STANDARD 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)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the annual financial tests for a veteran.
COMPILED CROSS-REFERENCE ROUTINE:
DGMTXX3
DD ACCESS: @
RD ACCESS: d
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: d
IDENTIFIED BY: TYPE OF TEST (#.019)[R], PATIENT (#.02)[R], STATUS (#.03)[R], SOURCE OF INCOME TEST (#.23)[R],
PRIMARY INCOME TEST FOR YEAR? (#2)[R]
POINTED TO BY: FUTURE MEANS TEST field (#.06) of the IVM PATIENT File (#301.5)
FUTURE RX COPAY TEST field (#.07) of the IVM PATIENT File (#301.5)
IVM TEST field (#.04) of the EFFECTIVE DATE sub-field (#408.1275) of the PATIENT RELATION File (#408.12)
*ANNUAL MEANS TEST field (#31) of the INDIVIDUAL ANNUAL INCOME File (#408.21)
ANNUAL MEANS TEST field (#31) of the INCOME RELATION File (#408.22)
LINKED RX COPAY/MEANS TEST field (#2.06) of the ANNUAL MEANS TEST File (#408.31)
LINKED LTC CO-PAY/MEANS TEST field (#2.08) of the ANNUAL MEANS TEST File (#408.31)
MEANS TEST field (#.03) of the MEANS TEST CHANGES File (#408.41)
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)
LAST MODIFIED: AUG 10,2020@12:59:27
408.31,.01 DATE OF TEST 0;1 DATE (Required)
INPUT TRANSFORM: S %DT="EX",%DT(0)="-NOW" D ^%DT S X=Y K:Y<1 X I $D(X),'$D(DGMTACT) W !,?3,*7,"USE THE SPECIFIC FINA
NCIAL TEST OPTIONS" K X
LAST EDITED: OCT 11, 1994
HELP-PROMPT: Enter in this field the date of test for this annual financial test.
DESCRIPTION:
Enter in this field the date of test for this annual test.
DELETE TEST: 1,0)= I 1 W *7,!,"This Test Cannot Be Deleted. Use The Appropriate Means Test/Co-Pay Options.",!
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 408.31^B
1)= S ^DGMT(408.31,"B",$E(X,1,30),DA)=""
2)= K ^DGMT(408.31,"B",$E(X,1,30),DA)
This cross-reference allows look-up by date of test.
CROSS-REFERENCE: 408.31^AS1^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,3))&($P(^(0),U,19)) ^DGMT(408.31,"AS",+$P(^(0),U,19),+$
P(^(0),U,3),-X,+$P(^(0),U,2),DA)=""
2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,3),-X,+$P(^(0),U,2),DA)
This cross-reference can be used to sort by type of test by status by inverse date of test by
patient by internal entry number.
CROSS-REFERENCE: 408.31^AID1^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AID",+$P(^(0),U,19),+$P(^(0),U,2),-X
,DA)=""
2)= K ^DGMT(408.31,"AID",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,2),-X,DA)
This cross-reference can be used to sort by type of test by patient by inverse date of test by
internal entry number.
CROSS-REFERENCE: 408.31^AD1^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AD",+$P(^(0),U,19),+$P(^(0),U,2),X,D
A)=""
2)= K ^DGMT(408.31,"AD",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,2),X,DA)
This cross-reference can be used to sort by type of test by patient by date of test by internal
entry number.
CROSS-REFERENCE: 408.31^ADFN1^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"ADFN"_$P(^(0),U,2),X,DA)=""
2)= K ^DGMT(408.31,"ADFN"_$P(^DGMT(408.31,DA,0),U,2),X,DA)
This cross-reference is used to improve look-up performance for a select patient.
408.31,.019 TYPE OF TEST 0;19 POINTER TO TYPE OF TEST FILE (#408.33) (Required)
LAST EDITED: JUN 20, 1995
HELP-PROMPT: Enter the type of test associated with the financial test.
DESCRIPTION:
This field contains the type of test, pointer to file 408.33.
UNEDITABLE
CROSS-REFERENCE: 408.31^AS3^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,3)) ^DGMT(408.31,"AS",X,+$P(^(0),U,3),-$P(^(0),U),+$P(^
(0),U,2),DA)=""
2)= K ^DGMT(408.31,"AS",X,+$P(^DGMT(408.31,DA,0),U,3),-$P(^(0),U),+$P(^(0),U,2),DA)
This cross reference can be used to sort by type of test by status by inverse date of test by
patient by internal entry number.
CROSS-REFERENCE: 408.31^AID2^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"AID",X,+$P(^(0),U,2),-$P(^(0),U),DA)=""
2)= K ^DGMT(408.31,"AID",X,+$P(^DGMT(408.31,DA,0),U,2),-$P(^(0),U),DA)
This cross reference can be used to sort by type of test by patient by inverse date of test by
internal entry number.
CROSS-REFERENCE: 408.31^AD2^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2) ^DGMT(408.31,"AD",X,+$P(^(0),U,2),$P(^(0),U),DA)=""
2)= K ^DGMT(408.31,"AD",X,+$P(^DGMT(408.31,DA,0),U,2),$P(^(0),U),DA)
This cross reference can be used to sort by type of test by patient by date of test by internal
entry number.
CROSS-REFERENCE: ^^TRIGGER^408.31^.03
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=Y(0),X=X S X=X=2 I X S X=DIV S Y(1)=$S($D(^DGMT(408.
31,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X=DIV S X="9" X ^DD(408.31,.019,1,4,1.4)
1.4)= S DIH=$S($D(^DGMT(408.31,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=408.31,DIG=.03 D
^DICR:$N(^DD(DIH,DIG,1,0))>0
2)= Q
CREATE CONDITION)= INTERNAL(TYPE OF TEST)=2
CREATE VALUE)= "9"
DELETE VALUE)= NO EFFECT
FIELD)= STATUS
This triggers the status field to incomplete when a new co-pay test is added
408.31,.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: MAY 19, 1993
HELP-PROMPT: Enter in this field a patient associated with this annual financial test.
DESCRIPTION:
Enter in this field a patient associated with this annual test.
UNEDITABLE
CROSS-REFERENCE: 408.31^AS2^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,3)&($P(^(0),U,19)) ^DGMT(408.31,"AS",$P(^(0),U,19),$P(^(0),U,3),-$P(^
(0),U),X,DA)=""
2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),+$P(^(0),U,3),-$P(^(0),U),X,DA)
This cross-reference can be used to sort by type of test by status by inverse date of test by
patient by internal entry number.
CROSS-REFERENCE: 408.31^AID^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,19) ^DGMT(408.31,"AID",$P(^(0),U,19),X,-$P(^DGMT(408.31,DA,0),U),DA)=
""
2)= K ^DGMT(408.31,"AID",+$P(^DGMT(408.31,DA,0),U,19),X,-$P(^(0),U),DA)
This cross-reference can be used to sort by type of test by patient by inverse date of test by
internal entry number.
CROSS-REFERENCE: 408.31^C
1)= S ^DGMT(408.31,"C",$E(X,1,30),DA)=""
2)= K ^DGMT(408.31,"C",$E(X,1,30),DA)
This cross-reference allows look-up by patient.
CROSS-REFERENCE: 408.31^AD^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,19) ^DGMT(408.31,"AD",$P(^DGMT(408.31,DA,0),U,19),X,$P(^(0),U),DA)=""
2)= K ^DGMT(408.31,"AD",+$P(^DGMT(408.31,DA,0),U,19),X,$P(^(0),U),DA)
This cross-reference can be used to sort by type of test by patient by date of test by internal
entry number.
CROSS-REFERENCE: ^^TRIGGER^408.31^.03
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X X ^DD(408.31,.02,1,5,69.2) S Y=X,X=Y(2),X=X&Y I X S X=DI
V S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X=DIV S X="1" X ^D
D(408.31,.02,1,5,1.4)
1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$S('$D
(^DG(408.32,+$P(Y(1),U,3),0)):"",1:$P(^(0),U,1))']""
1.4)= S DIH=$S($D(^DGMT(408.31,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=408.31,DIG=.03 D
^DICR:$N(^DD(DIH,DIG,1,0))>0
2)= Q
69.2)= S Y(1)=$S($D(^DGMT(408.31,D0,0)):^(0),1:"") S X=$S('$D(^DG(408.32,+$P(Y(1),U,3),0)):"",1:$P(
^(0),U,1))']"",Y(2)=X,Y(3)=X S X=$P(Y(1),U,19),X=X S X=X=1
CREATE CONDITION)= STATUS']""&(INTERNAL(TYPE OF TEST)=1)
CREATE VALUE)= "1"
DELETE VALUE)= NO EFFECT
FIELD)= STATUS
This triggered cross-reference will update the 'Status' field (#.03). If there is no status for
the date of test, the status of 'REQUIRED' will automatically be assigned to the test. This
trigger only applies to means test.
CROSS-REFERENCE: 408.31^ADFN^MUMPS
1)= S ^DGMT(408.31,"ADFN"_X,+^DGMT(408.31,DA,0),DA)=""
2)= K ^DGMT(408.31,"ADFN"_X,+^DGMT(408.31,DA,0),DA)
This cross-reference is used to improve look-up performance for a select patient.
408.31,.03 STATUS 0;3 POINTER TO MEANS TEST STATUS FILE (#408.32) (Required)
INPUT TRANSFORM: S DIC("S")="I $$SCR^DGMTDD(Y,DA,$P(^DGMT(408.31,DA,0),U,19),$G(DGMTACT))" D ^DIC K DIC S DIC=DIE,X=
+Y K:Y<0 X
LAST EDITED: JUN 28, 1999
HELP-PROMPT: Enter in this field the financial test status.
DESCRIPTION:
Enter in this field the status of the test.
TECHNICAL DESCR: This field contains the financial test status. Normally it will be generated by the system.
Users who hold the DG MEANSTEST key will only be allowed to change a patient's means test status.
This change will be audited.
SCREEN: S DIC("S")="I $$SCR^DGMTDD(Y,DA,$P(^DGMT(408.31,DA,0),U,19),$G(DGMTACT))"
EXPLANATION: Status must be active and valid.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
TRIGGERED by the TYPE OF TEST field of the ANNUAL MEANS TEST File
TRIGGERED by the PATIENT field of the ANNUAL MEANS TEST File
CROSS-REFERENCE: 408.31^AS^MUMPS
1)= S:$P(^DGMT(408.31,DA,0),U,2)&($P(^(0),U,19)) ^DGMT(408.31,"AS",$P(^(0),U,19),X,-$P(^(0),U),+$P(
^(0),U,2),DA)=""
2)= K ^DGMT(408.31,"AS",+$P(^DGMT(408.31,DA,0),U,19),X,-$P(^(0),U),+$P(^(0),U,2),DA)
This cross-reference can be used to sort by type of test by status by inverse date of test by
patient by internal entry number.
CROSS-REFERENCE: 408.31^AC^MUMPS
1)= D CUR^DGMTDD
2)= D CUR^DGMTDD
This mumps cross-reference works like a "trigger" cross-reference. When the status of the last
date of test for a patient is updated, the 'Current Means Test Status' field (#.14) in the Patient
file (#2) is updated. This trigger only applies to means test.
408.31,.04 INCOME 0;4 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999999)!(X<0) X
LAST EDITED: DEC 06, 1994
HELP-PROMPT: Type a Dollar Amount between 0 and 9999999999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. It is a summation of each applicable family member's income
in the Individual Annual Income file (#408.21) for the previous calendar year from date of test.
If the veteran is married, the spouse's income will only be collected and subsequently included in
the test under certain conditions. The veteran and spouse must either live together or if they do
not live together, the veteran must have contributed at least $600 to the spouse's support during
the previous calendar year.
If the veteran has dependent children, the children's income will only be collected and
subsequently included in the test under certain conditions. Only children who have income and
whose income is available to the veteran need to provide income information.
For means test, it is this cumulative family income which is used to derive the means test
threshold(s), status and subsequent category of care.
TECHNICAL DESCR: When 2.11 MEANS TEST VERSION is Null or '0', the summation of each applicable family member's
income in the Individual Annual Income file (#408.21) for the previous calendar year will be
performed on income dollar amounts collected in the pre-Feb 2005 10-10EZ format. All income fields
for veteran, spouse, and dependent child(ren) from the Individual Annual Income file (#408.21) may
have values.
When 2.11 MEANS TEST VERSION is '1', the summation of each applicable family member's income in the
Individual Annual Income file (#408.21) for the previous calendar year will be performed on income
dollar amounts collected in the Feb 2005 10-10EZ format. Only income fields .08-SOCIAL
SECURITY(NOT SSI), .14-TOTAL EMPLOYMENT INCOME, and .17-ALL OTHER INCOME for veteran, spouse, and
dependent child(ren) from the Individual Annual Income file (#408.21) will have values.
408.31,.05 NET WORTH 0;5 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: DEC 06, 1994
HELP-PROMPT: Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. Is a summation of the veteran, spouse (if applicable), and
dependent child(ren) if applicable net worth, minus any debts in the Individual Annual Income file
(#408.21) for the previous calendar year from date of test.
