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The VA has been discussing changes to its mental health rating criteria for quite some time, with an expected rollout in 2024. However, here we are in March of 2025 and these changes have yet to be officially implemented. Typically, the VA provides a 60-day notice before changes take effect, so we anticipate an official announcement soon. Until then, the current Disability Benefits Questionnaire (DBQ) on the VA website remains unchanged.
Does This Change Automatically Affect Your Rating?
If you are already service-connected for a mental health condition, your rating will not automatically increase. You will still need to file for an increase and provide supporting evidence. If you are at 10% and believe you qualify for a higher rating, ensure you have documentation such as personal statements, treatment records, or other proof of impairment.
For veterans who dislike frequent medical visits or taking medication, you can still keep the VA informed by using secure messaging through My HealtheVet. Be sure to set up an ID.me account to maintain access.
Filing a New Mental Health Claim
If you are not yet service-connected for a mental health condition, this change does not grant automatic approval. Even if you have a diagnosis and meet the criteria, you must still file a claim, just as before.
This is similar to the PACT Act update in 2022, which made certain conditions presumptive but still required veterans to go through the claims process. Whether you are filing a new claim, an appeal, or a supplemental claim, you must follow the VA’s procedures.
Key Changes in the New VA Mental Health Ratings
One of the biggest updates is the removal of the 0% rating. Previously, veterans with a diagnosed mental health condition could receive a 0% rating, meaning the condition was recognized but not considered severe enough for compensation. Under the new system, all service-connected mental health conditions will receive a minimum rating of 10%.
Additionally, the new rating system moves away from the previous list of 31 symptoms and instead assesses five key domains of functional impairment:
Cognition – Memory, concentration, decision-making, flexibility, and adaptability.
Interpersonal Interactions & Relationships – Social and occupational engagement, both formal and informal.
Task Completion & Life Activities – Managing work, education, domestic responsibilities, and caregiving duties.
Navigating Environments – Ability to move safely from place to place, including challenges like road rage or PTSD-related driving fears.
Self-Care – Ability to maintain personal hygiene, nutrition, and medication adherence.
Understanding the Levels of Impairment
Each of the five domains is rated on a scale:
None – No difficulties.
Mild – Slight difficulties in some situations.
Moderate – Noticeable difficulties that impact daily life.
Severe – Serious difficulties in one or more areas, affecting work and relationships.
Total – Profound difficulties most of the time, making employment and relationships nearly impossible.
New VA Rating Percentages Based on the Five Domains
The VA now assigns ratings based on cumulative impairment across all five domains:
10% – The new minimum rating.
30% – Level 1 impairment in two or more domains.
50% – Level 2 impairment in at least one domain.
70% – Level 3 in one domain or Level 2 in two or more domains.
100% – Level 4 in at least one domain and Level 3 in two or more domains.
This updated approach allows for a more accurate assessment of a veteran’s overall mental health impact and may make it easier to qualify for a higher rating.
A Major Change for 100% Ratings
Previously, many veterans found it difficult to obtain a 100% rating unless they were entirely unable to work or were housebound. The new system considers special accommodations, including teleworking and part-time employment. This means veterans who struggle with severe mental health impairments but can work under specific conditions may still qualify for a 100% rating.
Final Thoughts
To maximize your chances of receiving the correct rating, ensure you:
Stay in contact with the VA about your mental health symptoms.
Maintain documentation through My HealtheVet or other medical records.
Clearly articulate your level of impairment during evaluations and in personal statements.
At The Veteran Coach, we specialize in preparing veterans for these evaluations. If you have any questions or need assistance, visit www.theveteran.coach or email me directly at laura@theveteran.coach.
We will continue to monitor these changes and keep you informed. Until then, stay safe, stay healthy, and stay informed!
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