$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Thursday, 11/16/23 at 19:21 ============================================================================= Run Date: DEC 27, 2023 Designation: IB*2*780 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #707 Status: Released Compliance Date: DEC 31, 2023 ============================================================================= Associated patches: (v)IB*2*753 <<= must be installed BEFORE `IB*2*780' Subject: 2024 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 2024, this * * patch MUST be installed AS SOON AS POSSIBLE. * ************************************************************************** **NOTE: 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 2Di listed under the 'Installation Instructions' for more details. Integrated Billing patch, IB*2.0*780, addresses the annual updates for the Pharmacy Copay Thresholds. ************************************************************************** NOTE: This patch is being released with a shortened compliance date of 12/31/2023. ************************************************************************** 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. INC29668791 - IB 2024 RX COPAY THRESHOLDS Patch 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 2024. Resolution: ----------- Post Install routine, IB20P780, 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 2024. 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 2024 (with an effective date of 12/1/23) are defined in VHA FACT SHEET titled MEANS TEST AND GEOGRAPHIC- BASED MEANS TEST AND MAXIMUM ANNUAL RATES OF PENSION FOR CALENDAR YEAR 2024 as: * $16,551 for a single veteran without dependents * $21,674 for a veteran with 1 dependent * An additional $2,831 for each additional dependent beyond 1 dependent Medicare deductible rate effective 01/01/2024 is shown as: * The Medicare deductible: $ 1,632. 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 = 3240101 (internal form for January 01, 2024) .03 IB TRANSACTION TYPE = pointer to "MEDICARE DEDUCTIBLE" in the IB ACTION TYPE (#350.1) file .04 UNIT CHARGE, FIXED = 1632 ========== BILLING THRESHOLDS file (#354.3) is updated with a new record. The values are as follows: .01 DATE = 3231201 (internal form for 12/01/2023) .02 TYPE = 1 (for BASIC PENSION) .03 BASE RATE FOR VETERAN = 16551 .04 BASE RATE WITH 1 DEPENDENT = 21674 .05 BASE RATE WITH 2 DEPENDENTS = 24505 .06 BASE RATE WITH 3 DEPENDENTS = 27336 .07 BASE RATE WITH 4 DEPENDENTS = 30167 .08 BASE RATE WITH 5 DEPENDENTS = 32998 .09 BASE RATE WITH 6 DEPENDENTS = 35829 .1 BASE RATE WITH 7 DEPENDENTS = 38660 .11 BASE RATE WITH 8 DEPENDENTS = 41491 .12 ADDITIONAL DEPENDENT AMOUNT = 2831 Test Sites: ----------- VA Connecticut HCS VA Pittsburgh HCS SNOW Change Order #: -------------------- VA Connecticut HCS - CHG0434555 VA Pittsburgh HCS - CHG0434517 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. 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. 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*780. B. Select the Backup a Transport Global option to create a backup Message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. When asked to specify what to backup, select Build. However, it is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build IB*2.0*780 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Enter response: B iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox ***Please refer to the section below, "Back-Out/Roll Back Plan".*** 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 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*780. i. 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. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO Post-Installation Instructions: ------------------------------ Post install routines, IB20P780 and IB20E780, may be deleted after patch installation is complete. Back-Out Plan: -------------- Back-out will be done only with the concurrence and participation of the development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel. 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 a site decides to back out this patch, the site should log a Service Now ticket or reach out to the Enterprise Service Desk at 855-673-4357, option 5. The development team will need to issue a follow-on patch in order to comprehensively back-out this patch. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20E780 Before: n/a After: B2457464 **780** Routine Name: IB20P780 Before: n/a After: B34583672 **780** ============================================================================= User Information: Entered By : Date Entered : OCT 31, 2023 Completed By: Date Completed: DEC 26, 2023 Released By : Date Released : DEC 27, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT