DBIA971 ICR (971)

Name

Value

NUMBER

971

IA #

971

FILE NUMBER

408.21

GLOBAL ROOT

DGMT(408.21,

DATE CREATED

1994/08/22

CUSTODIAL PACKAGE

REGISTRATION

CUSTODIAL ISC

Albany

USAGE

Private

TYPE

File

NAME

DBIA971

GENERAL DESCRIPTION

The IVM package files new Means Tests in the PIMS Means
Test module.  IVM requests permission to add and update entries in the
INDIVIDUAL ANNUAL INCOME (#408.21) file, as part of adding a new Means Test.
Additionally, permission is requested to delete entries from that file (if the
IVM Center mistakenly sends a Means Test to a facility).

GLOBAL REFERENCE

FIELD NUMBER

GLOBAL DESCRIPTION

DGMT(408.21,D0,0)

FIELD NUMBER	ACCESS	FIELD DESCRIPTION	FIELD NAME	LOCATION
.01	Write w/Fileman	This is the income year for the income record.	YEAR	0;1
.02	Write w/Fileman	This is the patient relation in file #408.12 from whom the income was reported.	PATIENT RELATION	0;2
.08	Write w/Fileman	This field is normally reported with the income record.	SOCIAL SECURITY (NOT SSI)	0;8
.09	Write w/Fileman	This field is normally reported with the income record.	U.S. CIVIL SERVICE	0;9
.1	Write w/Fileman	This field is normally reported with the income record.	U.S. RAILROAD RETIREMENT	0;10
.11	Write w/Fileman	This field is normally reported with the income record.	MILITARY RETIREMENT	0;11
.12	Write w/Fileman	This field is normally reported with the income record.	UNEMPLOYMENT COMPENSATION	0;12
.13	Write w/Fileman	This field is normally reported with the income record.	OTHER RETIREMENT	0;13
.14	Write w/Fileman	This field is normally reported with the income record.	TOTAL INCOME FROM EMPLOYMENT	0;15
.15	Write w/Fileman	This field is normally reported with the income record.	INTEREST, DIVIDEND, OR ANNUITY	0;15
.16	Write w/Fileman	This field is normally reported with the income record.	WORKERS COMP. OR BLACK LUNG	0;16
.17	Write w/Fileman	This field is normally reported with the income record.	ALL OTHER INCOME	0;17
.18	Write w/Fileman	This field is used to determine if the income data was copied from the previous income year.	COPIED DATA	0;18

All of this income information is collected when the IVM
Center verifies a Means Test.

DGMT(408.21,D0,1)

FIELD NUMBER	ACCESS	FIELD DESCRIPTION	FIELD NAME	LOCATION
1.01	Write w/Fileman	This field is normally reported with the income record.	MEDICAL EXPENSES	1;1
1.02	Write w/Fileman	This field is normally reported with the income record.	FUNERAL AND BURIAL EXPENSES	1;2
1.03	Write w/Fileman	This field is normally reported with the income record.	EDUCATIONAL EXPENSES	1;3

All of this income information is collected when the IVM
Center verifies a Means Test.

DGMT(408.21,D0,2)

FIELD NUMBER	ACCESS	FIELD DESCRIPTION	FIELD NAME	LOCATION
2.01	Write w/Fileman	This field is normally reported with the income record.	CASH, AMOUNTS IN BANK ACCOUNTS	2;1
2.02	Write w/Fileman	This field is normally reported with the income record.	STOCKS AND BONDS	2;2
2.03	Write w/Fileman	This field is normally reported with the income record.	REAL PROPERTY	2;3
2.04	Write w/Fileman	This field is normally reported with the income record.	OTHER PROPERTY OR ASSETS	2;4
2.05	Write w/Fileman	This field is normally reported with the income record.	DEBTS	2;5

All of this income information is collected when the IVM
Center verifies a Means Test.

DGMT(408.21,D0,'USR')

FIELD NUMBER	ACCESS	FIELD DESCRIPTION	FIELD NAME	LOCATION
101	Write w/Fileman	This is the person who entered the income record.	ENTERED BY	USR;1
102	Write w/Fileman	This is the date on which the income record was filed.	ENTERED ON	USR;2

STATUS

Pending

DURATION

Till Otherwise Agreed

DGMT(408.21,

SUBSCRIBING PACKAGE

SUBSCRIBING PACKAGE	ISC
INCOME VERIFICATION MATCH	Albany