Unfortunately it is a game with the VA, you must have a fully developed claim, ie, all medical evidence and a nexus to your condition. “Presumptive condition” does not mean automatic, it only simplifies the requirement to prove it service related. You should call the VA at 1-800-827-1000 and ask for an update, many times this will move your claim along. You will also find out what outstanding requirements they are waiting for. Good luck.
I have a telecom this Thursday. Maybe I should head south and come back across with a “migrant” group. 🤔