$TXT Created by at DEVVOO.DOMAIN.EXT (KIDS) on Monday, 04/08/19 at 13:57 ============================================================================= Run Date: DEC 05, 2019 Designation: EAS*1*174 Package : EAS - ENROLLMENT APPLICATION SYSTEM Priority: Mandatory Version : 1 SEQ #155 Status: Released Compliance Date: JAN 05, 2020 ============================================================================= Associated patches: (v)EAS*1*79 install with patch `EAS*1*174' (v)DG*5.3*972 install with patch `EAS*1*174' Subject: LONG TERM CARE MEDAL OF HONOR Category: - Routine - Enhancement (Mandatory) - Other Description: ============ Patch EAS*1.0*174 is being released to support the enhancements for the Enterprise Health Benefits Determination (EHBD) program that focuses on updates for the Enrollment System Modernization (ESM) Phase 2 project. EAS*1.0*174 is also being released in support of the Enrollment System (ES) 5.6 release. Refer to Informational Patch EAS*1*178 (Enrollment Application System) for additional details regarding the ES release. IMPORTANT ------------------------------------------------------------------------ The following patches, which all include functionality for Medal of Honor, will be released concurrently and should be installed in the following order: 1. Veterans Health Information System and Technology Architecture (VistA) Registration, Eligibility, & Enrollment (REE) Registration (DG) patch DG*5.3*972, released with Income Verification Match (IVM) patch IVM*2.0*183 in Host File DG_53_P972.KID, ensures Veterans awarded Medal of Honor are placed in Priority Group 1 and are exempt from copayments for health care and medications. 2. Patch IVM*2.0*183, released with DG*5.3*972 in Host File DG_53_P972.KID, modifies how VistA determines if an income test is the active current test per Veteran's Financial Assessment (VFA) rules and adds a condition that Medal of Honor recipients are not subject to income testing. 3. Patch EAS*1.0*174 ensures VistA users can exempt Veterans awarded Medal of Honor from Long Term Care (LTC) copayments and LTC income testing. 4. Integrated Billing (IB) patch IB*2.0*627 will need to be installed directly after EAS*1.0*174 as the full functionality of Medal of Honor will not be apparent until IB*2.0*627 is installed. ------------------------------------------------------------------------ Currently the Add A New LTC Copayment Test [EASEC LTC COPAY TEST ADD] option determines if a Veteran qualifies for an automatic LTC Copay Test exemption without consideration of the Veteran's Medal of Honor status. If the Veteran does not qualify for an automatic exemption, the user can manually select from a sub-set of the LTC Copay Test exemption reasons, and the user can also complete the detailed income test (LTC Copayment Exemption Test). Public Law 114-315 amends United States Code Title 38 Section 1710(a), 1710B, and 1722A and exempts Veterans awarded Medal of Honor from copayments for health care, medications, and extended care services. Additionally, PL 114-315 provides that all Veterans awarded the Medal of Honor currently enrolled for VA hospital care and medical services, and whose Veterans Health Administration (VHA) enrollment records are not currently assigned to Priority Group 1, will have their enrollment record updated to reflect enrollment in Priority Group 1 and exemption from copayments for health care, medications, and extended care services. EAS*1.0*174 ensures VistA users can exempt Veterans awarded Metal of Honor from Long Term Care (LTC) copayments and LTC income testing. Listing of Updates ================== This patch includes the following enhancements to VistA REE: 1. VistA is updated to add a new LTC reason for exemption entry "VETERAN AWARDED MEDAL OF HONOR" in the LTC CO-PAY EXEMPTION file (#714.1). BEGIN SCREEN CAPTURE #1 Output from what File: LTC CO-PAY EXEMPTION// (14 entries) LTC CO-PAY EXEMPTION List APR 04, 2019@08:27 PAGE 1 NUMBER ACTIVE? ------------------------------------------------------------------- NAME: VETERAN AWARDED MEDAL OF HONOR 14 YES END SCREEN CAPTURE #1 2. When a VistA REE user selects the Add A New LTC Copayment Test [EASEC LTC COPAY TEST ADD] option, VistA first determines if the Veteran qualifies for an automatic exemption. The automatic exemption logic now also considers whether the Veteran is awarded Medal of Honor. a. Medal of Honor is inserted into the hierarchy of automatic exemptions in the following order: Number Name 1 COMPENSABLE SC DISABILITY 14 VETERAN AWARDED MEDAL OF HONOR 10 INCOME (LAST YEAR) BELOW LTC THRESHOLD 12 INCOME (CURRENT YEAR) BELOW LTC THRESHOLD b. VistA automatically selects the new MOH LTC reason for exemption that is highest in the hierarchy, so a Veteran that is awarded Medal of Honor and has an eligibility of Compensable Service Connected will be assigned the LTC reason for exemption "COMPENSABLE SC DISABILITY. c. When the CURRENT MOH INDICATOR field (#.541) in the PATIENT file (#2) is YES and the Veteran is not SC Compensable, the new Medal of Honor LTC reason for exemption is assigned. BEGIN SCREEN CAPTURE #2 Select LTC Copayments Menu Option: add a New LTC Copayment Test [EASEC LTC COPAY TEST ADD] Select PATIENT NAME: TESTPATIENT,ONE 12-12-62 XXXXXXXXX NO NSC VETERAN Enrollment Priority: GROUP 1 Category: IN PROCESS End Date: DATE OF LTC COPAY TEST: NOW// ======================================================================= Veteran is EXEMPT from Long Term Care copayments. Reason for Exemption: VETERAN AWARDED MEDAL OF HONOR ======================================================================= END SCREEN CAPTURE #2 3. When the Veteran does not have an eligibility or income that qualifies for automatic exemption from LTC copayments and income testing, the Add a New LTC Copayment Test [EASEC LTC COPAY TEST ADD] option functionality is unchanged. When the system prompts for the "Reason for Exemption:", the user may enter "??" to view the user-selectable reasons for exemption. None of the automatically selectable reasons, including "VETERAN AWARDED MEDAL OF HONOR" will be displayed or selectable. BEGIN SCREEN CAPTURE #3 Select LTC Copayments Menu Option: add a New LTC Copayment Test [EASEC LTC COPAY TEST ADD] Select PATIENT NAME: TESTPATIENT,ONE 1-1-65 XXXXXXXXX NO NSC VETERAN Date of LTC Copay Test: NOW// (APR 03, 2019) Is veteran EXEMPT from LTC copayments? NO// YES Reason for Exemption: ?? Choose from: 3 LTC FOR SC DISABILITY 4 LTC BEGAN PRIOR TO 11/30/1999 5 LTC FOR EXPOSURE TO ENVIRONMENTAL CONTAMINANTS (GULF WAR) 6 LTC FOR AGENT ORANGE EXPOSURE 7 LTC FOR RADIATION EXPOSURE 8 LTC FOR TREATMENT RELATED TO MST 9 LTC RELATED TO CANCER OF THE HEAD AND NECK 11 LTC RELATED TO HOSPICE CARE 13 LTC IS SERVICE RELATED - COMBAT VET ELIGIBLE END SCREEN CAPTURE #3 4. When a user selects Edit an Existing LTC Copayment Test [EASEC LTC COPAY TEST EDIT] option for a Veteran that is awarded Medal of Honor and has an existing LTC copayment test, the user will not be able to edit the test. a. If the test status is EXEMPT, the Status and Reason for Exemption will display. BEGIN SCREEN CAPTURE #4 Select LTC Copayments Menu Option: edit an Existing LTC Copayment Test [EASEC LTC COPAY TEST EDIT] Select PATIENT NAME: TESTPATIENT,ONE 12-12-62 XXXXXXXXX NO NSC VETERAN Enrollment Priority: GROUP 1 Category: IN PROCESS End Date: Select DATE OF LTC COPAY TEST: 4-03-2019// LTC CO-PAY TEST EXEMPT VAMC ======================================================================= Veteran is EXEMPT from Long Term Care copayments. Reason for Exemption: VETERAN AWARDED MEDAL OF HONOR ======================================================================= END SCREEN CAPTURE #4 b. When a user selects Edit an Existing LTC Copayment Test [EASEC LTC COPAY TEST EDIT] option for a Veteran that has an existing LTC copayment test and has a status of NON-EXEMPT, the following message will be displayed after the LTC copayment test: "Veteran is Awarded Medal of Honor - Add a New LTC Copayment Test to update status". BEGIN SCREEN CAPTURE #5 Select LTC Copayments Menu Option: edit an Existing LTC Copayment Test [EASEC LTC COPAY TEST EDIT] Select PATIENT NAME: TESTPATIENT,ONE 1-2-39 XXXXXXXXX NO NSC VETERAN Select DATE OF LTC COPAY TEST: 2-5-2016// LTC CO-PAY TEST NON-EXEMPT VAMC Patient: TESTPATIENT,ONE Date of Test: FEB 05, 2016 Total Dependents: 0 Type Of Test: LTC CO-PAY TEST Status: NON-EXEMPT Date/Time Completed: JUN 08, 2016@21 Reason: Source Of Test: VAMC Income: $0 Completed By: Assets: $0 Deductible Expenses: $0 Declines Income Info: Agrees to Pay Copayments: Comment(s): Type to continue or '^' to exit: Veteran is Awarded Medal of Honor - Add a New LTC Copayment Test to update status END SCREEN CAPTURE #5 Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: N/A Problem: -------- Resolution: ----------- Test Sites: ----------- Birmingham VA Medical Center, Birmingham, AL VA Eastern Colorado Health Care System (ECHCS), Aurora, CO James A. Haley Veterans' Hospital, Tampa, FL Software and Documentation Retrieval Instructions: ---------------------------------------------------- Documentation describing the new functionality and/or a host file containing a build may be included in this release. The preferred method is to retrieve the files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve the files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Documentation Title File Name SFTP Mode -------------------------------------------------------------------------- EAS*1.0*174 Release Notes EAS_1_174_RN.PDF binary Long Term Care Copayment V. 1.0 User Manual EAS_1_LTC_UM.PDF binary Host File Name FTP Mode --------------------------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: See the IMPORTANT note in the Description section - full functionality of Medal of Honor will not be apparent until Host File DG_53_P972.KID (DG*5.3*972 and IVM*2.0*183), patch EAS*1.0*174, and patch IB*2.0*627 are all installed. An environment check routine is included in the build. This routine checks the LTC CO-PAY EXEMPTION file (#714.1) and confirms the file contains the expected # of records before the EAS*1.0*174 patch is installed. If the environment check fails when the build is loaded for installation the following message is displayed: "It looks like you don't have the right entries in LTC CO-PAY EXEMPTION file (#714.1) installed. Please enter a YOUR IT Services ticket with the Enterprise Service Desk (ESD) for assistance with getting "the correct number of entries into the LTC CO-PAY EXEMPTION file (#714.1)." If the message is displayed then a YOUR IT Services ticket with the Enterprise Service Desk (ESD) will need to be entered for assistance with getting the correct number of entries into the LTC CO-PAY EXEMPTION file (#714.1). The environment check routine EAS1174E will be automatically deleted upon installation of this patch. Pre-Installation Instructions: This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: 1. Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name EAS*1.0*174. NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. Select the Backup a Transport Global option to create a backup message of any routines exported with this patch. It will not backup any other changes such as DDs or templates. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: Option Name Menu Text ----------- --------- ADD A NEW LTC COPAY TEST [EASEC LTC COPAY TEST ADD] EDIT AN EXISTING LTC COPAYMENT TEST [EASEC LTC COPAY TEST EDIT] Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions: N/A Back-Out/Roll Back Plan: ------------------------ In the event a site determines that this patch should be backed out, the site should submit a YOUR IT Services ticket with the Enterprise Service Desk (ESD) for assistance with the procedure. Any issues would need to be evaluated to determine if: a back-out of the software is appropriate; a new patch is needed; or if data requires correction or restoration. During installation, if the option to back up routines was run as directed, "Backup a Transport Global", then routines will have the ability to be restored from the "backup" MailMan message that was generated. However, the KIDS installation process does not perform a backup of other VistA software components, such as DD, cross-reference, and template changes. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;ENROLLMENT APPLICATION SYSTEM;**[Patch List]**;Aug 13, 1993;Build 26 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: EAS1174E Before: n/a After: B5759002 **174** Routine Name: EASECA Before: B15053921 After: B15324385 **5,7,34,40,174** Routine Name: EASECSCC Before: B35526778 After: B39549538 **5,7,34,40,174** Routine Name: EASECU Before: B11675837 After: B12657558 **5,7,34,40,79,174** Routine list of preceding patches: 79 ============================================================================= User Information: Entered By : Date Entered : FEB 08, 2019 Completed By: Date Completed: DEC 05, 2019 Released By : Date Released : DEC 05, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT