Health care agent
Treatment choices when you cannot decide, within applicable authority.
- Authority
- Advance directive and applicable care rules.
Understand a financial-capacity notice, how VA selects a fiduciary, and the rights of someone receiving help with VA payments.
For a Veteran or another VA beneficiary with a financial-capacity notice, a fiduciary appointment, or questions about managing VA payments.
Explanation compared 2026-10-05; other source dates remain as listed.
Read official guidanceHelp with care, VA payments and a benefits claim uses different authority.
Check the actual appointment, document or order before asking someone to act for you.
Treatment choices when you cannot decide, within applicable authority.
Manages VA benefit payments under VA’s appointment.
Assists with VA claims or eligible fiduciary matters.
Authority depends on the actual court order or power of attorney.
Official action:
Plan a health care decision-makerA provider's opinion about managing money is evidence. VA's rating agency makes the benefits competency decision after considering the record. A diagnosis, disability percentage or need for reminders does not make that decision by itself.
Read the assessment in context: what ability was assessed, which evidence supports it, and whether VA has issued a proposed or final finding.
Official action:
Read VA's competency ruleA proposed finding gives you an opportunity to respond before VA makes the decision, subject to the court-finding exception in the rule. A final competency decision and a fiduciary appointment notice are different decisions. Read the letter's hearing, response and review instructions; ask accredited assistance if you are unsure which action applies.
Keep the notice and identify exactly what it proposes or decides. Follow its response and hearing instructions. A competency decision and choosing or removing a fiduciary need different review instructions.
Read the hearing and response instructions on a proposal, or the review instructions on a final decision. The competency rule describes the medical-evidence standard and court-finding exception.
These notices concern administration of VA payments. Part 13 describes which fiduciary decisions can be appealed and the notice instructions.
VA considers your preference and whether the proposed fiduciary qualifies. A field exam helps VA understand your needs. You may have a trusted person with you. Prepare identification and the financial information VA requests; give those records to VA through its instructions.
Tell VA whom you prefer and discuss your needs at the field exam. Use the official instructions for sending identification and financial records.
Official action:
Prepare for VA's field examVA investigates the proposed person’s qualifications and may consider supervised direct payment. A recommendation does not appoint that person.
Ask about recurring payments, any held lump sum and urgent needs. The payment rules differ; this guide does not promise a release date.
You can contact the fiduciary, ask about your account and request funds for your needs. You can ask VA about changing the fiduciary or report concerns about how funds are used. The VA appointment concerns VA benefits; a separate court order may have a broader scope. Fees require VA authorization and follow specific limits.
Contact the fiduciary about unmet needs or account questions. Call VA about suspected misuse, a change of fiduciary, or urgent payment concerns.
Official action:
Find VA fiduciary contactsBeneficiary rights include asking for account information and a VA-approved accounting, requesting a successor, and seeking accredited representation. Reimbursement after misuse depends on the applicable legal conditions.
VA-authorized fiduciary fees have specific limits. Ask VA about a charge you do not understand; an appointment does not give a fiduciary authority to take any amount.
If you believe you can manage your benefits again, VA's public instructions explain how to send a written request and supporting medical evidence. VA may also consider limited, temporary supervision through supervised direct payment. These are VA decisions, not automatic changes after a new medical report.
Send a written request and supporting medical evidence through VA’s stated fiduciary instructions. Ask VA whether supervised direct payment applies.
Official action:
Read VA's restored-ability instructionsVA Fiduciary Intake Center
PO Box 5211
Janesville, WI 53547-5211
Written fiduciary review/restored-ability request and supporting evidence under VA's instructions; not a universal benefits-claim or Board appeal destination
VA reviews the request and evidence. Continue to follow the current payment and fiduciary instructions until VA changes them.
People sometimes use this phrase for a firearm-background-check restriction or an old VA report. On February 17, 2026, VA announced it would stop reporting someone to the National Instant Criminal Background Check System solely because they need a VA fiduciary. VA also described work to remove past VA-only reports. This does not establish your individual firearm status or remove a separate court, federal or state restriction.
For an actual denied background check, read the FBI’s denial-reason and challenge instructions. Ask the relevant agency and qualified legal assistance about your own record and applicable restrictions.
Official action:
Read VA's dated reporting announcementAn actual denied NICS check differs from a delayed check or state firearm permit. Individual rights questions need the relevant agency and qualified legal assistance.
Checked October 5, 2026: ATF describes its May 2026 amendment as a proposed rule. A proposal is not a final regulation. VA’s announcement does not confirm removal of every person’s past record.
This phrase is not a diagnosis, a disability percentage or an involuntary-treatment status. A separate court order, commitment or other federal or state restriction requires its own analysis.