Simplify the VA disability appeals process. This guide offers a clear path forward for veterans seeking the best way to appeal VA decisions, based on their specific claim and circumstances. Equip yourself with the knowledge you need to navigate the complicated VA appeals system and improve your chances of securing the benefits you’ve rightfully earned.
The VA Appeals System: Legacy vs. AMA
The Appeals Modernization Act (AMA), officially implemented on February 19, 2019, was designed to give veterans more choices and faster decisions from the VA. Under the previous system, now referred to as Legacy, the VA was facing a backlog with no end in sight and veterans were facing a complex system with no set timeframe. The new AMA system is intended to streamline the appeals system for faster processing times.
- Any claims filed on or after February 19, 2019, or that received a decision after that date, will be worked under the new appeals system.
- If you have a pending appeal that is in the Legacy system, you can opt into the new system after receiving an initial decision, a Statement of the Case (SOC), or a Supplemental Statement of the Case (SSOC). You only have 60 days from the date of the SOC/SSOC to do so.
- If you currently have pending appeals in the legacy system and you did not opt your appeals into the AMA system, they will continue to be worked under the legacy system.
- VA is working through the legacy appeals until all appeals are under the new system, though this process could take years to complete.
- Once you are in the new AMA system, whether by opting in or by filing a new claim, you cannot return to the Legacy system.
Types of VA Appeals
The VA appeals modernization process streamlines the appeals process, offering three main avenues for veterans. Each one is designed to address different aspects of the appeals process, whether you’re submitting new evidence or seeking a fresh review of your claim. The best path to success will depend on your specific situation.
Higher-Level Review
From your initial claim, you have a year to opt for a review at the VA regional office, ensuring a quality check on the original opinion. This de novo review (examining without considering the prior decision) doesn’t allow extra evidence or hearings. Learn more about Higher-Level Reviews.
Supplemental Claim
Within a year from your decision date, you can file a supplemental claim by submitting new and relevant evidence. The VA aims to decide within 125 days, preserving your original claim’s effective date. See how to make a Supplemental Claim.
Board Review Lane
To appeal at the BVA, file a notice of disagreement (NOD) within a year of the decision. Previously, multiple steps preceded a BVA appeal, but now, an NOD directly takes you there. Veterans can request a BVA hearing, submit more evidence, or seek a review without added information. Find out more about Board Appeals.
VA Appeal Process Steps
When your claim doesn’t go as expected, the first step is understanding the VA’s decision. This begins with carefully reviewing the decision letter sent by the VA, which details their reasons. If you disagree, it’s time to file an appeal.
When Should I Appeal My VA Disability Claim?
You must file your appeal within the required timeframe, which depends on the appeal lane. Most veterans will have one year from the date in the rating decision letter. Deadlines are critical in the VA appeals process, both under the older Legacy system and under AMA, and there are no extensions.
If you have applied for multiple disabilities, the VA might not make a decision on all of your claimed disabilities at once. It is very common for the VA to send multiple rating decision letters, each with different dates and deciding different issues. Therefore, please keep in mind that for each separate rating decision, you would have to file a separate appeal to each rating decision that you may disagree with.
How to File the VA Disability Appeal
The process begins with completing an appeal form. For a higher-level review or supplemental appeals, the appropriate Decision Review Request must be filed. For a Board appeal, a Notice of Disagreement (currently VA Form 10182 under AMA). Each lane has specific appeals forms: formal documents where you outline your disputes with the VA’s decision.
VA Appeal Forms
- Supplemental Claim: VA Form 20-0995 – Use this form to initiate a Supplemental Claim with new and relevant evidence.
- Higher-Level Review: VA Form 20-0996 – Use this to request a new review based on the existing record.
- Board Appeal / NOD: VA Form 10182 – Use this to appeal directly to the Board and select a docket (Direct Review, Evidence Submission, or Hearing).
After the Appeal Submission
Once your appeal is submitted, staying updated on its status is essential. The VA provides tools for checking the progress of your appeal, offering some insight into where your case stands in the queue. When the VA reaches a decision, you’ll receive a detailed letter explaining the outcome: approved, denied or remanded.
Choosing the Best Way to Appeal a VA Claim
Denied Again? You Have Options
If the appeal is denied, options remain to re-appeal or seek a different review path, and you may preserve your effective date, as long as you act within one year of each decision. Under AMA, you or your VA lawyer can:
- Switch from a Higher-Level Review to a Supplemental Claim with new evidence
- Move from a Supplemental Claim to a Board appeal
- File another Supplemental Claim with additional new and relevant evidence
New Effective Date Rules
Under the new system, by choosing a lane within a year, your effective date for granted claims remains the original claim date.
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