May 14, 2015 VHA HANDBOOK 1173.15
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a. Examples of items that tend to tear and wear clothing include: Prostheses, rigid
braces, ankle/foot orthosis (AFO) with hooks, rigid AFO, manual wheelchairs without
clothing guards, specialized wheelchairs with sliding board/sliding transfer
functionalities, and wheelchairs with positioning and posturing adaptations, crutches,
wrist braces, prosthesis, rigid orthotics, service dogs, colostomy or ileostomy, cervical
braces. A guide and updated listing created by the Orthotic and Prosthetic (O&P) Field
Advisory Committee identifies prostheses and orthotics that may cause wear and tear to
outergarments. It is available under the Clothing Allowance folder on the Prosthetic and
Sensory Aids SharePoint at: http://vaww.infoshare.va.gov/sites/prosthetics/default.aspx.
NOTE: This is an internal VA Web site and is not available to the public. Prostheses
and orthotics not included in the guide should be reported to VHA’s Rehabilitation and
Prosthetics Services (10P4R). The O&P Field Advisory Committee will review the
prostheses and orthotics to determine its impact on clothing. Consultation with local
VHA Orthotists and Prosthetists can substitute when a prompt decision is needed. This
list is updated by the O&P Field Advisory Committee on a semi-annual basis, provided
new prostheses and orthotics may qualify for the clothing allowance benefit.
b. Examples of items that do not tend to tear and wear clothing include: Soft
orthotics, transcutaneous electrical nerve stimulation (TENS) units, shoes, shoe inserts,
non-specialized wheelchairs (sedentary/sitting purposes), scooters, canes, rollador,
walkers, elastic/flexible braces, items with Velcro stays, hinged braces covered in fabric
(metal stays covered), braces with plastic stays covered in fabric.
c. A guide and updated listing created by the Prosthetic and Pharmacy workgroup
identifies skin medications, ointments, or lotions that may cause irreparable staining,
discoloration, bleeding, and damage not removable by laundering or dry cleaning. It is
available under the Clothing Allowance folder on the Prosthetic and Sensory Aids
SharePoint at: http://vaww.infoshare.va.gov/sites/prosthetics/default.aspx. NOTE:
This is an internal VA Web site and is not available to the public. Skin medications not
included in the guide should be reported to VHA’s Rehabilitation and Prosthetics
Services (10P4R). The Prosthetic and Pharmacy workgroup will review the skin
medication to determine its impact on clothing. Consultation with a local VHA
Pharmacist can substitute when a prompt decision is needed. This list is updated by
the Prosthetic and Pharmacy workgroup on a semi-annual basis, provided any new skin
medication, ointment, or lotion may qualify for the clothing allowance. Over-the-counter
skin medications, ointments and lotions that are prescribed by a VHA physician are to
meet the same criteria in paragraph 5 of this Handbook.
9. SYSTEM PROCEDURES:
a. When a Veteran rating decision is processed that initially establishes service-
connection or entitlement to 38 U.S.C. 1151 benefits, the Veteran is informed by VBA’s
Veterans Service Center of potential entitlement to the clothing allowance benefit. The
Veteran is instructed accordingly by the notification letter released by VBA’s Veterans
Service Center to apply for the clothing allowance benefit utilizing VA Form 10-8678,
Application for Annual Clothing Allowance, located at: http://www.va.gov/vaforms/ and
submitting it to the nearest Prosthetic and Sensory Aids Service. All foreign clothing