| LONG DESCRIPTION |
Presumptive eligibility for psychosis and mental illness other than
psychosis presumed to be service-connected for purposes of Department of
Veterans Affairs (VA) medical benefits. In addition, VA will presume that
Persian Gulf War Veterans are service-connected for purposes of VA medical
benefits if such Veterans develop mental illness other than psychosis
within two years after discharge or release from service and before the
end of the 2-year period beginning on the last day of the Persian Gulf War
(end date not yet determined). (Public Law 110-181; 38 United States Code
(U.S.C.) 1702 and the implementing regulation, 38 CFR 17.109)
1. Veterans who served in the United States active duty military,
psychosis. Veterans eligible for benefits under 38 CFR 17.109 are
naval, or air service and developed such psychosis within 2 years after
discharge or release from the active duty military, naval or air service;
and before the following date associated with the war or conflict in which
the Veteran served:
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| Veteran Served During | Date: |
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| World War II | July 26, 1949 |
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eligible for treatment of an active psychosis or other mental illness.
| Korean Conflict | February 1, 1957 |
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| Vietnam Era | May 8, 1977 |
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| Persian Gulf War | End of the 2-year period beginning on |
| | the last day of the Persian Gulf War |
| | (end date not yet determined) |
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2. Mental Illness (other than Psychosis). Eligibility for benefits under
Any treatment under this authority is exempted from copayments for
38 CFR 17.109(b) is established for treatment of an active mental illness
(other than psychosis), and such condition is exempted from copayments
under 38 CFR 17.108, 17.110, and 17.111 for any Veteran of the above
listed conflicts.
Veterans and former service members assigned the Presumptive VHAP must
meet one of the following conditions:
o All Enrolled Veterans
o Non-Enrolled Veterans authorized to receive medical benefits limited
to this specific situation.
inpatient, outpatient, medication and extended care services under
o Veterans not required to enroll and authorized to receive medical
benefits limited to this specific situation.
o Cancelled/Declined - Receive medical benefits for Presumptive
Psychosis conditions only
o Rejected - Receive medical benefits for Presumptive Psychosis and SC
conditions only
o Ineligible and SC 0% - Receive medical benefits for Presumptive
Psychosis and SC conditions only
o Ineligible and MST - Receive medical benefits for Presumptive
Psychosis and MST conditions only
17.108, 17.110, and 17.111.
o Ineligible without a bar to benefits - Receive medical benefits for
Presumptive Psychosis conditions only.
o Former service members with Other Than Honorable (OTH) discharges who
present for certain services
o Presumptive (38 USC 1702-38 CFR 17.109)
Presumptive (38 USC 1702-38 CFR 17.109) Plan provides certain Veterans
who experience psychosis within a specified time-frame are to have their
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