Introduction This topic contains information on developing claims for SC for positive tuberculin reactions, including the action to take when a positive tuberculin reaction only is claimed action to take when a positive tuberculin reaction and other disabilities are claimed, and reporting responsibilities of the Department of Veterans Affairs (VA) outpatient clinics and VA medical centers (VAMCs). October 23, 2015 Change Date If a claim is submitted for a positive tuberculin reaction, refer the claim a. Action to only Take When a to the rating activity for a determination as to whether or not a disability is Positive present. Tuberculin Reaction Only For more information on medical treatment for a positive Reference: Is Claimed tuberculin reaction, see M21-1, Part III, Subpart v, 7.A.10. b. Action to If a positive tuberculin reaction is claimed together with other disabilities Take When a Positive complete any appropriate development required for the other disabilities, Tuberculin and Reaction and refer the claims folder to the rating activity for rating of all the claimed Other disabilities. Disabilities Are Claimed As provided in M21-1, Part III, Subpart v, 7.A.10.c, a Department of c. Reporting Responsibilities Veterans Affairs (VA) outpatient clinic or VA medical center (VAMC) will of VA furnish a report of the follow-up examination made at the expiration of the Outpatient 12-month period of chemotherapy for discharged personnel who have had a Clinics and tuberculin test conversion from negative to positive during service. VAMCs If a VA outpatient clinic or VAMC report or any other evidence indicates the presence of tuberculous disease, solicit a claim for service connection (SC). For more information on soliciting claims for chronic, unclaimed Reference: disabilities, see M21-1, Part IV, Subpart ii, 2.A.1.f. 2. Developing Claims for SC for Chronic or Tropical Diseases
Introduction This topic contains information on developing claims for SC for positive tuberculin reactions, including the action to take when a positive tuberculin reaction only is claimed action to take when a positive tuberculin reaction and other disabilities are claimed, and reporting responsibilities of the Department of Veterans Affairs (VA) outpatient clinics and VA medical centers (VAMCs). Change Date October 23, 2015 a. Action to Take When a Positive Tuberculin Reaction Only Is Claimed If a claim is submitted for only a positive tuberculin reaction, refer the claim to the rating activity for a determination as to whether or not a disability is present. Reference: For more information on medical treatment for a positive tuberculin reaction, see M21-1, Part III, Subpart v, 7.A.10. b. Action to Take When a Positive Tuberculin Reaction and Other Disabilities Are Claimed If a positive tuberculin reaction is claimed together with other disabilities complete any appropriate development required for the other disabilities, and refer the claims folder to the rating activity for rating of all the claimed disabilities. c. Reporting Responsibilities of VA Outpatient Clinics and VAMCs As provided in M21-1, Part III, Subpart v, 7.A.10.c, a Department of Veterans Affairs (VA) outpatient clinic or VA medical center (VAMC) will furnish a report of the follow-up examination made at the expiration of the 12-month period of chemotherapy for discharged personnel who have had a tuberculin test conversion from negative to positive during service. If a VA outpatient clinic or VAMC report or any other evidence indicates the presence of tuberculous disease, solicit a claim for service connection (SC). Reference: For more information on soliciting claims for chronic, unclaimed disabilities, see M21-1, Part IV, Subpart ii, 2.A.1.f. 2. Developing Claims for SC for Chronic or Tropical Diseases
02-08-16_Key%20Changes_M21-1IV_ii_1_SecI.docx