EASECU ;ALB/PHH,LBD,AMA,HM - LTC Co-Pay Test Utilities ; 22 AUG 2001
;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40,79,174**;Mar 15, 2001;Build 26
;
LST(DFN,DGDT,DGMTYPT) ;Last LTC Co-Pay test for a patient
; Input -- DFN Patient IEN
; DGDT Date/Time (Optional- default today@2359)
; DGMTYPT Type of Test (Optional - if not defined
; LTC Co-Pay will be assumed)
; Output -- LTC Co-Pay Test IEN^Date of Test
; ^Status Name^Status Code^Source of Test
N DGIDT,DGMTFL1,DGMTI,DGNOD,Y I '$D(DGMTYPT) S DGMTYPT=3
S DGIDT=$S($G(DGDT)>0:-DGDT,1:-DT) S:'$P(DGIDT,".",2) DGIDT=DGIDT_.2359
F S DGIDT=+$O(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT)) Q:'DGIDT!$G(DGMTFL1) D
. F DGMTI=0:0 S DGMTI=+$O(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT,DGMTI)) Q:'DGMTI!$G(DGMTFL1) D
. . S DGNOD=$G(^DGMT(408.31,DGMTI,0)) I DGNOD S DGMTFL1=1,Y=DGMTI_"^"_$P(^(0),"^")_"^"_$$MTS(+$P(^(0),"^",3))_"^"_$P(DGNOD,"^",23)
Q $G(Y)
;
MTS(DGMTS) ;LTC Co-Pay test status -- default current
; Input -- DGMTS LTC Co-Pay Test Status IEN
; Output -- Status Name^Status Code
N Y
I $G(DGMTS) S Y=$P($G(^DG(408.32,DGMTS,0)),"^",1,2)
Q $G(Y)
;
EXMPT(DFN) ;Check if veteran is exempt from LTC co-payments:
; If the veteran has a compensable SC disability, OR
; If the veteran is a single, NSC pensioner not in receipt of A&A
; If the veteran is a Medal of Honor recipient - EAS*1.0*174 HM
; and HB benefits
; Input -- DFN Patient IEN
; Output -- 0 = veteran not exempt
; 1 = veteran has compensable SC disability
; 2 = veteran is single NSC pensioner (no A&A, HB)
; 14 = veteran is Medal of Honor recipient - EAS*1.0*174 HM
N X,Y,ELG
S Y=0
; if service connected percentage is greater than 10% OR service
; connected percentage is less than 10% and annual VA
; check amount is greater than 0, then exempt type 1
S X=$G(^DPT(DFN,.36)),ELG=$P($G(^DIC(8,+X,0)),U,9)
I ELG=1!($P($G(^DPT(DFN,.3)),U,2)'<10) S Y=1 G EXMPTQ
I ELG=3,$P($G(^DPT(DFN,.3)),U,2)<10,$P($G(^DPT(DFN,.362)),U,20)>0 S Y=1 G EXMPTQ
;if MOH = "Y" quit
I $P($G(^DPT(DFN,.54)),U,1)="Y" S Y=14 G EXMPTQ ;IF MEDAL OF HONOR = "Y" SET OUTPUT TO BE 14 EAS*1*174 HM
; if Service Connected quit
I $P($G(^DPT(DFN,.3)),U)="Y" G EXMPTQ
; if Marital Status = 'Married' or 'Separated' quit
S X=$P($G(^DIC(11,+$P($G(^DPT(DFN,0)),U,5),0)),U,3)
I "^M^S^"[("^"_X_"^") G EXMPTQ
; if not receiving VA pension quit
S X=$G(^DPT(DFN,.362)) I $P(X,U,14)'="Y" G EXMPTQ
; if receiving A&A or HP benefits quit
I $P(X,U,12)="Y"!($P(X,U,13)="Y") G EXMPTQ
S Y=2
EXMPTQ Q Y
;
DIS(DFN) ;Display patient's current LTC Copay Test status and test date
; Input -- DFN IEN of Patient file
; Output -- None
N DGX,DGMTI,DGMTDT,DGMTS
Q:'$G(DFN)
S DGX=$$LST(DFN) Q:'DGX
S DGMTI=+DGX,DGMTDT=$P(DGX,U,2),DGMTS=$P(DGX,U,3) S:DGMTS="" DGMTS="UNKNOWN"
W !,"LTC Copayment Status: ",DGMTS," Last Test: " S Y=DGMTDT X ^DD("DD") W Y
; If last test is over a year old and patient is not deceased or not
; exempt due to eligibility (compensable SC) or LTC before 11/30/99
; display message that a new test is required
I $$FMDIFF^XLFDT(DT,DGMTDT)>364 D
. I $P($G(^DPT(DFN,.35)),U) Q
. I "^1^4^"[(U_$P($G(^DGMT(408.31,DGMTI,2)),U,7)_U) Q
. W " **NEW TEST REQUIRED**"
I $P($G(^DGMT(408.31,DGMTI,0)),U,11)=0 W !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
Q
;
FORM(DGMTI) ; Return the version of the 10-10EC form used to complete
; the LTC Copay Test passed in DGMTI
; Input: DGMTI - LTC Copay Test (IEN file #408.31)
; Output: 0 = Original format
; 1 = Revised format
I '$G(DGMTI) Q 0
Q $P($G(^DGMT(408.31,DGMTI,2)),U,10)
;
;EAS*1.0*79 - Instead of changing DIS (in case another routine
; calls it), copied it but also used LTC Admission Date
DISDT(DFN,EASADM) ;Display patient's LTC Copay Test status for a given LTC Admission Date
; Input -- DFN - IEN of Patient file
; EASADM - LTC Admission Date
; Output -- None
N DGX,DGMTI,DGMTDT,DGMTS
Q:'$G(DFN) Q:'$G(EASADM)
S DGX=$$LST(DFN,EASADM) Q:'DGX
S DGMTI=+DGX,DGMTDT=$P(DGX,U,2),DGMTS=$P(DGX,U,3) S:DGMTS="" DGMTS="UNKNOWN"
W !,"LTC Copayment Status: ",DGMTS," Last Test: " S Y=DGMTDT X ^DD("DD") W Y
; If last test is over a year old and patient is not deceased or not
; exempt due to eligibility (compensable SC) or LTC before 11/30/99
; display message that a new test is required
I $$FMDIFF^XLFDT(DT,DGMTDT)>364 D
. I $P($G(^DPT(DFN,.35)),U) Q
. I "^1^4^"[(U_$P($G(^DGMT(408.31,DGMTI,2)),U,7)_U) Q
. W " **NEW TEST REQUIRED**"
I $P($G(^DGMT(408.31,DGMTI,0)),U,11)=0 W !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HEASECU 4924 printed Dec 13, 2024@01:54:18 Page 2
EASECU ;ALB/PHH,LBD,AMA,HM - LTC Co-Pay Test Utilities ; 22 AUG 2001
+1 ;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40,79,174**;Mar 15, 2001;Build 26
+2 ;
LST(DFN,DGDT,DGMTYPT) ;Last LTC Co-Pay test for a patient
+1 ; Input -- DFN Patient IEN
+2 ; DGDT Date/Time (Optional- default today@2359)
+3 ; DGMTYPT Type of Test (Optional - if not defined
+4 ; LTC Co-Pay will be assumed)
+5 ; Output -- LTC Co-Pay Test IEN^Date of Test
+6 ; ^Status Name^Status Code^Source of Test
+7 NEW DGIDT,DGMTFL1,DGMTI,DGNOD,Y
IF '$DATA(DGMTYPT)
SET DGMTYPT=3
+8 SET DGIDT=$SELECT($GET(DGDT)>0:-DGDT,1:-DT)
if '$PIECE(DGIDT,".",2)
SET DGIDT=DGIDT_.2359
+9 FOR
SET DGIDT=+$ORDER(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT))
if 'DGIDT!$GET(DGMTFL1)
QUIT
Begin DoDot:1
+10 FOR DGMTI=0:0
SET DGMTI=+$ORDER(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT,DGMTI))
if 'DGMTI!$GET(DGMTFL1)
QUIT
Begin DoDot:2
+11 SET DGNOD=$GET(^DGMT(408.31,DGMTI,0))
IF DGNOD
SET DGMTFL1=1
SET Y=DGMTI_"^"_$PIECE(^(0),"^")_"^"_$$MTS(+$PIECE(^(0),"^",3))_"^"_$PIECE(DGNOD,"^",23)
End DoDot:2
End DoDot:1
+12 QUIT $GET(Y)
+13 ;
MTS(DGMTS) ;LTC Co-Pay test status -- default current
+1 ; Input -- DGMTS LTC Co-Pay Test Status IEN
+2 ; Output -- Status Name^Status Code
+3 NEW Y
+4 IF $GET(DGMTS)
SET Y=$PIECE($GET(^DG(408.32,DGMTS,0)),"^",1,2)
+5 QUIT $GET(Y)
+6 ;
EXMPT(DFN) ;Check if veteran is exempt from LTC co-payments:
+1 ; If the veteran has a compensable SC disability, OR
+2 ; If the veteran is a single, NSC pensioner not in receipt of A&A
+3 ; If the veteran is a Medal of Honor recipient - EAS*1.0*174 HM
+4 ; and HB benefits
+5 ; Input -- DFN Patient IEN
+6 ; Output -- 0 = veteran not exempt
+7 ; 1 = veteran has compensable SC disability
+8 ; 2 = veteran is single NSC pensioner (no A&A, HB)
+9 ; 14 = veteran is Medal of Honor recipient - EAS*1.0*174 HM
+10 NEW X,Y,ELG
+11 SET Y=0
+12 ; if service connected percentage is greater than 10% OR service
+13 ; connected percentage is less than 10% and annual VA
+14 ; check amount is greater than 0, then exempt type 1
+15 SET X=$GET(^DPT(DFN,.36))
SET ELG=$PIECE($GET(^DIC(8,+X,0)),U,9)
+16 IF ELG=1!($PIECE($GET(^DPT(DFN,.3)),U,2)'<10)
SET Y=1
GOTO EXMPTQ
+17 IF ELG=3
IF $PIECE($GET(^DPT(DFN,.3)),U,2)<10
IF $PIECE($GET(^DPT(DFN,.362)),U,20)>0
SET Y=1
GOTO EXMPTQ
+18 ;if MOH = "Y" quit
+19 ;IF MEDAL OF HONOR = "Y" SET OUTPUT TO BE 14 EAS*1*174 HM
IF $PIECE($GET(^DPT(DFN,.54)),U,1)="Y"
SET Y=14
GOTO EXMPTQ
+20 ; if Service Connected quit
+21 IF $PIECE($GET(^DPT(DFN,.3)),U)="Y"
GOTO EXMPTQ
+22 ; if Marital Status = 'Married' or 'Separated' quit
+23 SET X=$PIECE($GET(^DIC(11,+$PIECE($GET(^DPT(DFN,0)),U,5),0)),U,3)
+24 IF "^M^S^"[("^"_X_"^")
GOTO EXMPTQ
+25 ; if not receiving VA pension quit
+26 SET X=$GET(^DPT(DFN,.362))
IF $PIECE(X,U,14)'="Y"
GOTO EXMPTQ
+27 ; if receiving A&A or HP benefits quit
+28 IF $PIECE(X,U,12)="Y"!($PIECE(X,U,13)="Y")
GOTO EXMPTQ
+29 SET Y=2
EXMPTQ QUIT Y
+1 ;
DIS(DFN) ;Display patient's current LTC Copay Test status and test date
+1 ; Input -- DFN IEN of Patient file
+2 ; Output -- None
+3 NEW DGX,DGMTI,DGMTDT,DGMTS
+4 if '$GET(DFN)
QUIT
+5 SET DGX=$$LST(DFN)
if 'DGX
QUIT
+6 SET DGMTI=+DGX
SET DGMTDT=$PIECE(DGX,U,2)
SET DGMTS=$PIECE(DGX,U,3)
if DGMTS=""
SET DGMTS="UNKNOWN"
+7 WRITE !,"LTC Copayment Status: ",DGMTS," Last Test: "
SET Y=DGMTDT
XECUTE ^DD("DD")
WRITE Y
+8 ; If last test is over a year old and patient is not deceased or not
+9 ; exempt due to eligibility (compensable SC) or LTC before 11/30/99
+10 ; display message that a new test is required
+11 IF $$FMDIFF^XLFDT(DT,DGMTDT)>364
Begin DoDot:1
+12 IF $PIECE($GET(^DPT(DFN,.35)),U)
QUIT
+13 IF "^1^4^"[(U_$PIECE($GET(^DGMT(408.31,DGMTI,2)),U,7)_U)
QUIT
+14 WRITE " **NEW TEST REQUIRED**"
End DoDot:1
+15 IF $PIECE($GET(^DGMT(408.31,DGMTI,0)),U,11)=0
WRITE !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
+16 QUIT
+17 ;
FORM(DGMTI) ; Return the version of the 10-10EC form used to complete
+1 ; the LTC Copay Test passed in DGMTI
+2 ; Input: DGMTI - LTC Copay Test (IEN file #408.31)
+3 ; Output: 0 = Original format
+4 ; 1 = Revised format
+5 IF '$GET(DGMTI)
QUIT 0
+6 QUIT $PIECE($GET(^DGMT(408.31,DGMTI,2)),U,10)
+7 ;
+8 ;EAS*1.0*79 - Instead of changing DIS (in case another routine
+9 ; calls it), copied it but also used LTC Admission Date
DISDT(DFN,EASADM) ;Display patient's LTC Copay Test status for a given LTC Admission Date
+1 ; Input -- DFN - IEN of Patient file
+2 ; EASADM - LTC Admission Date
+3 ; Output -- None
+4 NEW DGX,DGMTI,DGMTDT,DGMTS
+5 if '$GET(DFN)
QUIT
if '$GET(EASADM)
QUIT
+6 SET DGX=$$LST(DFN,EASADM)
if 'DGX
QUIT
+7 SET DGMTI=+DGX
SET DGMTDT=$PIECE(DGX,U,2)
SET DGMTS=$PIECE(DGX,U,3)
if DGMTS=""
SET DGMTS="UNKNOWN"
+8 WRITE !,"LTC Copayment Status: ",DGMTS," Last Test: "
SET Y=DGMTDT
XECUTE ^DD("DD")
WRITE Y
+9 ; If last test is over a year old and patient is not deceased or not
+10 ; exempt due to eligibility (compensable SC) or LTC before 11/30/99
+11 ; display message that a new test is required
+12 IF $$FMDIFF^XLFDT(DT,DGMTDT)>364
Begin DoDot:1
+13 IF $PIECE($GET(^DPT(DFN,.35)),U)
QUIT
+14 IF "^1^4^"[(U_$PIECE($GET(^DGMT(408.31,DGMTI,2)),U,7)_U)
QUIT
+15 WRITE " **NEW TEST REQUIRED**"
End DoDot:1
+16 IF $PIECE($GET(^DGMT(408.31,DGMTI,0)),U,11)=0
WRITE !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
+17 QUIT
