============================================================================= Run Date: JAN 23, 2017 Designation: IB*2*583 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #536 Status: Released Compliance Date: JAN 25, 2017 ============================================================================= Subject: 2017 RX COPAY THRESHOLDS Category: - Routine Description: ============ ************************************************************************** * Per VHA FACT SHEET titled MEANS TEST AND GEOGRAPHIC-BASED MEANS TEST * * AND MAXIMUM ANNUAL RATES OF PENSION FOR CALENDAR YEAR 2017, this * * patch MUST be installed AS SOON AS POSSIBLE. The patch is being * * released as an Emergency patch together with DG*5.3*930 (2017 Means * * Test Thresholds) and EAS*1.0*144 (2017 GMT Thresholds) and may be * * installed out of sequence with respect to other released IB patches. * ************************************************************************** This patch, IB*2.0*583, is one of three VistA 2017 threshold patches. It addresses the annual updates for the Pharmacy Copay Thresholds. Patch DG*5.3*930 will update the thresholds for the Means Tests and the Maximum Annual Pension Rate. Patch EAS*1.0*144 will address the annual updates for the GMT Thresholds. ASSOCIATED TICKET: ================== R10899014FY16 2017 RX COPAY THRESHOLDS patch ASSOCIATED NSR(s): ================== N/A PARTICIPATING TEST SITES: ========================= Altoona - James E. Van Zandt VAMC Wilmingon VAMC VISN 2 - Upstate New York HCS TICKET OVERVIEW: ================ R10899014FY16 2017 RX COPAY THRESHOLDS patch PROBLEM: -------- 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 2017. RESOLUTION: ----------- 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 VHA FACT SHEET titled MEANS TEST AND GEOGRAPHIC-BASED MEANS TEST AND MAXIMUM ANNUAL RATES OF PENSION FOR CALENDAR YEAR 2017. 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 2017 (with an effective date of 12/1/16) are defined in VHA FACT SHEET titled MEANS TEST AND GEOGRAPHIC- BASED MEANS TEST AND MAXIMUM ANNUAL RATES OF PENSION FOR CALENDAR YEAR 2017 as: * $ 12,907 for a single veteran without dependents * $ 16,902 for a veteran with 1 dependent * An additional $ 2,205 for each additional dependent beyond 1 dependent Medicare deductible rate effective 01/01/2017 is shown as: * The Medicare deductible: $ 1,316. 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 = 3170101 (internal form for January 01, 2017) .03 IB TRANSACTION TYPE = pointer to "MEDICARE DEDUCTIBLE" in file #350.1 .04 UNIT CHARGE, FIXED = 1316 ========== File #354.3 -- BILLING THRESHOLDS is updated with a new record. The values are as follows: .01 DATE = 3161201 (internal form for 12/01/2016) .02 TYPE = 1 (for BASIC PENSION) .03 BASE RATE FOR VETERAN = 12907 .04 BASE RATE WITH 1 DEPENDENT = 16902 .05 BASE RATE WITH 2 DEPENDENTS = 19107 .06 BASE RATE WITH 3 DEPENDENTS = 21312 .07 BASE RATE WITH 4 DEPENDENTS = 23517 .08 BASE RATE WITH 5 DEPENDENTS = 25722 .09 BASE RATE WITH 6 DEPENDENTS = 27927 .1 BASE RATE WITH 7 DEPENDENTS = 30132 .11 BASE RATE WITH 8 DEPENDENTS = 32337 .12 ADDITIONAL DEPENDENT AMOUNT = 2205 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_930.KID Builds: DG*5.3*930 EAS*1.0*144 IB*2.0*583 Sites may retrieve the software directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext First Available Server: download.vista.domain.ext The following file will be available: File Name Description --------- ----------- DG_53_930.KID Host File containing KIDS software distribution Note: Use ASCII mode when transferring the .KID file. Pre/Post Installation Overview ------------------------------ The IB20E583 pre-init routine will provide prompting during the patch install and may be deleted after install. The IB20P583 post-install routine will update the following files and may be deleted after install. IB ACTION CHARGE (#350.2) BILLING EXEMPTIONS (#354.1) BILLING THRESHOLDS (#354.3) INSTALLATION INSTRUCTIONS: -------------------------- The components sent with this IB*2.0*583 patch have been included in the HOST File DG_53_930.KID. Please follow the instructions listed in the INSTALLATION INSTRUCTIONS section of the patch description for patch DG*5.3*930. NOTE: Please bear in mind items below for install. 1. During installation, the BILLING EXEMPTIONS file (#354.1) will be checked for medication co-payment exemptions based on prior thresholds. If they exist, 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 valid print device. An entry is required and the HOME device is not allowed; neither are the P-Message device or Spooler 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20E583 Before: n/a After: B2474499 **583** Routine Name: IB20P583 Before: n/a After: B34564029 **583** ============================================================================= User Information: Entered By : Date Entered : NOV 09, 2016 Completed By: Date Completed: JAN 23, 2017 Released By : Date Released : JAN 23, 2017 ============================================================================= Packman Mail Message: ===================== No routines included