction - Introduction
Chapter 1 - Consideration of Evidence
Chapter 2 - Claims Applications and Initial Actions
Chapter 3 - Submission for Rating Decisions
Chapter 4 - Rescinded by M21-1MR, Part III, Subpart III dated December 13, 2005
Chapter 5 - Rescinded by M21-1MR, Part IV, Subpart II and Part V, Subpart I dated December 13, 2005
Chapter 6 - Requests for Relationship/Dependency Evidence
Chapter 7 - Rescinded by M21-1MR, Part V, Subpart I dated December 13, 2005
Chapter 8 - Rescinded by M21-1MR, Part III, Subpart VI dated May 10, 2007
Chapter 9 - Rescinded by M21-1MR, Part III, Subpart III dated December 13, 2005
Chapter 10 - Rescinded by M21-1MR, Part III, Subpart VI dated May 10, 2007
Chapter 11 - Correspondence
Chapter 12 - Powers of Attorney
Chapter 13 - Burial/Plot-Interment Allowance
Transmittal

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Part IV. Authorization Procedures

Chapter 1 - Original Claims
Chapter 2 - Reopened Claims
Chapter 3 - Reconsideration of Claims Based On Additional Evidence
Chapter 4 - Claims for Increase
Chapter 5 - Rescinded by M21-1MR, Part III, Subpart VI dated May 10, 2007
Chapter 6 - Formal/Informal Claims
Chapter 7 - Rescinded by M21-1MR, Part III, Subpart vi dated August 14, 2006
Chapter 8 - Appeals
Chapter 9 - Due Process
Chapter 10 - Basic Eligibility Determinations
Chapter 11 - Rescinded by M21-1MR, Part III, Subpart iii, Chapter 5, dated
August 14, 2006
Chapter 12 - Rescinded by M21-1MR, Part III, Subpart iii, Chapter 5, dated
August 14, 2006
Chapter 13 - Rescinded by M21-1MR, Part III, Subpart iii, Chapter 5, dated
August 14, 2006
Chapter 14 - School Attendance Provisions
Chapter 15 - Rescinded by M21-1MR, Part III, Subpart iii, Chapter 7, dated
August 13, 2007
Chapter 16 - Rescinded by M21-1MR, Part V, Subpart iii, Chapter 1, dated
February 13, 2007
Chapter 17 - Rescinded by M21-1MR, Part III, Subpart v, Chapter 9, dated
July 26, 2007
Chapter 18 - Automated Medical Information Exchange (AMIE) System and Beneficiaries Institutionalized at VA Expense
Chapter 19 - Rescinded by M21-1MR, Part III, Subpart V, Chapter 3 dated
June 6, 2006
Chapter 20 - Elections, Waivers and Recoupments
Chapter 21 - Rescinded by M21-1MR, Part III, Subpart V, Chapter 5
Chapter 22 - Rescinded by M21-1MR, Part IV, Subpart II and III dated
December 13, 2005
Chapter 23 - Eligibility Requests and Determinations for Special Purposes
Chapter 24 - Rescinded by M21-1MR, Part III, Subpart vi dated August 14, 2006
Chapter 25 - Specific Disability Awards and Related Actions
Chapter 26 - Specific Death Awards and Related Actions
Chapter 27 - Accrued Benefits - Rescinded
Chapter 28 - Disallowances
Chapter 29 - Rescinded by M21-1MR, Part 5, Subpart iii, Chapter 7, dated September 21, 2006
Chapter 30 - Triennial Verification Program
Chapter 31 - Matching Programs - Rescinded
Chapter 32 - Reps Claims
Chapter 33 - Special Allowance Under 38 U.S.C. 1312(a)
Chapter 34 - Rescinded by M21-1MR, Part III, Subpart vi dated August 14, 2006
Chapter 35 - Hearings and Hearing Officer
Chapter 36 - Rescinded by M21-1MR, Part III, Subpart VI dated May 10, 2007
Chapter 37 - Rescinded by M21-1MR, Part III, Subpart vi dated August 14, 2006
Chapter 38 - Court of Veterans Appeals
Chapter 39 - Rescinded by M21-1MR, Part V, Subpart iii dated May 14, 2007
Transmittal

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Part V. Computer Processing

Chapter 1 - Computer Processing Concepts
Chapter 2 - Master Records and Master Record Inquiry Procedures
Chapter 3 - Target Processing Overview
Chapter 4 - Target Award Processing
Chapter 5 - Award Support Data
Chapter 6 - Award Preparation - Input Awards
Chapter 7 - Burial Award/Disallowance Processing
Chapter 8 - Accrued Award/Disallowance Processing
Chapter 9 - Authorization and The 501 Screen
Chapter 10 - Disallowance Processing
Chapter 11 - Payment of Annual Clothing Allowance
Chapter 12 - Stop, Suspend, Resume Processing
Chapter 13 - CADD, CNAM, CFID Actions
Chapter 14 - Special Issue Ratings - Rescinded
Chapter 15 - Target Processing of Eligibility Verification Reports
Chapter 16 - Claims Establishment and Control Procedures
Chapter 17 - Claims Development Processing
Chapter 18 - Master Record Correction (CORR) Compensation and Pension
Chapter 19 - Target Notice of Exception Processing and Miscellaneous Messages
Chapter 20 - Multiple Inquiry Processing
Chapter 21 - Target Processing of Appeals
Chapter 22 - Work Measurement and Quality Review
Chapter 23 - Letter Generation
Transmittal

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Part VI. Rating Board Procedures

Chapter 1 - Rescinded by M21-1MR, Part III, Subpart IV dated December 13, 2005
Chapter 2 - Rescinded by M21-1MR, Part III, Subpart IV dated December 13, 2005
Chapter 3 - Rescinded by M21-1MR, Part III, Subpart IV dated December 13, 2005
Chapter 4 - Ratings for Ancillary Benefits and Special Purposes
Chapter 5 - Death Benefits
Chapter 6 - Dental Ratings
Chapter 7 - Rescinded by M21-1MR, Part IV, Subpart II and part V, Subpart II dated December 13, 2005
Chapter 8 - Rescinded by M21-1MR, Part IV, Subpart II and part V, Subpart II dated December 13, 2005
Chapter 9 - Rescinded by M21-1MR, Part III, Subpart IV dated December 13, 2005
Chapter 10 - Rescinded by M21-1MR, Part IV, Subpart II dated December 13, 2005
Chapter 11 - Rescinded by M21-1MR, Part III, Subpart IV dated December 13, 2005
Transmittal

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Part VII. Direct Services Activities

Introduction
Contents - Direct Services Activities
Chapter 1 - Personal Interviewing
Chapter 2 - Telephone Interviewing
Chapter 3 - Operations
Chapter 4 - Flags, Burial and Marker
Chapter 5 - Office Administration
Chapter 6 - Outreach Activities
Chapter 7 - Veterans Services Procedures at VA Medical Centers
Transmittal

Changes
Change Change Document 4/21/2000


Part VIII. Fiduciary and Field Examination Procedures- Rescinded by M21-1MR, Part XI