============================================================================= Run Date: DEC 16, 2002 Designation: DG*5.3*456 Package : DG - REGISTRATION Priority: EMERGENCY Version : 5.3 SEQ #425 Status: Released Compliance Date: DEC 19, 2002 ============================================================================= Associated patches: (v)DG*5.3*454 <<= must be installed BEFORE `DG*5.3*456' Subject: GEOGRAPHIC MEANS TESTING (PART 2) Category: - Routine - Data Dictionary Description: ============ ********************************************************************** * THIS PATCH MUST BE INSTALLED AT ALL SITES BY * * DECEMBER 19, 2002 * ********************************************************************** OVERVIEW ======== On January 23, 2002, President Bush signed Public Law 107-135, The Department of Veterans Affairs Health Care Programs Enhancement Act of 2001. Section 202 of this Act requires the implementation of HUD indices to determine geographic income thresholds in support of more discrete means testing. Veterans in Priority Group 7 are eligible for treatment as a low-income family under section 3(b) of the United States Housing Act of 1973 (42 U.S.C. 1437a(b)) for the area in which such veterans reside, regardless of whether such veterans are treated as single person families under paragraph (3)(A) of such section 3(b) or as families under paragraph (3)(b). This Act also established Priority Group 8 for any veterans described in section 1710(a)(3) of titles 38 U.S.C. who are not covered by Priority Group 7. The Geographic Means Testing project introduces enhancements to the VistA and HEC Legacy systems to support the requirements of the new regulation. These enhancements consist of the following: 1. The storage of the HUD indices and utilization of the HUD indices to determine the GMT Threshold based on the veteran's address. 2. Zip code linking so that the entry of the zip code in the veteran's address automatically populates the city, state and county fields. 3. The creation of a new means test status, GMT Copay Required, and the calculations needed to assign this new status based on the GMT Threshold. 4. The means test status, Category A, has been changed to MT Copay Exempt, and the means test status, Category C, has been changed to MT Copay Required. 5. The creation of the new Priority Group 8 and the modifications to the logic for determining a veteran's enrollment priority. The changes include the new rules for assigning Priority Group 7 and 8. 6. Modifications to HL7 messages to accommodate the transmission of new data fields between the VAMCs and the HEC. For a detailed description of the functionality included in this project, please refer to the Geographic Means Testing and Address Indexing for GMT Software Requirements Specification documents. These documents can be found on the web page for the Geographic Means Testing Project Notebook. The address is: http://tspr.vista.med.va.gov/warboard/anotebk.asp?proj=625&Type=Active The enhancements are being distributed in several patches that will be installed in four phases as outlined below: NOTE: The 1st and 2nd installs have been completed. Install 1st (VAMC) Install 2nd (HEC) Install 3rd (VAMC) ------------------ ---------------- ------------------ XU*8*246 XU*8*246 EAS*1*13 DG*5.3*454 IVMB*2*686 DG*5.3*456 IVM*2*58 IVM*2*62 DG*5.3*466 PRCA*4.5*181 SD*5.3*258 IB*2*183 Install 4th (VAMC) ----------------- DG*5.3*481 IVM*2*67 IB*2*202 The software for this patch, DG*5.3*456, and associated patches, are not being distributed through the National Patch Module. These patches are being distributed as a single KIDS software distribution (host file). This patch contains the informational portion of DG*5.3*456 and provides field personnel with instructions on how to acquire, install, and implement the patch software. FUNCTIONAL DESCRIPTION ====================== The functional changes that will be introduced with this patch include: 1. Modifications to the Means Test Status file (#408.32) to change the name of means test status CATEGORY A to MT COPAY EXEMPT and CATEGORY C to MT COPAY REQUIRED. 2. Modifications to the means test process to calculate a veteran's GMT Threshold and assign a status of GMT Copay Required if the veteran's net income is above the MT Threshold but below the GMT Threshold. 3. Modifications to the means test options to display the GMT Threshold and change all occurrences of Category A to MT Copay Exempt and Category C to MT Copay Required. 4. Modifications to the hardship options to add the Hardship Reason field, allow a hardship to be granted to a veteran with a status of GMT Copay Required, and to prompt the user to select a hardship status, either MT Copay Exempt or GMT Copay Required. 5. Modifications to the process for determining a veteran's enrollment priority involving changes to the rules for assigning Priority Group 7 and Priority Group 8. 6. The addition of a new API to be used by Billing to determine if a veteran had a means test status of GMT Copay Required on a specified date. 7. Modifications to the following reports to include the new enrollment priority group 8: Enrolled Veterans Report EGT Preliminary Summary Impact Report EGT Preliminary Detailed Impact Report EGT Actual Summary Impact Report EGT Actual Detailed Impact Report TECHNICAL DESCRIPTION ===================== The following is a summary of the changes included in this patch. For a detailed description of these changes, please refer to the Geographic Means Testing and Address Indexing to Support GMT Software Design Documents. These documents can be found on the web page for the Geographic Means Testing Project Notebook. The address is: http://tspr.vista.med.va.gov/warboard/anotebk.asp?proj=625&Type=Active INPUT TEMPLATE CHANGES: ======================= 1. DGMT ENTER/EDIT COMPLETION (File #408.31) - modified template to add the new fields, GMT Threshold (#.27) and Hardship Reason (#2.09). ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;5.3;Registration;**[patch list]**;Aug 13, 1993 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== DG53456P N/A 819187 456 DGENA3 20547437 19934699 232,306,327,367,417 454,456 DGENELA4 11623000 12569084 232,275,306,327,314 367,417,437,456 DGENRPA2 5177461 5264984 121,147,232,306,417 456 DGENRPT1 7164740 7236490 232,306,417,456 DGENRPT2 10506359 10557294 232,306,417,456 DGENRPT3 9241194 9312944 232,306,417,456 DGENRPT4 12621855 12672790 232,306,417,456 DGMTDD 5352672 5849491 33,182,411,456 DGMTEO 4567628 4977363 33,45,182,456 DGMTH 5313060 6272151 182,456 DGMTHL1 11896104 13437201 182,456 DGMTOREQ 8233525 8726751 33,100,166,182,456 DGMTR 11086376 11265084 45,93,114,137,141 147,177,182,146,305 326,314,344,402,426 456 DGMTR1 9043040 9048290 182,344,433,456 DGMTSC4 6585543 7641973 45,130,456 DGMTSCC 14012029 14758585 33,45,130,438,332 433,462,456 DGMTSCU 3843068 3984741 456 DGMTSCU2 4246859 5124953 45,130,433,460,456 DGMTU 15298997 14908931 4,33,182,277,290 374,358,420,426,411 332,433,456 DGMTU23 10345568 10822169 33,182,254,272,420 435,456 DGMTU4 10359057 10665874 182,267,285,347,456 DGMTUB 3016924 3408456 33,456 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== The software for this patch is being distributed in a host file. The host file will contain five KIDS builds. Please refer to the 'Software and Documentation Retrieval' section of the EAS*1*13 patch description for instructions on how to acquire the patch software and documentation. INSTALLATION INSTRUCTIONS ========================= Please refer to the 'Installation Instructions' section of the EAS*1*13 patch description for instructions on how to install the patch software. Routine Information: ==================== Routine Name: - DG53456P Routine Checksum: Routine Name: - DGENA3 Routine Checksum: Routine Name: - DGENELA4 Routine Checksum: Routine Name: - DGENRPA2 Routine Checksum: Routine Name: - DGENRPT1 Routine Checksum: Routine Name: - DGENRPT2 Routine Checksum: Routine Name: - DGENRPT3 Routine Checksum: Routine Name: - DGENRPT4 Routine Checksum: Routine Name: - DGMTDD Routine Checksum: Routine Name: - DGMTEO Routine Checksum: Routine Name: - DGMTH Routine Checksum: Routine Name: - DGMTHL1 Routine Checksum: Routine Name: - DGMTOREQ Routine Checksum: Routine Name: - DGMTR Routine Checksum: Routine Name: - DGMTR1 Routine Checksum: Routine Name: - DGMTSC4 Routine Checksum: Routine Name: - DGMTSCC Routine Checksum: Routine Name: - DGMTSCU Routine Checksum: Routine Name: - DGMTSCU2 Routine Checksum: Routine Name: - DGMTU Routine Checksum: Routine Name: - DGMTU23 Routine Checksum: Routine Name: - DGMTU4 Routine Checksum: Routine Name: - DGMTUB Routine Checksum: ============================================================================= User Information: Entered By : MORGAN,BRIAN Date Entered : JUN 04, 2002 Completed By: DESMOND,LINDA Date Completed: DEC 11, 2002 Released By : KOVACH,STUART Date Released : DEC 16, 2002 ============================================================================= Packman Mail Message: ===================== No routines included