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1 | Build 11, Sprint 32-36.zip | CIF Submission_CPE_End_Build_11.xlsx | Fri Apr 19 12:25:06 2019 UTC |
2 | Build 11, Sprint 32-36.zip | CIF Submission_CPE_End_Build_11.xlsx | Fri Apr 19 12:49:02 2019 UTC |
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1 | SHEET: Cov er Page | ||
2 | |||
3 | Community Care Syste m Enhancem ents Softw are, | ||
4 | Community Care (CC) CPE, | ||
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6 | Code in Fl ight (CIF) , | ||
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20 | Submission (End of B uild 11, S print 32-3 6), | ||
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22 | Date,4/8/2 019, | ||
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992 | SHEET: Cod e in Fligh t Submissi on | ||
993 | Project De tails, | ||
994 | EPS Number :,Claims P rocessing & Eligibil ity Enhanc ements - 0 8-03-02-10 -02-002-D, | ||
995 | Version:,C PEACA_1_0_ 001_V03.KI D | ||
996 | CPEEDI_1_0 _014_V3.KI DS | ||
997 | CPEVS_1_0_ 015_V2.KID S, | ||
998 | Iteration: ,Sprint 32 -36, | ||
999 | Patch Desi gnation: | ||
1000 | (if applic able),N/A, | ||
1001 | Build Numb er(s): | ||
1002 | (if applic able),Buil d 11, | ||
1003 | Custodial Product? | ||
1004 | (Y/N),N, | ||
1005 | Custodial Product Na me:,N/A, | ||
1006 | Scheduled Project Re lease:, | ||
1007 | Will this product be written e ntirely in MUMPS "M" ? | ||
1008 | (Y/N),Y, | ||
1009 | Submitter Details, | ||
1010 | Submitter Name:,Sean Lindner, | ||
1011 | Submitter Email Addr ess:, PII , | ||
1012 | Submission Details, | ||
1013 | Last VIP o r PMAS CD/ Milestone: ,1, | ||
1014 | Type of Su bmission:, Documentat ion, | ||
1015 | Method of Submission :,Email PII , | ||
1016 | Other Pert inent Subm ission Det ails/Instr uctions fo r submissi on retriev al:,Submit ting docum entation a nd code fo r End of b uild 11, ( Sprint 32- 36), | ||
1017 | |||
1018 | |||
1019 | SHEET: Use r Stories | ||
1020 | Project Ar ea,Rationa l,Summary, Descriptio n, | ||
1021 | HAC_CPE (C M),964858, DEA.04.14. 03 VA Tech nical Refe rence Mode l (TRM),Al l technolo gies and s tandards a nd their r espective versions u sed by the solution shall be l isted and identified as permis sible for usage in t he VA Tech nical Refe rence Mode l (TRM) or have appr opriate wa ivers issu ed by the Strategic Technology Alignment Team (STA T) Working Group (WG )., | ||
1022 | HAC_CPE (C M),910818, ACA_Reenro llment_US0 29 - Reenr ollment St atus Field ,As an Eli gibility a nd Enrollm ent Verifi cation gro up, I need the syste m to chang e "DISENRO LLED" stat us in the SB ENROLL STATUS fie ld and pop ulate the REENROLLME NT LTR fie ld with th e date of correspond ence when the user i s prompted by "date of reenrol lment ques tion". use r types in date. do you want t o reenroll Y enroll status cha nges to en rolled sys tem tells user that member is in next SB card batc h, so that I can man age SB pro gram. | ||
1023 | |||
1024 | - The SB E nroll Stat us field w ould say R E-ENROLLED | ||
1025 | |||
1026 | Acceptance Criteria: If the D isenrolled status ch anges to E nrolled wh en the use r enters a date of r eenrollmen t, then it is true., | ||
1027 | HAC_CPE (C M),790993, ACA_Disenr ollment_US 005 - End CVA True P eriod of E ligiblity (TPOE),cor rect | ||
1028 | |||
1029 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to end CV A family m ember's pe riod of el igibility to discont inue claim payments when a fa mily membe r is disen rolled fro m the CVA Program. | ||
1030 | |||
1031 | Acceptance Criteria: | ||
1032 | C1: Family member st atus is DI SENROLLED in CHAMPVA program | ||
1033 | A1: Verify claim pay ments are discontinu ed when a family mem ber's stat us is chan ged to DIS ENROLLED | ||
1034 | A2: Verify authorize d user's e ffective d isenrollme nt date fo r family m ember is t he same da te the cla im payment s become d iscontinue d, | ||
1035 | HAC_CPE (C M),790991, ACA_Disenr ollment_US 017 - Crea te new CVA True Peri od of Elig iblity (TP OE),correc t | ||
