Overview
In This Section |
This section contains the following topics:
|
1. Class I: Compensable Dental Disabilities
Introduction |
This topic contains information on Class I compensable dental disabilities, including
|
Change Date |
May 26, 2009
|
III.v.7.B.1.a. Eligibility and Level of Treatment for Class I Dental Conditions |
The table below describes the eligibility requirement and level of treatment available to Veterans with Class I dental conditions.
Note: A rating determination is required to establish SC compensable dental conditions.
|
2. Class II: Service-Connected (SC) Dental Conditions for Treatment Purposes
Introduction |
This topic contains information on Class II service-connected dental conditions for treatment purposes, including
|
Change Date |
April 23, 2015
|
III.v.7.B.2.a. Availability of Class II Dental Treatment |
Class II dental treatment is available to a Veteran if the dental condition is determined to be service-connected (SC). The condition must have existed at the time of discharge or release from active service.
Note: Listed below are some of the distinctions between Class I and Class II SC dental conditions.
Reference: For more information on handling dental conditions noted at entry on active duty, see M21-1, Part IX, Subpart ii, 2.2.
Authority: For information on the authority for treatment of Class II SC dental conditions, see 38 CFR 3.381 and 38 CFR 17.161.
Important: Refer claims for treatment of the following dental conditions to the VA medical center (VAMC) eligibility clerk
|
III.v.7.B.2.b. Eligibility for Class II Dental Treatment |
A Veteran may be entitled to one-time correction of certain SC dental conditions if he or she meets the following requirements for Class II dental disabilities
Reference: For cases in which discharge was prior to October 1, 1981, see 38 CFR 17.161(b)(2)(i).
|
III.v.7.B.2.c. Level of Treatment for Class II Dental Conditions |
Any treatment indicated as reasonably necessary may be authorized for the one-time correction of a Class II dental condition.
|
III.v.7.B.2.f. Exception to the 180-Day Application Limitation for Veterans With a Corrected Discharge |
If a competent authority has corrected a disqualifying discharge or release, then an application for Class II dental treatment may be made within 180 days after the date of correction.
Reference: See 38 CFR 3.12 (e) for information on correction of military records.
|
III.v.7.B.2.g. Exception to the 180-Day Application Limitation Based on Notification of Eligibility Criteria at Separation |
If the Veteran’s certificate of discharge fails to indicate whether the Veteran was provided dental services as required by 38 U.S.C. 1712(a)(1)(B)(iv), then develop for the Veteran’s service records as necessary and follow the steps in the table below.
|
III.v.7.B.2.h. Determination of Eligibility for Class II Dental Treatment Without Rating Action |
Per 38 CFR 17.162, if a Veteran submits a timely application for treatment of an SC Class II dental condition, he/she may be deemed eligible and dental treatment authorized by the VA medical center (VAMC) on a one-time completion basis without referral to the Veterans Service Center (VSC) for rating action if all of the criteria listed below are met.
Notes:
|
3. Classes II(a) and II(c) Dental Outpatient Service
Introduction |
This topic contains information on Classes II(a) and II(c) dental outpatient service, including
|
Change Date |
May 26, 2009
|
III.v.7.B.3.b. Automatic Eligibility for Class II(c) Dental Treatment |
A Veteran may be deemed eligible for dental treatment by the VAMC without referral to the VSC for a decision if the
Reference: This treatment is authorized under 38 U.S.C. 1712(a)(1)(F).
|
4. Classes III, IV, V, and VI Dental Outpatient Service
Change Date |
May 26, 2009
|
III.v.7.B.4.a. Eligibility and Levels of Treatment for Class III, IV, V, and VI Dental Service |
The table below provides information on the eligibility requirements and the levels of treatment for Class III, IV, V, and VI dental outpatient service.
Note: A rating determination is generally not required for Class III, IV, V, and VI dental service.
|
Change-April-23-2015-Transmittal-Sheet-M21-1III_v_7_SecB_TS.docx | May 16, 2019 | 40 KB |
in Chapter 7 Eligibility for Department of Veterans Affairs (VA) Medical and Dental Treatment, Part III General Claims Process, Subpart v General Authorization Issues and Claimant Notification
Related Articles