The 100-percent rating may initially be extended for one two months, or b. Duration of Extensions of three months, based on a need for convalescence, when the Veteran only Hospitalization received an approved discharge from the hospital. Ratings Allowed Under Following discontinuance of the temporary 100-percent rating, assign the 38 CFR 4.29 appropriate schedular evaluation for any residual disability. Notes: It is permissible to initially assign a convalescence period and extend it another one or two months, if the facts warrant it. Further extensions of one or more months, up to months, may be made upon approval of the Veterans Service Center Manager (VSCM). c. Preparing an If a report of the required hospitalization, such as a 21-day certification, is received before the Veteran is discharged from the hospital, prepare an Hospitalization rating. Rating Decision For more information on References: preparing rating decisions, see , and and on the , and open ended awards under , see M21-1, Part III, Subpart v, 6.D.2.a. d. Following When following up on an open-ended hospitalization rating decision Up on an request a reexamination sufficiently in advance to ensure receipt of the Hospitalization report to expiration of the temporary 100-percent rating Rating Decision continue the 100-percent evaluation in cases in which the Veteran immediately enters into a day hospital program following inpatient hospitalization in excess of 21 days for psychiatric illness, as this action indicates that the Veteran is still in need of treatment and not able to return to employment. Upon receipt of the reexamination report or cessation of treatment in the day hospital program, assign an applicable schedular evaluation for the residuals. Notes: Do apply the provisions of unless the evaluation in effect prior to not hospitalization is reduced following assignment of the 100-percent rating. Authorization will establish a 30-day future diary to ensure receipt of confirmation of treatment or hospital release and the final hospital summary so that the Veteran’s award may be adjusted properly. For more information on award or discontinuance of entitlement Reference: to aid and attendance (A&A) during hospitalization, see M21-1, Part III, Subpart v, 6.C.3.
b. Duration of Extensions of Hospitalization Ratings Allowed Under 38 CFR 4.29 The 100-percent rating may initially be extended for one two months, or three months, based on a need for convalescence, only when the Veteran received an approved discharge from the hospital. Following discontinuance of the temporary 100-percent rating, assign the appropriate schedular evaluation for any residual disability. Notes: It is permissible to initially assign a convalescence period and extend it another one or two months, if the facts warrant it. Further extensions of one or more months, up to months, may be made upon approval of the Veterans Service Center Manager (VSCM). c. Preparing an Hospitalization Rating Decision If a report of the required hospitalization, such as a 21-day certification, is received before the Veteran is discharged from the hospital, prepare an rating. References: For more information on preparing rating decisions, see , and and on the , and open ended awards under , see M21-1, Part III, Subpart v, 6.D.2.a. d. Following Up on an Hospitalization Rating Decision When following up on an open-ended hospitalization rating decision request a reexamination sufficiently in advance to ensure receipt of the report to expiration of the temporary 100-percent rating continue the 100-percent evaluation in cases in which the Veteran immediately enters into a day hospital program following inpatient hospitalization in excess of 21 days for psychiatric illness, as this action indicates that the Veteran is still in need of treatment and not able to return to employment. Upon receipt of the reexamination report or cessation of treatment in the day hospital program, assign an applicable schedular evaluation for the residuals. Notes: Do not apply the provisions of unless the evaluation in effect prior to hospitalization is reduced following assignment of the 100-percent rating. Authorization will establish a 30-day future diary to ensure receipt of confirmation of treatment or hospital release and the final hospital summary so that the Veteran’s award may be adjusted properly. Reference: For more information on award or discontinuance of entitlement to aid and attendance (A&A) during hospitalization, see M21-1, Part III, Subpart v, 6.C.3.
2-12-16_Key%20Changes_M21-1IV_ii_2_SecJ.docx