============================================================================= Run Date: DEC 05, 2019 Designation: DG*5.3*972 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #864 Status: Released Compliance Date: JAN 05, 2020 ============================================================================= Associated patches: (v)DG*5.3*481 <<= must be installed BEFORE `DG*5.3*972' (v)DG*5.3*749 <<= must be installed BEFORE `DG*5.3*972' (v)DG*5.3*858 <<= must be installed BEFORE `DG*5.3*972' (v)DG*5.3*940 <<= must be installed BEFORE `DG*5.3*972' (v)DG*5.3*966 <<= must be installed BEFORE `DG*5.3*972' (v)DG*5.3*975 <<= must be installed BEFORE `DG*5.3*972' Subject: MEDAL OF HONOR AWARDEES IN PRIORITY GROUP 1 Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ Patch DG*5.3*972 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. DG*5.3*972 is being released with IVM*2.0*183 in Host File DG_53_P972.KID. DG*5.3*972 is also being released in support of the Enrollment System (ES) 5.5 release. Refer to Informational Patch EAS*1*173 (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 current, active 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. ------------------------------------------------------------------------ Public Law 114-315, signed into law on December 16, 2016, amends United States Code Title 38 Section 1705 to place Veterans awarded the Medal of Honor into the highest Department of Veterans Affairs (VA) Enrollment Priority group - Enrollment Priority Group 1. Veterans awarded Medal of Honor are currently assigned to Enrollment Priority Group 3. PL 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. ES sends VistA REE an HL7 message (ORU-Z11/ORF-Z11) passing the CURRENT MOH INDICATOR, MOH AWARD DATE, and MOH STATUS DATE. VistA REE receives the data and stores the information in the PATIENT file (#2) and PATIENT ENROLLMENT file (#27.11). VistA REE calculates the MOH COPAYMENT EXEMPTION DATE based on the MOH AWARD DATE received from ES and the MOH legislation date, December 16, 2016. Refer to PL 114 - 315. This date is displayed in VistA REE for manual billing reconciliation and informational purposes only. The following VistA REE screens are updated to display a patient's Medal of Honor award indicator without condition, and to display the Medal of Honor award date, status date, and copayment exemption date: - The VistA REE options that display the MILITARY SERVICE DATA, SCREEN <6> screen - The option Patient Enrollment [DGEN PATIENT ENROLLMENT] Page 3 screen - The Expand History [DGEN EXPAND HISTORY] action protocol within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option - The View Upload Audit [DGENUP VIEW ELIGIBILTY UPLOAD AUDIT] action protocol within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option The Eligibility Inquiry for Patient Billing [DG PATIENT ELIGIBILITY INQUIRY] option is updated to display a patient's Medal of Honor award indicator as well as the Medal of Honor award date, status date and copayment exemption date. It is also updated to display a patient's current Camp Lejeune eligibility. Integration Control Registration (ICR) 423 ($$AUTOINFO^DGMTCOU1(DFN)) is updated to use the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) in the auto exemption determination logic to determine if a patient is exempt from Pharmacy Co-Pay. ICR 423 NAME: DGMTCOU1 - Medication Copay Exemption API CUSTODIAL PACKAGE: REGISTRATION SUBSCRIBING PACKAGE: INTEGRATED BILLING USAGE: Private ICR 643 ($$BIL^DGMTUB(DFN,IBDT)) is updated to use the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) in the logic for determining whether a Means Test is required. ICR 643 NAME: DBIA186- CUSTODIAL PACKAGE: REGISTRATION SUBSCRIBING PACKAGE: INTEGRATED BILLING FEE BASIS (only to call entry point $$BIL.) ENROLLMENT APPLICATION SYSTEM SCHEDULING USAGE: Controlled Subscription ICR 10147 NAME: IBARXEU CUSTODIAL PACKAGE: INTEGRATED BILLING SUBSCRIBING PACKAGE: USAGE: Supported Listing of Updates ================== This patch includes the following enhancements to VistA REE: 1. The HL7 interface with ES is modified to include two additional data elements: a. MOH AWARD DATE. The ORU-Z11/ORF-Z11 message populates sequence #4 component 1 in the ZMH segment. b. MOH STATUS DATE. The ORU-Z11/ORF-Z11 message populates sequence #4 component 2 in the ZMH segment. 2. When VistA receives an HL7 ORU-Z11/ORF-Z11 message, if the Medal of Honor Indicator in the ZMH segment is YES and the patient is not a Veteran, VistA REE returns an error to ES "BAD VALUE, ZMH SEGMENT, SEQ 3, NON VETERAN INELIGIBLE FOR MEDAL OF HONOR" and discontinues processing of the HL7 ORU-Z11/ORF-Z11 message. 3. When VistA receives an HL7 ORU-Z11/ORF-Z11 message, the MOH AWARD DATE and MOH STATUS DATE are stored in the following locations: a. MOH AWARD DATE is stored in the MOH AWARD DATE field (#.542) within the PATIENT file (#2). b. MOH AWARD DATE is stored in the MOH AWARD DATE field (#50.28) within the PATIENT ENROLLMENT file (#27.11). c. MOH STATUS DATE is stored in the MOH STATUS DATE field (#.543) within the PATIENT file (#2). d. MOH STATUS DATE is stored in the MOH STATUS DATE field (#50.29) within the PATIENT ENROLLMENT file (#27.11). 4. When VistA receives an HL7 ORU-Z11/ORF-Z11 message, the MOH AWARD DATE and MOH legislation date are used to calculate the MOH COPAYMENT EXEMPTION DATE. Once the MOH COPAYMENT EXEMPTION DATE is calculated, it is stored in the following locations: a. MOH COPAYMENT EXEMPTION DATE field (#.544) within the PATIENT file (#2) b. MOH COPAYMENT EXEMPTION DATE field (#50.3) within the PATIENT ENROLLMENT file (#27.11) c. VistA will not store a future MOH COPAYMENT EXEMPTION DATE. 5. The business rules for processing the MOH AWARD DATE and MOH STATUS DATE received in the HL7 ORU-Z11/ORF-Z11 message are as follows: a. If there is no MOH AWARD DATE sent in the HL7 message, nothing is stored for the MOH AWARD DATE field (#.542) in the PATIENT file (#2) or in the MOH AWARD DATE field (#50.28) within the PATIENT ENROLLMENT file (#27.11). In addition, the MOH COPAYMENT EXEMPTION DATE field (#.544) in the PATIENT file (#2) and the MOH COPAYMENT EXEMPTION DATE field (#50.3) in the PATIENT ENROLLMENT file (#27.11) are null. b. The MOH AWARD DATE and MOH STATUS DATE data elements are converted to a VA FileMan (FM) date format. The PATIENT file (#2) MOH COPAYMENT EXEMPTION DATE field (#.544) and the PATIENT ENROLLMENT file (#27.11) MOH COPAYMENT EXEMPTION DATE field (#50.3) are calculated as described below: i. If the MOH AWARD DATE is not null and it is before the legislation date (12/16/2016), then the MOH COPAYMENT EXEMPTION DATE is equal to the legislation date. ii. If the MOH AWARD DATE is the same date as the legislation date (12/16/2016), then the MOH COPAYMENT EXEMPTION DATE is the same as the legislation date. iii. If the MOH AWARD DATE is past the legislation date (12/16/2016), then the MOH COPAYMENT EXEMPTION DATE is the same as the MOH AWARD DATE. iv. If the MOH AWARD DATE is null then the MOH COPAYMENT EXEMPTION DATE is null. v. If the MOH AWARD DATE is in the future or within 15 years of birth, an error is returned to ES stating: "BAD VALUE, ZMH SEGMENT, SEQ 4, MH AWARD DATE BEFORE BIRTH DATE" as an Application Error (AE). vi. If the MOH AWARD DATE exists but the MOH STATUS DATE does not exist, then an error is returned to ES stating: "BAD VALUE, ZMH SEGMENT, SEQ 4, MH STATUS DATE MISSING" as an AE. vii. VistA will not store a future MOH AWARD DATE or MOH STATUS DATE. 6. Priority Group Calculations: a. If the CURRENT MOH INDICATOR field (#.541) in the