DGMTCOU1 ;ALB/REW,LD,JAN,AEG,LBD,BDB,HM - COPAY UTILITIES;8/13/04 8:31am
;;5.3;Registration;**33,45,54,335,358,401,436,445,564,840,858,972**;Aug 13, 1993;Build 80
AUTO(DFN,AUTOEX) ;
; Returns 1 if Exempt from CP w/o needing MT/CP information
; INPUT: DFN [Required]
; AUTOEX [Optional]
; RETURNS 1=Exempt 0=Not Exempt
;
; Hold the Auto exclusion information for later use
S AUTOEX=$$AUTOINFO(DFN)
;
Q AUTOEX["1"
AUTOINFO(DFN) ;
; This returns info needed to IB to see if MT information needs to be
; looked at to determine Copay Exemption Status
;
; INPUT: DFN - IEN of Patient File (Required)
; OUTPUT:(SC>50%^REC.A&A^REC.HB^REC.PEN^DOM PT^NON.VET^INPT^POW^UNEMP^CD^MOH)
; Piece: ( 1 ^ 2 ^ 3 ^ 4 ^ 5 ^ 6 ^ 7 ^ 8 ^ 9 ^10 ^ 11)
; PIECES =1 IF TRUE
;
; Supported ICR #423: Supports use of AUTOINFO^DGMTCOU1(DFN) to check if a veteran
; is MOH recipient
;
N DGALLEL,DGDOM,DGEL,DGNODE,DGX,DGYR,VADMVT,DGI
S DGX=""
I $P($G(^DPT(DFN,"VET")),U,1)'="Y" S $P(DGX,U,6)=1 G QTAUTO ;NON-VET
S DGEL=0,DGALLEL=U
F S DGEL=$O(^DPT("AEL",DFN,DGEL)) Q:'DGEL S DGALLEL=DGALLEL_$P($G(^DIC(8,DGEL,0)),U,9)_U
F DGI=.3,.362,.39,.52,.54 S DGNODE(DGI)=$G(^DPT(DFN,DGI)) ;DG*5.3*840 ;added MOH indicator field on loop DG*5.3*972 HM
I (DGALLEL["^1^") S $P(DGX,U,1)=1 G QTAUTO ;SC>50
I $P(DGNODE(.362),U,12)["Y"!(DGALLEL["^2^") S $P(DGX,U,2)=1 G QTAUTO ;A&A
I $P(DGNODE(.362),U,13)["Y"!(DGALLEL["^15^") S $P(DGX,U,3)=1 G QTAUTO ;HB
I $P(DGNODE(.362),U,14)["Y"!(DGALLEL["^4^") S $P(DGX,U,4)=1 G QTAUTO ;PENSION
I $P(DGNODE(.52),U,5)["Y"!(DGALLEL["^18^") S $P(DGX,U,8)=1 G QTAUTO ;POW
I $P(DGNODE(.39),U,6)["Y"!(DGALLEL["^21^") S $P(DGX,U,10)=1 G QTAUTO ;CD DG*5.3*840
I $P(DGNODE(.3),U,5)["Y"&($P(DGNODE(.3),U,2)>0)&($P(DGNODE(.362),U,20)>0) S $P(DGX,U,9)=1 G QTAUTO ;UNEMPLOYABLE
I $P(DGNODE(.54),U,1)["Y" S $P(DGX,U,11)=1 G QTAUTO ; MOH DG*5.3*972 HM
N DGDOM,DGDOM1,VAHOW,VAROOT,VAINDT,VAIP,VAERR
D DOM^DGMTR I $G(DGDOM) S $P(DGX,U,5)=1 G QTAUTO ;DOM
D IN5^VADPT I $G(VAIP(1))'="" S $P(DGX,U,7)=1 G QTAUTO ;INPAT
QTAUTO Q DGX
;
LST(DFN,DGDT,DGMTYPT1) ;Last Copay Exemption or Means Test for a patient
; Input -- DFN Patient IEN
; DGDT Date/Time (Optional- default today@2359)
; DGMTYPT1 (Optional (1:MT, 2:CP, Null/Default or 3:Either)
; Output -- MT IEN^Date of Test ^Status Name^Status Code^Type of Test
; Piece: 1 ^ 2 3 4 5
;
N DGCPDT,DGIDT,DGIDT,DGMTDT,DGMTI,Y
