DEPARTMENT OF VETERANS AFFAIRSVeterans Benefits AdministrationWashington, D.C. 20420
December 5, 2011Director (00/21) In Reply Refer to: 212All VA Regional Offices and Centers Fast Letter 11-35SUBJ: Special Monthly Compensation (SMC) at the New (T) Rate for Residuals of Traumatic Brain Injury (TBI)
This letter provides interim procedures for developing, rating, and awarding SMC at thenew (T) rate. This change was referenced previously inFast Letter 11-11.
Public Law (PL) 111-275 authorized the payment of SMC at the newly-created (T) rate,which is equal to the (R)(2) rate, to Veterans who:
need regular aid and attendance (A&A) for residuals of traumatic brain injury(TBI), but
are not eligible for higher level of A&A under subsection (R)(2), and
would require hospitalization, nursing home care, or other residentialinstitutional care in the absence of regular in-home aid and attendance.The interim procedures outlined in this letter are temporary and will be rescinded oncethe regulation is final, VA claims processing applications are capable of generating (T)ratings and awards, and permanent procedures are incorporated into AdjudicationProcedures Manual M21-1MR.
Developing and Rating Claims for SMC (T)
General rating and development rules apply to claims for SMC (T). In addition, beforeconsidering entitlement to SMC at the (T) rate, Rating Veterans Service Representatives(RVSRs) and Decision Review Officers (DROs) must establish entitlement to A&A benefits at the (L) rate. Procedures governing award of SMC (L) for A&A are outlined in