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DG_53_P891.KIDs
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DG_53_P891.KIDs
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KIDS Distribution saved on Apr 24, 2015@13:21:04
Enhance Means Test and other Patches
**KIDS**:DG*5.3*891^DG*5.3*871^DG*5.3*890^DG*5.3*904^EAS*1.0*113^IVM*2.0*160^DG*5.3*901^DG*5.3*906^
**INSTALL NAME**
DG*5.3*891
"BLD",9527,0)
DG*5.3*891^REGISTRATION^0^3150424^y
"BLD",9527,1,0)
^^19^19^3140626^^^
"BLD",9527,1,1,0)
The Health Eligibility Center (HEC) requested modifications to the
"BLD",9527,1,2,0)
Enrollment System (ES) and VistA Registration, Enrollment and Eligibility
"BLD",9527,1,3,0)
(VistA REE) software to support the requirements of the Means Test Report
"BLD",9527,1,4,0)
for ES project 4.0.
"BLD",9527,1,5,0)
"BLD",9527,1,6,0)
The new requirements check whether the patient means test is current or
"BLD",9527,1,7,0)
not. If the means test is current than the patient record is not
"BLD",9527,1,8,0)
displayed.
"BLD",9527,1,9,0)
"BLD",9527,1,10,0)
The following are the new guidelines on whether a patient means test is
"BLD",9527,1,11,0)
current.
"BLD",9527,1,12,0)
"BLD",9527,1,13,0)
1. The Means Test Effective Date is between (inclusive): 1/2/2012 and
"BLD",9527,1,14,0)
12/31/2012
"BLD",9527,1,15,0)
2. The Mean Test Effective Date is greater than 1/1/2013 AND has a MT
"BLD",9527,1,16,0)
Status of MT Copay Exempt, GMT Copay Required, or Pending Adjudication
"BLD",9527,1,17,0)
3. The MT Status equals MT Copay Required
"BLD",9527,1,18,0)
4. The MT Status equals No Longer Required
"BLD",9527,1,19,0)
5. The Means Test Effective Date is not a future date
"BLD",9527,4,0)
^9.64PA^^
"BLD",9527,6.3)
14
"BLD",9527,"ABPKG")
n
"BLD",9527,"KRN",0)
^9.67PA^779.2^20
"BLD",9527,"KRN",.4,0)
.4
"BLD",9527,"KRN",.401,0)
.401
"BLD",9527,"KRN",.402,0)
.402
"BLD",9527,"KRN",.403,0)
.403
"BLD",9527,"KRN",.5,0)
.5
"BLD",9527,"KRN",.84,0)
.84
"BLD",9527,"KRN",3.6,0)
3.6
"BLD",9527,"KRN",3.8,0)
3.8
"BLD",9527,"KRN",9.2,0)
9.2
"BLD",9527,"KRN",9.8,0)
9.8
"BLD",9527,"KRN",9.8,"NM",0)
^9.68A^1^1
"BLD",9527,"KRN",9.8,"NM",1,0)
DGMTOFA^^0^B29409617
"BLD",9527,"KRN",9.8,"NM","B","DGMTOFA",1)
"BLD",9527,"KRN",19,0)
19
"BLD",9527,"KRN",19.1,0)
19.1
"BLD",9527,"KRN",19.1,"NM",0)
^9.68A^^
"BLD",9527,"KRN",101,0)
101
"BLD",9527,"KRN",101,"NM",0)
^9.68A^^
"BLD",9527,"KRN",409.61,0)
409.61
"BLD",9527,"KRN",409.61,"NM",0)
^9.68A^^
"BLD",9527,"KRN",771,0)
771
"BLD",9527,"KRN",779.2,0)
779.2
"BLD",9527,"KRN",870,0)
870
"BLD",9527,"KRN",8989.51,0)
8989.51
"BLD",9527,"KRN",8989.52,0)
8989.52
"BLD",9527,"KRN",8994,0)
8994
"BLD",9527,"KRN","B",.4,.4)
"BLD",9527,"KRN","B",.401,.401)
"BLD",9527,"KRN","B",.402,.402)
"BLD",9527,"KRN","B",.403,.403)
"BLD",9527,"KRN","B",.5,.5)
"BLD",9527,"KRN","B",.84,.84)
"BLD",9527,"KRN","B",3.6,3.6)
"BLD",9527,"KRN","B",3.8,3.8)
"BLD",9527,"KRN","B",9.2,9.2)
"BLD",9527,"KRN","B",9.8,9.8)
"BLD",9527,"KRN","B",19,19)
"BLD",9527,"KRN","B",19.1,19.1)
"BLD",9527,"KRN","B",101,101)
"BLD",9527,"KRN","B",409.61,409.61)
"BLD",9527,"KRN","B",771,771)
"BLD",9527,"KRN","B",779.2,779.2)
"BLD",9527,"KRN","B",870,870)
"BLD",9527,"KRN","B",8989.51,8989.51)
"BLD",9527,"KRN","B",8989.52,8989.52)
"BLD",9527,"KRN","B",8994,8994)
"BLD",9527,"QDEF")
^^^^NO^^^^NO^^NO
"BLD",9527,"QUES",0)
^9.62^^
"BLD",9527,"REQB",0)
^9.611^3^1
"BLD",9527,"REQB",3,0)
DG*5.3*830^2
"BLD",9527,"REQB","B","DG*5.3*830",3)
"MBREQ")
0
"PKG",47,-1)
1^1
"PKG",47,0)
REGISTRATION^DG^PATIENT REGISTRATION, ADMISSION, DISCHARGE, EMBOSSER
"PKG",47,20,0)
^9.402P^^
"PKG",47,22,0)
^9.49I^1^1
"PKG",47,22,1,0)
5.3^2930813^2960613
"PKG",47,22,1,"PAH",1,0)
891^3150424
"PKG",47,22,1,"PAH",1,1,0)
^^19^19^3150424
"PKG",47,22,1,"PAH",1,1,1,0)
The Health Eligibility Center (HEC) requested modifications to the
"PKG",47,22,1,"PAH",1,1,2,0)
Enrollment System (ES) and VistA Registration, Enrollment and Eligibility
"PKG",47,22,1,"PAH",1,1,3,0)
(VistA REE) software to support the requirements of the Means Test Report
"PKG",47,22,1,"PAH",1,1,4,0)
for ES project 4.0.
