3. Hospital Adjustments Under 38 CFR 3.552 Introduction This topic contains information on hospital adjustments under 38 CFR 3.552, including specifying the basis of entitlement under 38 CFR 3.552 in the rating decision the consequences of an improperly assigned SMC hospital code, and examples of rating decisions with properly assigned SMC hospital codes. June 16, 2015 Change Date a. Specifying The rating decision must specify the basis of the Veteran’s entitlement to a the Basis of hospital adjustment in order to ensure the proper application of . Entitlement Under 38 CFR The SMC allowance for A&A must be discontinued during hospitalization at 3.552 in the government expense, the need for A&A is due to unless Rating Decision paraplegia involving paralysis of both lower extremities, together with loss of anal and bladder sphincter control, or Hansen’s disease. The SMC allowance for A&A must be discontinued during Exception: hospitalization, regardless of the disability involved, if entitlement is established under , or . Regardless of pre-existing paraplegia, SMC is payable at the rate Note: prescribed in to a claimant who is entitled to compensation for bilateral disarticulation of the hips per . For more information on entitlement to a higher A&A allowance References: under , see M21-1, Part IV, Subpart ii, 2.H.9, and , see M21-1, Part IV, Subpart ii, 2.H.11. b. The assignment of an improper SMC hospital code may result in erroneous Consequences adjustment of the Veteran’s award upon hospitalization.
3. Hospital Adjustments Under 38 CFR 3.552 Introduction This topic contains information on hospital adjustments under 38 CFR 3.552, including specifying the basis of entitlement under 38 CFR 3.552 in the rating decision the consequences of an improperly assigned SMC hospital code, and examples of rating decisions with properly assigned SMC hospital codes. Change Date June 16, 2015 a. Specifying the Basis of Entitlement Under 38 CFR 3.552 in the Rating Decision The rating decision must specify the basis of the Veteran’s entitlement to a hospital adjustment in order to ensure the proper application of . The SMC allowance for A&A must be discontinued during hospitalization at government expense, unless the need for A&A is due to paraplegia involving paralysis of both lower extremities, together with loss of anal and bladder sphincter control, or Hansen’s disease. Exception: The SMC allowance for A&A must be discontinued during hospitalization, regardless of the disability involved, if entitlement is established under , or . Note: Regardless of pre-existing paraplegia, SMC is payable at the rate prescribed in to a claimant who is entitled to compensation for bilateral disarticulation of the hips per . References: For more information on entitlement to a higher A&A allowance under , see M21-1, Part IV, Subpart ii, 2.H.9, and , see M21-1, Part IV, Subpart ii, 2.H.11. b. Consequences The assignment of an improper SMC hospital code may result in erroneous adjustment of the Veteran’s award upon hospitalization.
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