| DESCRIPTION OF ENHANCEMENTS |
This patch addresses Geographic Means Test as a new Means Test Indicator
Change: 'AN' WILL STAND FOR 'CAT A NSC'.
To: 'AN' WILL STAND FOR 'NSC MT COPAY EXEMPT'.
Change: 'C' WILL STAND FOR 'CAT C'.
To: 'C' WILL STAND FOR 'MT COPAY REQUIRED'.
Add: 'G' WILL STAND FOR 'GMT COPAY REQUIRED'.
The algorithm logic in PTF for determining the means test indicator in
routines DGPTUTL and DGPTFVC1 have been modified to include patients with
value used in PTF. This new value will be added to the Means Test
GMT status. A new API ($$PA^DGMTUTL) is used to determine whether a
status of 'pending adjudication' will be 'mt copay required' or 'gmt copay
required'.
Austin edit checks have been modified in routine VAFHLZIR to include the
new value of 'G' when validating means test indicators for transmissions
to Austin.
Indicator (#10) field of the PTF (#45) file. The new value will be titled
GMT COPAY REQUIRED and have the code value of 'G'. In addition, two means
test indicators will have their descriptions changed to reflect Enrollment
changes to CAT A and CAT C Copay status. The following Data Dictionary
changes will be made to the Means Test Indicator (#10) field of the PTF
(#45) file:
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