$TXT Created by at DEVVOO.DOMAIN.EXT (KIDS) on Friday, 10/04/19 at 14:16 ============================================================================= Run Date: OCT 15, 2019 Designation: DG*5.3*987 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #860 Status: Released Compliance Date: OCT 17, 2019 ============================================================================= Associated patches: (v)DG*5.3*871 <<= must be installed BEFORE `DG*5.3*987' (v)DG*5.3*941 <<= must be installed BEFORE `DG*5.3*987' Subject: VETERAN MEDICAL BENEFIT PLANS Category: - Routine - Enhancement () - Data Dictionary - Other Description: ============ Patch DG*5.3*987 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. Patch DG*5.3*987 is also being released in support of the Enrollment System (ES) 5.8 release. Refer to Informational Patch Enrollment Application System EAS*1*180 and EAS*1*181 for additional details regarding the ES release. Veterans Health Information Systems and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) patch DG*5.3*987 renames Health Benefit Plans (HBPs) as Veteran Medical Benefit Plans (VMBPs) to support the Electronic Health Record (EHR) in Cerner's Millennium application and adds additional VMBPs to VistA. ES now automatically assigns the correct VMBP(s) to a patient's record based on the patient's traits, such as eligibilities. ES transmits the VMBPs assigned to the patient to VistA REE. VMBPs associated to a patient are displayed in VistA, but cannot be assigned or removed from the patient's record. VistA Registration screens are updated to refer to the plans as either "Veteran Medical Benefit Plan" or "VMBP". DG*5.3*987 modifies the HEALTH BENEFIT PLAN file (#25.11) to store 21 new core VMBP names, codes, and short and long descriptions. VistA will accept the new plans from ES via Health Level Seven (HL7) ORF-Z11/ORU-Z11 messages. A new VMBP <11.3.1> screen is added to display detailed plan information. VistA REE displays the VMBP <11.3.1> screen when the user selects "Expand Entry" from the View History [DGEN HBP VIEW] action protocol on the VMBP <11.1> screen. The Patient Inquiry [DG PATIENT INQUIRY] option and Patient Inquiry application program interface (API) (DGRPD) is updated to display "Veteran Medical Benefit Plan" instead of "Health Benefit Plan". The API DGRPD is called from VistA REE menu options, subscribers to API DGRPD, and other VistA packages. Integration Control Registration (ICR) 10037 (DGRPD) is updated to display "Veteran Medical Benefit Plan" instead of "Health Benefit Plan". ICR 10037 NAME: DGRPD CUSTODIAL PACKAGE: REGISTRATION SUBSCRIBING PACKAGE: USAGE: Supported The DG*5.3*987 patch adds a new INACTIVE (#.06) field to the HEALTH BENEFIT PLAN (#25.11) file to allow HBPs to be inactivated in VistA REE. When the INACTIVE (#.06) field is set to YES, then the plan will not be displayed when the user selects the View All HBP Detail [DGEN HBP DETAIL] action protocol to display the HEALTH BENEFIT PLAN <11.4> screen in VistA REE Registration options. The Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act enactment on June 6, 2019 recalculated Veteran's Community Care VMBPs in ES and transmitted the HL7 ORF-Z11/ORU-Z11 messages to VistA. If the message did not transmit successfully, an inactive Veterans Choice plan may display on screens that should display the current VMBP of the Veteran. Plan names preceded by "zz" indicate that the plan is inactive. If an inactive plan is displayed, the user may send an eligibility query by using the SQ Send Query [DGEN SEND ENROLLMENT QUERY] action protocol located in the Patient Enrollment [DGEN PATIENT ENROLLMENT] option. ES will send the VMBPs on file to the requesting site in an ORF-Z11 message. If the ORF-Z11 does not upload successfully, the user should open an incident by calling the Enterprise Service Desk (ESD) at 855-673-4357 or through YourIT. DG*5.3*987 also updates the LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN (#25.11) file for the plan VETERAN PLAN - CCP HARDSHIP DETERMINATION. DG*5.3*987 converts the text to uppercase in the NAME (#.01) field of the HEALTH BENEFIT PLAN (#25.11) file. HBPs now display in uppercase letters in VistA screens. Listing of Updates ================== This patch includes the following enhancements to VistA REE: 1. A new INACTIVE (#.06) field is added to the HEALTH BENEFIT PLAN (#25.11) file to indicate that an HBP is inactivated. When the INACTIVE (#.06) field is set to YES, then the plan will