If the veteran is married, the spouse's net worth will only be collected and subsequently included
in the means test under certain conditions. The veteran and spouse must either live together or if
they do not live together, the veteran must have contributed at least $600 to the spouse's support
during the previous calendar year.
When determining the means test status and subsequent category of care, the system will require net
worth be entered for those veterans who require mandatory care.
If the income plus net worth exceed the annual property threshold, the case can be sent to
adjudication for the test.
TECHNICAL DESCR: When 2.11 MEANS TEST VERSION is Null or '0', the summation of each applicable family member's net
worth in the Individual Annual Income file (#408.21) will be performed on net worth dollar amounts
collected in the pre-Feb 2005 10-10EZ format. All veteran and spouse fields from the Individual
Annual Income file (#408.21) may have values. In the pre-Feb 2005 format, dependent child(ren) net
worth amount(s) are not collected from the VistA screens and are not stored in Individual Annual
Income file (#408.21).
When 2.11 MEANS TEST VERSION is '1', the summation of each applicable family member's net worth in
the Individual Annual Income file (#408.21) will be performed on net worth dollar amounts collected
in the Feb 2005 10-10EZ format. In the Feb 2005 format, dependent child(ren) net worth amount(s)
are collected from the VistA screens and are stored in Individual Annual Income file (#408.21).
Only net worth fields 2.01-CASH AMOUNTS IN BANK ACCOUNTS, 2.03-REAL PROPERTY, and 2.04-OTHER
PROPERTY OR ASSETS from the Individual Annual Income file (#408.21) will have values.
408.31,.06 COMPLETED BY 0;6 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 03, 1992
HELP-PROMPT: This field contains the user who completed the financial test.
DESCRIPTION:
This field contains the user who completed the test.
408.31,.07 DATE/TIME COMPLETED 0;7 DATE
INPUT TRANSFORM: S %DT="ETX",%DT(0)="-NOW" D ^%DT S X=Y K:Y<1 X I $D(X) D COM^DGMTDD
LAST EDITED: JAN 22, 1999
HELP-PROMPT: This field contains the date/time the initial financial test was completed.
DESCRIPTION: This field contains the date/time the test was initially completed. In the case where a means test
is verified by IVM, this date/time will be the same as the date/time the original means test was
completed at the medical center.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 408.31^AG
1)= S ^DGMT(408.31,"AG",$E(X,1,30),DA)=""
2)= K ^DGMT(408.31,"AG",$E(X,1,30),DA)
Used for Means Test Audit reports.
408.31,.08 CATEGORY CHANGED BY 0;8 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: APR 03, 1992
HELP-PROMPT: This field contains the last user who changed the means test category.
DESCRIPTION:
This field contains the last user who changed the means test category.
408.31,.09 DATE/TIME CATEGORY CHANGED 0;9 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 03, 1992
HELP-PROMPT: This field contains the last date/time the means test category was changed.
DESCRIPTION:
This field contains the last date/time the means test category was changed.
408.31,.1 ADJUDICATION DATE/TIME 0;10 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 03, 1992
HELP-PROMPT: This field contains the last date/time the financial test was adjudicated.
DESCRIPTION:
This field contains the last date/time the test was adjudicated.
408.31,.11 AGREED TO PAY DEDUCTIBLE 0;11 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: JAN 29, 2002
HELP-PROMPT: Enter in this field whether the veteran agrees to pay the deductible. The veteran must also sign
the 1010f form agreeing to pay the deductible.
DESCRIPTION: Enter in this field whether the veteran agrees to pay the deductible. The veteran must also sign
the 1010f form agreeing to pay the deductible.
CROSS-REFERENCE: 408.31^AAPD^MUMPS
1)= D:$G(DGMTYPT)<3 AUTOUPD^DGENA2(+$P(^DGMT(408.31,DA,0),U,2),2)
2)= D:$G(DGMTYPT)<3 AUTOUPD^DGENA2(+$P(^DGMT(408.31,DA,0),U,2),2)
Trigger to update Enrollment when updating the Agree to Pay Deductible field. Trigger routine is
not called for a LTC copay test (type 3) or a LTC copay exemption test (type 4).
408.31,.12 THRESHOLD A 0;12 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
LAST EDITED: JAN 08, 1992
HELP-PROMPT: Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. It contains the income threshold A as determined by the
system for the veteran. The threshold is determined by the system in the following manner:
Cat A Vet Income+Cat A First Dep+(Cat A Per Dep*(Num Dep-First Dep))
The means test thresholds are released annually by VHA and include the veteran and dependent income
for the year.