S DGIDT=$S($G(DGDT)>0:-DGDT,1:-DT) S:'$P(DGIDT,".",2) DGIDT=DGIDT_.2359
I '$D(DGMTYPT1) S DGMTYPT1=3
I DGMTYPT1=3 D ;EITHER
.S DGMTDT=+$O(^DGMT(408.31,"AID",1,DFN,DGIDT))
.S DGCPDT=+$O(^DGMT(408.31,"AID",2,DFN,DGIDT))
.S DGMTYPT1=$S(DGCPDT<DGMTDT:2,(DGCPDT>DGMTDT):1,$D(^DGMT(408.31,"AS",1,3,+DGMTDT,DFN)):2,1:1)
S DGMTI=+$$LST^DGMTU(DFN,$P(DGIDT,"-",2),DGMTYPT1)
I $D(^DGMT(408.31,DGMTI,0)) S Y=DGMTI_"^"_$P(^(0),"^")_"^"_$$MTS^DGMTU(DFN,+$P(^(0),"^",3))_"^"_DGMTYPT1
Q $G(Y)
THRESH(DGDT) ;PRINTS THE YEAR'S COPAY THRESHOLDS
;UPDATE 11/15/00 TO REFLECT YEAR'S COPAY THRESHOLDS PER VHA DIRECTIVE
;99-064
N DGCPLEV,DGDEP,DGNODE,DGTYPE,Y
I '$D(DGDT) S DGDT=DT
S DGDT=DGDT\1
S Y=DGDT X ^DD("DD") W !,?2,"Net Annual Income Thresholds on ",Y,":"
S DGTYPE=$S(DGDT<2961201:2,1:1)
S DGCPLEV=$$THRES^IBARXEU1(DGDT,DGTYPE,0)
I DGCPLEV']"" W !,"None for this date..." G THRESHQT
W !,?5,"Num. Dependents: ",?25,"0 (Self)",?42,1,?52,2,?62,3,?72,4
W !,?5,"Net Income:"
F DGDEP=0:1:4 W ?(23+(DGDEP*10)),$J(+$$THRES^IBARXEU1(DGDT,DGTYPE,DGDEP),10)
THRESHQT Q
DISPMAS(DFN) ; Displays Co
N DGCPS,DGEX,Y,AUTOEX
S DGEX=$$AUTO(DFN,.AUTOEX)
I $P($G(AUTOEX),U,5)!($P($G(AUTOEX),U,7)) Q
I DGEX W !,"Patient is exempt from Copay."
I 'DGEX D
.S DGCPS=$$LST365(DFN,DT,2),Y=$P(DGCPS,U,2)
.I DGCPS]"" D
..X ^DD("DD")
..W !,"Patient's Copay Status is ",$P(DGCPS,U,3)
..W ". Last Test Date: ",Y,"."
Q
LST365(DFN,DGDT,DGMTYPT1) ;RETURNS CURRENT MT/CP (WITHIN 1 YEAR OF VFA START DATE)
; Input: DGDT - IB DATE
; DGMTYPT1 (Optional (1:MT, 2:CP, Null/Default or 3:Either)
; Output -- MT IEN^Date of Test ^Status Name^Status Code^Type of Test
; Piece: 1 ^ 2 3 4 5
N DGLST
S DGDT=$G(DGDT)
I '$D(DGMTYPT1) S DGMTYPT1=3
S DGLST=$$LST(DFN,DGDT,DGMTYPT1)
S:$P(DGLST,U,4)="N" DGLST=$$LST(DFN,DGDT,2)
;DG*5.3*858 MT less than 1 year old as of "VFA Start Date" and point forward do not expire
S:$$OLDMTPF^DGMTU4($P(DGLST,U,2)) DGLST=""
Q DGLST
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDGMTCOU1 4632 printed Sep 23, 2025@20:20:34 Page 2
DGMTCOU1 ;ALB/REW,LD,JAN,AEG,LBD,BDB,HM - COPAY UTILITIES;8/13/04 8:31am
+1 ;;5.3;Registration;**33,45,54,335,358,401,436,445,564,840,858,972**;Aug 13, 1993;Build 80
AUTO(DFN,AUTOEX) ;
+1 ; Returns 1 if Exempt from CP w/o needing MT/CP information
+2 ; INPUT: DFN [Required]
+3 ; AUTOEX [Optional]
+4 ; RETURNS 1=Exempt 0=Not Exempt
+5 ;
+6 ; Hold the Auto exclusion information for later use
+7 SET AUTOEX=$$AUTOINFO(DFN)
+8 ;
+9 QUIT AUTOEX["1"
AUTOINFO(DFN) ;
+1 ; This returns info needed to IB to see if MT information needs to be
+2 ; looked at to determine Copay Exemption Status
+3 ;
+4 ; INPUT: DFN - IEN of Patient File (Required)
+5 ; OUTPUT:(SC>50%^REC.A&A^REC.HB^REC.PEN^DOM PT^NON.VET^INPT^POW^UNEMP^CD^MOH)
+6 ; Piece: ( 1 ^ 2 ^ 3 ^ 4 ^ 5 ^ 6 ^ 7 ^ 8 ^ 9 ^10 ^ 11)
+7 ; PIECES =1 IF TRUE
+8 ;
+9 ; Supported ICR #423: Supports use of AUTOINFO^DGMTCOU1(DFN) to check if a veteran
+10 ; is MOH recipient
+11 ;
+12 NEW DGALLEL,DGDOM,DGEL,DGNODE,DGX,DGYR,VADMVT,DGI
+13 SET DGX=""
+14 ;NON-VET
IF $PIECE($GET(^DPT(DFN,"VET")),U,1)'="Y"
SET $PIECE(DGX,U,6)=1
GOTO QTAUTO
+15 SET DGEL=0
SET DGALLEL=U
+16 FOR
SET DGEL=$ORDER(^DPT("AEL",DFN,DGEL))
if 'DGEL
QUIT
SET DGALLEL=DGALLEL_$PIECE($GET(^DIC(8,DGEL,0)),U,9)_U
+17 ;DG*5.3*840 ;added MOH indicator field on loop DG*5.3*972 HM
FOR DGI=.3,.362,.39,.52,.54
SET DGNODE(DGI)=$GET(^DPT(DFN,DGI))
+18 ;SC>50
IF (DGALLEL["^1^")
SET $PIECE(DGX,U,1)=1
GOTO QTAUTO
+19 ;A&A
IF $PIECE(DGNODE(.362),U,12)["Y"!(DGALLEL["^2^")
SET $PIECE(DGX,U,2)=1
GOTO QTAUTO
+20 ;HB
IF $PIECE(DGNODE(.362),U,13)["Y"!(DGALLEL["^15^")
SET $PIECE(DGX,U,3)=1
GOTO QTAUTO
+21 ;PENSION
IF $PIECE(DGNODE(.362),U,14)["Y"!(DGALLEL["^4^")
SET $PIECE(DGX,U,4)=1
GOTO QTAUTO
+22 ;POW
IF $PIECE(DGNODE(.52),U,5)["Y"!(DGALLEL["^18^")
SET $PIECE(DGX,U,8)=1
GOTO QTAUTO
+23 ;CD DG*5.3*840
IF $PIECE(DGNODE(.39),U,6)["Y"!(DGALLEL["^21^")
SET $PIECE(DGX,U,10)=1
GOTO QTAUTO
+24 ;UNEMPLOYABLE
IF $PIECE(DGNODE(.3),U,5)["Y"&($PIECE(DGNODE(.3),U,2)>0)&($PIECE(DGNODE(.362),U,20)>0)
SET $PIECE(DGX,U,9)=1
GOTO QTAUTO
+25 ; MOH DG*5.3*972 HM
IF $PIECE(DGNODE(.54),U,1)["Y"
SET $PIECE(DGX,U,11)=1
GOTO QTAUTO
+26 NEW DGDOM,DGDOM1,VAHOW,VAROOT,VAINDT,VAIP,VAERR
+27 ;DOM
DO DOM^DGMTR
IF $GET(DGDOM)
SET $PIECE(DGX,U,5)=1
GOTO QTAUTO
+28 ;INPAT
DO IN5^VADPT
IF $GET(VAIP(1))'=""
SET $PIECE(DGX,U,7)=1
GOTO QTAUTO
QTAUTO QUIT DGX
+1 ;
LST(DFN,DGDT,DGMTYPT1) ;Last Copay Exemption or Means Test for a patient
+1 ; Input -- DFN Patient IEN
+2 ; DGDT Date/Time (Optional- default today@2359)
+3 ; DGMTYPT1 (Optional (1:MT, 2:CP, Null/Default or 3:Either)
+4 ; Output -- MT IEN^Date of Test ^Status Name^Status Code^Type of Test
+5 ; Piece: 1 ^ 2 3 4 5
+6 ;
+7 NEW DGCPDT,DGIDT,DGIDT,DGMTDT,DGMTI,Y
+8 SET DGIDT=$SELECT($GET(DGDT)>0:-DGDT,1:-DT)
if '$PIECE(DGIDT,".",2)
SET DGIDT=DGIDT_.2359
+9 IF '$DATA(DGMTYPT1)
SET DGMTYPT1=3
+10 ;EITHER
IF DGMTYPT1=3
Begin DoDot:1
+11 SET DGMTDT=+$ORDER(^DGMT(408.31,"AID",1,DFN,DGIDT))
+12 SET DGCPDT=+$ORDER(^DGMT(408.31,"AID",2,DFN,DGIDT))
+13 SET DGMTYPT1=$SELECT(DGCPDT<DGMTDT:2,(DGCPDT>DGMTDT):1,$DATA(^DGMT(408.31,"AS",1,3,+DGMTDT,DFN)):2,1:1)
End DoDot:1
+14 SET DGMTI=+$$LST^DGMTU(DFN,$PIECE(DGIDT,"-",2),DGMTYPT1)
+15 IF $DATA(^DGMT(408.31,DGMTI,0))
SET Y=DGMTI_"^"_$PIECE(^(0),"^")_"^"_$$MTS^DGMTU(DFN,+$PIECE(^(0),"^",3))_"^"_DGMTYPT1
+16 QUIT $GET(Y)
THRESH(DGDT) ;PRINTS THE YEAR'S COPAY THRESHOLDS
+1 ;UPDATE 11/15/00 TO REFLECT YEAR'S COPAY THRESHOLDS PER VHA DIRECTIVE
+2 ;99-064
+3 NEW DGCPLEV,DGDEP,DGNODE,DGTYPE,Y
+4 IF '$DATA(DGDT)
SET DGDT=DT
+5 SET DGDT=DGDT\1
+6 SET Y=DGDT
XECUTE ^DD("DD")
WRITE !,?2,"Net Annual Income Thresholds on ",Y,":"
+7 SET DGTYPE=$SELECT(DGDT<2961201:2,1:1)
+8 SET DGCPLEV=$$THRES^IBARXEU1(DGDT,DGTYPE,0)
+9 IF DGCPLEV']""
WRITE !,"None for this date..."
GOTO THRESHQT
+10 WRITE !,?5,"Num. Dependents: ",?25,"0 (Self)",?42,1,?52,2,?62,3,?72,4
+11 WRITE !,?5,"Net Income:"
+12 FOR DGDEP=0:1:4
WRITE ?(23+(DGDEP*10)),$JUSTIFY(+$$THRES^IBARXEU1(DGDT,DGTYPE,DGDEP),10)
THRESHQT QUIT
DISPMAS(DFN) ; Displays Co
+1 NEW DGCPS,DGEX,Y,AUTOEX
+2 SET DGEX=$$AUTO(DFN,.AUTOEX)
+3 IF $PIECE($GET(AUTOEX),U,5)!($PIECE($GET(AUTOEX),U,7))
QUIT
+4 IF DGEX
WRITE !,"Patient is exempt from Copay."
+5 IF 'DGEX
Begin DoDot:1
+6 SET DGCPS=$$LST365(DFN,DT,2)
SET Y=$PIECE(DGCPS,U,2)
+7 IF DGCPS]""
Begin DoDot:2
+8 XECUTE ^DD("DD")
+9 WRITE !,"Patient's Copay Status is ",$PIECE(DGCPS,U,3)
+10 WRITE ". Last Test Date: ",Y,"."
End DoDot:2
End DoDot:1
+11 QUIT
LST365(DFN,DGDT,DGMTYPT1) ;RETURNS CURRENT MT/CP (WITHIN 1 YEAR OF VFA START DATE)
+1 ; Input: DGDT - IB DATE
+2 ; DGMTYPT1 (Optional (1:MT, 2:CP, Null/Default or 3:Either)
+3 ; Output -- MT IEN^Date of Test ^Status Name^Status Code^Type of Test
+4 ; Piece: 1 ^ 2 3 4 5
+5 NEW DGLST
+6 SET DGDT=$GET(DGDT)
+7 IF '$DATA(DGMTYPT1)
SET DGMTYPT1=3
+8 SET DGLST=$$LST(DFN,DGDT,DGMTYPT1)
+9 if $PIECE(DGLST,U,4)="N"
SET DGLST=$$LST(DFN,DGDT,2)
+10 ;DG*5.3*858 MT less than 1 year old as of "VFA Start Date" and point forward do not expire
+11 if $$OLDMTPF^DGMTU4($PIECE(DGLST,U,2))
SET DGLST=""
+12 QUIT DGLST