PATIENT file (#2) is YES, and the patient is a Veteran, then the patient is placed in Priority Group 1 regardless of other eligibilities. When the patient has a current primary income test for the year and it is a MEANS TEST, the ANNUAL MEANS TEST file (#408.31) STATUS field (#.03) is stored as "NO LONGER REQUIRED". When the primary income test for the year is a CO-PAY EXEMPTION TEST, the STATUS field (#.03) in the ANNUAL MEANS TEST file (#408.31) is stored as "NO LONGER APPLICABLE". b. If the Current MOH Indicator is NO: i. The Priority Group is recalculated based on the patient's current eligibility factors. The current primary income test status is updated with the previous means test status from the TEST-DETERMINED STATUS field (#2.03) in the ANNUAL MEANS TEST file (#408.31). The status then gets stored in the STATUS field (#.03) of the ANNUAL MEANS TEST file (#408.31) and in the CURRENT MEANS TEST STATUS field (#.14) of the PATIENT file (#2). ii. The CURRENT MOH INDICATOR field (#.541) in the PATIENT file (#2) is set to and displays as NO. The MOH AWARD DATE field (#.542) in the PATIENT file (#2) and the MOH AWARD DATE field (#50.28) in the PATIENT ENROLLMENT file (#27.11) are set to null and display as blank. iii. The MOH COPAYMENT EXEMPTION DATE field (#.544) in the PATIENT file (#2) and the MOH COPAYMENT EXEMPTION DATE field (#50.3) in the PATIENT ENROLLMENT file (#27.11) are set to null and display as blank. iv. The MOH STATUS DATE field (#.543) in the PATIENT file (#2) and the MOH STATUS DATE field (#50.29) in the PATIENT ENROLLMENT file (#27.11) are set to and display the date received from ES. c. If the CURRENT MOH INDICATOR field (#.541) in the PATIENT file (#2) is blank or null, the priority group calculation will place the patient in the correct priority group based upon other eligibility factors. The following fields are stored as null and displayed as blank: i. PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) ii. PATIENT file (#2) MOH AWARD DATE field (#.542) iii. PATIENT file (#2) MOH STATUS DATE field (#.543) iv. PATIENT file (#2) MOH COPAYMENT EXEMPTION DATE field (#.544) v. PATIENT ENROLLMENT file (#27.11) MOH AWARD DATE field (#50.28) vi. PATIENT ENROLLMENT file (#27.11) MOH STATUS DATE field (#50.29) vii. PATIENT ENROLLMENT file (#27.11) MOH COPAYMENT EXEMPTION DATE field (#50.3) 7. Additional updates so Veterans awarded Medal of Honor are not subject to income testing in the Copay Exemption Test User Menu [DG CO-PAY TEST USER MENU] option and the Means Test User Menu [DG MEANS TEST USER MENU] option are as follows: a. ADD A COPAY EXEMPTION TEST [DG CO-PAY TEST ADD] option: If the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) is YES, the user cannot add a new co-pay exemption test. A new reason for exemption is added for display when a Patient is awarded Medal of Honor: "Patient is awarded Medal of Honor, automatically exempted." b. EDIT AN EXISTING COPAY EXEMPTION TEST [DG CO-PAY TEST EDIT] option: If the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) is YES, the user cannot edit an existing co-pay exemption test. c. ADD A NEW MEANS TEST [DG MEANS TEST ADD] option: If the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) is YES, the user cannot add a new means test. d. EDIT AN EXISTING MEANS TEST [DG MEANS TEST EDIT] option: If the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) is YES, the user cannot edit an existing means test. 8. Auditing is turned on for the following PATIENT file (#2) fields: a. CURRENT MOH INDICATOR field (#.541) b. MOH AWARD DATE field (#.542) c. MOH STATUS DATE field (#.543) d. MOH COPAYMENT EXEMPTION DATE field (#.544) 9. The HELP PROMPT text for the CURRENT MOH INDICATOR field (#.541) in the PATIENT file (#2) is updated. The field is read only and can be viewed from the List File Attributes [DILIST] option in the Data Dictionary Utilities [DI DDU] menu, which is under the VA FileMan menu (DIUSER). * BEGIN SCREEN CAPTURE * Select DATA DICTIONARY UTILITY OPTION: 1 LIST FILE ATTRIBUTES START WITH What File: PATIENT ENROLLMENT// 2 PATIENT (279 entries) GO TO What File: PATIENT// (279 entries) Select SUB-FILE: Select LISTING FORMAT: STANDARD// Start with field: FIRST// .541 CURRENT MOH INDICATOR Go to field: .541 CURRENT MOH INDICATOR DEVICE: ;;9999 UCX/TELNET Right Margin: 80// STANDARD DATA DICTIONARY #2 -- PATIENT FILE 6/24/19 PAGE 1 STORED IN ^DPT( (279 ENTRIES) SITE: TECHNICAL INTEGRATION SERVICE UCI: DEVVOO,DEVVOO DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE -------------------------------------------------------------------------- 2,.541 CURRENT MOH INDICATOR .54;1 SET (audited) 'Y' FOR YES; 'N' FOR NO; LAST EDITED: APR 16, 2019 HELP-PROMPT: If the patient is a Veteran, enter 'Y' if Medal of Honor has been awarded, 'N' if Medal of Honor was revoked or set in error, or leave field blank if Medal of Honor has never been awarded. DESCRIPTION: This field cannot be edited in VistA. It is set by the Z11 Upload from HEC. A response of 'YES' or 'NO' is indicated only if the patient is a Veteran. AUDIT: YES, ALWAYS UNEDITABLE CROSS-REFERENCE: 2^AMHEN^MUMPS 1)= D AUTOUPD^DGENA2(DA) 2)= D AUTOUPD^DGENA2(DA) 3)= DO NOT DELETE This cross-reference is used to update the patient's current PATIENT ENROLLMENT (#27.11) record. CROSS-REFERENCE: 2^AMHMT^MUMPS 1)= N N,DGMT,DGNOCOPF,DGREQF,DGWRT IVMZ10F S DFN=DA D EN^DGMTR 2)= N N,DGMT,DGNOCOPF,DGREQF,DGWRT IVMZ10F S DFN=DA D EN^DGMTR This cross-ref calls the Means Test software. If the PATIENT file (#2), CURRENT MOH INDICATOR field (#.541) is set to 'YES', then the PATIENT file (#2), CURRENT MEANS TEST STATUS field (#.14) is set to '3'. '3' is a pointer to the MEANS TEST STATUS file (#408.32) and indicates that the Means Test is 'NO LONGER REQUIRED.' * END SCREEN CAPTURE * 10. The HELP PROMPT text for the MEDAL OF HONOR INDICATED? (#50.23) field in the PATIENT ENROLLMENT (#27.11) file is updated. 11. The DESCRIPTION text for the MEDAL OF HONOR INDICATED? (#50.23) field in the PATIENT ENROLLMENT (#27.11) file is updated. The field is read only and can be viewed from the List File Attributes [DILIST] option in the Data Dictionary Utilities [DI DDU] menu, which is under the VA FileMan menu [DIUSER]. * BEGIN SCREEN CAPTURE * Select DATA DICTIONARY UTILITY OPTION: 1 LIST FILE ATTRIBUTES START WITH What File: PATIENT ENROLLMENT// (697 entries) GO TO What File: PATIENT ENROLLMENT// (697 entries) Select LISTING FORMAT: STANDARD// Start with field: FIRST// 50.23 MEDAL OF HONOR INDICATED? Go to field: 50.23 MEDAL OF HONOR INDICATED? DEVICE: ;;9999 UCX/TELNET Right Margin: 80// STANDARD DATA DICTIONARY #27.11 -- PATIENT ENROLLMENT FILE 6/24/19 PAGE 1 STORED IN ^DGEN(27.11, (697 ENTRIES) SITE: TECHNICAL INTEGRATION SERVICE UCI: DEVVOO,DEVVOO (VERSION 5.3) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ------------------------------------------------------------------------- 27.11,50.23 MEDAL OF HONOR INDICATED? E;23 SET 'Y' FOR YES; 'N' FOR NO; LAST EDITED: JUN 05, 2019 HELP-PROMPT: If the patient is a Veteran, enter 'Y' if Medal of Honor has been awarded, 'N' if Medal of Honor was revoked or set in error, or leave field blank if Medal of Honor has never been awarded. DESCRIPTION: This field cannot be edited in VistA. It is set by the Z11 Upload from HEC. A response of 'YES' or 'NO' is indicated only if the patient is a Veteran. TECHNICAL DESCR: This field is updated by the F cross- Reference on the CURRENT MOH INDICATOR (#.541) field in the PATIENT (#2) file. * END SCREEN CAPTURE * 12. ICR 423 is updated at ($$AUTOINFO^DGMTCOU1(DFN)) to use the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) in the auto exemption determination logic to determine if a patient is exempt from Pharmacy Co-Pay. It is called by the VistA Integrated Billing (IB) package. 