k. Failure of an The below describes the actions MSCs should take when an IDES IDES participant fails to report for an examination without good cause. Participant to Report for Examination If the participant failed to Then MSCs should ... report for examination of a ... disability work with the participant’s PEBLO to referred determine whether it is more appropriate to reschedule the examination, or disenroll the participant from the IDES. VA has no authority to disenroll a Note: participant from the IDES. disability a referred other than disability consider the circumstances of each case and use own discretion to decide whether examinations for claimed conditions should be rescheduled. If an examination is rescheduled for a referred disability, then MSCs should reschedule the examination(s) for claimed disabilities as well. MSCs enter a note in VTA stating a new examination has Important: must been requested due to the participant missing the original appointment. Do change the PREPARE CLAIM START DATE or MEDICAL not EVALUATION START DATE in VTA. If the purpose of the missed examination was to evaluate a Exception: mental disorder, MSCs should consider rescheduling the examination, especially if there is any indication the participant may have simply forgotten about it. For more information regarding failure to report for examination Reference: with good cause, see M21-1, Part III, Subpart iv, 8.E. l. Additional If additional evidence pertaining to an IDES participant’s case is received Evidence MSCs sending the paper claims folder to the scanning vendor, MSCs should after Receive After handle the evidence in accordance with M21-1, Part III, Subpart i, 2.D.3.g. Sending the Claims Folder to the Scanning Vendor
k. Failure of an IDES Participant to Report for Examination The below describes the actions MSCs should take when an IDES participant fails to report for an examination without good cause. If the participant failed to report for examination of a ... Then MSCs should ... referred disability work with the participant’s PEBLO to determine whether it is more appropriate to reschedule the examination, or disenroll the participant from the IDES. Note: VA has no authority to disenroll a participant from the IDES. disability other than a referred disability consider the circumstances of each case and use own discretion to decide whether examinations for claimed conditions should be rescheduled. If an examination is rescheduled for a referred disability, then MSCs should reschedule the examination(s) for claimed disabilities as well. Important: MSCs must enter a note in VTA stating a new examination has been requested due to the participant missing the original appointment. Do not change the PREPARE CLAIM START DATE or MEDICAL EVALUATION START DATE in VTA. Exception: If the purpose of the missed examination was to evaluate a mental disorder, MSCs should consider rescheduling the examination, especially if there is any indication the participant may have simply forgotten about it. Reference: For more information regarding failure to report for examination with good cause, see M21-1, Part III, Subpart iv, 8.E. l. Additional Evidence MSCs Receive After Sending the Claims Folder to the Scanning Vendor If additional evidence pertaining to an IDES participant’s case is received after sending the paper claims folder to the scanning vendor, MSCs should handle the evidence in accordance with M21-1, Part III, Subpart i, 2.D.3.g.
10-2-15_Key%20Changes_M21-1III_i_2_SecD.docx