$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Friday, 11/20/20 at 06:28 ============================================================================= Run Date: DEC 28, 2020 Designation: IB*2*692 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #628 Status: Released Compliance Date: DEC 31, 2020 ============================================================================= Associated patches: (v)IB*2*661 <<= must be installed BEFORE `IB*2*692' Subject: 2021 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 2021, this * * patch MUST be installed AS SOON AS POSSIBLE. * ************************************************************************** **NOTE: The installation of this patch should not be queued to run. If -- and only if -- there are exemptions, you will be prompted to UPDATE AND PRINT the exemptions report. The report should be sent to a secure printer. Please read section 4b listed under the 'Installation Instructions' for more details. Patch IB*2.0*692 addresses the annual updates for the Pharmacy Copay Thresholds. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number 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: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: ============================================ 1. INC14558257 - 2021 RX COPAY THRESHOLDS Problem: -------- Each 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 2021. Resolution: ----------- Post Install routine IB20P692, 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 2021. 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 2021 (with an effective date of 12/1/20) are defined in VHA FACT SHEET titled MEANS TEST AND GEOGRAPHIC- BASED MEANS TEST AND MAXIMUM ANNUAL RATES OF PENSION FOR CALENDAR YEAR 2021 as: * $ 13,931 for a single veteran without dependents * $ 18,243 for a veteran with 1 dependent * An additional $ 2,382 for each additional dependent beyond 1 dependent Medicare deductible rate effective 01/01/2021 is shown as: * The Medicare deductible: $ 1,484. TECHNICAL: ---------- IB ACTION CHARGE file (#350.2) is updated with a new record. The values are as follows: .01 KEY = "MEDICARE DEDUCTIBLE" .02 EFFECTIVE DATE = 3210101 (internal form for January 01, 2021) .03 IB TRANSACTION TYPE = pointer to "MEDICARE DEDUCTIBLE" in file #350.1 .04 UNIT CHARGE, FIXED = 1484 ========== BILLING THRESHOLDS file (#354.3) is updated with a new record. The values are as follows: .01 DATE = 3201201 (internal form for 12/01/2020) .02 TYPE = 1 (for BASIC PENSION) .03 BASE RATE FOR VETERAN = 13931 .04 BASE RATE WITH 1 DEPENDENT = 18243 .05 BASE RATE WITH 2 DEPENDENTS = 20625 .06 BASE RATE WITH 3 DEPENDENTS = 23007 .07 BASE RATE WITH 4 DEPENDENTS = 25389 .08 BASE RATE WITH 5 DEPENDENTS = 27771 .09 BASE RATE WITH 6 DEPENDENTS = 30153 .1 BASE RATE WITH 7 DEPENDENTS = 32535 .11 BASE RATE WITH 8 DEPENDENTS = 34917 .12 ADDITIONAL DEPENDENT AMOUNT = 2382 Test Sites: ----------- West Palm Beach VAMC Erie VAMC Software and Documentation Retrieval Instructions: -------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: 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. Installation Instructions: 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter IB*2.0*692) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). 4. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. The BILLING EXEMPTIONS file (#354.1) will be checked for medication co-payment exemptions based on prior thresholds. If -- and only if -- there are exemptions, you will be prompted to UPDATE AND PRINT the exemptions report. NOTE: the report is not new and is intended only as an FYI for billing staff. Select Action: (P/U): Update & Print// Press to accept the default "Update & Print" Select Device: You must enter a print device or a P-MESS device to send a to send a Mailman Message. You MUST choose a valid device or the installation will be aborted. NOTE: The exemption report contains full patient names and SSNs. Be sure to select a device in a secure area and retrieve the output immediately. You need not queue the report since the installation process will queue it automatically. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", hit enter. 6. When prompted 'Want to DISABLE Scheduled Options and Menu Options and Protocols? NO//', answer NO. Post-Installation Instructions ------------------------------ 1. Post install routines IB20P692 and IB20E692 may be deleted after patch installation is complete. Back-Out Plan: -------------------- Due to the complexity of this patch, it is not recommended for back-out, and a restore from a backup of the Transport Global should not be attempted. In the event that an installer decides to back out this patch, the patch installer should contact the Enterprise Service Desk (ESD) to submit a help desk ticket. The development team will need to issue a follow-on patch in order to comprehensively back-out this patch and restore the system to a functioning state. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20E692 Before: n/a After: B2458019 **692** Routine Name: IB20P692 Before: n/a After: B34591629 **692** ============================================================================= User Information: Entered By : Date Entered : NOV 16, 2020 Completed By: Date Completed: DEC 28, 2020 Released By : Date Released : DEC 28, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT