============================================================================= Run Date: DEC 15, 2011 Designation: DG*5.3*848 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #749 Status: Released Compliance Date: DEC 28, 2011 ============================================================================= Subject: 2012 MEANS TEST THRESHOLDS Category: - Routine Description: ============ Per forthcoming VHA DIRECTIVE 2011-###, new effective rates for Means Test Thresholds, GMT Thresholds, and RX Copay Thresholds will go into effect January 1, 2012. To ensure compliance with the forthcoming VHA Directive, DG*5.3*848 MUST be installed by December 28, 2011. This patch is being released as an Emergency patch together with EAS*1.0*104 (2012 GMT Thresholds) and IB*2.0*465 (2012 RX Copay Thresholds) and may be installed out of sequence with respect to other released Registration (DG) patches. Please Note: We expect the VHA Directive to be titled MEANS TEST AND GEOGRAPHIC-BASED MEANS TEST THRESHOLDS FOR CALENDAR YEAR 2012. In order to provide adequate time for sites to install, Central Business Office has agreed that these patches may be released prior to availability of the actual Directive Number. The Means Test thresholds for Calendar Year 2012 provided in forthcoming VHA DIRECTIVE 2011-###, MEANS TEST AND GEOGRAPHIC-BASED MEANS TEST THRESHOLDS FOR CALENDAR YEAR 2012 are distributed with this patch. The post-installation routine, DG53848P, will create a new subentry (or replace an existing one) for calendar year 2012 in the MEANS TEST DATA (#250) multiple field of the MAS PARAMETERS (#43) file. Six subfields within the multiple will be updated with the new Means Test threshold data values as follows: MEANS TEST DATA (#.01) - 2012 MT COPAY EXEMPT VET INCOME (#2) - $30,460 MT COPAY EXEMPT 1ST DEP INCOME (#3) - $6,094 MT COPAY EXEMPT INCOME PER DEP (#4) - $2,093 THRESHOLD PROPERTY (#8) - $80,000 CHILD INCOME EXCLUSION (#17) - $9,750 In addition, this patch will update the following fields in the PARAMETERS file (#8989.5) for Income Year 2011 to: DGMT MAPR GLOBAL RATE 5 DGMT MAPR 0 DEPENDENTS 12256 DGMT MAPR 1 DEPENDENTS 16051 DGMT MAPR N DEPENDENTS 2093 This patch, DG*5.3*848, is one of three VistA 2012 threshold patches. It updates the thresholds for the Means Tests and the Maximum Annual Pension Rate. Patch EAS*1.0*104 will address the annual updates for the GMT Thresholds and patch IB*2.0*465 will address the annual updates for the Pharmacy Copay Thresholds. 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 Additional Information: Software Retrieval ------------------ The software for this patch is not being distributed through the National Patch Module. This patch is being distributed as part of a host file. The host file will contain the following three KIDS builds: Host file name: DG_53_P848.KID Builds: DG*5.3*848 EAS*1.0*104 IB*2.0*465 Sites may retrieve the software directly using File Transfer Protocol (FTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany : ftp.fo-albany.med.va.gov Hines : ftp.fo-hines.med.va.gov Salt Lake City : ftp.fo-slc.med.va.gov First Available Server : download.vista.med.va.gov The following file will be available: File Name Description --------- ----------- DG_53_P848.KID Host File containing KIDS software distribution Note: Use ASCII mode when transferring the .KID file. New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Test Sites: ---------- Chillicothe, OH VAMC (Medium) New York Harbor HCS (Large/Integrated) VISN 2 Upstate New York HCS (Large/Integrated) Documentation Retrieval Instructions ------------------------------------ N/A Patch Installation: Pre/Post Installation Overview ------------------------------ The DG53848P post install routine will make updates to the MAS PARAMETERS (#43) file and the PARAMETERS file (#8989.5). DG53848P can be deleted after installation. Installation Instructions ------------------------- The host file (containing three patches) can be installed with users on the system. The installation should not be queued to run. Installation will take approximately 10 minutes. The updates to the GMT THRESHOLDS file (#712.5) in patch EAS*1.0*104, are extensive. Due to the volume of updates, the installation process will appear to stall and/or stop. This is normal, as the file updates may take up to 10 minutes to complete. *****Please be patient and allow the process to complete.***** Also, when comparing the transport global to the current system, entries will scroll by on the screen. This is normal as there are approximately 35,700 entries included in the GMT THRESHOLDS file (#712.5) distributed with this patch and a comparison is done on each of these entries. It is possible your session may time out before the install has completed. If so, you may not be able to get a complete screen capture of the compare. This will not, however, mean that there is any problem with the software. To avoid a session time-out, you can designate a printer (non-queued) as the device for the installation. Pre-Installation Instructions ----------------------------- 1. DOWNLOAD HOST KIDS FILE ----------------------- Download the KIDS file DG_53_P848.KID from the ANONYMOUS.SOFTWARE directory of any of the following three Office of Information Field Offices (OIFOs): Albany, Hines, or Salt Lake to the appropriate directory on your system. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. Select Installation Option: -------------------------- a. Use the 'Load a Distribution' option and enter the directory into which you downloaded the host file, followed by the host file name: [directory]DG_53_P848.KID NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter DG*5.3*848): b. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. c. 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 components of this patch (routines, DD's, templates, etc.). d. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. The BILLING EXEMPTIONS file (#354.1) will be checked for medication co-payment exemptions based on prior thresholds, since the exemption status may change due to the new rates. If -- and only if -- there are exemptions, you will be prompted to UPDATE AND PRINT the exemptions report. NOTE: the report is not new and is intended only as an FYI for billing staff. Select Action: (P/U): Update & Print// Press to accept the default "Update & Print" Select Device: You must enter a print device. An entry is required and HOME, SPOOLER, or P-MESSAGE are not allowed. You MUST choose a valid printer or the installation will be aborted. NOTE: The exemption report contains full patient names and SSNs. Be sure to select a device in a secure area and retrieve the output immediately. You need not queue the report since the installation process will queue it automatically. c. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO. d. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES. e. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: [DG MEANS TEST EDIT] Edit an Existing Means Test [DG CO-PAY TEST EDIT] Edit an Existing Copay Exemption Test [EASEC LTC COPAY TEST EDIT] Edit an Existing LTC Copayment Test [EASEC LTC EXEMPTION TEST EDIT] Edit an Existing LTC Copay Exemption Test f. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . Post-Installation Instructions ------------------------------ 1. Routines DG53848P, EAS1104P, IB20E465, and IB20P465 may be deleted after successful installation of the three patches in the host file. 2. If the "Exemptions Based on Prior Year Thresholds" report has been printed, it should be given to the MCCF/Billing Department or the Integrated Billing ADPAC. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG53848P Before: n/a After: B9129577 **848** ============================================================================= User Information: Entered By : MOORE,TERRY D Date Entered : OCT 05, 2011 Completed By: RUDINGER,NANCY L. Date Completed: DEC 15, 2011 Released By : GAYLER,LU ANNE Date Released : DEC 15, 2011 ============================================================================= Packman Mail Message: ===================== No routines included