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Improved Communication for Caregiver Decision Reviews in the Program of Comprehensive Assistance for Family Caregivers (PCAFC)
PCAFC participants can now get information about where their claim is in the 4-step review or appeal process via the Caregiver Support Line (CSL) at 1-855-260-3274. The four stages are: 1. Pending intake – VHA CSP has received the individual’s request and will review it to determine if it meets specific requirements, including but not limited to, required signatures, required identifying information, and required supporting documentation, as applicable. Once the packet clears the intake process it will be placed in queue for assignment and will be worked in the order in which it was received. 2. In Queue for Assignment – The intake process has been completed, and the request is now in the queue for assignment to a reviewer. 3. Assigned and Under Review – The intake process has been completed, the request has been assigned to a reviewer, and it is now under review. 4. Decision Issued – This means a decision has been issued on the matter and the decision letter mailed. The individual can expect to receive the letter within 10-14 business days of the date of mailing.
The U.S. Department of Veterans Affairs (VA) Program of Comprehensive Assistance for Family Caregivers (PCAFC) offers enhanced clinical support for Family Caregivers of eligible Veterans.
Veterans may be eligible for this clinical program if they:
Sustained or aggravated a serious injury (or illness) in the line of duty in the active military, naval or air service during any service era. Among other applicable eligibility criteria, an eligible Veteran must:
Have a single or combined service-connected disability rating by the Department of Veterans Affairs (VA) of 70% or more, and
Be in need of personal care services (requiring in-person personal care services) for a minimum of six continuous months based on any one of the following:
- An inability to perform an activity of daily living. - A need for supervision or protection based on symptoms or residuals of neurological or other impairment or injury; or - A need for regular or extensive instruction or supervision without which the ability of the Veteran to function in daily life, would be seriously impaired.
For more information on these changes, please see the Fact Sheetsbelow.
Do not send medical records along with the application. VA will follow up after the application is received. If you need assistance with completing the application or would like to check the status of your 1010CG application please call 1-855-488-8440, option 3.
What services does this program offer?
Veterans can designate one (1) Primary Family Caregiver and up to two (2) Secondary Family Caregivers on the application. Secondary Family Caregivers serve as a backup support to the Primary Family Caregiver when needed. Services will depend on whether you are the Primary Family Caregiver or a Secondary Family Caregiver.
If you are the primary caregiver, you may receive:
VA is extending the amount of time that Legacy Participants, Legacy Applicants and their Family Caregivers within the Program of Comprehensive Assistance for Family (PCAFC) will remain eligible for the Program. This will include all services, supports and benefits for another three full years. More information can be found here(press release,Interim Final Rule)
Options for Veterans and Caregivers who Disagree with a PCAFC Decision
If you disagree, in whole or in part, with a decision under the Program of Comprehensive Assistance for Family Caregivers (PCAFC), there are options for you to appeal or request a Veterans Health Administration (VHA) review the decision.