============================================================================= Run Date: DEC 20, 2010 Designation: IB*2*441 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #407 Status: Released Compliance Date: DEC 31, 2010 ============================================================================= Subject: 2011 RX COPAY THRESHOLDS Category: - Routine Description: ============ Per forthcoming VHA DIRECTIVE 2010-### - This patch MUST be installed before January 1, 2011. The patch is being released as an Emergency patch together with DG*5.3*833 (2011 Means Test Thresholds) and EAS*1.0*102 (2011 GMT Thresholds) and may be installed out of sequence with respect to other released IB patches. Please Note: We expect the VHA Directive to be titled MEANS TEST AND GEOGRAPHIC-BASED MEANS TEST THRESHOLDS FOR CALENDAR YEAR 2011. 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. Every year, the government sets new values for the Medicare deductible and for the pension threshold rates. These values need to be updated in the associated billing files for accurate and legal billing. The purpose of this patch is to assist sites in the entry of the Basic Pension Threshold rates and the Medicare Deductible value for Calendar Year 2011. A post-init routine is included in this patch, which will automate the update of the new Medicare and pension threshold values. The Technical section below contains a list of the new rates, which may also be found in forthcoming VHA DIRECTIVE 2010-###. If a site has already entered the values manually, the record will be overwritten with the national update. The new pension rates for Calendar Year 2011 (with an effective date of 12/1/10) are defined in forthcoming VHA DIRECTIVE 2010-### as: * $ 11,830 for a single veteran without dependents * $ 15,493 for a veteran with 1 dependent * An additional $ 2,020 for each additional dependent beyond 1 dependent And the Medicare deductible rate effective 01/01/2011 is shown as: * The Medicare deductible: $ 1,132. This patch, IB*2.0*441 is one of three VistA 2011 threshold patches. It addresses the annual updates for the Pharmacy Copay Thresholds. Patch DG*5.3*833 will update the thresholds for the Means Tests and the Maximum Annual Pension Rate. Patch EAS*1.0*102 will address the annual updates for the GMT Thresholds. TECHNICAL: ========== File #350.2 -- IB ACTION CHARGE is updated with a new record. The values are as follows: .01 KEY = "MEDICARE DEDUCTIBLE" .02 EFFECTIVE DATE = 3110101 (internal form for January 01, 2011) .03 IB TRANSACTION TYPE = pointer to "MEDICARE DEDUCTIBLE" in file #350.1 .04 UNIT CHARGE, FIXED = 1132 ========== File #354.3 -- BILLING THRESHOLDS is updated with a new record. The values are as follows: .01 DATE = 3101201 (internal form for 12/01/2010) .02 TYPE = 1 (for BASIC PENSION) .03 BASE RATE FOR VETERAN = 11830 .04 BASE RATE WITH 1 DEPENDENT = 15493 .05 BASE RATE WITH 2 DEPENDENTS = 17513 .06 BASE RATE WITH 3 DEPENDENTS = 19533 .07 BASE RATE WITH 4 DEPENDENTS = 21553 .08 BASE RATE WITH 5 DEPENDENTS = 23573 .09 BASE RATE WITH 6 DEPENDENTS = 25593 .1 BASE RATE WITH 7 DEPENDENTS = 27613 .11 BASE RATE WITH 8 DEPENDENTS = 29633 .12 ADDITIONAL DEPENDENT AMOUNT = 2020 SOFTWARE RETRIEVAL ================== The software for this patch is not being distributed through the National Patch Module. This patch is being distributed as a host file. The host file will contain the following three KIDS builds: Host file name: DG_53_P833.KID Builds: DG*5.3*833 EAS*1.0*102 IB*2.0*441 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_P833.KID Host File containing KIDS software distribution Note: Use ASCII mode when transferring the .KID file. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following NOIS/Remedy ticket(s): --------------------------------------------------------- There are no NOIS/Remedy tickets associated with this patch. TEST SITES: =========== Birmingham VAMC (Large) Chillicothe VAMC (Medium) Puget Sound HCS, Seattle Division (Integrated) ================INSTALLATION INSTRUCTIONS ================= The components sent with this patch IB*2.0*441 have been included in the HOST File DG_53_P833.KID. Please follow the instructions listed in the INSTALLATION INSTRUCTIONS section of the patch description for patch DG*5.3*833. NOTE: during the installation, please bear in mind items 1 and 2 below. 1. During installation, the BILLING EXEMPTIONS file (#354.1) will be checked for medication co-payment exemptions based on prior thresholds. If there are some, the installer will be prompted to UPDATE AND PRINT the exemptions report since the exemption status may change due to the new rates. Press to accept the default value of Update & Print. At the DEVICE prompt you must enter a print device. An entry is required and the HOME device is not allowed, neither is the p-Message device (this will abort the install). You MUST choose a valid printer. You need not queue the report since the patch will do so automatically. 2. Routines IB20E441 and IB20P441 may be deleted after successful installation of this patch. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20E441 Before: n/a After: B2239228 **441** Routine Name: IB20P441 Before: n/a After: B34797031 **441** ============================================================================= User Information: Entered By : MOORE,TERRY D Date Entered : SEP 30, 2010 Completed By: RUDINGER,NANCY L. Date Completed: DEC 20, 2010 Released By : JACKSON,SHERYL Date Released : DEC 20, 2010 ============================================================================= Packman Mail Message: ===================== No routines included