"PKG",47,22,1,"PAH",1,1,5,0)
"PKG",47,22,1,"PAH",1,1,6,0)
The new requirements check whether the patient means test is current or
"PKG",47,22,1,"PAH",1,1,7,0)
not. If the means test is current than the patient record is not
"PKG",47,22,1,"PAH",1,1,8,0)
displayed.
"PKG",47,22,1,"PAH",1,1,9,0)
"PKG",47,22,1,"PAH",1,1,10,0)
The following are the new guidelines on whether a patient means test is
"PKG",47,22,1,"PAH",1,1,11,0)
current.
"PKG",47,22,1,"PAH",1,1,12,0)
"PKG",47,22,1,"PAH",1,1,13,0)
1. The Means Test Effective Date is between (inclusive): 1/2/2012 and
"PKG",47,22,1,"PAH",1,1,14,0)
12/31/2012
"PKG",47,22,1,"PAH",1,1,15,0)
2. The Mean Test Effective Date is greater than 1/1/2013 AND has a MT
"PKG",47,22,1,"PAH",1,1,16,0)
Status of MT Copay Exempt, GMT Copay Required, or Pending Adjudication
"PKG",47,22,1,"PAH",1,1,17,0)
3. The MT Status equals MT Copay Required
"PKG",47,22,1,"PAH",1,1,18,0)
4. The MT Status equals No Longer Required
"PKG",47,22,1,"PAH",1,1,19,0)
5. The Means Test Effective Date is not a future date
"QUES","XPF1",0)
Y
"QUES","XPF1","??")
^D REP^XPDH
"QUES","XPF1","A")
Shall I write over your |FLAG| File
"QUES","XPF1","B")
YES
"QUES","XPF1","M")
D XPF1^XPDIQ
"QUES","XPF2",0)
Y
"QUES","XPF2","??")
^D DTA^XPDH
"QUES","XPF2","A")
Want my data |FLAG| yours
"QUES","XPF2","B")
YES
"QUES","XPF2","M")
D XPF2^XPDIQ
"QUES","XPI1",0)
YO
"QUES","XPI1","??")
^D INHIBIT^XPDH
"QUES","XPI1","A")
Want KIDS to INHIBIT LOGONs during the install
"QUES","XPI1","B")
NO
"QUES","XPI1","M")
D XPI1^XPDIQ
"QUES","XPM1",0)
PO^VA(200,:EM
"QUES","XPM1","??")
^D MG^XPDH
"QUES","XPM1","A")
Enter the Coordinator for Mail Group '|FLAG|'
"QUES","XPM1","B")
"QUES","XPM1","M")
D XPM1^XPDIQ
"QUES","XPO1",0)
Y
"QUES","XPO1","??")
^D MENU^XPDH
"QUES","XPO1","A")
Want KIDS to Rebuild Menu Trees Upon Completion of Install
"QUES","XPO1","B")
NO
"QUES","XPO1","M")
D XPO1^XPDIQ
"QUES","XPZ1",0)
Y
"QUES","XPZ1","??")
^D OPT^XPDH
"QUES","XPZ1","A")
Want to DISABLE Scheduled Options, Menu Options, and Protocols
"QUES","XPZ1","B")
NO
"QUES","XPZ1","M")
D XPZ1^XPDIQ
"QUES","XPZ2",0)
Y
"QUES","XPZ2","??")
