Global: ^DGMT(408.31

Enter in this field the date of test for this annual test.

1)= S ^DGMT(408.31,"B",$E(X,1,30),DA)=""

2)= K ^DGMT(408.31,"B",$E(X,1,30),DA)

This cross-reference allows look-up by date of test.

1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,3))&($P(^(0),U,19)) ^DGMT(408.31,"AS",+$P(^(0),U,19),+$P(^(0),U,3),-X,+$P(^(0),U,2),DA)=""

2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,3),-X,+$P(^(0),U,2),DA)

This cross-reference can be used to sort by type of test by status by inverse date of test by patient by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AID",+$P(^(0),U,19),+$P(^(0),U,2),-X,DA)=""

2)= K ^DGMT(408.31,"AID",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,2),-X,DA)

This cross-reference can be used to sort by type of test by patient by inverse date of test by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AD",+$P(^(0),U,19),+$P(^(0),U,2),X,DA)=""

2)= K ^DGMT(408.31,"AD",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,2),X,DA)

This cross-reference can be used to sort by type of test by patient by date of test by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"ADFN"_$P(^(0),U,2),X,DA)=""

2)= K ^DGMT(408.31,"ADFN"_$P(^DGMT(408.31,DA,0),U,2),X,DA)

This cross-reference is used to improve look-up performance for a select patient.

This field contains the type of test, pointer to file 408.33.

UNEDITABLE

1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,3)) ^DGMT(408.31,"AS",X,+$P(^(0),U,3),-$P(^(0),U),+$P(^(0),U,2),DA)=""

2)= K ^DGMT(408.31,"AS",X,+$P(^DGMT(408.31,DA,0),U,3),-$P(^(0),U),+$P(^(0),U,2),DA)

This cross reference can be used to sort by type of test by status by inverse date of test by patient by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"AID",X,+$P(^(0),U,2),-$P(^(0),U),DA)=""

2)= K ^DGMT(408.31,"AID",X,+$P(^DGMT(408.31,DA,0),U,2),-$P(^(0),U),DA)

This cross reference can be used to sort by type of test by patient by inverse date of test by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"AD",X,+$P(^(0),U,2),$P(^(0),U),DA)=""

2)= K ^DGMT(408.31,"AD",X,+$P(^DGMT(408.31,DA,0),U,2),$P(^(0),U),DA)

This cross reference can be used to sort by type of test by patient by date of test by internal entry number.

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=Y(0),X=X S X=X=2 I X S X=DIV S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X=DIV S X="9" X ^DD(408.31,.019,1,4,1.4)

1.4)= S DIH=$S($D(^DGMT(408.31,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=408.31,DIG=.03 D ^DICR:$N(^DD(DIH,DIG,1,0))>0

2)= Q

CREATE CONDITION)= INTERNAL(TYPE OF TEST)=2

CREATE VALUE)= "9"

DELETE VALUE)= NO EFFECT

FIELD)= STATUS

This triggers the status field to incomplete when a new co-pay test is added

Enter in this field a patient associated with this annual test.

UNEDITABLE

1)= S:$P(^DGMT(408.31,DA,0),U,3)&($P(^(0),U,19)) ^DGMT(408.31,"AS",$P(^(0),U,19),$P(^(0),U,3),-$P(^(0),U),X,DA)=""

2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,3),-$P(^(0),U),X,DA)

This cross-reference can be used to sort by type of test by status by inverse date of test by patient by internal entry number.

1)= S:$P(^DGMT(408.31,DA,0),U,19) ^DGMT(408.31,"AID",$P(^(0),U,19),X,-$P(^DGMT(408.31,DA,0),U),DA)=""

2)= K ^DGMT(408.31,"AID",+$P(^DGMT(408.31,DA,0),U,19),X,-$P(^(0),U),DA)

This cross-reference can be used to sort by type of test by patient by inverse date of test by internal entry number.

1)= S ^DGMT(408.31,"C",$E(X,1,30),DA)=""

2)= K ^DGMT(408.31,"C",$E(X,1,30),DA)

This cross-reference allows look-up by patient.

1)= S:$P(^DGMT(408.31,DA,0),U,19) ^DGMT(408.31,"AD",$P(^DGMT(408.31,DA,0),U,19),X,$P(^(0),U),DA)=""

2)= K ^DGMT(408.31,"AD",+$P(^DGMT(408.31,DA,0),U,19),X,$P(^(0),U),DA)

This cross-reference can be used to sort by type of test by patient by date of test by internal entry number.

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X X ^DD(408.31,.02,1,5,69.2) S Y=X,X=Y(2),X=X&Y I X S X=DIV S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X=DIV S X="1" X ^DD(408.31,.02,1,5,1.4)

1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$S('$D(^DG(408.32,+$P(Y(1),U,3),0)):"",1:$P(^(0),U,1))']""

1.4)= S DIH=$S($D(^DGMT(408.31,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=408.31,DIG=.03 D ^DICR:$N(^DD(DIH,DIG,1,0))>0

2)= Q

69.2)= S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$S('$D(^DG(408.32,+$P(Y(1),U,3),0)):"",1:$P(^(0),U,1))']"",Y(2)=X,Y(3)=X S X=$P(Y(1),U,19),X=X S X=X=1

CREATE CONDITION)= STATUS']""&(INTERNAL(TYPE OF TEST)=1)

CREATE VALUE)= "1"

DELETE VALUE)= NO EFFECT

FIELD)= STATUS

This triggered cross-reference will update the 'Status' field (#.03).  If there is no status for the date of test, the status of 'REQUIRED' will automatically be assigned to the test.  This trigger only applies to means

test.

1)= S ^DGMT(408.31,"ADFN"_X,+^DGMT(408.31,DA,0),DA)=""

2)= K ^DGMT(408.31,"ADFN"_X,+^DGMT(408.31,DA,0),DA)

This cross-reference is used to improve look-up performance for a select patient.

Enter in this field the status of the test.

This field contains the financial test status.  Normally it  will be generated by the system.  Users who hold the DG MEANSTEST key will only be allowed to change a patient's means test status.  This change will be audited.

TRIGGERED by the TYPE OF TEST field of the ANNUAL MEANS TEST File

TRIGGERED by the PATIENT field of the ANNUAL MEANS TEST File

1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AS",$P(^(0),U,19),X,-$P(^(0),U),+$P(^(0),U,2),DA)=""

2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),X,-$P(^(0),U),+$P(^(0),U,2),DA)

This cross-reference can be used to sort by type of test by status by inverse date of test by patient by internal entry number.

1)= D CUR^DGMTDD

2)= D CUR^DGMTDD

This mumps cross-reference works like a "trigger" cross-reference.  When the status of the last date of test for a patient is updated, the 'Current Means Test Status' field (#.14) in the Patient file (#2) is updated.  This

trigger only applies to means test.

If the veteran is married, the spouse's income will only be collected and subsequently included in the test under certain conditions.  The veteran and spouse must either live together or if they do not live together, the

veteran must have contributed at least $600 to the spouse's support during the previous calendar year.

If the veteran has dependent children, the children's income will only be collected and subsequently included in the test under certain conditions.  Only children who have income and whose income is available to the

veteran need to provide income information.

For means test, it is this cumulative family income which is used to derive the means test threshold(s), status and subsequent category of care.

If the veteran is married, the spouse's income will only be collected and subsequently included in the means test under certain conditions.  The veteran and spouse must either live together or if they do not live together,

the veteran must have contributed at least $600 to the spouse's support during the previous calendar year.

When determining the means test status and subsequent category of care, the system will require net worth be entered for those veteran's who require mandatory care.

If the income plus net worth exceed the annual property threshold, the case can be sent to adjudication for the test.

This field contains the user who completed the test.

center.

1)= S ^DGMT(408.31,"AG",$E(X,1,30),DA)=""

2)= K ^DGMT(408.31,"AG",$E(X,1,30),DA)

Used for Means Test Audit reports.

This field contains the last user who changed the means test category.

This field contains the last date/time the means test category was changed.

This field contains the last date/time the test was adjudicated.

Enter in this field whether the veteran agrees to pay the deductible.  The veteran must also sign the 1010f form agreeing to pay the deductible.

1)= D:$G(DGMTYPT)<3 AUTOUPD^DGENA2(+$P(^DGMT(408.31,DA,0),U,2),2)

2)= D:$G(DGMTYPT)<3 AUTOUPD^DGENA2(+$P(^DGMT(408.31,DA,0),U,2),2)

Trigger to update Enrollment when updating the Agree to Pay Deductible field. Trigger routine is not called for a LTC copay test (type 3) or a LTC copay exemption test (type 4).

Cat A Vet Income+Cat A First Dep+(Cat A Per Dep*(Num Dep-First Dep))

The means test thresholds are released annually by VHA and include the veteran and dependent income for the year.

Cat B Vet Income+Cat B First Dep+(Cat B Per Dep*(Num Dep-First Dep))

The means test thresholds are released annually by VHA and include the veteran and dependent income for the year.

Enter whether the veteran declines to provide income information.  If the veteran declines; s/he is considered to be Category C and must agree to pay the deductible.

This field is computed by the system.  It is the summation of the veteran's deductible expenses in the Individual Annual Income file (#408.21).

This field is filled in by the system.  The field is set to 'YES' if the previous years means test parameters are applied to the test.  This should only occur when the new parameters are not yet available to the field.

1)= S ^DGMT(408.31,"AP",X,$P(^DGMT(408.31,DA,0),U),DA)=""

2)= K ^DGMT(408.31,"AP",X,$P(^DGMT(408.31,DA,0),U),DA)

This cross-reference can be used to sort by previous years threshold by date of test by internal entry number.

This field contains the last date the means test was no longer required.

If the veteran is married, the spouse's will only be collected and subsequently included under certain conditions.  The veteran and spouse must either live together or if they do not live together, the veteran must have

contributed at least $600 to the spouse's support during the previous calendar year.

1)= S ^DGMT(408.31,"AE",$E(X,1,30),DA)=""

2)= K ^DGMT(408.31,"AE",$E(X,1,30),DA)

This cross-reference are means tests that have been designated as hardships.

1)= S:'X $P(^DGMT(408.31,DA,0),U,21,22)="^"

2)= S:'$P(^DGMT(408.31,DA,0),U,20) $P(^DGMT(408.31,DA,0),U,21,22)="^"

If the hardship question is changed from a yes to a no or is deleted, this cross-reference will delete the review date and approved by fields.

means that the income test was obtained at the VA Medical Center by a user using the appropriate Means Test (or other income test) software.

This field MUST NOT BE ALTERED in any way.  It is entered by the software and should never be edited or deleted.  Altering this data in any way will adversely impact the income testing functionality.

WRITE AUTHORITY:  ^

This field will contain the date the veteran signed the financial test IF the test is from a source other than the VAMC (i.e. IVM).

This field will contain the date returned from the IVM Center that the means test was verified and completed.

This field returns an indicator from the IVM Center that the veteran refused to sign the means test.

corresponds to the FIPS code of the veteran's address and using the income amount for the veteran plus the number of dependents.

test is considered the primary income test for the patient for the income year.  If the field contains a 0, it means that the patient has another income test for the year which is considered the primary income test.

This field is set by the means test software and MUST NOT BE ALTERED via FileMan.

WRITE AUTHORITY:  ^

This field will indicate when the hardship is effective.

This field will indicate when the test was created or last edited.

WRITE AUTHORITY:  ^

1)= D E40831^DGRTRIG(DA)

2)= D E40831^DGRTRIG(DA)

3)=  DO NOT DELETE

This cross-reference is used to notify HEC of changes that may affect enrollment.

automatically re-complete the test if the test is again required after going to a status which indcates that it is not required based on changes in eligibility.

1)= Q

2)= D STOPAUTO^DGMTDD(DA)

3)= DO NOT DELETE!

A pharmacy copay test and a means test may share the same income screening.  When one test becomes inactive (No Longer Required or No Longer Applicable), the status is saved in the Test Determined Status field so that it

may be reinstated again if the test becomes required. While one test is inactive, the veteran may have another test in effect - for example, if he does not require a means test, he may still be subject to the pharmacy

copayments and be eligible to take a pharmacy copayment exemption test.  If a pharmacy copyment test is created, it will utilize the same income screening as was in effect for the means test.  However, if the income

screening is then edited, and the veteran later becomes subject to being means tested, the old means test should not be automatically re-completed based on the old status - it needs to be re-completed and a new status

determined based on the changed income screening.  This cross-reference is meant to prevent the automatic re-completion of the old test in this situation.

This will indicate the station down to the division level of the user who entered the hardship determination.

This will indicate the site down to the division level of the user who completed the test.

forth to the test that currently requires the income screening.  For example, if a means test becomes not required, an Rx copay test may be automatically created and all the income screening information would be re-pointed

to the Rx copay test away from the means test.  If a means test should ever become required again, the pointers from the income screening data can be found and re-pointed from this link.

(type 1) associated with this the test.

1)= S ^DGMT(408.31,"AT",$E(X,1,30),DA)=""

2)= K ^DGMT(408.31,"AT",$E(X,1,30),DA)

This field will indicate the reason for the Hardship.

If this field contains a date, the income data fields in this record have been purged as required by Internal Revenue Service and/or Social Security Administration.

This field contains comments on the test.