Program of Comprehensive Assistance for Family Caregivers (PCAFC) decision letters issued as of September 28, 2021, include a notice of updated review and appeal rights: VA Form 10-305: Your Rights to Seek Further Review of Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions.

If you received a PCAFC decision prior to September 28, 2021, VA will be mailing a letter notifying you of your Board appeal rights. These notices will be issued in phases.

How Veterans and caregivers appeal or ask for a review of PCAFC decisions

Your options depend on the date VA issued your PCAFC decision. If you disagree with a PCAFC decision issued before February 19, 2019, you can now appeal to the Board of Veterans’ Appeals (Board). You can also seek review through the VHA Clinical Review Process (also known as the VHA Clinical Appeals Process).

If you disagree with a PCAFC decision issued on or after February 19, 2019, you can utilize the following options: Supplemental Claim, Higher-Level Review or appeal to the Board. You can also seek review through the VHA Clinical Review Process.

How to get help

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.

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

Review options for decisions issued prior to February 19, 2019

If you disagree with a PCAFC decision issued before February 19, 2019, you can now appeal to the 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 the following options: Supplemental Claim, Higher-Level Review or appeal to the Board. You can also seek review through the VHA Clinical Review Process.

Like the Clinical Review Process, a Supplemental Claim or request for Higher-Level Review will be conducted by VHA.

Supplemental Claim

Higher-Level Review  

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

Board of Veterans’ Appeals

P.O. Box 27063

Washington, DC 20038

Fax: 844-678-8979

The VHA Clinical Review Process (also known as the VHA Clinical Appeals Process) is still available for all PCAFC decisions

The VHA Clinical Review Process is still in place for Veterans and caregivers who want to seek a review of their PCAFC decisions. To better serve Veterans and caregivers, VA has improved this process. The average VHA Clinical Review Process takes approximately six weeks to complete.

Contact the Patient Advocate at your local VA medical center or your Caregiver Support Coordinator for more information.

If you received a PCAFC decision prior to September 28, 2021, VA will be contacting you

Over the coming months, VA is proactively contacting individuals to inform them of their right to appeal PCAFC decisions to the Board.

VA will be mailing these notices over a period of several months, so not everyone will be receiving notices at the same time. This phased approach is being used so that VA can be as responsive as possible to questions and requests for reviews of decisions.

Questions? Reach out to us

If you have questions about PCAFC, the Caregiver Support Line is available to assist toll-free at 1-855-260-3274.

Find your Caregiver Support team or Caregiver Support Coordinator using the facility locator.

Please visit www.caregiver.va.gov for more information on the Caregiver Support Program and any updates.

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10 Comments

  1. Frank Crespo November 30, 2021 at 2:56 pm - Reply

    I strongly believe that when a Veteran is found to be 100% disabled, be it mental or otherwise, there should be no denial on a Caregivers Claim.
    Especially when both the Veterans Administration and Social Security (disability) Administration find the Veterans completely Totally and
    permanently disabled. It is an injustice to a Caregiver, to be denied a stipend, a total disregard of her service and Hard work thru the Years. We should not have to beg for what the V.A. knows Caregivers deserve, that is why the program came to be. Let it be known that Caregivers have saved the Federal Government millions of dollars. We should not be humiliated, because of the changes in the new policies that govern the program. Please know that every dollar that a Caregiver receives, has been paid by the Veterans Service to this Great Country we so much Love. Now is the time for the V.A. to care for the Veterans and also the Caregiver, the Caregiver who for some has been a 50 years+ commitment. God Bless this Country and all our Veterans.

  2. L. Aguilar Yates November 23, 2021 at 1:12 pm - Reply

    If the medical records do not indicate all that the veteran is medically going through and requires a caregiver to get approved for PCAFC, make a home visit and see the necessity out there for our military heroes. Approve the applications.

  3. Marilyn Smiley November 19, 2021 at 8:47 pm - Reply

    I have been denied twice! My husband is rt leg ampute above the knee, lost a left kidney and part of his stomach. His one lef that he has got pins and wires in the knee and is unable to walk at all now. Also he has COPD and he requires assistance with everything. He served his country in Vietnam and is currently 74 yrs old. I also agree that the process is extremely complicated also. And ever time you try to reach someone on the phone it always go to vmx.

  4. J R. November 19, 2021 at 3:14 am - Reply

    If the VA would just take a harder look at getting it right the FIRST time when programs become available, they would stop making so much extra work for themselves in the appeals process. Seems so obvious! How is this still allowed to go on? What a waste for money!

  5. Terry Thomas November 19, 2021 at 12:39 am - Reply

    Can my wife be a caregiver?

  6. Eric Huffman November 18, 2021 at 10:06 pm - Reply

    The VA is a joke. This combat infantry vet has fought to get my broken back linked to a Bradley tank falling 20 foot off in a nose dive in to the ground. They cancel appointments all the time n say you did it. Go pull your medical records, everyone will have stuff in theirs of their drs undermining them.

    It’s sad vets serve n get hurt or dead n the VA doesn’t give a sht. It’s a huge joke. It’s a disgrace and so is our government.

    VA needs reform next on the countries agenda. Then father’s right in family court.

  7. Aleene Kann November 18, 2021 at 9:55 am - Reply

    Thank You for the information. We are in need of this program & have been refused. God Bless You for sharing!

    • Gloria Artlip-Garcia November 18, 2021 at 12:09 pm - Reply

      We have filed 2 appeals, been denied and are now in the Supplemental Review process. VBA is next.

      This is without a doubt the most confusing and difficult program we have ever tried to navigate with the VA. Seems we’re not alone. Tons of appeals being filed. The VA really dropped the ball on this one. Good luck!

  8. Christine November 18, 2021 at 6:12 am - Reply

    Sure wish they would include GULF WAR Vets and caregivers.

  9. JOE BINOTZ November 17, 2021 at 8:57 pm - Reply

    more bull sht from the VA

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