PCAFC decisions – options for further review and appeal - VA Caregiver Support Program
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PCAFC decisions – options for further review and appeal

If you disagree, in whole or in part, with a Program of Comprehensive Assistance for Family Caregivers (PCAFC) decision, there are options for you to appeal or to request a Veterans Health Administration (VHA) review of the decision. Your options depend on the date we issued your PCAFC decision. Previously you could only appeal PCAFC decisions through the VHA Clinical Review Process (also known as the VHA Clinical Appeals Process).

Review options for decisions issued before to February 19, 2019

If you disagree with a PCAFC decision issued before February 19, 2019, you can now appeal to the Board of Veteran’s Appeals (Board). You will need to submit a completed VA Form 10-307, Program of Comprehensive Assistance For Family Caregivers (PCAFC) Notice of Disagreement (NOD) to:

Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547

You can also seek review through the VHA Clinical Review Process. Please contact the Patient Advocate at your local VA medical facility for more information on the Clinical Review Process.

Review options for decisions issued on or after February 19, 2019

If you disagree with a PCAFC decision issued on or after February 19, 2019, you can utilize one of the following options: VHA Clinical Review Process, Supplemental Claim, Higher-Level Review, or appeal to the Board. Like the Clinical Review Process, a Supplemental Claim or request for Higher-Level Review is completed by VHA.

You can file a Supplemental Claim if you have new and relevant evidence that was not part of the record (not available) when we made the PCAFC decision.  
Download VA Form-20-0995, Decision Review Request: Supplemental Claim (pdf)

You can file a Higher-Level Review to ask for a higher-level decision maker in the Caregiver Support Program to look at your case. You can’t submit additional evidence with a Higher-Level Review. 
Download VA Form-20-0996, Decision Review Request: Higher-Level Review (pdf)

Submit your completed VA Form 20-0995 (Supplemental Claim) or VA Form 20-0996 (Higher-Level Review) to:
Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547

Appeal to the Board

All PCAFC decisions can be appealed to the Board. To appeal a PCAFC decision to the Board issued on or after February 19, 2019, you will need to submit a completed VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement) (pdf) to:

Board of Veterans’ Appeals
P.O. Box 27063
Washington, DC 20038
FAX: 844-678-8979

Who can help me file my review or appeal?

If you have questions about forms to request review of or appeal a PCAFC decision, you can call VA’s Caregiver Support Line (CSL) at 1-855-260-3274. CSL expanded hours are:

  • Monday-Friday 8 a.m.-10 p.m. ET
  • Saturday 8 a.m.-5 p.m. ET

An accredited representative, attorney, or claims agent can also help you complete your forms. To identify an accredited representative, contact your local VA regional office for assistance or visit https://www.va.gov/disability/get-help-filing-claim/.

How do I request information about the PCAFC decisions I have previously received?

If you need information about a previous PCAFC decision(s) (e.g., date of decision, what the decision was), you can request this information using a Request for Information About Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions (VA Form 10-306)

Send your completed VA Form 10-306 to:
Veterans Affairs Evidence Intake Center
P.O. Box 5154
Janesville, WI 53547

How are you notifying me of my PCAFC review and appeal options?

All PCAFC decision letters sent on or after September 28, 2021 include: Your Rights to Seek Further Review of Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions (VA Form 10-305).

As a result of the Beaudette v. McDonough ruling, we are contacting every Veteran or caregiver who previously received a PCAFC decision with information about their appeal rights. If you received a PCAFC decision before September 28, 2021, you will receive a notice of your Board appeal rights in the mail. VA will be mailing these notices over several months. This staggered approach is being used so that VA can be as responsive as possible as we receive questions and requests.

Didn't find the information you needed? 

View the Changes to Review and Appeal Options for Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions: Frequently Asked Questions (FAQs).

Changes to Review and Appeal Options for PCAFC Decisions FAQs