408.31,.13 THRESHOLD B 0;13 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
LAST EDITED: JAN 08, 1992
HELP-PROMPT: Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. It contains the income threshold B as determined by the
system for the veteran. The threshold is determined by the system in the following manner:
Cat B Vet Income+Cat B First Dep+(Cat B Per Dep*(Num Dep-First Dep))
The means test thresholds are released annually by VHA and include the veteran and dependent income
for the year.
408.31,.14 DECLINES TO GIVE INCOME INFO 0;14 SET
DECLINES TO GIVE INCOME INFORMATION
'1' FOR YES;
'0' FOR NO;
LAST EDITED: APR 29, 1992
HELP-PROMPT: Enter whether the veteran declines to provide income information.
DESCRIPTION: Enter whether the veteran declines to provide income information. If the veteran declines; s/he is
considered to be Category C and must agree to pay the deductible.
408.31,.15 DEDUCTIBLE EXPENSES 0;15 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999999)!(X<0) X
LAST EDITED: NOV 30, 1994
HELP-PROMPT: Type a Dollar Amount between 0 and 9999999999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. It is the summation of the veteran's deductible expenses in
the Individual Annual Income file (#408.21).
408.31,.16 PREVIOUS YEARS THRESHOLD 0;16 SET
'1' FOR YES;
LAST EDITED: APR 06, 1992
DESCRIPTION: This field is filled in by the system. The field is set to 'YES' if the previous years means test
parameters are applied to the test. This should only occur when the new parameters are not yet
available to the field.
CROSS-REFERENCE: 408.31^AP^MUMPS
1)= S ^DGMT(408.31,"AP",X,$P(^DGMT(408.31,DA,0),U),DA)=""
2)= K ^DGMT(408.31,"AP",X,$P(^DGMT(408.31,DA,0),U),DA)
This cross-reference can be used to sort by previous years threshold by date of test by internal
entry number.
408.31,.17 NO LONGER REQUIRED DATE 0;17 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 01, 1992
HELP-PROMPT: This field contains the last date the means test was no longer required.
DESCRIPTION:
This field contains the last date the means test was no longer required.
408.31,.18 TOTAL DEPENDENTS 0;18 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: DEC 02, 1992
HELP-PROMPT: Type a Number between 0 and 99, 0 Decimal Digits
DESCRIPTION: This field is computed by the system. It is a summation of the dependents and spouse (if
applicable).
If the veteran is married, the spouse's will only be collected and subsequently included under
certain conditions. The veteran and spouse must either live together or if they do not live
together, the veteran must have contributed at least $600 to the spouse's support during the
previous calendar year.
408.31,.2 HARDSHIP? 0;20 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: JUL 18, 1994
HELP-PROMPT: Enter 'YES' if this is a hardship case, otherwise 'NO'.
CROSS-REFERENCE: 408.31^AE
1)= S ^DGMT(408.31,"AE",$E(X,1,30),DA)=""
2)= K ^DGMT(408.31,"AE",$E(X,1,30),DA)
This cross-reference are means tests that have been designated as hardships.
CROSS-REFERENCE: 408.31^AF^MUMPS
1)= S:'X $P(^DGMT(408.31,DA,0),U,21,22)="^"
2)= S:'$P(^DGMT(408.31,DA,0),U,20) $P(^DGMT(408.31,DA,0),U,21,22)="^"
If the hardship question is changed from a yes to a no or is deleted, this cross-reference will
delete the review date and approved by fields.
408.31,.21 HARDSHIP REVIEW DATE 0;21 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: DEC 06, 2019
HELP-PROMPT: Enter the date the hardship should be reviewed.
DESCRIPTION:
Date the hardship needs to be reviewed.
UNEDITABLE
408.31,.22 APPROVED BY 0;22 POINTER TO NEW PERSON FILE (#200) (Required)
LAST EDITED: JUN 28, 1993
HELP-PROMPT: Enter the name of the person who approved the hardship.
408.31,.23 SOURCE OF INCOME TEST 0;23 POINTER TO SOURCE OF INCOME TEST FILE (#408.34) (Required)
LAST EDITED: SEP 28, 2006
HELP-PROMPT: Enter the source from which this income test was received.
DESCRIPTION: This field is maintained by the means test software. It is a pointer to the SOURCE OF INCOME TEST
file (#408.34). It indicates where the income test originated. For example, if this field points
to the VAMC entry, this means that the income test was obtained at the VA Medical Center by a user
using the appropriate Means Test (or other income test) software.
This field MUST NOT BE ALTERED in any way. It is entered by the software and should never be
edited or deleted. Altering this data in any way will adversely impact the income testing
functionality.
WRITE AUTHORITY: ^
408.31,.24 DATE VETERAN SIGNED TEST 0;24 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:3991231X) X
LAST EDITED: MAY 13, 1994
HELP-PROMPT: Enter a date between 1/1/1994 and 12/31/2099. This will be the date the test was signed, but will
only be answered if the test was administered outside the VAMC (i.e. at the IVM Center).
DESCRIPTION: This field will contain the date the veteran signed the financial test IF the test is from a source
other than the VAMC (i.e. IVM).
408.31,.25 DATE IVM VERIFIED MT COMPLETED 0;25 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:3991231X) X
LAST EDITED: SEP 22, 1994
HELP-PROMPT: Enter a date between 1/1/1994 and 12/31/2099.
DESCRIPTION: This field will contain the date returned from the IVM Center that the means test was verified and
completed.
408.31,.26 REFUSED TO SIGN 0;26 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: SEP 23, 1994
HELP-PROMPT: Enter 'YES' if veteran refused to sign the means test, otherwise 'NO'.
DESCRIPTION: This field returns an indicator from the IVM Center that the veteran refused to sign the means
test.
408.31,.27 GMT THRESHOLD 0;27 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
LAST EDITED: JUN 26, 2002
HELP-PROMPT: Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
DESCRIPTION: This field is computed by the system. It contains the GMT income threshold as determined by the
system for the veteran. The GMT threshold will be determined by locating the record in the GMT
Thresholds file that corresponds to the FIPS code of the veteran's address and using the income
amount for the veteran plus the number of dependents.
408.31,.29 MEANS TEST SIGNED? 0;29 SET
'1' FOR YES;
'0' FOR NO;
'9' FOR DELETED;
LAST EDITED: JUL 17, 2001
HELP-PROMPT: This field is only populated by HEC.
DESCRIPTION: This field will indicate whether or not HEC has determined that a valid signature exists for this
means test.
408.31,1 BULLETIN DATE BUL;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 10, 1993
HELP-PROMPT: Enter the date in which the scheduling bulletin was sent.
408.31,2 PRIMARY INCOME TEST FOR YEAR? PRIM;1 SET (Required)
'1' FOR YES;
'0' FOR NO;
LAST EDITED: SEP 28, 2006
HELP-PROMPT: Enter 1 if this is the primary income test for this patient for this income year. Enter 0
otherwise.
DESCRIPTION: This field will be filled in automatically by the means test software. It will indicate whether
this income test is the primary income test for this patient for this income year. If this field
contains a 1, this income test is considered the primary income test for the patient for the income
year. If the field contains a 0, it means that the patient has another income test for the year
which is considered the primary income test.
This field is set by the means test software and MUST NOT BE ALTERED via FileMan.
TECHNICAL DESCR:
WRITE AUTHORITY: ^
408.31,2.01 HARDSHIP EFFECTIVE DATE 2;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 11, 1999
HELP-PROMPT: Enter the date the hardship is to be effective.
DESCRIPTION:
This field will indicate when the hardship is effective.
408.31,2.02 DATE/TIME TEST LAST EDITED 2;2 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 13, 2005
HELP-PROMPT: Enter when the test was last changed.
DESCRIPTION:
This field will indicate when the test was created or last edited.
WRITE AUTHORITY: ^
CROSS-REFERENCE: 408.31^AENR202^MUMPS
1)= D E40831^DGRTRIG(DA)
2)= D E40831^DGRTRIG(DA)
3)= DO NOT DELETE
This cross-reference is used to notify HEC of changes that may affect enrollment.
408.31,2.03 TEST-DETERMINED STATUS 2;3 POINTER TO MEANS TEST STATUS FILE (#408.32)
LAST EDITED: JUN 30, 1999
HELP-PROMPT: Once the test is completed, this field will indicate the status based on income screening and
networth adjudication.
DESCRIPTION: This field will be used to record the status determined by the income screening or networth
adjudication. It will not change as the result of a hardship determination or changes in
eligibility. It will be used to automatically re-complete the test if the test is again required
after going to a status which indcates that it is not required based on changes in eligibility.
CROSS-REFERENCE: 408.31^AH^MUMPS
1)= Q
2)= D STOPAUTO^DGMTDD(DA)
3)= DO NOT DELETE!
A pharmacy copay test and a means test may share the same income screening. When one test becomes
inactive (No Longer Required or No Longer Applicable), the status is saved in the Test Determined
Status field so that it may be reinstated again if the test becomes required. While one test is
inactive, the veteran may have another test in effect - for example, if he does not require a means
test, he may still be subject to the pharmacy copayments and be eligible to take a pharmacy
copayment exemption test. If a pharmacy copyment test is created, it will utilize the same income
screening as was in effect for the means test. However, if the income screening is then edited,
and the veteran later becomes subject to being means tested, the old means test should not be
automatically re-completed based on the old status - it needs to be re-completed and a new status
determined based on the changed income screening. This cross-reference is meant to prevent the
automatic re-completion of the old test in this situation.
408.31,2.04 SITE GRANTING HARDSHIP 2;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>7!($L(X)<3) X
LAST EDITED: JUN 11, 1999
HELP-PROMPT: Enter the station number with suffix of the user granting the hardship.
DESCRIPTION: This will indicate the station down to the division level of the user who entered the hardship
determination.
408.31,2.05 SITE CONDUCTING TEST 2;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>7!($L(X)<3) X
LAST EDITED: JUN 14, 1999
HELP-PROMPT: Enter the station number with suffix of the user completing the means test.
DESCRIPTION:
This will indicate the site down to the division level of the user who completed the test.
408.31,2.06 LINKED RX COPAY/MEANS TEST 2;6 POINTER TO ANNUAL MEANS TEST FILE (#408.31)
LAST EDITED: JUN 30, 1999
HELP-PROMPT: If an Rx Copay was created based on a means test, this field should link the two tests.
DESCRIPTION: If an Rx copay test is created automatically based on a means test, they share the same income
screening. This field should be used to link the two tests together. It will be used to shift the
income screening back and forth to the test that currently requires the income screening. For
example, if a means test becomes not required, an Rx copay test may be automatically created and
all the income screening information would be re-pointed to the Rx copay test away from the means
test. If a means test should ever become required again, the pointers from the income screening
data can be found and re-pointed from this link.
408.31,2.07 REASON FOR EXEMPTION 2;7 POINTER TO LTC CO-PAY EXEMPTION FILE (#714.1)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),U,2)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: AUG 16, 2001
DESCRIPTION:
Select the reason why the veteran qualifies for an exemption from Long Term Care co-payments.
SCREEN: S DIC("S")="I $P(^(0),U,2)"
EXPLANATION: Only Active file entries can be selected.
408.31,2.08 LINKED LTC CO-PAY/MEANS TEST 2;8 POINTER TO ANNUAL MEANS TEST FILE (#408.31)
LAST EDITED: DEC 17, 2001
DESCRIPTION: If this is a LTC CO-PAY TEST (type 3), this field will point to the LTC CO-PAY EXEMPTION TEST (type
4) associated with this test. If this is a LTC CO-PAY EXEMPTION TEST (type 4), this field will
point to the MEANS TEST (type 1) associated with this the test.
CROSS-REFERENCE: 408.31^AT
1)= S ^DGMT(408.31,"AT",$E(X,1,30),DA)=""
2)= K ^DGMT(408.31,"AT",$E(X,1,30),DA)
408.31,2.09 HARDSHIP REASON 2;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<3) X
LAST EDITED: JUN 26, 2002
HELP-PROMPT: Enter Hardship Reason [3-80 characters].
DESCRIPTION:
This field will indicate the reason for the Hardship.
408.31,2.1 1010EC FORM 2;10 SET
'1' FOR DEC 2002;
LAST EDITED: AUG 25, 2003
DESCRIPTION:
This field indicates which version of the 10-10EC form was used to complete the LTC copay test.
408.31,2.11 MEANS TEST VERSION 2;11 SET
Means Test Version Indicator
'0' FOR Before Feb 2005 Format;
'1' FOR Feb 2005;
LAST EDITED: FEB 10, 2006
HELP-PROMPT: Enter 0 if Income was collected prior to Feb, 2005; 1 if collected in or after Feb. 2005.
