============================================================================= Run Date: DEC 24, 2008 Designation: IB*2*410 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #376 Status: Released Compliance Date: DEC 30, 2008 ============================================================================= Subject: 2009 RX COPAY THRESHOLDS Category: - Routine Description: ============ NOTE: The Health Eligibility Center (HEC) will install patch IVMB*2.0*938 (2009 MT/GMT/RX Thresholds) before January 1, 2009. Per VHA DIRECTIVE 2008-083 - This patch MUST be installed before January 1, 2009. The patch is being released as an emergency patch together with DG*5.3*798 (2009 Means Test Thresholds) and EAS*1.0*89 (2009 GMT Thresholds) and may be installed out of sequence with respect to other released IB patches. 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 2009. 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 Directive 2008-083. 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 2009 (with an effective date of 12/1/08) are defined in VHA Directive 2008-083, dated December 16, 2008 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 01/01/2009 is shown as: * The Medicare deductible: $ 1,068. This patch, IB*2.0*410 is one of three VistA 2009 threshold patches. It addresses the annual updates for the Pharmacy Copay Thresholds. Patch DG*5.3*798 will update the thresholds for the Means Tests and the Maximum Annual Pension Rate. Patch EAS*1.0*89 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 = 3090101 (internal form for January 01, 2009) .03 IB TRANSACTION TYPE = pointer to "MEDICARE DEDUCTIBLE" in file #350.1 .04 UNIT CHARGE, FIXED = 1068 ========== File #354.3 -- BILLING THRESHOLDS is updated with a new record. The values are as follows: .01 DATE = 3081201 (internal form for 12/01/2008) .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_P798.KID Builds: DG*5.3*798 EAS*1.0*89 IB*2.0*410 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_P798.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: =========== Bronx, NY (Large) Charleston, SC (Medium) Upstate NY HCS (Integrated) Seattle, WA (PSHCS) (Integrated) ================INSTALLATION INSTRUCTIONS ================= The components sent with this patch IB*2.0*410 have been included in the HOST File DG_53_P798.KID. Please follow the instructions listed in the INSTALLATION INSTRUCTIONS section of the patch description for patch DG*5.3*798. 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 IB20E410 and IB20P410 may be deleted after successful installation of this patch. Following is a list of the routines included in the patch. The second line of each of these routine(s) will look like: ;;2.0;INTEGRATED BILLING;**[PATCH LIST]**;21-MAR-94;Build 1 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20E410 Before: n/a After: B2239021 **410** Routine Name: IB20P410 Before: n/a After: B34801802 **410** ============================================================================= User Information: Entered By : HUA,PATRICK Date Entered : OCT 22, 2008 Completed By: RUDINGER,NANCY L. Date Completed: DEC 23, 2008 Released By : JACKSON,SHERYL Date Released : DEC 24, 2008 ============================================================================= Packman Mail Message: ===================== No routines included