13. ICR 643 is updated at ($$BIL^DGMTUB(DFN,DGDT)) to use the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) in the logic for determining whether a Means Test is required. It is called by the VistA Integrated Billing (IB) package. 14. ICR 10147 is referenced at ($$RXST^IBARXEU) to check if Medal of Honor data exists in the VistA Integrated Billing (IB) package. 15. Patient Enrollment [DGEN PATIENT ENROLLMENT] option updates: a. When the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) is populated (not blank or null), the following screens are updated to no longer display "Medal of Honor" and the value of the CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2): i. The option Patient Enrollment [DGEN PATIENT ENROLLMENT] Page 2 screen ii. Expand History [DGEN EXPAND HISTORY] action protocol Page 2 screen within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option b. The option Patient Enrollment [DGEN PATIENT ENROLLMENT] Page 3 screen and Expand History [DGEN EXPAND HISTORY] action protocol Page 3 screen within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option are updated to display: i. CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) ii. MOH AWARD DATE field (#50.28), MOH STATUS DATE field (#50.29), and MOH COPAYMENT EXEMPTION DATE field (#50.3) from the PATIENT ENROLLMENT file (#27.11) * BEGIN SCREEN CAPTURE * Patient Enrollment Nov 20, 2018@12:44:04 Page: 3 of 3 Patient: TESTPATIENT,ONE (3333) SC VETERAN Preferred Facility: ZZ DUP ALBANY.DOMAIN.EXT Current Enrollment Preferred Facility Source: VISTA + Aid & Attendance: NO Housebound: NO VA Pension: NO Unemployable: NO Total Check Amount: Eligibility Code: SERVICE CONNECTED 50% to 100% Means Test Status: NO LONGER REQUIRED Veteran CD Status: MOH Indicator: YES MOH Award Date: 01/01/2012 MOH Status Date: 01/01/2018 MOH Copay Exemption Date: 12/16/2016 Enrollment History Effective Date Status Priority Date/Time Entered ========================================================================= 1 JUN 27, 2018 VERIFIED 1 JUN 27, 2018@12:59:15 * END SCREEN CAPTURE * c. Expand History [DGEN EXPAND HISTORY] action protocol Page 3 screen within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option is updated to display the STATUS field (#.03) from the ANNUAL MEANS TEST file (#408.31). d. View Upload Audit [DGENUP VIEW ELIGIBILTY UPLOAD AUDIT] action protocol Page 2 screen within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option is updated to no longer display the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541). e. View Upload Audit [DGENUP VIEW ELIGIBILTY UPLOAD AUDIT] action protocol Page 2 screen is updated to: i. Display the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) as "MOH". ii. Display the PATIENT ENROLLMENT file (#27.11) MOH AWARD DATE field (#50.28) as "MOHAWRDDATE", the PATIENT ENROLLMENT file (#27.11) MOH STATUS DATE field (#50.29) as "MOHSTATDATE", and the PATIENT ENROLLMENT file (#27.11) MOH COPAYMENT EXEMPTION DATE field (#50.3) as "MOHEXEMPDATE". * BEGIN SCREEN CAPTURE * Eligibility Upload Changes Oct 30, 2018@19:41:22 Page: 2 of 3 Patient: TESTPATIENT,THREE (8764) NSC VETERAN Message ID: 40125969415 + AO: NO EC: NO ELIGENTBY: POSTMASTER ELIGSTADATE: AUG 21, 2017 JUN 01, 2018 ELIGVERIF: CEV CEV/HEC HB: NO IR: NO MOH: YES MOHAWRDDATE: 10/10/2017 MOHSTATDATE: 12/04/2018 MOHEXEMPDATE: 10/10/2017 P&T: NO POW: NO SC: YES NO SCPER: 51 * END SCREEN CAPTURE * 16. Patient Inquiry [DG PATIENT INQUIRY] option is updated to suppress the following message so it no longer displays after eligibilities when the Veteran is awarded MOH, had a previous income test, and previously did not decline to provide income information: "There is insufficient income data on file for the prior year." API DGRPD (which is called from VistA REE menu options, subscribers to API DGRPD and other VistA packages) calls Patient Inquiry [DG PATIENT INQUIRY], and reflects the changes listed below, as shown in the following screen capture. The subscribing packages are: Automated Med Info Exchange, Imaging, Women's Health, and Bar Code Med Admin. (Referenced with ICRs 740, 2041, & 10037). * BEGIN SCREEN CAPTURE * ========================================================================== POS: POST-VIETNAM Claim #: 256480220 Relig: LUTHERAN Birth Sex: FEMALE Race: UNANSWERED Ethnicity: UNANSWERED Language Date/Time: UNANSWERED Preferred Language: UNANSWERED Combat Vet Status: NOT ELIGIBLE Primary Eligibility: SC LESS THAN 50% (VERIFIED) Other Eligibilities: SHARING AGREEMENT, TRICARE, Unemployable: NO Permanent & Total Disabled: NO Means Test Signed?: Means Test Not Required Primary Means Test Last Applied 'MAY 15,2009' (NO LONGER REQUIRED: JAN 28,2019) Type to continue or '^' to exit: * END SCREEN CAPTURE * 17. In VistA REE menu options, the MILITARY SERVICE DATA, SCREEN <6> screen is updated to display the MOH AWARD DATE field (#.542) from the PATIENT file (#2), the MOH STATUS DATE field (#.543) from the PATIENT file (#2), and the MOH COPAYMENT EXEMPTION DATE field (#.544) from the PATIENT file (#2). The CURRENT MOH INDICATOR field (#.541) from the PATIENT file (#2) now displays without condition (prior to the release of this patch, the Medal of Honor indicator only displayed when it was set to "YES"). * BEGIN SCREEN CAPTURE * MILITARY SERVICE DATA, SCREEN <6> TESTPATIENT,TWO xxx-xx-xxxx SC VETERAN ========================================================================== [1] Service Branch/Component Service # Entered Separated Discharge ------------------------ --------- ------- --------- ARMY/RESERVE 203405184 01/01/2017 01/01/2018 HONORABLE [2] Conflict Locations: < None Specified > [3] Environment Factors: < None Specified > [4] POW: From: To: War: [5] Combat: From: To: Loc: <6> Mil Disab Retirement: Dischrg Due to Disab: [7] Dent Inj: Teeth Extracted: [8] Purple Heart: <9> Medal of Honor: YES Award Date: 01/12/2018 Status Date: 01/17/2019 MOH Copayment Exemption Date: 01/12/2018 to CONTINUE, 1,2,3,4,5,7,8 or ALL to EDIT, ^N for screen N or '^' to QUIT * END SCREEN CAPTURE * 18. When the PATIENT file (#2) CURRENT MOH INDICATOR field (#.541) is "YES" and the PATIENT file (#2) MOH AWARD DATE field (#.542) is null, the MOH AWARD DATE displays as "UNKNOWN" and the MOH COPAYMENT EXEMPTION DATE displays as "NEEDS DETERMINATION" on the following screens: a. VistA REE options that display the MILITARY SERVICE DATA, SCREEN <6> screen b. Patient Enrollment [DGEN PATIENT ENROLLMENT] option c. Expand History [DGEN EXPAND HISTORY] action protocol within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option d. View Upload Audit [DGENUP VIEW ELIGIBILTY UPLOAD AUDIT] action protocol within the Patient Enrollment [DGEN PATIENT ENROLLMENT] option e. Eligibility Inquiry for Patient Billing [DG PATIENT ELIGIBILITY INQUIRY] option 19. Eligibility Inquiry for Patient Billing [DG PATIENT ELIGIBILITY INQUIRY] option is updated as follows: a. The CAMP LEJEUNE ELIGIBILITY INDICATOR field (#.321701) from the PATIENT file (#2) is displayed. Values are YES, NO, or NOT ANSWERED. b. The Medal of Honor fields are added: PATIENT file (#2) CURRENT MOH INDICATOR field (#.541), PATIENT file (#2) MOH AWARD DATE field (#.542), PATIENT file (#2) MOH STATUS DATE field (#.543), and PATIENT file (#2) MOH COPAYMENT EXEMPTION DATE field (#.544). * BEGIN SCREEN CAPTURE * TESTPATIENT,FIVE xxx-xx-xxxx JUL 22,1962 NSC VETERAN ========================================================================== Means Test Signed?: Means Test Not Required Primary Means Test Last Applied 'OCT 24,2018' (NO LONGER REQUIRED: JAN 8,2019) A/O Exp.: NO ION Rad.: NO Medicaid Elig: NOT ANSWERED Env Contam.: NO N/T Radium: NO Camp Lejeune: NO Primary Elig. Code: NSC -- VERIFIED AUG 18, 2017 Other Elig. Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Service Connected: NO Rated Disabilities: NONE STATED Medal of Honor: YES MOH Status Date: 10/22/2018 MOH Award Date: 9/11/2017 MOH Copayment Exemption Date: 09/11/2017 Health Insurance: NO Insurance COB Subscriber ID Group Holder Effective Expires ========================================================================== No Insurance Information *** Patient has Insurance Buffer entries *** Type to continue or '^' to exit: Select PATIENT NAME: * END SCREEN CAPTURE * Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT (#2) CURRENT MOH INDICATOR (#.541) Modified PATIENT (#2) MOH AWARD DATE (#.542) New PATIENT (#2) MOH STATUS DATE (#.543) New PATIENT (#2) MOH COPAYMENT EXEMPTION DATE (#.544) New PATIENT ENROLLMENT (#27.11) MEDAL OF HONOR INDICATED? (#50.23) Modified PATIENT ENROLLMENT (#27.11) MOH AWARD DATE (#50.28) New PATIENT ENROLLMENT (#27.11) MOH STATUS DATE (#50.29) New PATIENT ENROLLMENT (#27.11) MOH COPAYMENT EXEMPTION DATE (#50.3) 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 ------------- -------------------- 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 New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A 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 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 -------------------------------------------------------------------------- DG_53_P972.KID Release Notes DG_5_3_P972_RN.PDF (binary) User Manual - Registration Menu PIMS_REG_UM.PDF (binary) User Manual - ADT Module ADTBE_UM.PDF (binary) User Manual - Means Test Supervisor Menu MTS_UM.PDF (binary) User Manual - Copay Exemption Test Supervisor Menu CETS_UM.PDF (binary) PIMS Technical Manual PIMSTM.PDF (binary) Host File Name FTP Mode --------------------------------------------------------------------- DG_53_P972.KID (ASCII) 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. Pre-Installation Instructions ----------------------------- 1. This patch should NOT be installed while the IVM BACKGROUND JOB [IVM BACKGROUND JOB] is running. The IVM BACKGROUND JOB [IVM BACKGROUND JOB] should be unscheduled. Use the Schedule/Unschedule Options [XUTM SCHEDULE] option on the Taskman Management [XUTM MGR] menu. Note the currently scheduled date/time. 2. 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]. 3. This patch may be installed with users on the system; however, we suggest it be installed after business hours. This patch should take less than 5 minutes to install. Installation Instructions ------------------------- 1. Load the Host File a. Download DG_53_P972.KID into your local directory. b. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. c. Use Load a Distribution option. You may need to prepend a directory name. When prompted for "Enter a Host File: ", respond with DG_53_P972.KID Example: /srv/vista/dev/user/hfs/patches/DG_53_P972.KID 2. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter the patch # (DG*5.3*972): a. 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 Data Dictionaries (DDs) or templates. b. 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.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - This option will allow you to view the components of the KIDS build. 3. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 4. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 5. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond YES. 6. When prompted 'Enter options you wish to mark as 'Out of Order':' Enter the following options: Load/Edit Patient Data [DG LOAD PATIENT DATA] Register a Patient [DG REGISTER PATIENT] View Registration Data [DG REGISTRATION VIEW] Eligibility Verification [DG ELIGIBILITY VERIFICATION] Eligibility Inquiry for Patient Billing [DG PATIENT ELIGIBILITY INQUIRY] Patient Enrollment [DGEN PATIENT ENROLLMENT] Copay Exemption Test User Menu [DG CO-PAY TEST USER MENU] Means Test User Menu [DG MEANS TEST USER MENU] 7. 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]. Integrated Billing (IB) patch IB*2.0*627 will be released in conjunction with this patch. IB*2.0*627 will need to be installed directly after this patch as the full functionality of Medal of Honor will not be apparent until IB*2.0*627 is installed. Refer to IB*2.0*627 patch description for further information. Back-Out 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: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 80 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DGENA Before: B26339818 After: B30048618 **121,122,147,232,314,564,672, 659,653,688,841,909,940,972** Routine Name: DGENA1A Before: B20462776 After: B22886211 **121,147,232,314,564,672,659, 653,688,841,909,940,972** Routine Name: DGENELA Before: B30590661 After: B33839013 **121,147,232,314,451,564,631, 672,659,583,653,688,841,909, 972** Routine Name: DGENELA1 Before: B84040190 After: B87005924 **147,327,314,367,497,451,564, 631,672,659,583,746,653,688, 841,909,972** Routine Name: DGENELA4 Before: B73347795 After: B76988124 **232,275,306,327,314,367,417, 437,456,491,451,564,672,659, 653,688,803,754,841,909,972** Routine Name: DGENL1 Before: B75564196 After: B89499051 **121,147,232,266,343,564,672, 659,653,688,838,841,909,940, 972** Routine Name: DGENU Before: B48629112 After: B51369216 **121,122,147,232,314,564,624, 672,659,653,688,536,838,841, 909,940,972** Routine Name: DGENUPL1 Before: B62726769 After: B63594791 **147,222,232,314,397,379,407, 363,673,653,688,797,842,894, 871,935,959,975,972** Routine Name: DGENUPL3 Before: B98793535 After:B158219236 **147,230,232,377,404,451,653, 688,793,797,841,928,935,947, 966,972** Routine Name: DGENUPL4 Before: B87089440 After: B96907495 **147,177,232,253,327,367,377, 514,451,625,673,708,688,841, 842,972** Routine Name: DGENUPL7 Before: B34918538 After: B36030321 **232,367,397,417,379,431,513, 628,673,653,742,688,797,871, 972** Routine Name: DGMTA Before: B43096781 After: B44199650 **33,45,137,166,177,182,290, 344,332,433,458,535,612,564, 688,661,840,972** Routine Name: DGMTCOR Before: B36225262 After: B37845960 **21,45,182,290,305,330,344, 495,564,773,840,858,972** Routine Name: DGMTCOU Before: B5459368 After: B6208786 **45,182,972** Routine Name: DGMTCOU1 Before: B13152902 After: B14542603 **33,45,54,335,358,401,436,445, 564,840,858,972** Routine Name: DGMTR Before: B70325698 After: B72013665 **45,93,114,137,141,147,177, 182,146,305,326,314,344,402, 426,456,495,672,688,773,840, 841,858,972** Routine Name: DGMTR1 Before: B32852422 After: B34321057 **182,344,433,456,564,688,840, 858,972** Routine Name: DGMTUB Before: B7927681 After: B8986083 **33,456,481,972** Routine Name: DGRP6 Before: B20074399 After: B27900055 **161,247,343,397,342,451,672, 689,797,841,842,947,972** Routine Name: DGRPDB Before: B22806300 After: B34652435 **26,50,358,570,631,709,713,749,972** Routine list of preceding patches: 481, 749, 858, 940, 966, 975 ============================================================================= User Information: Entered By : Date Entered : OCT 02, 2018 Completed By: Date Completed: DEC 05, 2019 Released By : Date Released : DEC 05, 2019 ============================================================================= Packman Mail Message: ===================== No routines included