$TXT Created by NTHONY at DEVVOO.DOMAIN.EXT (KIDS) on Thursday, 05/02/19 at 10:10 ============================================================================= Run Date: MAY 21, 2019 Designation: DG*5.3*976 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #857 Status: Released Compliance Date: MAY 24, 2019 ============================================================================= Associated patches: (v)DG*5.3*941 <<= must be installed BEFORE `DG*5.3*976' Subject: HEALTH BENEFIT PLAN CHANGES TO SUPPORT THE MISSION ACT Category: - Routine - Other Description: ============ Patch DG*5.3*976 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, which supports Enrollment System Community Care (ESCC). DG*5.3*976 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. The U.S. Department of Veterans Affairs (VA) MISSION Act Of 2018 (VA Maintaining Systems and Strengthening Integrated Outside Networks Act) consolidates VA's community care programs into a new Veterans Community Care Program (CCP), which will help to ensure Veterans choose VA by getting them the right care at the right time from the right provider. Veterans Health Information System and Technology Architecture (VistA) Registration, Eligibility, & Enrollment (REE) supports the MISSION Act by accepting, processing, and storing Health Benefit Plan (HBP) changes received from ES (the authoritative source). The HBP information is in sync in the Veterans Health Administration (VHA) systems when VistA accepts and processes the Health Level Seven (HL7) ORF/ORU-Z11 message with the HBP field(s) from ES. Patch DG*5.3*976 adds five Health Benefit Plans to the HEALTH BENEFIT PLAN file (#25.11) in VistA. Patch Components: ----------------- Post-install routine DG53976P adds five new Health Benefit Plans to the HEALTH BENEFIT PLAN file (#25.11). These plans consist of the following field values. Field (Number) Value -------------- ----- NAME (#.01) Veteran Plan - CCP Grandfather PLAN CODE (#.02) 211 SHORT DESCRIPTION (#.03) Veteran Plan - CCP Grandfather LONG DESCRIPTION (#.04) Grandfathered Veterans have their eligibility extended from Veterans Choice Program to the new Community Care Program established under the MISSION Act. There are two groups of Grandfathered Veterans: "5 Lowest Population Density States" or "Received Title 38 Care". Both groups require that the enrolled Veteran (1) was distance-eligible on the day before the MISSION Act was signed (June 5, 2018), and (2) live in a place that is still distance-eligible under Veterans Choice rules as of the start of the MISSION Act on June 6, 2019. COVERAGE CODE (#.05) CC01001 Field (Number) Value -------------- ----- NAME (#.01) Veteran Plan - CCP State with no Full-Service Medical Facility PLAN CODE (#.02) 209 SHORT DESCRIPTION (#.03) Veteran Plan - CCP State with no Full-Service Medical Facility LONG DESCRIPTION (#.04) Enrolled Veterans who reside in a state with no full-service VA health care facility. This eligibility will be determined and assigned with the start of the MISSION Act on June 6, 2019. COVERAGE CODE (#.05) CC01002 Field (Number) Value -------------- ----- NAME (#.01) Veteran Plan - CCP Urgent Care PLAN CODE (#.02) 210 SHORT DESCRIPTION (#.03) Veteran Plan - CCP Urgent Care LONG DESCRIPTION (#.04) Enrolled Veterans who have received Title 38 care within the past two years who meet the administrative eligibility for non-VA Urgent Care for services. This eligibility will be determined and assigned with the start of the MISSION Act on June 6, 2019. COVERAGE CODE (#.05) CC01003 Field (Number) Value -------------- ----- NAME (#.01) Veteran Plan - CCP Basic PLAN CODE (#.02) 208 SHORT DESCRIPTION (#.03) Veteran Plan - CCP Basic LONG DESCRIPTION (#.04) The Veteran must be enrolled in the VA healthcare system. Veteran is eligible for the Community Care Program but does not meet the criteria for Community Care services. COVERAGE CODE (#.05) CC01006 Field (Number) Value -------------- ----- NAME (#.01) Veteran Plan - CCP Hardship Determination PLAN CODE (#.02) 212 SHORT DESCRIPTION (#.03) Veteran Plan - CCP Hardship Determination LONG DESCRIPTION (#.04) The Veteran must be enrolled in the VA health care system. The Veteran who may meet new MISSION Act access standards (wait time and drive time) may still face an unusual or excessive burden in accessing care at the VA based on: . Geographical challenges . Environmental factors such as: o Roads that are not accessible to the general public, such as a road through a military base or restricted area o Traffic, or o Hazardous weather conditions . A medical condition that impacts the ability to travel Or . Meets MISSION Act access standard, but, must travel by air, boat, or ferry And . Veteran has received a "COMMUNITY CARE-HARDSHIP DETERMINATON" consult and the consult has not expired then the Veteran will be eligible for Hardship. COVERAGE CODE (#.05) CC01007 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: ----------------------- N/A Blood Bank Team Coordination: ----------------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Test Sites: ----------- C.W. Bill Young VA Medical Center, Bay Pines, FL West Palm Beach VA Medical Center, West Palm Beach, FL VA NY Harbor Healthcare System, New York, NY Software and Documentation Retrieval Instructions: ---------------------------------------------------- This software is being released as a patch (PackMan) message. Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the 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: http://www.domain.ext/vdl/ Title File Name SFTP Mode -------------------------------------------------------------------------- Release Notes DG_53_P976_RN.PDF (binary) Patch Installation: Pre/Post Installation Overview: ------------------------------- The post install process runs the post install routine DG53976P to set up the five new Health Benefit Plans (HBPs) in the HEALTH BENEFIT PLAN file (#25.11). The routine first checks to see if these HBPs exist. The routine then sets up the required fields to prepare to load the HBPs to the file. If they do not already exist in the file, the HBPs are added. During the post install process, a message is displayed regarding which HBPs were added and which already existed. If the HBPs already exist, they are updated with the data in the post install routine. The install process also displays this message "An Error occurred during updating Plan: (Health Benefit Plan) Please log Your IT Services ticket", if an error occurred while trying to update the HBPs. The post install routine DG53976P will be automatically deleted after the patch installation completes. 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. The following menu options should be disabled during installation: N/A Installation Instructions: -------------------------- 1. If the release is provided using PackMan, choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. If this release is provided using a Host file, use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. 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 (DG*5.3*976). B. 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. C. 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? NO//', answer No D. When prompted 'Delay Install (Minutes): (0 - 60): 0//', answer 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 14 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG53976P Before: n/a After: B70401607 **976** ============================================================================= User Information: Entered By : Date Entered : DEC 27, 2018 Completed By: Date Completed: MAY 21, 2019 Released By : Date Released : MAY 21, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT