$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Sunday, 11/08/20 at 20:13 ============================================================================= Run Date: JAN 05, 2021 Designation: IB*2*684 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #629 Status: Released Compliance Date: FEB 04, 2021 ============================================================================= Subject: TRICARE PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY 2021 Category: - Routine Description: ============ Patch IB*2.0*684 will update the administrative charge for TRICARE rate types, with new dispensing fee for third party pharmacy prescription claims, with an effective date of January 1st, 2021. Rate Type Dispensing Fee -------------------- ------------- TRICARE 16.11 TRICARE PHARMACY 16.11 TRICARE REIMB. INS. 16.11 Patch Components: ----------------- Files & Fields Associated: N/A Forms Associated: N/A Mail Groups Associated: N/A Options Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Remote Procedures Associated: N/A Parameter Definitions Associated: N/A Additional Information: ----------------------- Blood Bank Coordination: N/A New Service Requests (NSRs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC11567328 #NMA TRICARE PHARMACY FEE CHANGE FOR CY2021 Problem: -------- The Office of Community Care has requested an update of the pharmacy administrative charge for TRICARE rate types with an effective date of January 1st, 2021. Resolution: ----------- The post install routine, IB20P684, was created to inactivate rate schedules with the RX COST charge sets for TRICARE rate types with an inactive date of December 31st, 2020. It also adds the new rate schedules with the administrative fee starting on January 1st, 2021 in the RATE SCHEDULE (#363) file. ************************************************************************** Note: This patch will NOT update any Rate Schedules if any Rate Types are currently set to INACTIVE. Please verify with Facility Revenue Manager(s) and local VistA support to ACTIVATE any Rate Types as needed *************************************************************************** TEST SITES: ----------- Jack C. Montgomery VA Medical Center (Muskogee) Chillicothe VA Medical Center Software and Documentation Retrieval Instructions: -------------------------------------------------- N/A Patch Installation: Pre/Post Installation Overview: ------------------------------- It is recommended that this patch be installed outside of normal business hours to avoid any complications resulting from users on the system. Installation will take less than 2 minutes. 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 IB*2.0*684. B. Select the Backup a Transport Global option to create a backup message of any routines exported with this patch. For each patch you can specify what to backup; the entire Build or just Routines. When asked to specify what to backup, select Routines. It is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. When prompted for a response, select Build: Select one of the following: B Build R Routines Enter response: Routines 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, IB*2.0*684. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO Post-Installation Instructions: ------------------------------- You may delete the routine IB20P684 from your production system after the patch has been successfully verified. Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: IB*2.0*684 Post-Install starts..... >>>Effect. JAN 01, 2021 of RX Rate Schedule Adjustment for the Rate Type: TRICARE TRICARE PHARMACY TRICARE REIMB. INS. Total 3 entries added to the RATE SCHEDULE (#363) file IB*2.0*684 Post-Install is complete. Note: If results show otherwise, please check the settings of the rate schedules for the rate types in the RATE SCHEULE (#363)file or log a ticket with The Enterprise Service Desk (ESD) for assistance. Back-Out/Roll Back Plan: ------------------------ Prior to installing the updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option. The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The PackMan function INSTALL/CHECK MESSAGE is then used to install the backed up routines onto the VistA system. 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: IB20P684 Before: n/a After: B6377087 **684** ============================================================================= User Information: Entered By : Date Entered : AUG 03, 2020 Completed By: Date Completed: JAN 05, 2021 Released By : Date Released : JAN 05, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT