VistA-FOIAVistA/r/ENROLLMENT_APPLICATION_SYST.../EASECSCC.m

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6.6 KiB
Mathematica

EASECSCC ;ALB/LBD - LTC Co-Pay Test Screen Completion;13 AUG 2001 ; 3/20/03 2:24pm
;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40**;Mar 15, 2001
;
;NOTE: This routine was modified from DGMTSCC for LTC Co-pay
; Input -- DFN Patient IEN
; DGMTACT Menu Action
; DGMTDT Date of Test
; DGMTYPT Type of Test 3=LTC COPAY
; DGMTPAR Annual Means Test Parameters
; DGMTI Annual Means Test IEN
; DGVINI Veteran Individual Annual Income IEN
; DGVIRI Veteran Income Relation IEN
; DGVPRI Veteran Patient Relation IEN
; Output -- DGERR 1=INCOMPLETE and 0=COMPLETE
;
EN N DGCAT,DGCOMF,DGDC,DGDET,DGIN0,DGIN1,DGIN2,DGINT,DGINTF,DGMTS,DGNC,DGND,DGNWT,DGNWTF,DGREF1,DGSP,DGTYC,DGTHA,DGTHB,DGVIR0,DGCOPS,DGCOST,DGRE,DGSTA,DGAGR
S DGERR=0
S DGCOMF=1 D DEP^EASECSU3,INC^EASECSU3
; If veteran's income is below the threshold then exempt from LTC copay
; LTC III (EAS*1*34) modified to make vet with $0 income exempt
I DGINT'>+$$THRES^IBARXEU1(DGMTDT,1,0) D G Q
.D EXMPT(DFN,DGMTI,12)
.D PRT
; Check if test can be completed
D CHK I DGERR W !?3,*7,"LTC copay test cannot be completed." G Q
; Did vet refuse to give income info
I 'DGINTF,'DGNWTF S DGREF1="" D G Q:$D(DTOUT)!($D(DUOUT))
.D REF
.I $D(DGREF) S DGSTA="NON-EXEMPT"
; Get test status (Exempt or Non-Exempt)
D STA G Q:$D(DTOUT)!($D(DUOUT))
; Does vet agree to pay co-payments
I $G(DGSTA)="NON-EXEMPT" D AGREE G Q:$D(DTOUT)!($D(DUOUT))
UPD S DA=DGMTI,DIE="^DGMT(408.31,",DIE("NO^")="",DR="[EASEC COMPLETE LTC CO-PAY TEST]" D ^DIE K DA,DIE,DR I '$D(DGFIN) S DGERR=1 G Q
W !?3,"...The LTC copay test has been completed with a status of ",DGSTA,"..."
D PRT
;
Q K DGFIN,DGREF,DTOUT,DUOUT,Y
Q
;
COM ;Check if user wants to complete the LTC co-pay test
N DIR
S DIR("A")="Do you wish to complete the LTC copay test"
S DIR("B")="YES",DIR(0)="Y" D ^DIR
Q
;
REF ;Check if patient declines to provide income information
N DIR,Y
S DIR("A")="Does veteran decline to give income information"
I $P($G(^DGMT(408.31,DGMTI,0)),"^",14)]"" S DIR("B")=$$YN^DGMTSCU1($P(^(0),"^",14))
S:'$D(DIR("B")) DIR("B")="NO"
S DIR("?")="Answer 'Y' or 'N'."
S DIR("?",1)="Enter whether the veteran declines to provide current income information."
S DIR(0)="Y" D ^DIR K DIR G REFQ:$D(DTOUT)!($D(DUOUT))
S:Y DGREF=""
REFQ Q
;
CHK ;Check if LTC copay test can be completed
; For LTC III (EAS*1*34) removed check if expenses greater than income
N DGA,DGD,DGDEP,DGREL,DGL,DGM,I
D GETREL^DGMTU11(DFN,"CS",$E(DGMTDT,1,3)_"0000",$S($G(DGMTI):DGMTI,1:""))
S DGM=$P(DGVIR0,"^",14),DGL=$P(DGVIR0,"^",17),DGD=$P(DGVIR0,"^",8)
I DGM="" W !?3,"Marital section must be completed." S DGERR=1
; For LTC IV (EAS*1*40) added check for legally separated
I DGM,'DGL,'$D(DGREL("S")) W !?3,"Married is 'YES'. An active spouse for this LTC copay test does not exist." S DGERR=1
I 'DGM,$D(DGREL("S")) W !?3,"An active spouse exists for this LTC copay test. Married should be 'YES'." S DGERR=1
I DGD']"" W !?3,"Dependent Children section must be completed." S DGERR=1
I DGD,'$D(DGREL("C")) W !?3,"Dependent Children is 'YES'. No active children exist." S DGERR=1
I 'DGD,$D(DGREL("C")) W !?3,"Active children exist. Dependent Children should be 'YES'." S DGERR=1
Q:$G(DGERR)
N CNT,ACT,DGDEP,FLAG,DGINCP
D INIT^EASECDEP S CNT=0 D
.F S CNT=$O(DGDEP(CNT)) Q:'CNT I $P(DGDEP(CNT),U,2)="SPOUSE" D Q:$G(DGERR)
..D GETIENS^EASECU2(DFN,$P(DGDEP(CNT),U,20),DGMTDT)
..S DGINCP=$G(^DGMT(408.22,+DGIRI,"MT")) S:DGINCP FLAG=$G(FLAG)+1
..I $G(FLAG)>1 W !?3,"Patient has more than one spouse for this LTC copay test." S DGERR=1
Q
;
STA ;Ask test status
N DIR,Y,SCRN
S DGMTS=$P($G(^DGMT(408.31,DGMTI,0)),U,3)
S DGRE=$P($G(^DGMT(408.31,DGMTI,2)),U,7)
I DGMTS S DGSTA=$P($G(^DG(408.32,DGMTS,0)),U)
I '$D(DGSTA) S DGSTA="NON-EXEMPT"
I DGSTA="EXEMPT",("12"[DGRE),$G(DGINT)>+$$THRES^IBARXEU1(DGMTDT,1,0) S DGSTA="NON-EXEMPT"
I DGSTA="EXEMPT",$G(DGNSTA)="NON-EXEMPT" S DGSTA="NON-EXEMPT"
S DIR("A")="LTC Copay Test Status" S DIR("B")=DGSTA
S DIR(0)="P^408.32:EM",DIR("S")="I $P(^(0),U,19)=3"
D ^DIR K DIR Q:'Y!($D(DTOUT))!($D(DUOUT))
S DGMTS=+Y,DGSTA=$P(Y,U,2) Q:DGSTA="NON-EXEMPT"
;If Exempt, ask reason for exemption
S DIR("A")="Reason for Exemption"
I DGRE S DIR("B")=$P($G(^EAS(714.1,DGRE,0)),U)
; Screen the look-up on file #714.1. Exemption reasons 1, 2 and 12
; will be screened out unless this is the call from the Edit option
; (DGEFLG=1) and only reason 1 is screened out.
S SCRN="2^12^" S:$G(DGEFLG) SCRN=""
S DIR("S")="I $P(^(0),U,2),""^1^"_SCRN_"""'[(U_Y_U)"
S DIR(0)="P^714.1:EM" D ^DIR K DIR I 'Y!($D(DTOUT))!($D(DUOUT)) D G STA
.W !!,"A reason for exemption must be entered for an Exempt status.",!
S DGRE=+Y
Q
AGREE ;Ask if vet agrees to pay co-payment
N DIR,Y
S DIR("A")="Does the veteran agree to pay copayments"
I $P($G(^DGMT(408.31,DGMTI,0)),U,11)]"" S DIR("B")=$$YN^DGMTSCU1($P(^(0),U,11))
S:'$D(DIR("B")) DIR("B")="YES"
S DIR("?")="Answer 'Y' or 'N'."
S DIR("?",1)="Enter in this field whether the veteran agrees to pay the"
S DIR("?",2)="LTC copayments. The veteran must also sign the 1010-EC form"
S DIR("?",3)="agreeing to pay the copayments. If the veteran does not agree"
S DIR("?",4)="to pay the copayments, the veteran becomes ineligible to"
S DIR("?",5)="receive extended care services."
S DIR(0)="Y" D ^DIR K DIR Q:$D(DTOUT)!($D(DUOUT))
S DGAGR=Y
Q
PRT ;Print Extended Care Services test (1010EC)
N DIR,Y,X,ZTSK
S DIR("A")="PRINT 10-10EC"
S DIR("B")="YES",DIR(0)="Y" D ^DIR G PRTQ:'Y!($D(DTOUT))!($D(DUOUT))
S ZTSK=$$QUE^EASEC10E(DFN,DGMTI)
PRTQ Q
;
EXMPT(DFN,DGMTI,EX) ; Veteran is exempt from LTC co-payments
; Complete LTC co-pay test in Annual Means Test file (#408.31)
; Input -- DFN Patient IEN
; DGMTI Annual Means Test IEN
; EX Copay exemption code
; 1 = SC compensable disability
; 2 = NSC, single, receiving VA pension (no A&A, HB)
; or
; Income (last year) is below single pension threshold
; 12 = Income (current year) is below single pension threshold
Q:'DGMTI Q:'EX
N DATA,I
W !! F I=1:1:80 W "="
W !!,?10,"Veteran is EXEMPT from Long Term Care copayments."
W !,?10,"Reason for Exemption: ",$P($G(^EAS(714.1,EX,0)),U)
W !! F I=1:1:80 W "="
W !!
S DATA(.03)=$O(^DG(408.32,"C","X","")),DATA(2.07)=EX,DATA(.06)=DUZ
S (DATA(.07),DATA(2.02))=$$NOW^XLFDT
S DATA(.04)=$G(DGINT),DATA(.05)=$G(DGNWT),DATA(.15)=$G(DGDET)
S DATA(.18)=$G(DGND),DATA(2.08)=$P($$GETLTC4^EASECMT(DFN),U,1)
S DATA(.14)=$S($D(DGREF):1,1:0) ;LTC III (EAS*1*34)
I $$UPD^DGENDBS(408.31,DGMTI,.DATA) Q
W !,"ERROR: COULD NOT UPDATE LTC COPAY TEST",!!
Q