Hello, Kleind. Welcome.
Although most veterans in the real world bad-mouth the VA, and usually for good reason, I have no doubt that you will, like us, discover that VA and PVA take ALS really seriously and they expedite our claims.
I'm a 20-year vet. My wife was a 3-year vet. After service, both of us worked at VA. I was in finance, she was a doctor. Then she got ALS.
We found that people at VA and PVA have their problems like all people do. There are some unmotivated people and there are some who are dedicated to rejecting any imperfect paperwork. So the best we can do is get knowledgeable and stay on top of them. After all, everything about ALS is life and death, and in a hurry.
Whenever I sent in a form to anywhere, I had a cover letter attached that told the person in plain English what I wanted them to do. I included references to their own regulation. I opened and closed each letter with "I am dying of incurable ALS with perhaps only a year to live. I and my family I need your help. Please approve the following expeditiously, according to regulation 123." Something like that.