GLOBAL MAP DATA DICTIONARY #408.31 -- ANNUAL MEANS TEST FILE 6/27/25 PAGE 1 STORED IN ^DGMT(408.31, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.3) ----------------------------------------------------------------------------------------------------------------------------------- This file contains the annual financial tests for a veteran. CROSS REFERENCED BY: AGREED TO PAY DEDUCTIBLE(AAPD), STATUS(AC), PATIENT(AD), DATE OF TEST(AD1), TYPE OF TEST(AD2), PATIENT(ADFN), DATE OF TEST(ADFN1), HARDSHIP?(AE), DATE/TIME TEST LAST EDITED(AENR202), HARDSHIP?(AF), DATE/TIME COMPLETED(AG), TEST-DETERMINED STATUS(AH), PATIENT(AID), DATE OF TEST(AID1), TYPE OF TEST(AID2), PREVIOUS YEARS THRESHOLD(AP), STATUS(AS), DATE OF TEST(AS1), PATIENT(AS2), TYPE OF TEST(AS3), LINKED LTC CO-PAY/MEANS TEST(AT), DATE OF TEST(B), PATIENT(C) ^DGMT(408.31,D0,0)= (#.01) DATE OF TEST [1D] ^ (#.02) PATIENT [2P:2] ^ (#.03) STATUS [3P:408.32] ^ (#.04) INCOME [4N] ^ (#.05) ==>NET WORTH [5N] ^ (#.06) COMPLETED BY [6P:200] ^ (#.07) DATE/TIME COMPLETED [7D] ^ (#.08) CATEGORY CHANGED BY ==>[8P:200] ^ (#.09) DATE/TIME CATEGORY CHANGED [9D] ^ (#.1) ADJUDICATION DATE/TIME [10D] ^ (#.11) AGREED TO PAY ==>DEDUCTIBLE [11S] ^ (#.12) THRESHOLD A [12N] ^ (#.13) THRESHOLD B [13N] ^ (#.14) DECLINES TO GIVE INCOME INFO ==>[14S] ^ (#.15) DEDUCTIBLE EXPENSES [15N] ^ (#.16) PREVIOUS YEARS THRESHOLD [16S] ^ (#.17) NO LONGER REQUIRED ==>DATE [17D] ^ (#.18) TOTAL DEPENDENTS [18N] ^ (#.019) TYPE OF TEST [19P:408.33] ^ (#.2) HARDSHIP? [20S] ^ ==>(#.21) HARDSHIP REVIEW DATE [21D] ^ (#.22) APPROVED BY [22P:200] ^ (#.23) SOURCE OF INCOME TEST [23P:408.34] ==>^ (#.24) DATE VETERAN SIGNED TEST [24D] ^ (#.25) DATE IVM VERIFIED MT COMPLETED [25D] ^ (#.26) REFUSED TO ==>SIGN [26S] ^ (#.27) GMT THRESHOLD [27N] ^ ^ (#.29) MEANS TEST SIGNED? [29S] ^ ^DGMT(408.31,D0,2)= (#2.01) HARDSHIP EFFECTIVE DATE [1D] ^ (#2.02) DATE/TIME TEST LAST EDITED [2D] ^ (#2.03) TEST-DETERMINED ==>STATUS [3P:408.32] ^ (#2.04) SITE GRANTING HARDSHIP [4F] ^ (#2.05) SITE CONDUCTING TEST [5F] ^ (#2.06) LINKED ==>RX COPAY/MEANS TEST [6P:408.31] ^ (#2.07) REASON FOR EXEMPTION [7P:714.1] ^ (#2.08) LINKED LTC CO-PAY/MEANS ==>TEST [8P:408.31] ^ (#2.09) HARDSHIP REASON [9F] ^ (#2.1) 1010EC FORM [10S] ^ (#2.11) MEANS TEST VERSION [11S] ==>^ (#2.12) HARDSHIP EXPIRED [12S] ^ (#2.13) HARDSHIP EXPIRATION DATE [13D] ^ ^DGMT(408.31,D0,4)= (#4) BT FINANCIAL INDICATOR [1S] ^ ^DGMT(408.31,D0,BUL)= (#1) BULLETIN DATE [1D] ^ ^DGMT(408.31,D0,C,0)=^408.311^^ (#50) COMMENT ^DGMT(408.31,D0,C,D1,0)= (#.01) COMMENT [1W] ^ ^DGMT(408.31,D0,PRIM)= (#2) PRIMARY INCOME TEST FOR YEAR? [1S] ^ ^DGMT(408.31,D0,PURGE)= (#3) INCOME DATA PURGED PER IRS/SSA [1D] ^ INPUT TEMPLATE(S): ^DIE(496)= DGMT COMMENTS ^DIE(472)= DGMT ENTER/EDIT ADJUDICATION ^DIE(473)= DGMT ENTER/EDIT CATEGORY ^DIE(471)= DGMT ENTER/EDIT COMPLETION Compiled: ^DGMTXC ^DIE(1623)= EASEC COMPLETE LTC CO-PAY TEST PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):