FileMan FileNo | FileMan Filename | Package |
---|---|---|
408.31 | ANNUAL MEANS TEST | Enrollment Application System |
Package | Total | FileMan Files |
---|---|---|
Enrollment Application System | 3 | INDIVIDUAL ANNUAL INCOME(#408.21)[31] INCOME RELATION(#408.22)[31] ANNUAL MEANS TEST(#408.31)[2.06, 2.08] |
Registration | 2 | MEANS TEST CHANGES(#408.41)[.03] PATIENT RELATION(#408.12)[#408.1275(.04)] |
Income Verification Match | 1 | IVM PATIENT(#301.5)[.06, .07] |
Package | Total | FileMan Files |
---|---|---|
Enrollment Application System | 4 | MEANS TEST STATUS(#408.32)[.03, 2.03] TYPE OF TEST(#408.33)[.019] ANNUAL MEANS TEST(#408.31)[2.06, 2.08] LTC CO-PAY EXEMPTION(#714.1)[2.07] |
Income Verification Match | 1 | SOURCE OF INCOME TEST(#408.34)[.23] |
Kernel | 1 | NEW PERSON(#200)[.06, .08, .22] |
Registration | 1 | PATIENT(#2)[.02] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE OF TEST | 0;1 | DATE | ************************REQUIRED FIELD************************
|
.019 | TYPE OF TEST | 0;19 | POINTER TO TYPE OF TEST FILE (#408.33) | ************************REQUIRED FIELD************************ TYPE OF TEST(#408.33)
|
.02 | PATIENT | 0;2 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
.03 | STATUS | 0;3 | POINTER TO MEANS TEST STATUS FILE (#408.32) | ************************REQUIRED FIELD************************ MEANS TEST STATUS(#408.32)
|
.04 | INCOME | 0;4 | NUMBER |
|
.05 | NET WORTH | 0;5 | NUMBER |
|
.06 | COMPLETED BY | 0;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
.07 | DATE/TIME COMPLETED | 0;7 | DATE |
|
.08 | CATEGORY CHANGED BY | 0;8 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
.09 | DATE/TIME CATEGORY CHANGED | 0;9 | DATE |
|
.1 | ADJUDICATION DATE/TIME | 0;10 | DATE |
|
.11 | AGREED TO PAY DEDUCTIBLE | 0;11 | SET |
|
.12 | THRESHOLD A | 0;12 | NUMBER |
|
.13 | THRESHOLD B | 0;13 | NUMBER |
|
.14 | DECLINES TO GIVE INCOME INFO | 0;14 | SET |
|
.15 | DEDUCTIBLE EXPENSES | 0;15 | NUMBER |
|
.16 | PREVIOUS YEARS THRESHOLD | 0;16 | SET |
|
.17 | NO LONGER REQUIRED DATE | 0;17 | DATE |
|
.18 | TOTAL DEPENDENTS | 0;18 | NUMBER |
|
.2 | HARDSHIP? | 0;20 | SET |
|
.21 | HARDSHIP REVIEW DATE | 0;21 | DATE | ************************REQUIRED FIELD************************
|
.22 | APPROVED BY | 0;22 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
|
.23 | SOURCE OF INCOME TEST | 0;23 | POINTER TO SOURCE OF INCOME TEST FILE (#408.34) | ************************REQUIRED FIELD************************ SOURCE OF INCOME TEST(#408.34)
|
.24 | DATE VETERAN SIGNED TEST | 0;24 | DATE |
|
.25 | DATE IVM VERIFIED MT COMPLETED | 0;25 | DATE |
|
.26 | REFUSED TO SIGN | 0;26 | SET |
|
.27 | GMT THRESHOLD | 0;27 | NUMBER |
|
.29 | MEANS TEST SIGNED? | 0;29 | SET |
|
1 | BULLETIN DATE | BUL;1 | DATE |
|
2 | PRIMARY INCOME TEST FOR YEAR? | PRIM;1 | SET | ************************REQUIRED FIELD************************
|
2.01 | HARDSHIP EFFECTIVE DATE | 2;1 | DATE |
|
2.02 | DATE/TIME TEST LAST EDITED | 2;2 | DATE |
|
2.03 | TEST-DETERMINED STATUS | 2;3 | POINTER TO MEANS TEST STATUS FILE (#408.32) | MEANS TEST STATUS(#408.32)
|
2.04 | SITE GRANTING HARDSHIP | 2;4 | FREE TEXT |
|
2.05 | SITE CONDUCTING TEST | 2;5 | FREE TEXT |
|
2.06 | LINKED RX COPAY/MEANS TEST | 2;6 | POINTER TO ANNUAL MEANS TEST FILE (#408.31) | ANNUAL MEANS TEST(#408.31)
|
2.07 | REASON FOR EXEMPTION | 2;7 | POINTER TO LTC CO-PAY EXEMPTION FILE (#714.1) | LTC CO-PAY EXEMPTION(#714.1)
|
2.08 | LINKED LTC CO-PAY/MEANS TEST | 2;8 | POINTER TO ANNUAL MEANS TEST FILE (#408.31) | ANNUAL MEANS TEST(#408.31)
|
2.09 | HARDSHIP REASON | 2;9 | FREE TEXT |
|
2.1 | 1010EC FORM | 2;10 | SET |
|
2.11 | MEANS TEST VERSION | 2;11 | SET |
|
2.12 | HARDSHIP EXPIRED | 2;12 | SET |
|
2.13 | HARDSHIP EXPIRATION DATE | 2;13 | DATE |
|
3 | INCOME DATA PURGED PER IRS/SSA | PURGE;1 | DATE |
|
4 | BT FINANCIAL INDICATOR | 4;1 | SET |
|
50 | COMMENT | C;0 | WORD-PROCESSING #408.311 |
|
Name | Field # of Occurrence |
---|---|
^%DT | .01+1, .07+1, .09+1, .1+1, .17+1, .21+1, .24+1, .25+1, 1+1, 2.01+1 , 2.02+1, 2.13+1, 3+1 |
AUTOUPD^DGENA2 | .11(XREF 1S), .11(XREF 1K) |
COM^DGMTDD | .07+1 |
CUR^DGMTDD | .03(XREF 2S), .03(XREF 2K) |
STOPAUTO^DGMTDD | 2.03(XREF 1K) |
E40831^DGRTRIG | 2.02(XREF 1S), 2.02(XREF 1K) |
^DIC | .03+1, 2.07+1 |
^DICR | .019(XREF 4n1.4), .02(XREF 5n1.4) |
Y^DIQ | ID.019+1, ID.03+1, ID.23+1 |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^DD( | .019(XREF 4n1.4), .02(XREF 5n1.4) |
^DD(408.31 | .019(XREF 4S), .02(XREF 5S) |
^DD(408.32 | ID.03+1 |
^DD(408.33 | ID.019+1 |
^DD(408.34 | ID.23+1 |
^DG(408.32 - [#408.32] | ID.03+1, .02(XREF 5n1.3), .02(XREF 5n69.2) |
^DG(408.33 - [#408.33] | ID.019+1 |
^DG(408.34 - [#408.34] | ID.23+1 |
^DGMT(408.31 - [#408.31] | .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .01(XREF 4S), .01(XREF 4K), .01(XREF 5S), .01(XREF 5K) , .019(XREF 1S), .019(XREF 1K), .019(XREF 2S), .019(XREF 2K), .019(XREF 3S), .019(XREF 3K), .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 1S), .02(XREF 1K) , .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .02(XREF 4S), .02(XREF 4K), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4), .02(XREF 5n69.2) , .02(XREF 6S), .02(XREF 6K), .03(XREF 1S), .03(XREF 1K), .07(XREF 1S), .07(XREF 1K), .11(XREF 1S), .11(XREF 1K), .16(XREF 1S), .16(XREF 1K) , .2(XREF 1S), .2(XREF 1K), .2(XREF 2S), .2(XREF 2K), 2.08(XREF 1S), 2.08(XREF 1K) |
Name | Field # of Occurrence |
---|---|
^("PRIM" | ID2+1 |
^(0 | ID.019+1, ID.03+1, ID.23+1, .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .01(XREF 4S), .01(XREF 4K), .01(XREF 5S) , .019(XREF 1S), .019(XREF 1K), .019(XREF 2S), .019(XREF 2K), .019(XREF 3S), .019(XREF 3K), .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 1S), .02(XREF 1K) , .02(XREF 2S), .02(XREF 2K), .02(XREF 4S), .02(XREF 4K), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4), .02(XREF 5n69.2), .03(XREF 1S), .03(XREF 1K) |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> %DT | .01+1*, .07+1*, .09+1*, .1+1*, .17+1*, .21+1*, .24+1*, .25+1*, 1+1*, 2.01+1* , 2.02+1*, 2.13+1*, 3+1* |
>> %DT(0 | .01+1*, .07+1* |
%I | ID.019+1*!, ID.03+1*!, ID.23+1*! |
>> C | ID.019+1*, ID.03+1*, ID.23+1* |
>> D0 | .019(XREF 4S), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n69.2) |
>> DA | .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .01(XREF 4S), .01(XREF 4K), .01(XREF 5S), .01(XREF 5K) , .019(XREF 1S), .019(XREF 1K), .019(XREF 2S), .019(XREF 2K), .019(XREF 3S), .019(XREF 3K), .019(XREF 4S), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S) , .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .02(XREF 4S), .02(XREF 4K), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 6S), .02(XREF 6K), .03(XREF 1S) , .03(XREF 1K), .07(XREF 1S), .07(XREF 1K), .11(XREF 1S), .11(XREF 1K), .16(XREF 1S), .16(XREF 1K), .2(XREF 1S), .2(XREF 1K), .2(XREF 2S) , .2(XREF 2K), 2.02(XREF 1S), 2.02(XREF 1K), 2.03(XREF 1K), 2.08(XREF 1S), 2.08(XREF 1K) |
>> DGMTACT | .01+1 |
>> DGMTYPT | .11(XREF 1S), .11(XREF 1K) |
DIC | ID.019+1, ID.03+1, ID.23+1, .03+1!*, 2.07+1!* |
DIC("S" | .03+1*, .03SCR+1*, 2.07+1*, 2.07SCR+1* |
>> DIE | .03+1, 2.07+1 |
>> DIG | .019(XREF 4n1.4), .02(XREF 5n1.4) |
>> DIH | .019(XREF 4n1.4), .02(XREF 5n1.4) |
>> DIU | .019(XREF 4S), .02(XREF 5S) |
DIV | .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4) |
DIV(0 | .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4) |
U | ID.019+1, ID.03+1, ID.23+1, .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .01(XREF 4S), .01(XREF 4K), .01(XREF 5S) , .01(XREF 5K), .019(XREF 1S), .019(XREF 1K), .019(XREF 2S), .019(XREF 2K), .019(XREF 3S), .019(XREF 3K), .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 1S) , .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 4S), .02(XREF 4K), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4), .02(XREF 5n69.2), .03(XREF 1S) , .03(XREF 1K), .11(XREF 1S), .11(XREF 1K), .16(XREF 1S), .16(XREF 1K), .2(XREF 2S), .2(XREF 2K) |
X | .01+1*!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .01(XREF 4S), .01(XREF 4K), .01(XREF 5S) , .01(XREF 5K), .019(XREF 1S), .019(XREF 1K), .019(XREF 2S), .019(XREF 2K), .019(XREF 3S), .019(XREF 3K), .019(XREF 4S), .019(XREF 4n1.4), .02(XREF 1S) , .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .02(XREF 4S), .02(XREF 4K), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n1.4) , .02(XREF 5n69.2), .02(XREF 6S), .02(XREF 6K), .03+1*!, .03(XREF 1S), .03(XREF 1K), .04+1*!, .05+1*!, .07+1*!, .07(XREF 1S) , .07(XREF 1K), .09+1*!, .1+1*!, .12+1*!, .13+1*!, .15+1*!, .16(XREF 1S), .16(XREF 1K), .17+1*!, .18+1! , .2(XREF 1S), .2(XREF 1K), .2(XREF 2S), .21+1*!, .24+1*!, .25+1*!, .27+1*!, 1+1*!, 2.01+1*!, 2.02+1*! , 2.04+1!, 2.05+1!, 2.07+1*!, 2.08(XREF 1S), 2.08(XREF 1K), 2.09+1!, 2.13+1*!, 3+1*! |
Y | ID.019+1*, ID.03+1*, ID.23+1*, .01+1, .019(XREF 4S), .02(XREF 5S), .03+1, .07+1, .09+1, .1+1 , .17+1, .21+1, .24+1, .25+1, 1+1, 2.01+1, 2.02+1, 2.07+1, 2.13+1, 3+1 |
Y(0 | .019(XREF 4S), .02(XREF 5S), .02(XREF 5n1.3) |
Y(1 | .019(XREF 4S), .02(XREF 5S), .02(XREF 5n1.3), .02(XREF 5n69.2) |
Y(2 | .02(XREF 5S), .02(XREF 5n69.2) |
Y(3 | .02(XREF 5n69.2) |