II.i.2.A.5.c. Processing Mail in CM | | Follow the steps in the table below when processing mail in CM. | Step | Action |
|---|
| 1 | Is the mail for a business line other than Compensation Service or Pension and Fiduciary Service?- If yes,
- If no, go to the next step.
| | 2 | Is the mail related to a pending claim, higher-level review, or legacy appeal, or does it represent late-flowing mail that was submitted in response to development of a recently adjudicated claim or legacy appeal?- If yes,
- follow the instructions in M21-1, Part II, Subpart i, 2.A.5.d, and
- disregard the remaining steps in this table.
- If no, go to the next step.
Note: To answer the question posed in this step, check all applicable claims-processing systems, including | | 3 | Does the mail involve a claim that falls under the jurisdiction of a restricted access claims center (RACC) because the claimant is a Veterans Benefits Administration (VBA) employee-Veteran, a relative of an employee, an employee or relative of a Veterans service organization, or other restricted record-designee as defined in M21-1, Part II, Subpart ii, 2.B?- If yes, go to the next step.
- If no, go to Step 6.
| | 4 | Does the mail represent a claim or legacy appeal that is subject to National Work Queue (NWQ) routing?- If yes,
- activate the Restricted Access corporate flash
- ensure access to the corresponding VA record is restricted by assigning one of the sensitivity levels described in M21-1, Part II, Subpart ii, 2.B, and
- go to the next step.
- If no, go to the next step.
Important: ROs must request assistance from their NWQ point of contact when transferring a claim if they are unable to activate the Restricted Access corporate flash because VA has already assigned one of the sensitivity levels described in M21-1, Part II, Subpart ii, 2.B.References: For more information on | | 5 | Transfer the mail to the appropriate RACC queue (St. Paul RACC, Milwaukee RACC, or San Diego RACC) and take no further action. Notes: - System access settings prevent most RO employees from updating VA’s systems to reflect the receipt of evidence or information included in mail that a RACC must ultimately process.
- RACC development letters include a coversheet that recipients are instructed to place on top of mail they send to VA. Use of the coversheet in this manner facilitates automatic routing of the mail to the appropriate RACC queue.
- To avoid improper routing in the CM portal, Public Contact Team personnel accepting mail from VBA employee-Veterans must use the appropriate coversheet from the RACC Cover Sheets site.
Reference: For more information on RACC jurisdiction, see M21-1, Part II, Subpart ii, 2.B. | | 6 | Does the mail represent material that a PMC must review/process?- If yes,
- use the map below to determine the PMC with jurisdiction
- transfer the mail to the appropriate PMC queue, and
- take no further action.
- If no, go to the next step.
| | 7 | Does the mail represent a new compensation-related claim, or does it include a VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement), or VA Form 9, Appeal to Board of Veterans' Appeals?- If yes, go to the next step.
- If no, go to Step 12.
| | 8 | Will the RO that received the mail retain jurisdiction?- If yes, go to the next step.
- If no, go to Step 11.
Important:- ROs may not transfer claims (rating or non-rating), legacy appeals, or work items, to include mail received in the CM portal, to another RO solely because the claimant resides within another RO’s geographical jurisdiction. ROs may transfer a claim to another RO only if the
- claimant has requested a personal hearing
- claimant is a homeless Veteran, or
- claim is a “special mission claim” that a specific RO must process.
| | 9 | Does the mail represent a claim?- If yes,
- If no, go to the next step.
| | 10 | Upload the mail into the appropriate eFolder and disregard the remaining steps in this table. | | 11 | Follow the instructions in the table below. | If the claim, legacy notice of disagreement (NOD), or VA Form 9 … | Then… |
|---|
- requires a formal legacy appeal or pre-decisional hearing, or
- pertains to a homeless Veteran
| - establish the EP in the appropriate claims-processing or appeals-management system
- broker the EP to the RO with geographic jurisdiction based on the claimant’s or appellant’s place of residence, and
- take no further action.
| - involves special mission issues with exclusive jurisdiction, or
- involves exceptions to general policy for claims folder jurisdiction
| - determine jurisdiction by following the guidance found in M21-1, Part II, Subpart ii, 3
- transfer the mail to the proper RO’s queue, and
- take no further action.
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| | 12 | Does the mail represent a fiduciary matter?- If yes, refer the incoming fiduciary-related mail, correspondence, or documents via the CM portal to the fiduciary hub (hub) of jurisdiction unless the PMC or VSC is authorized to take action on the mail as provided in M21-1, Part X, Subpart ii, 6.E.1.d.
- If no, go to the next step.
Important:- Do not update the contact or direct deposit information when the beneficiary has a fiduciary or change the beneficiary’s name when a beneficiary is assigned a spouse fiduciary.
- Follow the guidance in M21-1, Part II, Subpart iii, 3.B.1.c, to notify the hub of jurisdiction when a
- valid change of contact or direct deposit information is received for a beneficiary that has a fiduciary, or
- beneficiary is assigned a spouse fiduciary and a request to change the beneficiary’s name is received.
References: For more information on- basic user mail-processing roles in the CM portal, see M21-1, Part II, Subpart i, 2.A.5.b
- hub jurisdiction and contact information, see M21-1, Part X, Subpart ii, 6.C.1.d
- handling a name change for a beneficiary, custodian, or fiduciary, see M21-1, Part X, Subpart ii, 6.E.1.d, and
- beneficiary is assigned a spouse fiduciary and a request to change the beneficiary’s name is received, see M21-1, Part II, Subpart iii, 3.B.1.c.
| | 13 | Does a review of the mail reveal that no action is needed? - If yes,
- treat the mail as “file mail” or “drop mail,” and
- upload the mail into the appropriate eFolder.
- If no,
- take all necessary actions (such as processing an intent to file (ITF) a claim, changing an address, updating the POA, and so on), and
- upload the mail into the appropriate eFolder.
Note: Effective March 24, 2015, new claims/legacy appeals must be filed on a fully completed, prescribed VA form. Reference: For more information about ITF and VA Form 21-0966, Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC, see M21-1, Part II, Subpart iii, 2.A. |
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