not be displayed when the user selects the View All HBP Detail [DGEN HBP DETAIL] action protocol to display the HEALTH BENEFIT PLAN <11.4> screen in VistA REE Registration options. If a Veteran was assigned to HBPs that are inactivated, the HBPs will remain on the Veteran's profile so that they may be viewed under "Current Health Benefit Plans" on the HEALTH BENEFIT PLAN <11.1> screen. Inactivation of Veteran Plans occurs in the HEALTH BENEFIT PLAN (#25.11) file utilizing the new INACTIVE (#.06) field. The INACTIVE (#.06) field is set to YES for the following HBPs: a. VETERAN PLAN - VC UNUSUAL OR EXCESSIVE BURDEN b. VETERAN PLAN - VETERANS CHOICE AIR, BOAT, OR FERRY c. VETERAN PLAN - VETERANS CHOICE BASIC d. VETERAN PLAN - VETERANS CHOICE MILEAGE e. VETERAN PLAN - VETERANS CHOICE WAIT-TIME 2. The LONG DESCRIPTION (#.04) field in the HEALTH BENEFIT PLAN (#25.11) file for the VETERAN PLAN - CCP HARDSHIP DETERMINATION plan is updated to the following: 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 . Meets MISSION Act access standard, but, must travel by air, boat, or ferry And . Veteran has received a "COMMUNITY CARE-HARDSHIP DETERMINATION" consult and the consult has not expired then the Veteran will be eligible for Hardship. 3. The text of the data in the HEALTH BENEFIT PLAN (#25.11) file in the NAME (#.01) field is converted from mixed case to uppercase. All entries within the file are converted. In the Inquire to File Entries [DIINQUIRE] option, HBP name inquiries are now case insensitive. The conversion is done by a pre-install routine. HBPs now display in uppercase letters in VistA screens as a result of the case conversion. Registration options/screens that display the Veteran's current HBP(s) are the following: - Registration options that display HEALTH BENEFIT PLAN <11.1> screen, HEALTH BENEFIT PLAN <11.3> screen, and HEALTH BENEFIT PLAN <11.4> screen. - The Patient Inquiry [DG PATIENT INQUIRY] option and VistA Packages that call the Patient Inquiry API (DGRPD) display a Veteran's current HBP(s) and this inquiry display is also initially presented in the Registration options such as Register A Patient [DG REGISTER PATIENT] option and Load/Edit Patient Information [DG LOAD PATIENT DATA] option. 4. Twenty-one new plans have been added to the HEALTH BENEFIT PLAN file (#25.11). The data is provided in the build with the full data dictionary of the HEALTH BENEFIT PLAN file (#25.11). a. VETERAN - FULL MEDICAL BENEFITS TREATMENT & RX COPAY EXEMPT b. VETERAN - FULL MEDICAL BENEFITS TREATMENT COPAY EXEMPT & RX COPAY REQUIRED c. VETERAN - FULL MEDICAL BENEFITS TREATMENT COPAY REQUIRED & RX COPAY EXEMPT (A) d. VETERAN - FULL MEDICAL BENEFITS TREATMENT COPAY REQUIRED & RX COPAY EXEMPT (B) e. VETERAN - FULL MEDICAL BENEFITS TREATMENT COPAY REQUIRED & RX COPAY EXEMPT (C) f. VETERAN - FULL MEDICAL BENEFITS TREATMENT & RX COPAY REQUIRED (A) g. VETERAN - FULL MEDICAL BENEFITS TREATMENT & RX COPAY REQUIRED (B) h. VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY EXEMPT (A) i. VETERAN - FULL MEDICAL BENEFITS TREATMANT GMT COPAY REQUIRED & RX COPAY EXEMPT j. VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY REQUIRED (A) k. VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY REQUIRED l. VETERAN - RESTRICTED MEDICAL BENEFITS m. NON-VETERAN - OTHER RESTRICTED MEDICAL BENEFITS n. RESTRICTED EXAMINATION ONLY o. HUMANITARIAN p. APPLICANT IN PROCESS q. ALLIED BENEFICIARIES r. OTHER FEDERAL AGENCY s. ACTIVE DUTY & SHARING AGREEMENTS t. VETERAN - FULL MEDICAL BENEFITS TREATMENT & RX COPAY EXEMPT (X) u. VETERAN - FULL MEDICAL BENEFITS TREATMENT COPAY EXEMPT & RX COPAY REQUIRED (Y) 5. The ELIGIBILITY VERIFICATION DATA SCREEN <11> screen is updated to display "Veteran Medical Benefit Plan (VMBP):" instead of "Health Benefit Plan:". BEGIN SCREEN CAPTURE ELIGIBILITY VERIFICATION DATA, SCREEN <11> PATIENT, NAME; XXX-XX-XXXX SC VETERAN ========================================================================= [1] Eligibility Status: VERIFIED Status Date: FEB 28, 2019 Status Entered By: POSTMASTER (#.5) Interim Response: UNANSWERED (NOT REQUIRED) Verif. Method: CEV/talked to VBA Verif. Source: HEC [2] Money Verified: NOT VERIFIED [3] Service Verified: NOT VERIFIED [4] Rated Disabilities: SC%: 30 EFF. DATE OF COMBINED SC%: MAY 5, 2018 Orig Curr Rated Disability Extr Eff Dt Eff Dt 9411-POST-TRAUMATIC STRESS DISORDER (30% SC) - MAY 5, 2018 - [5] Veteran Medical Benefit Plan (VMBP): (1 Plan on file) to CONTINUE, 5 to EXPAND, ^N for screen N or '^' to QUIT: END SCREEN CAPTURE 6. The template for the VMBP <11.1> screen is updated so that the header text of the screen reads "VMBP". The plans are now labeled "Current VMBP". BEGIN SCREEN CAPTURE VMBP <11.1> Nov 11, 2019@08:16:12 Page: 1 of 1 Patient: PATIENT,NAME (XXXX) NSC VETERAN Current VMBP <1> VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX Enter ?? for more actions >>> VH View History VD View All VMBP Detail Select Action:Quit// END SCREEN CAPTURE 7. The template for the VMBP <11.3> screen is updated so that the header text of the screen reads "VMBP". In addition, the "ADD" label is changed to read "ASSIGN" and the "DELETE" label is changed to read "UNASSIGN". A new Expand Entry [DGEN HBP VIEWEXP] list template is added to display detailed plan information. BEGIN SCREEN CAPTURE VMBP <11.3> Nov 11, 2019@08:21:48 Page: 1 of 3 Patient: PATIENT,NAME (XXXX) NSC VETERAN Action Date Plan Name [1] ASSIGN NOV 11,2019 VETERAN PLAN - CCP BASIC [2] ASSIGN NOV 11,2019 VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY REQUIRED + Enter ?? for more actions >>> EP Expand Entry Select Action:Next Screen// ep Expand Entry Select Plan: (1-16): 2 END SCREEN CAPTURE 8. A new VMBP <11.3.1> screen is added to display detailed plan information. VistA REE displays the VMBP <11.3.1> screen when the user selects "Expand Entry" from the View History [DGEN HBP VIEW] action protocol on the VMBP <11.3> screen. BEGIN SCREEN CAPTURE VMBP <11.3.1> Nov 11, 2019@08:23:14 Page: 1 of 3 Patient: PATIENT,NAME (XXXX) NSC VETERAN Action Date Plan Name ------ ---- --------- ASSIGN NOV 11,2019 VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY REQUIRED Description All enrolled Veterans have a comprehensive medical benefits package, which VA administers through an annual patient enrollment system. Veterans who meet Veteran status for VA healthcare benefits and must complete a Means Test to determine their copay status for their inpatient, outpatient services and medications. Veterans with gross household income below the geographically adjusted income limits for their resident location and who agreed to pay copays. The Means Test outcome of GMT Copay Required and outcome of their Rx Exemption status is Non-Exempt. These Veterans are subject to copays for inpatient services at a reduced rate, copayment for their + + Next Screen - Prev Screen ?? More Actions Select Action:Next Screen// END SCREEN CAPTURE 9. The template for the VMBP <11.4> screen is updated so that the header text of the screen reads "VMBP" and the label "HBP View All Detail" is updated to display "VMBP View All Detail". 10. In the Patient Inquiry [DG PATIENT INQUIRY] option, the label "Health Benefit Plan Currently Assigned to Veteran:" is updated to display "Veteran Medical Benefit Plan Currently Assigned to Veteran:". Note: The label change is also displayed in external applications and packages that make use of the Patient Inquiry API; Integration Control Registrations (ICRs) #2041, #10037, and #740; and Remote Procedure Call (RPC) #2089; and reflect the label change. The applications include: The applications include: Womens Health (WV) Barcode Medication Administration (BCMA) VISTA IMAGING - CLINICAL DISPLAY Order Entry Results Reporting Outpatient Pharmacy Manager (PSO MANAGER) Computerized Patient Record System (CPRS) Clinical Information Resource Network (CIRN) Automated Medical Information Exchange (AMIE) Regional Office Patient Inquiry (DVBA REG OFF PATIENT INQ) The following VistA REE menu options also make use of the Patient Inquiry API and reflect the label change: Collateral Patient Register [DG COLLATERAL PATIENT] option Load/Edit Patient [DG LOAD PATIENT DATA] option Register A Patient [DG REGISTER PATIENT] option BEGIN SCREEN CAPTURE PATIENT,NAME; ====================================================================== Veteran Medical Benefit Plan Currently Assigned to Veteran: VETERAN - FULL MEDICAL BENEFITS TREATMENT GMT COPAY REQUIRED & RX COPAY EXEMPT (A) END SCREEN CAPTURE 11. A "zz" indicator is added to the display of any current VMBPs that are inactive. The Veteran's current VMBP(s) are displayed in Registration options that display the updated VMBP <11.1> screen, and Patient Inquiry [DG PATIENT INQUIRY] option. BEGIN SCREEN CAPTURE VMBP <11.1> NOV 11,2019@16:36:29 Page: 1 of 1 Patient: PATIENT,NAME (XXXX) SC VETERAN Current VMBP <1> zz VETERAN PLAN - VETERANS CHOICE BASIC + Next Screen - Prev Screen ?? More Actions VH View History VD View All VMBP Detail Select Action:Quit// END SCREEN CAPTURE Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- HEALTH BENEFIT PLAN (#25.11) INACTIVE (.06) New 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 ------------- -------------------- DGEN HBP DETAIL Modified Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- DGEN HBP PATIENT Protocol List Template (#409.61) Modified DGEN HBP VIEW Display List Template (#409.61) Modified DGEN HBP VIEWEXP Display List Template (#409.61) New DGEN HBP DETAIL Display List Template (#409.61) Modified 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 Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: Rational Team Concert (RTC): RTC # Problem / Resolution: -------- -------------------- 572854 Problem: Inquire to FileMan search in VistA for HBPs are case sensitive - plan names should be UPPERCASE in file #25.11. Resolution: The text of the data in the HEALTH PLAN BENEFIT (#25.11) file in the NAME (#.01) field is converted to upper case text which will allow mixed case lookup for the HBP name in the FileMan INQUIRE TO FILE ENTRIES option. 998188 Problem: Long description change for plan Veteran Plan - CCP Hardship Determination is needed. Resolution: The long description for the VETERAN PLAN - CCP HARDSHIP DETERMINATION is updated. Test Sites: ---------- Central Alabama Veterans Health Care System (CAVHCS), Montgomery & Tuskegee, AL VA Maine Healthcare System - Togus, Augusta, ME White River Junction VA Medical Center, White River Junction, VT Software and Documentation Retrieval Instructions: ---------------------------------------------------- This software is being released as a patch (PackMan) message. Documentation describing the new functionality is 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 ----------------------------------------------------------------------- DG*5.3*987 Release Notes DG_5_3_987_RN.PDF (binary) User Manual - Registration Menu PIMS_REG_UM.PDF (binary) Host File Name FTP Mode --------------------------------------------------------------------- N/A Patch Installation: ------------------ Pre/Post Installation Overview: A pre-install routine is included in this build. This routine converts all NAME field (#.01) values in the HEALTH BENEFIT PLAN file (#25.11) to uppercase. The pre-installation routine DG53987P will be automatically deleted upon installation of this patch. Pre-Installation Instructions: ------------------------------ 1. The HL7 incoming/outgoing filers should be stopped. Stop All Messaging Background Processes by using the [HL STOP ALL] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. 2. 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 DG*5.3*987. 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 ----------- --------- Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] View Registration Data [DG REGISTRATION VIEW] Patient Inquiry [DG PATIENT INQUIRY] Collateral Patient Register [DG COLLATERAL PATIENT] Preregister a Patient [DGPRE PRE-REGISTER OPTION] Admit a Patient [DG ADMIT PATIENT] 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: ------------------------------- The HL7 incoming filers should be restarted. Use the Restart/Start All Links and Filers [HL TASK RESTART] option on the Filer and Link Management Options [HL MENU FILER LINK MGT] menu on the HL7 Main Menu [HL MAIN MENU]. 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 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: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 22 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG53987P Before: n/a After: B6052298 **987** Routine Name: DGHBPUTL Before: B37209374 After: B38465896 **871,987** Routine Name: DGR111 Before: B7250700 After: B9243867 **871,987** Routine Name: DGR113 Before: B3780049 After: B7068957 **871,987** Routine Name: DGR1131 Before: n/a After: B5332919 **987** Routine Name: DGR114 Before: B5179815 After: B6048898 **871,987** Routine Name: DGRP11 Before: B13083153 After: B13288054 **327,631,709,871,987** Routine Name: DGRPD Before:B102167809 After:B110727160 **109,124,121,57,161,149,286, 358,436,445,489,498,506,513, 518,550,545,568,585,677,703, 688,887,907,925,936,940,941, 987** Routine list of preceding patches: 871, 941 ============================================================================= User Information: Entered By : Date Entered : JUL 23, 2019 Completed By: Date Completed: OCT 15, 2019 Released By : Date Released : OCT 15, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT