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TRAINING MODULE 21 Study Plan

21-10 Revision 1, January 2009

TRAINING MODULE 21 Study Plan

21-11 Revision 1, January 2009

TRAINING MODULE 21 Study Plan

21-12 Revision 1, January 2009

TRAINING MODULE 21 Study Plan SPECIAL MONTHLY COMPENSATION

The following is an explanation of the SMC (Special Monthly Compensation) designations. The letter designations (K, L, M, etc.) are subsections of 38 USC 314. "K" ­ Payable for the service-connected anatomical loss or loss of use of one or more creative organs, or one foot; or one hand, or both buttocks, or blindness of one eye (having only light perception), or complete organic aphonia with constant inability to communicate by speech, or deafness of both ears (having absence of air or bone conduction). "L" - Payable for the service-connected anatomical loss or loss of use of both feet, or one hand and one foot, or blindness in both eyes (with 5/200 visual acuity or less). Also payable if the veteran is permanently bedridden or so helpless as to be in need of regular aid and attendance. "M" - Payable for service-connected anatomical loss or loss of use of both hands, or both legs at a level, or with complications, preventing natural knee action with prostheses in place, or of one arm and one leg at levels or with complications preventing natural elbow and knee action with prostheses in place, or blindness in both eyes rendering the veteran so helpless as to be in need of aid and attendance. "N" - Payable for service-connected anatomical loss or loss of use of both arms at levels, or with complications, preventing natural elbow action with prostheses in place or anatomical loss of both legs so near the hip as to prevent the use of prosthetic appliances, or the anatomical loss of one arm and one leg so near the shoulder and hip as to prevent the use of prosthetic appliances. Also payable for the anatomical loss of both eyes or for blindness without light perception in both eyes. "O" - Payable if: (1) the veteran has service-connected disabilities entitling the veteran to two or more of the "L", "M", or "N", rates, as long as no single condition is considered twice, or (2) the veteran has bilateral deafness (and the hearing impairment in at least one ear is serviceconnected) rated at least 60 percent disabling and the veteran also has service-connected total blindness with 5/200 visual acuity or less, or (3) the veteran has service-connected total deafness in one ear or bilateral deafness rated at 40 percent or more disabling (and the hearing impairment in either one or both ears is service-connected) and the veteran also has service-connected blindness having only light perception or less, or (4) the veteran has suffered the service-connected anatomical loss of both arms so near the shoulder as to prevent the use of prosthetic appliances. (5) The veteran has paralysis of both lower extremities together with loss of anal and bladder sphincter control. "Q" - This is the rate for arrested tuberculosis. Subparagraph q of 38 USC 314 was repealed effective August 19, 1968. However a veteran who was receiving or entitled to receive compensation for tuberculosis On August 19, 1968, has continuing entitlement and is protected for this rate. Also referred to as "Stat Q" rate. 21-13 Revision 1, January 2009

TRAINING MODULE 21 Study Plan

"R" - There are two "R" rates which are referred to as "R.1" and "R.2". The "R.1" rate is payable in addition to other compensation if the veteran is receiving the maximum rate of compensation (the "O" rate) and is in need of regular aid and attendance. The "R.2" rate is payable in lieu of the "R.1" rate if the veteran is entitled to higher level aid and attendance. The veteran is entitled to higher level aid and attendance (the "R.2" rate if the rating board finds that in the absence of regular aid and attendance the veteran would require hospitalization, nursing home care, or other residential institutional care. The additional "R.1" or "R.2" rate is not payable if the veteran is hospitalized at United States Government expense. "S" - Payable if the veteran has a service-connected disability rated as total and (1) has an additional service-connected disability or disabilities independently ratable at 60 percent or more, or (2) is permanently housebound by reason of service-connected disabilities. The requirement of "permanently housebound" is met when the veteran is confined to the veteran's house (ward or clinical areas, if institutionalized) or immediate premises due to service-connected disabilities and it is reasonably certain that the disabilities will remain throughout the veteran's lifetime. Intermediate Rates ­ The SMC rate charts show intermediate rates (e.g., "L1/2", "N1/2", etc.). These intermediate rates are derived from 38 USC 314 (p), which permits the rating board to allow the next higher rate or an intermediate rate if the veteran's service-connected disabilities exceed the requirements for any of the prescribed rates. However, in no case can payments exceed the "O" rate (unless the veteran is entitled to additional benefits under the "R" SMC). Refer to 38 CFR 3.350(f).

21-14 Revision 1, January 2009

TRAINING MODULE 21 Study Plan

21-15 Revision 1, January 2009

TRAINING MODULE 21 Study Plan

21-16 Revision 1, January 2009

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