$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 12/11/24 at 12:53 ============================================================================= Run Date: JAN 16, 2025 Designation: IB*2*815 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #736 Status: Released Compliance Date: JAN 23, 2025 ============================================================================= Associated patches: (v)IB*2*774 <<= must be installed BEFORE `IB*2*815' Subject: TRICARE PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY 2025 Category: - Routine Description: ============ *** Please Note: This patch has a shortened compliance date of 7 days. *** Integrated Billing patch, IB*2.0*815, will update the administrative charge based on TRICARE rate types with new dispensing fee for third party pharmacy prescription claims with an effective date of January 1st, 2025. Rate Type Dispensing Fee -------------------- ------------- TRICARE 14.78 TRICARE PHARMACY 14.78 TRICARE REIMB. INS. 14.78 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: ----------------------- Blood Bank Coordination: N/A New Service Requests (NSRs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC36679890 - TRICARE PHARMACY FEE CHANGE FOR CY2025 Problem: -------- The Office of Community Care has requested an update of the pharmacy administrative charge for TRICARE rate types with an effective date of January 1st, 2025. Resolution: ----------- The post install routine IB20P815 was created to inactivate rate schedules with the RX COST charge sets for TRICARE rate types with an inactive date of December 31st, 2024. It also adds the new rate schedules with the administrative fee starting on January 1st, 2025 in the RATE SCHEDULE (#363) file. ************************************************************************** Note: This patch will NOT update TRICARE Rate Schedules if TRICARE Rate Types are currently set to INACTIVE. Please verify with Facility Revenue Manager(s) and local VistA support to ACTIVATE TRICARE Rate Types as needed. ************************************************************************** TEST SITES: ----------- Connecticut VAMC Louisville,KY VAMC SNOW Change Order #: -------------------- Connecticut VAMC:CHG0557304 Louisville VAMC:CHG0557320 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation Title File Name --------------------------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: It is recommended that this patch be installed outside of normal business hours to avoid any complications resulting from users on the system. Installation will take less than 2 minutes. Installation Instructions: 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & 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 IB*2.0*815. B. Select the Backup a Transport Global option to create a backup Message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build IB*2.0*815 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Enter response: B iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. 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 the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install, IB*2.0*815. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO Post-Installation Instructions: ------------------------------- You may delete the routine IB20P815 from your production system after the patch has been successfully verified. Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: IB*2.0*815 Post-Install starts..... >>>Effect. JAN 01, 2025 of RX Rate Schedule Adjustment for the Rate Type: TRICARE TRICARE PHARMACY TRICARE REIMB. INS. Total 3 entries added to the RATE SCHEDULE (#363) file IB*2.0*815 Post-Install is complete. Note: If results show otherwise, please check the settings of the rate schedules for the rate types in file (#363) or log a ticket with The Enterprise Service Desk for assistance. Back-Out/Roll Back Plan: ------------------------ Due to the complexity of this patch, it is not recommended for back-out, and a restore from a backup of the Transport Global should not be attempted. In the event that a site decides to back out this patch, the site should log a Service Now ticket or reach out to the Enterprise Service Desk at 855-673-4357, option 5. The development team will need to issue a follow-on patch in order to comprehensively back-out this patch. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P815 Before: n/a After: B6743727 **815** ============================================================================= User Information: Entered By : Date Entered : DEC 10, 2024 Completed By: Date Completed: JAN 16, 2025 Released By : Date Released : JAN 16, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT