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VAC wait times

Jarnhamar said:
Don't give up dude. VAC can make some pretty wacky mistakes, take full advantage of their grievance process for denied claims. I'd get the legion to help too.

My app was “suspended” because even though they had approx 5.5+yrs worth of very well documented substantiation of on-going complications, various treatments and methods of pain-management, notes from specialists, as well as a firm diagnosis of my condition, they said that there was no evidence that it was “chronic” in nature, even with my Legion rep flagging key statements throughout my entire file. My nurse case manager said, “...pardon my language, but that’s utter bullshit...” I chuckled.

My MO had to write a letter specifically stating that the condition is indeed chronic. They should have received it today. Anyway, I’m not sure exactly how they reach decisions, but there’s certainly room for questioning their process and how they reach their conclusions.
 
Dude I'm  broken. I'm 43 years old and have been seving 23  arthritis , knees, and so many other things wrong with me at this point. I have put in my claims in March 2019

.  Yeah still waiting  in stage 3. But the government  can piss out all these money to everyone  else . It makes me mad. I might just end up with a release and go to  work at Canadian  tire. Well chow good luck ... 
 
I made my claims 18 months ago . Guess it's like pld that  is 12 years old... Can you imagine if the those m.ps up in Ottawa had to wait 12 years to get a small meager increase of living expenses? 23 years in dude...
 
Oldarmyguy77 said:
I made my claims 18 months ago . Guess it's like pld that  is 12 years old... Can you imagine if the those m.ps up in Ottawa had to wait 12 years to get a small meager increase of living expenses? 23 years in dude...

I feel your pain. I'm in the same boat. I have a TOS offer sitting on my desk and I'm not sure I'm going to sign it, despite a likely promotion next year and a career that is actually going fairly well right now. Since the late 90s benefits have been slowly eroded and replaced by programs which give the illusion of support with out actually doing so. If I only had to consider my day to day life, it isn't that bad but I see people getting screwed left, right and center not just me.
 
This article did not get much attention from the MSN:

Calls mount for fast-track approval of veterans’ disability claims amid pandemic crisis -  LEE BERTHIAUME - THE CANADIAN PRESS PUBLISHED MAY 17, 2020

Frustration is growing within Canada’s veterans’ community as many disabled ex-soldiers continue to wait for federal support and benefits even as the government rushes to approve millions of claims for assistance related to COVID-19. The growing frustration among veterans comes as Canada passed a new milestone Sunday, with more than half the country’s roughly 76,000 confirmed cases of COVID-19 now listed as recovered. More than 5,700 people have died from the respiratory illness. It also coincides with a growing war of words between Jason Kenney and the Chinese consulate in Calgary, after the Alberta premier suggested China will soon face a “great reckoning” for downplaying the dangers posed by the novel coronavirus when it first emerged.

Veterans and their advocates have been calling for Ottawa to automatically approve roughly 44,000 claims that have been sitting in the backlog at Veterans Affairs Canada, a request that the federal government has so far rejected. Yet many are now questioning why the government is refusing to act following reports federal officials have been told to approve payments through the Canada Emergency Response Benefit even in cases of suspected fraud or abuse. Federal officials have suggested that roughly 200,000 of the estimated eight million CERB payments made so far have been flagged as a concern. The government has said it wanted to get money to Canadians quickly during the pandemic, and will crack down on abusers at a later date.

The purpose and legal requirements around the CERB are different from Veterans Affairs Canada’s disability benefits programs, department spokesman Josh Buekert said, adding officials are looking at ways to help process disability claims during the COVID-19 pandemic. “We are making it easier for decision makers to use available evidence to reach their decision as quickly as possible,” Mr. Buekert said in an e-mail. “We are reviewing all processes used during these challenging circumstances and will use them to continue to improve production in the future.”

Frustration has been boiling over on social media and elsewhere, however, with numerous veterans demanding to know why the government can fast-track millions of claims for assistance related to COVID-19 but not those injured while serving in uniform. “Veterans are pissed because we are always put to the back of the bus,” said retired master corporal Dave Toy, who has been waiting more than 18 months for his claim for benefits related to post-traumatic stress disorder to be processed. “This is just another reason to be pissed off.”

The National Council of Veteran Associations, which represents more than 60 veteran groups, has been leading calls for the government to automatically approve the outstanding applications for disability benefits from injured veterans to help them deal with the COVID-19 crisis. Not only are approval rates for most categories of injuries – including post-traumatic stress disorder – extremely high, council chairman Brian Forbes said the pandemic has created new hurdles for processing claims because of the need for doctor’s assessments and other requirements. “The government is taking the view – and it’s kind of hard to criticize – that to put people through a bureaucratic approval process would be hard to justify,” Mr. Forbes said of the CERB. “In these times, the same philosophy should apply to both. We’re talking about disabled veterans, people who are in need.”

Mr. Forbes did suggest the idea of automatic approvals has been gaining some traction within the department, where there have been questions about how to manage payments and the optics of clawing back money from veterans who are later found not to qualify for assistance. Yet so far, the government has refused to pull the trigger. “There is some movement in Veterans Affairs on what we’re calling a form of automatic entitlement to try to deal with the backlog and the long-standing adjudicated delays,” he said. “I’m a little biased, but I don’t see disabled veterans quite in the same classification as fraud artists.”

NDP veterans affairs critic Rachel Blaney said she has heard the concerns and complaints from veterans about the backlog, and that she hasn’t heard any compelling reason why their applications for assistance shouldn’t be automatically approved and verified afterward. “Let’s just approve,” she said. “This is a group of people that have already served our country. So I would say it’s probably not a high-risk group of people trying to trick the system.”
 
Follow up via email:


Further to my earlier memorandum of April 3, 2020, we are indeed beginning to gain substantial traction with our proposal that the federal government and, more particularly, Veterans Affairs Canada must take innovative steps to address the backlog of veterans’ claims and the significant delays in adjudication which have been intensified during this COVID-19 crisis.

It remains our recommendation that the department needs to adopt the fundamental position that veterans’ claims be taken at face value and be based on the reasonable evidence provided by the veteran and his or her family, with the proviso that individual files could be monitored over time and “spot audits” carried out to address any potential abuses. The clear reality that medical reports usually required by VAC to support these applications are almost impossible to obtain at this time must be recognized in assessing this present dilemma.

I am attaching a Canadian Press article (Lee Berthiaume) which was published nationwide over the Victoria Day weekend entitled “Calls mount for fast-track approval of veterans’ disability claims amid pandemic crisis” which once again bolsters our overall position by exposing this inequity to Canadians at large.

I would advise that VAC has recently indicated through a number of COVID-19 Working Group task force meetings and Coffee Club sessions with the Deputy Minister that the department is prepared to expedite adjudication for veterans’ claims (compensation/health care/wellness) with the recognition that the normal requirements for medical evidence be waived and cases decided on the available evidence attainable by the veteran in light of current circumstances with respect to COVID-19.

I am encouraged by these developments and I have pushed for a formal communication from VAC spelling out these new protocols and procedures so that we are all aware of these material changes in approach for the purposes of filing individual claims and appeals. I expect the department’s statement of intent to be produced in the near future to clarify their position to the veterans’ community.

In the interim, I would ask NCVA member-organizations to provide me with recent experiences of individual claims and appeals with respect to turnaround times and the status of outstanding claims that would be most relevant to this ongoing evaluation.

It is our intention to present VAC with a number of test cases to determine the reality of VAC’s proposed strategy to address the backlog and the unacceptable levels of adjudicative delays.

In conclusion, our recommended “approve and verify” philosophy must apply to Canada’s disabled veterans and their families at this time in accord with the numerous other financial assistance programs being rolled out by the federal government which clearly follow this administrative approach.

As stated in my earlier report (slightly amended), “desperate times require bold and creative measures.”

Hoping everyone is keeping safe,
Brian
 
Well its I interesting that so worried about fraud I  the CAF. Most of us veterns who have been waiting have huge medical files that are backed up with physio, specialist!, and many of is have had surgeries. I have had three.  If we finally do get approved the government will nickel and dime us.  Its Interesting to to watch the p.m thank the veterns for losing  thier lives and go on to announce all these benefits for large and small businesses, people who have kids, 18 year old students, seniors, indigenous people,and every other member in society.  Yet a middle aged soldier with injuries and  huge medical files can wait for years and may commit fraud.  O.k  we have lots of soldiers on tour now who have lost thier leave, stuck on base with no moral  yet we should just smile and be grateful.  There are some  soldiers in old age homes who have caught coronavirus. Aslo, can't come up with a cost of living after 12 years?  This is just my opinion.
 
I know the CAF has no control over VAC but I can't deny that, as a serving member, VAC affects my morale and desire to stay in the CAF. I can only imagine how they affect someone without my ties to the CAF. I'm the 4th straight generation in my family to serve and I married into a military family as well, I have also given my entire adult life to the CAF for more than 20 years. I love the idea of being in the CAF, it has never been just a job to me. When Cpl Bloggins is deciding if he wants to make a career of the CAF, how does the incompetence of VAC affect his decision? He is guaranteed to know at least a few people who have been injured and had to deal with the nightmare that is VAC. Why would he risk his health for a government that has continued to treat veterans like garbage?
 
After 19 months, two of my three applications have reached completion.  For the first issue, I received a cheque for payments backdated to 1 Apr 19 and the paperwork is available in my VAC online account but not received in hardcopy yet. 

For the second application, it is marked as complete and I have received a cheque that I have been informed by a VAC agent is also for backdated payments.  However, there are no documents available yet either online or hardcopy. After 34 years in the military, getting unexplained money makes me a little nervous, but the agent was sure it is actually correct and the system simply hasn't caught up yet.  Weird.

I'm just waiting for it all to be settled so I can have my financial advisor determine whether the monthly payments or a lump sum would be more advantageous for me.

Cheers,

AK
 
Rifleman62 said:
Congrats, sounds like you won a Lotto.

A small Lotto.  But better than a kick in the pants with a frozen mukluk.  I wanted to get my toe in the door early expecting that my conditions will worsen over time.

I was surprised as I didn't put a great deal of effort into my applications but perhaps it's easier because I'm still on Class B and my medical records are mostly available.

Cheers,

AK
 
As of this morning, VAC is working on September 18 claims and October 18 departmental reviews. The departmental review wait tool time is 44 weeks. It appears that the actual time is almost double that. The wait time tool had the exact opposite effect they wanted. Now, not only do we know they are failing to meet their standards, they are lying to us about how bad they are doing.
 
Tcm621 said:
As of this morning, VAC is working on September 18 claims and October 18 departmental reviews. The departmental review wait tool time is 44 weeks. It appears that the actual time is almost double that. The wait time tool had the exact opposite effect they wanted. Now, not only do we know they are failing to meet their standards, they are lying to us about how bad they are doing.

When I was waiting for a claim for a departmental review that was the result of someone not knowing how to read what was clear in the original application, I was told it's only an estimate. Taking to several people at their call centre, including supervisors will only get peoples blood pressure up.  There are also some that flat out lie.  That wait time tool should be removed, IMO because it's not even close to accurate and only causes more stress to mbr's or retired mbr's who have been waiting for over a year in most cases.
 
stellarpanther said:
When I was waiting for a claim for a departmental review that was the result of someone not knowing how to read what was clear in the original application, I was told it's only an estimate. Taking to several people at their call centre, including supervisors will only get peoples blood pressure up.  There are also some that flat out lie.  That wait time tool should be removed, IMO because it's not even close to accurate and only causes more stress to mbr's or retired mbr's who have been waiting for over a year in most cases.

It's not supposed to be an estimate, it supposed to be an average of all the files completed. The only non-nefarious reason for the discrepancy that I can think of is that the reporting period is too large to provide useful information. The tool may be actually telling us that last year it would have been done in 44 weeks.
 
I agree that the Wait Time tool is very frustrating. It is an average of the completed files for the last 90 days. The question that I have never been able to get an answer for is why some files are can take 80+ weeks while others are completed much earlier. Once a file is sent to adjudication (Step 3) it has received all of the information required so just make a decision. I understand some files are more complicated but once you have all of the information putting the decision off is not going to make it less complicated. At least having a decision allows a person to accept or appeal. Waiting 80+ weeks to get a file denied and then starting an appeal can lead to cases lasting for 4-5 years.
 
Just as a new voice here I thought I’d share how my claims are going for anyone in the same spot or on the same timeline roughly.

I submitted my first claim at the urging of several members in my chain of command for PTSD Back on May 1st 2019. After doing a routine pt 2 medical in July, I was sent to an Audiologist For further examination. After her confirmation of hearing loss and tinnitus caused by a decade and a half in the Infantry with multiple deployments she (a civilian with her own practice and no military ties) suggested I begin that claim immediately because of the stories she’s heard from other Vets. I submitted that claim on Aug 10 2019.

Fast forward to December  and to my surprise the Tinnitus and PTSD claims show up simultaneously as now at Step 3 on MyVac retroactively as of September 25.

At the time Tinnitus and PTSD average wait was 18 weeks and 31 weeks respectively from Step 3. My problem became that even though they were submitted separately and months apart, they now fall under “multiple conditions”, a wait time minimum of 52 weeks at my last check and getting longer weekly. I’ve been told “against the rules” that they are at the very last stages of adjudication and I’ll have my answers quite soon. The first time they said that was February.

As a bit of good news though, despite the slowing due too COVID, two members whom I helped start MyVac accounts in October and then personally wrote their tinnitus claims for them in Oct/Nov, have already received 10% and 20% payouts. So payouts can come quick, just not for all of us.

Hope someone else on the same timeline feels a little less shitty about their wait by reading. Cheers.
 
If anyone has recently submitted a claim to VAC and it's dependent on information from either specialists or from the CAF medical side I would suggest calling or Emailing VAC to find out if they received the proper paperwork or if it's stuck somewhere. And also call the CDUs to look for it and confirm they have it.

I've heard of a few cases now where a member has went to a specialist and the results were supposed to be sent to CAF medical people (and then on to VAC) but the results never made it to the CDUs and the CDUs for whatever reason lost track and weren't expecting it, thus didn't think to ask for it.

 
Tcm621 said:
As of this morning, VAC is working on September 18 claims and October 18 departmental reviews. The departmental review wait tool time is 44 weeks. It appears that the actual time is almost double that. The wait time tool had the exact opposite effect they wanted. Now, not only do we know they are failing to meet their standards, they are lying to us about how bad they are doing.
Interesting. I contacted VAC on 5 May 2020 and was told at that time they were processing claims from September 18. Seems like they have not accomplished much in the last month. I am not surprised as I am now 80 weeks at Step 3.
 
I followed up on my application from February, they're still waiting on my med docs from DND before they can move to Stage 2. I have a feeling the request is lost to time now so I'll have to get VAC to re-request once we're all back to work.
 
I just had APSC approved last week from when I applied in September 2019. What makes no sense is that they just keep adding 1 week to the first applications counter every week. The average wait time for first applications went from 54 weeks from the beginning of the year to 63 weeks today. 3 of my first applications are all consequential to another claim, maybe I should have just waiting for a reassessment.
 
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