DESCRIPTION: Prior to February 2005, dependent income data was not separated out of the data entered for the
patient. Previous to February 2005, dependent data was added to patient income figures and stored
with that patient's respective record. Subsequent to February 2005, Means Test was designed so
that dependent income data would not be included with patient income data but instead be stored
with the respective dependent Means Test records.
TECHNICAL DESCR: Set of Codes field that indicates the storage design of dependent data as follows:
0 : Prior to February, 2005 collection form
1 : February, 2005 subsequent collection form
Prior to February 2005, dependent income information was collected and stored in the respective
fields of the INDIVIDUAL ANNUAL INCOME file (#408.21) in addition to and with the Patient's record.
Subsequent to February 2005, dependent income information was designed and implemented so that it
is stored in the respective fields of the dependent's entry in the INDIVIDUAL ANNUAL INCOME file
(#408.21). For example:
Version 0 INDIVIDUAL ANNUAL INCOME file entry of
(#2.01) CASH, AMOUNTS IN BANK ACCOUNTS for patient equals
Patient + Dependent amounts
Version 1 INDIVIDUAL ANNUAL INCOME file entry of
(#2.01) CASH, AMOUNTS IN BANK ACCOUNTS for patient equals
Patient amount
(#2.01) CASH, AMOUNTS IN BANK ACCOUNTS for dependent(s) equals
Dependent amount(s)
408.31,2.12 HARDSHIP EXPIRED 2;12 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: MAY 05, 2020
HELP-PROMPT: Enter 1 if the Hardship has expired, else enter 0. Hardship Expired value will be set by the Z10
HL7 message from ES. The user may not edit this field.
DESCRIPTION: The system shall set the Hardship Expired value to Yes when an expiration is received in a Z10 HL7
message from ES. The user may not edit this field.
UNEDITABLE
408.31,2.13 HARDSHIP EXPIRATION DATE 2;13 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 17, 2020
HELP-PROMPT: Enter the date the Hardship will expire. The Hardship Expiration Date is set by the system at
December 31 of the current calendar year when the Hardship is entered. The user may not edit this
field.
DESCRIPTION: The Hardship Expiration Date is set by the system at December 31 of the current calendar year when
the Hardship is entered. The date will be updated only when a new value is sent from the Enrollment
System based on changes made in the Enrollment System.
UNEDITABLE
408.31,3 INCOME DATA PURGED PER IRS/SSA PURGE;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 25, 2000
DESCRIPTION: If this field contains a date, the income data fields in this record have been purged as required
by Internal Revenue Service and/or Social Security Administration.
408.31,4 BT FINANCIAL INDICATOR 4;1 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: OCT 02, 2014
HELP-PROMPT: Enter a 'Y' to indicate financially eligible for Beneficiary Travel, 'N' for not financially
eligible for Beneficiary Travel.
DESCRIPTION:
This indicator states a Veteran's eligibility for Beneficiary Travel based on their income.
UNEDITABLE
408.31,50 COMMENT C;0 WORD-PROCESSING #408.311 (NOWRAP)
LAST EDITED: JAN 08, 1992
DESCRIPTION:
This field contains comments on the test.
LAST EDITED: JAN 08, 1992
HELP-PROMPT: This field contains comments on the means test.
FILES POINTED TO FIELDS
ANNUAL MEANS TEST (#408.31) LINKED RX COPAY/MEANS TEST (#2.06)
LINKED LTC CO-PAY/MEANS TEST (#2.08)
LTC CO-PAY EXEMPTION (#714.1) REASON FOR EXEMPTION (#2.07)
MEANS TEST STATUS (#408.32) STATUS (#.03)
TEST-DETERMINED STATUS (#2.03)
NEW PERSON (#200) COMPLETED BY (#.06)
CATEGORY CHANGED BY (#.08)
APPROVED BY (#.22)
PATIENT (#2) PATIENT (#.02)
SOURCE OF INCOME TEST (#408.34) SOURCE OF INCOME TEST (#.23)
TYPE OF TEST (#408.33) TYPE OF TEST (#.019)
INPUT TEMPLATE(S):
DGMT COMMENTS FEB 27, 1995@10:35 USER #0
DGMT ENTER/EDIT ADJUDICATION APR 03, 1992@13:26 USER #0
DGMT ENTER/EDIT CATEGORY JUL 20, 1993@10:37 USER #0
DGMT ENTER/EDIT COMPLETION AUG 20, 2002@11:07 USER #0 ^DGMTXC
EASEC COMPLETE LTC CO-PAY TESTMAY 22, 2003@09:03 USER #0
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):