| DESCRIPTION OF ENHANCEMENTS |
This patch addresses Geographic Means Test as a new Means Test Indicator
copay required' or 'gmt copay required' for a means test indicator.
2. Ambulatory Care validity checks have been modified to include the new
GMT means test indicator.
3. The Means Test/Eligibility/Enrollment Report [SCRPW MT/ELIG/ENROLLMENT
RPT] has been modified to address the following:
a. Include the new GMT COPAY REQUIRED means test indicator.
under Ambulatory Care Reporting. In addition, two reports under the
b. Change the description of three existing means test indicators
to reflect Enrollment changes to means test statuses of CAT A
and CAT C. The means test indicators will refect the following
changes:
Old Values New Values
-------------------- -----------------------
AS SC CATEGORY A AS SC MT COPAY EXEMPT
AN NSC CATEGORY A AN NSC MT COPAY EXEMPT
C CATEGORY C C MT COPAY REQUIRED
Ambulatory Care menu have been modified to address the new GMT indicator
G GMT COPAY REQUIRED
c. Change column descriptions in the report to reflect new
changes.
d. Include a new Group 8 Enrollment Priority to reflect
Enrollment's addition of a new enrollment priority.
4. The Means Test Visits & Uniques (OP3, OP4, OP5) report [SCRPW DVM
MEANS TEST SUMMARY] has been modified to address Enrollment changes.
and changes to descriptions of three other means test indicators.
a. Include the new GMT COPAY REQUIRED means test indicator.
b. Column headings have been changed to the following:
Old Description New Description
-------------------------------- ----------------------
CATEGORY A SERVICE CONNECTED SC - MT COPAY EXEMPT
CATEGORY A NON-SERVICE CONNECTED NSC - MT COPAY EXEMPT
CATEGORY C MT COPAY REQUIRED
GMT COPAY REQUIRED
1. The algorithm logic in Ambulatory Care for determining the means test
indicator in $$MTI^SCDXUTL0 has been modified to include patients with
GMT COPAY REQUIRED status. A new API ($$PA^DGMTUTL) is used to
determine whether a status of 'pending adjudication' will return 'mt
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