============================================================================= Run Date: JUL 30, 2004 Designation: IVM*2*99 Package : IVM - INCOME VERIFICATION MATCH Priority: Mandatory Version : 2 SEQ #83 Status: Released Compliance Date: AUG 11, 2004 ============================================================================= Associated patches: (v)IVM*2*79 <<= must be installed BEFORE `IVM*2*99' Subject: TRANSMIT LINKED COPAY TESTS Category: - Enhancement (Mandatory) - Routine Description: ============ ******************************* N O T E ********************************* There is no conflict between this patch and the {package}-CoreFLS software. Installation of this patch by the CoreFLS sites will not cause any problems. ************************************************************************* This patch (IVM*2.0*99) is an enhancement to the Income Verification process of evaluating and converting veterans Income Tests. It will allow IVM to correctly set the medication copay required status. Existing functionality allows the Income Verification staff to convert a veteran's means test to either a MT or GMT copay required status. This can potentially result in an incorrect Medication Copay Exemption status. The enhancement will also allow Income Verification to convert a RX copay test to a status of non-exempt. Unlike Income Verification means test conversions that allow back-billing to occur, conversion of a RX copay test to a non-exempt status will not trigger any back-billing of prescriptions. Rather, any prescriptions entered on or after the date the RX Copay Income Verification Converted test is received will be liable for copayments. Currently, when there is a Means Test and an RX Copay Test on file that are linked via the LINKED RX COPAY/MEANS TEST field (#2.06) of the ANNUAL MEANS TEST file (#408.31) and the Means Test is primary, the Full Data Transmission (ORU/ORF Z07) does not send the RX copay test to the HEC. This patch (IVM*2.0*99) is included in the "RX Copay Upload Enhancement for IVM" patches and will enable a Means Test and RX Copay linked test to be transmitted to the HEC and shared with sites of record. 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: ;;2.0;INCOME VERIFICATION MATCH;**[patch list]**; 21-OCT-94 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== IVMPTRN9 9698515 9994911 9,11,19,12,21 17,46,50,53,34 49,58,79,99 Total number of routines: 1 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== The software for this patch is being distributed in a host file. The host file will contain four KIDS builds. Please refer to the 'Software and Documentation Retrieval' section of the EAS*1.0*42 patch description for instructions on how to acquire the patch software and documentation. INSTALLATION INSTRUCTIONS: ========================== This patch, INCOME VERIFICATION MATCH (IVM*2.0*99) will be installed in conjunction with ENROLLMENT APPLICATION SYSTEM Patch EAS*1.0*42. Please refer to the EAS*1.0*42 patch description for installation instructions. Routine Information: ==================== Routine Name: - IVMPTRN9 This routine has been modified to look for a linked MT to RX Copay and send the Rx Copay, along with the MT, to the HEC. Old routine: ============ 34 S SEQS=$S(TESTTYPE=2:"1,2,3,4,9,10,12,15,16,17,18,22,25,26",1: "1,17") 35 S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^IVMCZMT(DFN,SEQS,IVMMTDT,2 ,2,.DELETE,1) New routine: ============ 34 N CPTST,LINK 35 S SEQS="1,17",CPTST=+$$LST^DGMTU(DFN,IVMMTDT,2),LINK=$P($G(^DGMT (408.31,CPTST,2)),U,6) 36 I LINK=+$$LST^DGMTU(DFN,IVMMTDT,1) S SEQS="1,2,3,4,9,10,12,15,16,17 ,18,22,25,26" 37 S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^IVMCZMT(DFN,SEQS,IVMMTDT ,2,2,.DELETE,1) Routine Checksum: ============================================================================= User Information: Entered By : MULLER,RICHARD Date Entered : JUN 25, 2004 Completed By: NAPOLIELLO,GREG Date Completed: JUL 29, 2004 Released By : MARSHALL,FALENCIA B. Date Released : JUL 30, 2004 ============================================================================= Packman Mail Message: ===================== No routines included