^D RTN^XPDH
"QUES","XPZ2","A")
Want to MOVE routines to other CPUs
"QUES","XPZ2","B")
NO
"QUES","XPZ2","M")
D XPZ2^XPDIQ
"RTN")
1
"RTN","DGMTOFA")
0^1^B29409617
"RTN","DGMTOFA",1,0)
DGMTOFA ;ALB/CAW/AEG/PWC/DHS - Future Appointments who will require MT ; 4/21/11 10:57am
"RTN","DGMTOFA",2,0)
;;5.3;Registration;**3,50,182,326,426,568,725,830,891**;Aug 13, 1993;Build 14
"RTN","DGMTOFA",3,0)
;
"RTN","DGMTOFA",4,0)
EN ;
"RTN","DGMTOFA",5,0)
I '$$RANGE^DGMTUTL("F") G ENQ
"RTN","DGMTOFA",6,0)
I '$$DIV^DGMTUTL G ENQ
"RTN","DGMTOFA",7,0)
I '$$CLINIC^DGMTUTL G ENQ
"RTN","DGMTOFA",8,0)
;I '$$LETTER G ENQ
"RTN","DGMTOFA",9,0)
W !! S %ZIS="PMQ" D ^%ZIS I POP G ENQ
"RTN","DGMTOFA",10,0)
I '$D(IO("Q")) D MAIN G ENQ
"RTN","DGMTOFA",11,0)
S Y=$$QUE
"RTN","DGMTOFA",12,0)
ENQ ;
"RTN","DGMTOFA",13,0)
D:'$D(ZTQUEUED) ^%ZISC
"RTN","DGMTOFA",14,0)
K DFN,DGAPT,DGBEG,DGCLN,DGDATE,DGDFN,DGDIV,DGEND,DGFLG,DGINFO,DGLINE,DGLST,DGMT,DGMT1,DGPAGE,DGSTOP,DGTMP,DGTMP1,DGTMP2,DGMTYPT,DGYN,DIW,DIWF,DIWR,DIWT,DN,SDFORM,SDLET,VA,VAERR,VAUTC,VAUTD,^TMP("DGMTO",$J),^TMP("DGMTL",$J)
"RTN","DGMTOFA",15,0)
K DGARRAY,CLNARRAY,^TMP($J,"SDAMA"),I,DGTMP,SDCNT
"RTN","DGMTOFA",16,0)
Q
"RTN","DGMTOFA",17,0)
;
"RTN","DGMTOFA",18,0)
QUE() ; -- que job
"RTN","DGMTOFA",19,0)
; return: did job que [ 1|yes 0|no ]
"RTN","DGMTOFA",20,0)
;
"RTN","DGMTOFA",21,0)
K ZTSK,IO("Q")
"RTN","DGMTOFA",22,0)
S ZTDESC="Future Appt. w/ Means Test",ZTRTN="MAIN^DGMTOFA"
"RTN","DGMTOFA",23,0)
F X="DGBEG","DGEND","DGYN","DGMTYPT","SDFORM","SDLET","VAUTC","VAUTD","VAUTC(","VAUTD(" S ZTSAVE(X)=""
"RTN","DGMTOFA",24,0)
D ^%ZTLOAD W:$D(ZTSK) " (Task: ",ZTSK,")"
"RTN","DGMTOFA",25,0)
Q $D(ZTSK)
"RTN","DGMTOFA",26,0)
;
"RTN","DGMTOFA",27,0)
MAIN ;
"RTN","DGMTOFA",28,0)
K ^TMP("DGMTO",$J) S I=1
"RTN","DGMTOFA",29,0)
I VAUTC=1,VAUTD=1 S DGCLN=0 F S DGCLN=$O(^SC(DGCLN)) Q:'DGCLN I $P(^(DGCLN,0),U,3)="C" D CBLD3(DGCLN)
"RTN","DGMTOFA",30,0)
;
"RTN","DGMTOFA",31,0)
I VAUTC=1,VAUTD=0 S DGDIV="" F S DGDIV=$O(VAUTD(DGDIV)) Q:'DGDIV S DGCLN=0 F S DGCLN=$O(^SC(DGCLN)) Q:'DGCLN I $P(^SC(DGCLN,0),U,3)="C",$P(^SC(DGCLN,0),U,15)=DGDIV D CBLD3(DGCLN)
"RTN","DGMTOFA",32,0)
I VAUTC=0 S DGCLN="" F S DGCLN=$O(VAUTC(DGCLN)) Q:'DGCLN D CBLD3(DGCLN)
"RTN","DGMTOFA",33,0)
D SDAM,CLN1
"RTN","DGMTOFA",34,0)
D ^DGMTOFA1
"RTN","DGMTOFA",35,0)
D CLOSE^DGMTUTL
"RTN","DGMTOFA",36,0)
Q
"RTN","DGMTOFA",37,0)
;
"RTN","DGMTOFA",38,0)
CBLD3(DGCLN) ; Build array of specified Clinics for specified Divisions
"RTN","DGMTOFA",39,0)
S CLNARRAY(I)=$G(CLNARRAY(I))_DGCLN_";"
"RTN","DGMTOFA",40,0)
I $L(CLNARRAY(I))>120 S I=I+1
"RTN","DGMTOFA",41,0)
Q
"RTN","DGMTOFA",42,0)
;
"RTN","DGMTOFA",43,0)
SDAM ; Build TMP Global with Appointment API Data for Report
"RTN","DGMTOFA",44,0)
S DGARRAY(1)=DGBEG_";"_DGEND
"RTN","DGMTOFA",45,0)
S DGARRAY("FLDS")="1;3;10"
"RTN","DGMTOFA",46,0)
F I=1:1 Q:'$D(CLNARRAY(I)) D
"RTN","DGMTOFA",47,0)
.S DGARRAY(2)=CLNARRAY(I)
"RTN","DGMTOFA",48,0)
.I $$SDAPI^SDAMA301(.DGARRAY)>0 M ^TMP($J,"SDAMA")=^TMP($J,"SDAMA301")
"RTN","DGMTOFA",49,0)
.K ^TMP($J,"SDAMA301")
"RTN","DGMTOFA",50,0)
Q
"RTN","DGMTOFA",51,0)
;
"RTN","DGMTOFA",52,0)
CLN1 ; Loop through appointments
"RTN","DGMTOFA",53,0)
;
"RTN","DGMTOFA",54,0)
N DGTMP S DGDATE=DGBEG-.1,DGLST=DGEND+.9
"RTN","DGMTOFA",55,0)
S DGCLN=0 F S DGCLN=$O(^TMP($J,"SDAMA",DGCLN)) Q:'DGCLN D
"RTN","DGMTOFA",56,0)
.S DGDFN=0 F S DGDFN=$O(^TMP($J,"SDAMA",DGCLN,DGDFN)) Q:'DGDFN D
"RTN","DGMTOFA",57,0)
..S DGDATE=0 F S DGDATE=$O(^TMP($J,"SDAMA",DGCLN,DGDFN,DGDATE)) Q:'DGDATE D
"RTN","DGMTOFA",58,0)
...S DGTMP=^TMP($J,"SDAMA",DGCLN,DGDFN,DGDATE)
"RTN","DGMTOFA",59,0)
...Q:$$DOM(DGDFN,DGDATE)
"RTN","DGMTOFA",60,0)
...Q:"^NS^NSR^CC^CCR^CP^CPR^"[(U_$P($P(DGTMP,U,3),";")_U)
"RTN","DGMTOFA",61,0)
...D MT
"RTN","DGMTOFA",62,0)
Q
"RTN","DGMTOFA",63,0)
MT ; Is patient going to need to complete a MT/Copay by appt?
"RTN","DGMTOFA",64,0)
S DGMT=$$LST^DGMTU(DGDFN,$P(DGDATE,"."),DGMTYPT),DGMT1=$P($G(^DGMT(408.31,+DGMT,0)),U,3) I DGMT1,"^3^10^"'[("^"_DGMT1_"^") D
"RTN","DGMTOFA",65,0)
. N MTQ,X S MTQ=0 ; only do the following for RX Co-pay tests
"RTN","DGMTOFA",66,0)
.I DGMTYPT=2 D Q:MTQ=1
"RTN","DGMTOFA",67,0)
.. ;Exclude from report the following:
"RTN","DGMTOFA",68,0)
.. ;Existing RX Copay Test with Source of Test = IVM AND
"RTN","DGMTOFA",69,0)
.. ;Primary eligibility code = NSC OR Primary eligibility code =
"RTN","DGMTOFA",70,0)
.. ; SC Less than 50% and percentage is 0 and Total VA check amt = 0
"RTN","DGMTOFA",71,0)
.. ; DG*5.3*830
"RTN","DGMTOFA",72,0)
.. I $P($G(^DGMT(408.31,+DGMT,0)),U,23)'=2 Q ; quit if not IVM
"RTN","DGMTOFA",73,0)
.. S X=$P($G(^DPT(DGDFN,.36)),"^",1)
"RTN","DGMTOFA",74,0)
.. I $P($G(^DIC(8,+X,0)),"^",9)=5!($$SC(DGDFN)) S MTQ=1
"RTN","DGMTOFA",75,0)
.S X1=$P(DGMT,U,2),X2=365 D C^%DTC I $P(DGDATE,".")<X,$S(DGMT1=1:0,DGMT1=9:0,1:1) Q
"RTN","DGMTOFA",76,0)
.;Check to see if Cat C/Pend Adj agreed to pay with test date >10/5/99
"RTN","DGMTOFA",77,0)
.I $P(DGMT,U,2)>2991005,$P($G(^DGMT(408.31,+DGMT,0)),U,11)=1,((DGMT1=6)!(DGMT1=2)) Q
"RTN","DGMTOFA",78,0)
.;Check to see if Cat C, declined to provide income info but agreed to
"RTN","DGMTOFA",79,0)
.;pay -- no date restrictions on these types.
"RTN","DGMTOFA",80,0)
.I $G(DGMT1)=6,+$P($G(^DGMT(408.31,+DGMT,0)),U,14),+$P($G(^DGMT(408.31,+DGMT,0)),U,11) Q
"RTN","DGMTOFA",81,0)
.; checking for future means test based on DT
"RTN","DGMTOFA",82,0)
.;
"RTN","DGMTOFA",83,0)
.; DG*5.3*891 - test whether patient is current
"RTN","DGMTOFA",84,0)
.I $P(DGMT,U,2)>3120101&($P(DGMT,U,2)<3130101) Q ; test effective date range 1 or 9 value
"RTN","DGMTOFA",85,0)
.I $P(DGMT,U,2)>3121231,"^4^11^16^"[("^"_DGMT1_"^") Q ; MT status = Copay exempt,GMT Copay requred,Pending Adjudication
"RTN","DGMTOFA",86,0)
.I DGMT1=6!(DGMT1=3) Q ;MT Copay required and and No longer required
"RTN","DGMTOFA",87,0)
.;
"RTN","DGMTOFA",88,0)
.N DGNXTMT
"RTN","DGMTOFA",89,0)
.S DGNXTMT=$O(^IVM(301.5,"AE",DGDFN,DT))
"RTN","DGMTOFA",90,0)
.I 'DGNXTMT S DGNXTMT=""
"RTN","DGMTOFA",91,0)
.S ^TMP("DGMTO",$J,$S(+$P(^SC(DGCLN,0),U,15):$P(^(0),U,15),1:$O(^DG(40.8,0))),$P(^SC(DGCLN,0),U),$P(^DPT(DGDFN,0),U),DGDATE)=DGDFN_U_$P(DGMT,U,1,4)_U_$P($P(DGTMP,U,10),";")_U_DGNXTMT,^TMP("DGMTL",$J,$P(^DPT(DGDFN,0),U),DGDFN)=""
"RTN","DGMTOFA",92,0)
Q
"RTN","DGMTOFA",93,0)
;
"RTN","DGMTOFA",94,0)
SC(DFN) ; Check if patient is SC 0% non-compensable
"RTN","DGMTOFA",95,0)
; Input -- DFN Patient IEN
"RTN","DGMTOFA",96,0)
; Output -- 1=Yes and 0=No
"RTN","DGMTOFA",97,0)
N Y
"RTN","DGMTOFA",98,0)
S Y=0
"RTN","DGMTOFA",99,0)
; Primary eligibility is SC LESS THAN 50%
"RTN","DGMTOFA",100,0)
I $D(^DPT(DFN,.36)),$P($G(^DIC(8,+^(.36),0)),"^",9)=3 S Y=1
"RTN","DGMTOFA",101,0)
G:'Y SCQ
"RTN","DGMTOFA",102,0)
; Service connected percentage is zero
"RTN","DGMTOFA",103,0)
I $P($G(^DPT(DFN,.3)),"^",2)'=0 S Y=0 G SCQ
"RTN","DGMTOFA",104,0)
; No Total annual VA check amount
"RTN","DGMTOFA",105,0)
I $P($G(^DPT(DFN,.362)),"^",20) S Y=0
"RTN","DGMTOFA",106,0)
SCQ Q +$G(Y)
"RTN","DGMTOFA",107,0)
;
"RTN","DGMTOFA",108,0)
LETTER() ;
"RTN","DGMTOFA",109,0)
; Input - none
"RTN","DGMTOFA",110,0)
; Output - DGYN - yes/no
"RTN","DGMTOFA",111,0)
;
"RTN","DGMTOFA",112,0)
N %
"RTN","DGMTOFA",113,0)
LTR W !!,"Do you want to generate letters" S %=2 D YN^DICN
"RTN","DGMTOFA",114,0)
;I %=1 D START^DGMTLTR S DGYN=$S('$D(DGFLG):1,1:0)
"RTN","DGMTOFA",115,0)
I %=2 S DGYN=0
"RTN","DGMTOFA",116,0)
I %=0 W !!,"Enter 'Y'es to generate letters from the listing or",!,"Enter 'N'o to produce the listing, but not the letters." G LTR
"RTN","DGMTOFA",117,0)
Q $D(DGYN)
"RTN","DGMTOFA",118,0)
;
"RTN","DGMTOFA",119,0)
DOM(DFN,DGT) ; Screen out dom patient
"RTN","DGMTOFA",120,0)
; Input: DFN - Patient IEN
"RTN","DGMTOFA",121,0)
; DGT - Date of visit
"RTN","DGMTOFA",122,0)
;
"RTN","DGMTOFA",123,0)
N Y,DGI,DGXFR0,DGA1,DGINP
"RTN","DGMTOFA",124,0)
S Y=0
"RTN","DGMTOFA",125,0)
D ^DGINPW I DG1 I $P(^DG(43,1,0),U,21),$D(^DIC(42,+DG1,0)),$P(^(0),U,3)="D" S Y=1
"RTN","DGMTOFA",126,0)
Q Y
"VER")
8.0^22.0
**INSTALL NAME**
DG*5.3*871
"BLD",9510,0)
DG*5.3*871^REGISTRATION^0^3150424^y
"BLD",9510,1,0)
^^30^30^3150127^
"BLD",9510,1,1,0)
*************************************************************************
"BLD",9510,1,2,0)
Note: This patch is being released in support of the Enrollment System
"BLD",9510,1,3,0)
Re-design (ESR) Health Benefit Plans project. DG*5.3*871 is
"BLD",9510,1,4,0)
released in host file DG_53_P891.KID along with several other
"BLD",9510,1,5,0)
patches.
"BLD",9510,1,6,0)
"BLD",9510,1,7,0)
It is imperative that this patch be installed no later than the
"BLD",9510,1,8,0)
compliance date. Your understanding and support is appreciated.
"BLD",9510,1,9,0)
"BLD",9510,1,10,0)
*************************************************************************
"BLD",9510,1,11,0)
"BLD",9510,1,12,0)
The Health Eligibility Center (HEC) requested modifications to the
"BLD",9510,1,13,0)
Enrollment System Redesign (ESR) and VistA Registration, Enrollment and
"BLD",9510,1,14,0)
Eligibility (Vista REE) software to support the requirements of the
"BLD",9510,1,15,0)
Health Benefit Plans project.
"BLD",9510,1,16,0)
"BLD",9510,1,17,0)
This patch modifies the Registration v5.3 application as described below:
"BLD",9510,1,18,0)
"BLD",9510,1,19,0)
-- Create a new file containing the Health Benefit Plans and their
"BLD",9510,1,20,0)
expanded descriptions.
"BLD",9510,1,21,0)
-- Modify Register a Patient [DG REGISTER PATIENT],
"BLD",9510,1,22,0)
Load/Edit Patient Data [DG LOAD PATIENT DATA] and
"BLD",9510,1,23,0)
View Registration Data [DG REGISTRATION VIEW]
"BLD",9510,1,24,0)
to allow user to view HBP profile for a veteran.
"BLD",9510,1,25,0)
-- Display expanded help text for HBP
"BLD",9510,1,26,0)
-- Store all history of assignments for HBP and be able to view
"BLD",9510,1,27,0)
-- Store data from the Z11 message when received from ES
"BLD",9510,1,28,0)
-- Create an API that will provide HBP information to Vista
"BLD",9510,1,29,0)
downstream applications to include the HBP Name and HBP
"BLD",9510,1,30,0)
Description.
"BLD",9510,4,0)
^9.64PA^2^2
"BLD",9510,4,2,0)
2
"BLD",9510,4,2,2,0)
^9.641^2.2512^2
"BLD",9510,4,2,2,2.2511,0)
CURRENT HEALTH BENEFIT PLAN (sub-file)
"BLD",9510,4,2,2,2.2511,1,0)
^9.6411^^0
"BLD",9510,4,2,2,2.2512,0)
HISTORY HEALTH BENEFIT PLAN (sub-file)
"BLD",9510,4,2,2,2.2512,1,0)
^9.6411^^0
"BLD",9510,4,2,222)
y^y^p^^^^n^^n
"BLD",9510,4,2,224)
"BLD",9510,4,25.11,0)
25.11
"BLD",9510,4,25.11,222)
y^y^f^^n^^y^a^n
"BLD",9510,4,"APDD",2,2.2511)
"BLD",9510,4,"APDD",2,2.2512)
"BLD",9510,4,"B",2,2)
"BLD",9510,4,"B",25.11,25.11)
"BLD",9510,6)
2^
"BLD",9510,6.3)
84
"BLD",9510,"ABPKG")
n
"BLD",9510,"KRN",0)
^9.67PA^779.2^20
"BLD",9510,"KRN",.4,0)
.4
"BLD",9510,"KRN",.4,"NM",0)
^9.68A^^
"BLD",9510,"KRN",.401,0)
.401
"BLD",9510,"KRN",.402,0)
.402
"BLD",9510,"KRN",.403,0)
.403
"BLD",9510,"KRN",.5,0)
.5
"BLD",9510,"KRN",.84,0)
.84
"BLD",9510,"KRN",3.6,0)
3.6
"BLD",9510,"KRN",3.8,0)
3.8
"BLD",9510,"KRN",9.2,0)
9.2
"BLD",9510,"KRN",9.8,0)
9.8
"BLD",9510,"KRN",9.8,"NM",0)
^9.68A^19^12
"BLD",9510,"KRN",9.8,"NM",2,0)
DGRPV^^0^B19556232
"BLD",9510,"KRN",9.8,"NM",3,0)
DGRPE^^0^B61970869
"BLD",9510,"KRN",9.8,"NM",4,0)
DGRP11^^0^B13083153
"BLD",9510,"KRN",9.8,"NM",8,0)
DGR111^^0^B7250700
"BLD",9510,"KRN",9.8,"NM",10,0)
DGR113^^0^B3780049
"BLD",9510,"KRN",9.8,"NM",11,0)
DGR114^^0^B5179815
"BLD",9510,"KRN",9.8,"NM",12,0)
DGHBPUTL^^0^B37209374
"BLD",9510,"KRN",9.8,"NM",15,0)
DGRPP^^0^B19338452
"BLD",9510,"KRN",9.8,"NM",16,0)
DGENUPL^^0^B46472506
"BLD",9510,"KRN",9.8,"NM",17,0)
DGENUPL1^^0^B49545010
"BLD",9510,"KRN",9.8,"NM",18,0)
DGENUPL7^^0^B34918538
"BLD",9510,"KRN",9.8,"NM",19,0)
DGENUPLB^^0^B15063968
"BLD",9510,"KRN",9.8,"NM","B","DGENUPL",16)
"BLD",9510,"KRN",9.8,"NM","B","DGENUPL1",17)
"BLD",9510,"KRN",9.8,"NM","B","DGENUPL7",18)
"BLD",9510,"KRN",9.8,"NM","B","DGENUPLB",19)
"BLD",9510,"KRN",9.8,"NM","B","DGHBPUTL",12)
"BLD",9510,"KRN",9.8,"NM","B","DGR111",8)
"BLD",9510,"KRN",9.8,"NM","B","DGR113",10)
"BLD",9510,"KRN",9.8,"NM","B","DGR114",11)
"BLD",9510,"KRN",9.8,"NM","B","DGRP11",4)
"BLD",9510,"KRN",9.8,"NM","B","DGRPE",3)
"BLD",9510,"KRN",9.8,"NM","B","DGRPP",15)
"BLD",9510,"KRN",9.8,"NM","B","DGRPV",2)
"BLD",9510,"KRN",19,0)
19
"BLD",9510,"KRN",19,"NM",0)
^9.68A^^0
"BLD",9510,"KRN",19.1,0)
19.1
"BLD",9510,"KRN",101,0)
101
"BLD",9510,"KRN",101,"NM",0)
^9.68A^8^4
"BLD",9510,"KRN",101,"NM",1,0)
DGEN HBP 11.1 MENU^^0
"BLD",9510,"KRN",101,"NM",4,0)
DGEN HBP VIEW^^0
"BLD",9510,"KRN",101,"NM",5,0)
DGEN HBP DETAIL^^0
"BLD",9510,"KRN",101,"NM",8,0)
DGEN HBP 11.1A MENU^^0
"BLD",9510,"KRN",101,"NM","B","DGEN HBP 11.1 MENU",1)
"BLD",9510,"KRN",101,"NM","B","DGEN HBP 11.1A MENU",8)
"BLD",9510,"KRN",101,"NM","B","DGEN HBP DETAIL",5)
"BLD",9510,"KRN",101,"NM","B","DGEN HBP VIEW",4)
"BLD",9510,"KRN",409.61,0)
409.61
"BLD",9510,"KRN",409.61,"NM",0)
^9.68A^5^4
"BLD",9510,"KRN",409.61,"NM",1,0)
DGEN HBP PATIENT^^0
"BLD",9510,"KRN",409.61,"NM",3,0)
DGEN HBP VIEW^^0
"BLD",9510,"KRN",409.61,"NM",4,0)
DGEN HBP DETAIL^^0
"BLD",9510,"KRN",409.61,"NM",5,0)
DGEN HBP PAT NO AD^^0
"BLD",9510,"KRN",409.61,"NM","B","DGEN HBP DETAIL",4)
"BLD",9510,"KRN",409.61,"NM","B","DGEN HBP PAT NO AD",5)
"BLD",9510,"KRN",409.61,"NM","B","DGEN HBP PATIENT",1)
"BLD",9510,"KRN",409.61,"NM","B","DGEN HBP VIEW",3)
"BLD",9510,"KRN",771,0)
771
"BLD",9510,"KRN",779.2,0)
779.2
"BLD",9510,"KRN",870,0)
870
"BLD",9510,"KRN",8989.51,0)
8989.51
"BLD",9510,"KRN",8989.52,0)
8989.52
"BLD",9510,"KRN",8994,0)
8994
"BLD",9510,"KRN","B",.4,.4)
"BLD",9510,"KRN","B",.401,.401)
"BLD",9510,"KRN","B",.402,.402)
"BLD",9510,"KRN","B",.403,.403)
"BLD",9510,"KRN","B",.5,.5)
"BLD",9510,"KRN","B",.84,.84)
"BLD",9510,"KRN","B",3.6,3.6)
"BLD",9510,"KRN","B",3.8,3.8)
"BLD",9510,"KRN","B",9.2,9.2)
"BLD",9510,"KRN","B",9.8,9.8)
"BLD",9510,"KRN","B",19,19)
"BLD",9510,"KRN","B",19.1,19.1)
"BLD",9510,"KRN","B",101,101)
"BLD",9510,"KRN","B",409.61,409.61)
"BLD",9510,"KRN","B",771,771)
"BLD",9510,"KRN","B",779.2,779.2)
"BLD",9510,"KRN","B",870,870)
"BLD",9510,"KRN","B",8989.51,8989.51)
"BLD",9510,"KRN","B",8989.52,8989.52)
"BLD",9510,"KRN","B",8994,8994)
"BLD",9510,"QDEF")
^^^^NO^^^^NO^^YES
"BLD",9510,"QUES",0)
^9.62^^
"BLD",9510,"REQB",0)
^9.611^3^3
"BLD",9510,"REQB",1,0)
DG*5.3*709^1
"BLD",9510,"REQB",2,0)
DG*5.3*865^1
"BLD",9510,"REQB",3,0)
DG*5.3*894^1
"BLD",9510,"REQB","B","DG*5.3*709",1)
"BLD",9510,"REQB","B","DG*5.3*865",2)
"BLD",9510,"REQB","B","DG*5.3*894",3)
"DATA",25.11,2,0)
Veteran Beneficiary Plan - Newborn^102
"DATA",25.11,2,2,0)
^^11^11^3130308^
"DATA",25.11,2,2,1,0)
Newborn Plan provides health care services to a newborn child of a woman
"DATA",25.11,2,2,2,0)
veteran who is receiving maternity care furnished by the Department for
"DATA",25.11,2,2,3,0)
not more than seven days after the birth of the child if the veteran
"DATA",25.11,2,2,4,0)
delivered the child in-(1) a facility of the Department; or (2) another
"DATA",25.11,2,2,5,0)
facility pursuant to a Department contract for services relating to such
"DATA",25.11,2,2,6,0)
delivery.
"DATA",25.11,2,2,7,0)
COVERED HEALTH CARE SERVICES are all post-delivery care services,
"DATA",25.11,2,2,8,0)
including routine care services, that a newborn child requires.(38 USC §
"DATA",25.11,2,2,9,0)
1786 - Care for newborn children of women veterans receiving maternity
"DATA",25.11,2,2,10,0)
care ) (Added Public Law 111-163, title II, 206(a), May 5, 2010, 124
"DATA",25.11,2,2,11,0)
Stat.1145)
"DATA",25.11,3,0)
Veteran Plan - State Home Veteran Plans^103
"DATA",25.11,3,2,0)
^25.14^5^5^3130312^^^^
"DATA",25.11,3,2,1,0)
State Home Plan provides Nursing home care and medications for veterans
"DATA",25.11,3,2,2,0)
with service-connected disabilities.
"DATA",25.11,3,2,3,0)
The Secretary shall pay each State home for nursing home care at the rate
"DATA",25.11,3,2,4,0)
determined under paragraph (2), in any case in which such care is provided
"DATA",25.11,3,2,5,0)
to any veteran. (Public Law 109-461) (38 USC 1745)
"DATA",25.11,4,0)
Veteran Plan - Medical Benefits Package (Basic plan coverage for SC, NSC, etc.)^104
"DATA",25.11,4,2,0)
^^7^7^3130307^
"DATA",25.11,4,2,1,0)
Medical Benefits Package Plan provides a full spectrum of medically
"DATA",25.11,4,2,2,0)
necessary services, based on the judgment of your VA primary care
"DATA",25.11,4,2,3,0)
provider and in accordance with generally accepted standards of clinical
"DATA",25.11,4,2,4,0)
practice. These services include: Primary Care, Health Promotion, Disease
"DATA",25.11,4,2,5,0)
Prevention, Diagnosis, Palliative Care, Surgery, Prescriptions for
"DATA",25.11,4,2,6,0)
Medications, Prosthetics, Critical Care, Mental Health Care, Women's
"DATA",25.11,4,2,7,0)
Health Care, Orthopedics, Radiology, Physical Therapy, Rehabilitation.
"DATA",25.11,5,0)
Veteran Plan - Co-Pay Responsibilities (Special medical coverage based on 'Qualifying Factors' such as CV,AO,SWAC,SHAD,Camp Lejeune,etc.)^105
"DATA",25.11,5,2,0)
^25.14^7^7^3130308^^^
"DATA",25.11,5,2,1,0)
Co-Pay Responsibilities Plan provides Veterans qualify for free
"DATA",25.11,5,2,2,0)
healthcare services based on a VA compensable service-connected condition
"DATA",25.11,5,2,3,0)
or other qualifying factor, most Veterans are asked to complete an annual
"DATA",25.11,5,2,4,0)
financial assessment, to determine if they qualify for free services.
"DATA",25.11,5,2,5,0)
Veterans whose income exceed the established VA Income Thresholds as well
"DATA",25.11,5,2,6,0)
as those who choose not to complete the financial assessment must agree
"DATA",25.11,5,2,7,0)
to pay required copays to become eligible for VA healthcare services.
"DATA",25.11,6,0)
Veteran Plan - Beneficiary Travel^106
"DATA",25.11,6,2,0)
^^4^4^3130307^
"DATA",25.11,6,2,1,0)
Beneficiary Travel Plan provides a mechanism under 38 U.S.C. 111 for the
"DATA",25.11,6,2,2,0)
Veterans Health Administration (VHA) to make payments for travel expense
"DATA",25.11,6,2,3,0)
incurred in the United States to help veterans and other persons obtain
"DATA",25.11,6,2,4,0)
care or services from VHA.
"DATA",25.11,7,0)
Veteran Plan - Dental^107
"DATA",25.11,7,2,0)
^^8^8^3130308^
"DATA",25.11,7,2,1,0)
Dental Plan provides: Outpatient dental services and treatment, and
"DATA",25.11,7,2,2,0)
related dental appliances, shall be furnished under this section only for
"DATA",25.11,7,2,3,0)
a dental condition or disability. Inpatient dental services that are
"DATA",25.11,7,2,4,0)
professionally determined by a VA dentist, in consultation with the
"DATA",25.11,7,2,5,0)
referring physician, to be essential to the management of the patient's
"DATA",25.11,7,2,6,0)
medical condition under active treatment while receiving hospital,
"DATA",25.11,7,2,7,0)
nursing home or domiciliary care.
"DATA",25.11,7,2,8,0)
(38 USC 1712)
"DATA",25.11,8,0)
Veteran Beneficiary Plan - CHAMPVA^108
"DATA",25.11,8,2,0)
^^12^12^3130307^
"DATA",25.11,8,2,1,0)
CHAMPVA plan provides health care to dependents who may qualify for VA's
"DATA",25.11,8,2,2,0)
Civilian Health and Medical Program of the Department of Veteran Affairs
"DATA",25.11,8,2,3,0)
(CHAMPVA). They must not have eligibility under TRICARE and must be
"DATA",25.11,8,2,4,0)
dependents of a:
"DATA",25.11,8,2,5,0)
- Veteran who is rated Permanently and Totally disabled due to a
"DATA",25.11,8,2,6,0)
Service-connected condition.
"DATA",25.11,8,2,7,0)
- Veteran who died from VA rated Service-connected condition, or who, at
"DATA",25.11,8,2,8,0)
the time of death, was rated Permanently and Totally disabled.
"DATA",25.11,8,2,9,0)
- Veteran who died on active duty and in the line of duty (not due to
"DATA",25.11,8,2,10,0)
misconduct).
"DATA",25.11,8,2,11,0)
For more information, call 1-800-733-8387 or go to
"DATA",25.11,8,2,12,0)
http://www4.domain.ext/hac/forbeneficiaries/champva/champva.asp.
"DATA",25.11,9,0)
Veteran Beneficiary Plan - Spina Bifida (SB)^109
"DATA",25.11,9,2,0)
^^8^8^3130308^
"DATA",25.11,9,2,1,0)
Spina Bifida (SB) Plan provides monetary allowances, vocational training
"DATA",25.11,9,2,2,0)
and rehabilitation, and VA-financed health care benefits to certain
"DATA",25.11,9,2,3,0)
Korean and Vietnam Veterans' birth children who have been diagnosed with
"DATA",25.11,9,2,4,0)
spina bifida. For the purpose of the program, spina bifida is defined as
"DATA",25.11,9,2,5,0)
all forms or manifestations of spina bifida (except spina bifida
"DATA",25.11,9,2,6,0)
occulta). For more information, call 1-888-820-1756 or go to
"DATA",25.11,9,2,7,0)
http://www4.domain.ext/hac/forbeneficiaries/spina/spina.asp. (38 USC
"DATA",25.11,9,2,8,0)
1802-1806, 1821)
"DATA",25.11,10,0)
Veteran Beneficiary Plan - Children of Women Vietnam Veterans (CWVV)^110
"DATA",25.11,10,2,0)
^^4^4^3130307^
"DATA",25.11,10,2,1,0)
Children of Women Vietnam Veterans (CWVV) Plan provides "NEEDED CARE"
"DATA",25.11,10,2,2,0)
to an eligible child such health care as the Secretary determines is
"DATA",25.11,10,2,3,0)
needed by the child for that child's covered birth defects or any
"DATA",25.11,10,2,4,0)
disability that is associated with those birth defects. (38 USC 1811-1816)