1036 | |||
1037 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to create a new CHA MPVA perio d of eligi bility to allow for claim paym ents when a family m ember is r e-enrolled into the CHAMPVA Pr ogram. | ||
1038 | |||
1039 | Acceptance Criteria: | ||
1040 | C1: Family member st atus is se t to RE-EN ROLLED | ||
1041 | C2: Re-enr ollment da te is pres ent | ||
1042 | A1: Verify new enrol lment peri od start d ate for fa mily membe r is the s ame as the re-enroll ment date entered by authorize d user, | ||
1043 | HAC_CPE (C M),790981, ACA_Disenr ollment_US 025 - Main tain histo ry of SB r e-enrollme nt notific ations,cor rect | ||
1044 | |||
1045 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to mainta in the his tory of th e date/tim e SB re-en rollment n otificatio ns have be en generat ed when a family mem ber is re- enrolled i nto the SB Program. | ||
1046 | |||
1047 | Acceptance Criteria: | ||
1048 | C1: Family member st atus is se t to RE-EN ROLLED in Spina Bifi da (SB) pr ogram | ||
1049 | A1: Verify family me mber statu s change i s date use r confirms status ch ange to RE -ENROLLED | ||
1050 | A2: Verify user ID c onfirming re-enrollm ent is cap tured/pres ent | ||
1051 | |||
1052 | , | ||
1053 | HAC_CPE (C M),790974, ACA_Disenr ollment_US 009 - CVA disenrollm ent report ing,As an Eligibilit y and Enro llment Ver ification group, I n eed the ab ility to r eport on C VA family members wh o have bee n dis-enro lled from the CVA Pr ogram | ||
1054 | |||
1055 | Acceptance Criteria: | ||
1056 | C1: Family member st atus is DI SENROLLED in CHAMPVA program | ||
1057 | A1: Verify authorize d user can generate report for DISENROLL ED family member | ||
1058 | |||
1059 | NOTES: | ||
1060 | -I s this an existing r eport? Nop e if so, what menu option or routine ca n we find this repor t, what is the name of the rep ort? If new, can y ou provide the expec ted report format an d fields y ou need on the repor t? Report format sh ould inclu de Dis-enr olled & Re -enrolled benes. Re port would list Firs t, Last na me and SSN for benes that fall into thes e status. | ||
1061 | -D o you want one menu that shows all statu ses? Enro lled, Dis- Enrolled, and then f or Spina, ChampVA, a nd All - Want menu option to generate report. S hould this menu list all statu ses? Menu would hav e two opti ons – CHAM PVA & SPIN A options. Under ea ch would b e sub-opti ons to see Enrolled or Disenro lled. | ||
1062 | -D o you want four sepa rate repor ts or all combined o n one? On ly want 1 report tha t would sh ow for fou r status f or Spina a nd CVA. W ould like the report to be run on demand and for t he report to have an option fo r user to run the re port to fi le, so tha t report c an be expo rted to Ex cel. | ||
1063 | -D o you want the repor ts to be f or view on ly or outp ut to a pr inter? W ant report to run to file. (F S3BIG) | ||
1064 | -C an you pro vide a wir eframe? Ag reed with wireframe provided b y Faith. Attached a s a Link. | ||
1065 | -W hat menu s hould the reports ap pear on? User will get to the reports m enu (Per V A SME) - I .e. "Selec t CHAMPVA Reports Me nu Option: "; Then se lect: Enro lled/Disen rolled; Th en select: CVA or SB | ||
1066 | , | ||
1067 | HAC_CPE (C M),790971, ACA_Disenr ollment_US 021 - CVA re-enrollm ent report ing,As an Eligibilit y and Enro llment Ver ification group, I n eed the ab ility to r eport on a date rang e for CVA family mem bers who h ave been r e-enrolled , disenrol led or dec eased into /from the CVA Progra m for the most recen t change, so that I can report on CVA me mbers. | ||
1068 | |||
1069 | Acceptance Criteria: The syst em shall p rovide the ability t o report o n SB famil y members with a rep ort that i ncludes La st Name, F irst Name, SSN, DOB, Status an d Date of Status who have been re-enroll ed into SB , then it is true. | ||
1070 | |||
1071 | C1: Family member st atus set t o RE-ENROL LED in CHA MPVA progr am | ||
1072 | C2: User h as proper permission s to gener ate report s (all El igibility user roles ) | ||
1073 | A1: Verify authorize d user can generate reports on family me mbers set to RE-ENRO LLED statu s in CHAMP VA | ||
1074 | |||
1075 | |||
1076 | NOTES: | ||
1077 | -I s this an existing r eport? if so, what menu optio n or routi ne can we find this report, wh at is the name of th e report? If new, c an you pro vide the e xpected re port forma t and fiel ds you nee d on the r eport? S ee answer above. Re port forma t should i nclude Dis -enrolled & Re-enrol led benes. Report w ould list First, Las t name and SSN for b enes that fall into these stat us. | ||
1078 | -D o you want one menu that shows all statu ses? Enro lled, Dis- Enrolled, and then f or Spina, ChampVA, a nd All Me nu would h ave two op tions – CH AMPVA & SP INA option s. Under each would be sub-op tions to s ee Enrolle d or Disen rolled. | ||
1079 | -D o you want four sepa rate repor ts or all combined o n one? Onl y want 1 r eport that would sho w for four status fo r Spina an d CVA. Wo uld like t he report to be run on demand and for th e report t o have an option for user to r un the rep ort to fil e, so that report ca n be expor ted to Exc el. | ||
1080 | -D o you want the repor ts to be f or view on ly or outp ut to a pr inter? W ant report to run to file. (F S3BIG) | ||
1081 | -C an you pro vide a wir eframe? Ag reed with wireframe provided b y Faith. Attached a s a Link. | ||
1082 | -W hat menu s hould the reports ap pear on? User will get to the reports m enu (Per V A SME) - I .e. "Selec t CHAMPVA Reports Me nu Option: "; Then se lect: Enro lled/Disen rolled; Th en select: CVA or SB , | ||
1083 | HAC_CPE (C M),790967, ACA_Disenr ollment_US 015 - SB d isenrollme nt reporti ng,As an E ligibility and Enrol lment Veri fication g roup, I ne ed the abi lity to re port on SB family me mbers who have been dis-enroll ed from th e SB Progr am. | ||
1084 | |||
1085 | Acceptance Criteria: | ||
1086 | |||
1087 | The system shall pro vide the a bility to report on SB family members wh o have bee n disenrol led from S B, then it is true. | ||
1088 | |||
1089 | |||
1090 | NOTES: | ||
1091 | -I s this an existing r eport? Nop e if so, what menu option or routine ca n we find this repor t, what is the name of the rep ort? If new, can y ou provide the expec ted report format an d fields y ou need on the repor t? Report format sh ould inclu de Dis-enr olled & Re -enrolled benes. Re port would list Firs t, Last na me and SSN for benes that fall into thes e status. | ||
1092 | -D o you want one menu that shows all statu ses? Enro lled, Dis- Enrolled, and then f or Spina, ChampVA, a nd All - Want menu option to generate report. S hould this menu list all statu ses? Menu would hav e two opti ons – CHAM PVA & SPIN A options. Under ea ch would b e sub-opti ons to see Enrolled or Disenro lled. | ||
1093 | -D o you want four sepa rate repor ts or all combined o n one? On ly want 1 report tha t would sh ow for fou r status f or Spina a nd CVA. W ould like the report to be run on demand and for t he report to have an option fo r user to run the re port to fi le, so tha t report c an be expo rted to Ex cel. | ||
1094 | -D o you want the repor ts to be f or view on ly or outp ut to a pr inter? W ant report to run to file. (F S3BIG) | ||
1095 | -C an you pro vide a wir eframe? Ag reed with wireframe provided b y Faith. Attached a s a Link. | ||
1096 | -W hat menu s hould the reports ap pear on? User will get to the reports m enu (Per V A SME) - I .e. "Selec t CHAMPVA Reports Me nu Option: "; Then se lect: Enro lled/Disen rolled; Th en select: CVA or SB , | ||
1097 | HAC_CPE (C M),790964, ACA_Disenr ollment_US 004 - CHAM PVA Disenr ollment,co rrect | ||
1098 | |||
1099 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need to have th e ability to disenro ll a famil y member f rom the CH AMPVA (CVA ) Program. | ||
1100 | |||
1101 | Acceptance Criteria: | ||
1102 | C1: User h as permiss ions to ch ange famil y member s tatus to D ISENROLLED | ||
1103 | |||
1104 | A1: Verify authorize d user has ability t o change f amily memb er to DISE NROLLED st atus | ||
1105 | A2: Verify family me mber's eli gibility p eriod end date is sa me date th e authoriz ed user ch anged the status to DISENROLLE D | ||
1106 | A3: Verify Ineligibl e Reason i s set to D ISENROLLED , | ||
1107 | HAC_CPE (C M),790960, ACA_Disenr ollment_US 007 - Main tain histo ry of CVA disenrollm ent notifi cations,AC A_Disenrol lment_US00 7 - Mainta in history of CHAMPV A disenrol lment noti fications | ||
1108 | |||
1109 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to mainta in the his tory of th e date/tim e CHAMPVA disenrollm ent notifi cations ha ve been ge nerated wh en a famil y member i s disenrol led from t he CHAMPVA Program. | ||
1110 | |||
1111 | Acceptance Criteria: | ||
1112 | C1: Family member st atus is se t to DISEN ROLLED in CHAMPVA pr ogram | ||
1113 | C2: Disenr ollment da te is pres ent | ||
1114 | A1: Verify authorize d user ID is present for confi rmed DISEN ROLLED sta tus change | ||
1115 | A2: Verify disenroll ment date is the sam e date aut horized us er confirm s/changes status to DISENROLLE D, | ||
1116 | HAC_CPE (C M),790955, ACA_Disenr ollment_US 024 - Auto generate SB re-enro llment not ification, correct | ||
1117 | |||
1118 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to automa tically ge nerate SB re-enrollm ent notifi cation whe n a family member is re-enroll ed into th e SB Progr am. | ||
1119 | |||
1120 | Acceptance Criteria: The syst em shall a utomatical ly send th e ID Card to a batch for manua l output w hen a fami ly member is re-enro lled into the SB pro gram, then it is tru e. | ||
1121 | |||
1122 | C1: Family member st atus is se t to RE-EN ROLLED in Spina Bifi da (SB) pr ogram | ||
1123 | C2: Re-enr ollment da te is pres ent | ||
1124 | A1: Verify letter/no tification is genera ted for re -enrolled family mem ber when c onfirmed r e-enrollme nt date is entered b y authoriz ed user, | ||
1125 | HAC_CPE (C M),790947, ACA_Disenr ollment_US 008 - Repr int CVA di senrollmen t notifica tions,ACA_ Disenrollm ent_US008 - Reprint CVA disenr ollment no tification s | ||
1126 | |||
1127 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the abilit y for auth orized use rs to repr int CHAMPV A disenrol lment noti fications on demand | ||
1128 | |||
1129 | Acceptance Criteria: | ||
1130 | C1: User m ust have a uthorized user permi ssions to print dise nrollment notificati ons (all E ligibility user role s) | ||
1131 | A1: Verify authorize d users ca n reprint CHAMPVA di senrollmen t notifica tions | ||
1132 | |||
1133 | , | ||
1134 | HAC_CPE (C M),790944, ACA_Disenr ollment_US 018 - Auto generate CVA re-enr ollment no tification ,As an Eli gibility a nd Enrollm ent Verifi cation gro up, I need the syste m to autom atically g enerate a new CVA ID card/lett er with ne w eligibil ity dates when a fam ily member is re-enr olled into the CVA P rogram. | ||
1135 | |||
1136 | |||
1137 | Acceptance Criteria: The syst em shall a uto genera te a CVA I D card/let ter with n ew eligibi lity dates when a fa mily membe r is re-en rolled int o the CVA program, t hen it is true. | ||
1138 | |||
1139 | C1: Family member st atus is se t to RE-EN ROLLED in CHAMPVA pr ogram | ||
1140 | C2: Re-enr ollment da te is pres ent | ||
1141 | A1: Verify a CHAMPVA CCL lette r is gener ated for c onfirmed f amily memb er set to RE-ENROLLE D, | ||
1142 | HAC_CPE (C M),790942, ACA_IRS_Re porting_00 4 -Updates to IRS da ta file,AC A_IRS_Repo rting_004: As an El igibility and Enroll ment Verif ication gr oup whenev er a Famil y Member e ligibility is update d with a r etroactive effective date that goes back to the pr evious cal endar year (s), then the Family Member AC A MEC noti fication l etter and IRS form 1 095-B shal l be sent to the Fam ily Member and the u pdated eli gibility s hall be re ported to the IRS fo r the prev ious calen dar year(s ). | ||
1143 | |||
1144 | Acceptance Criteria: | ||
1145 | When a Fam ily Member eligibili ty is upda ted with a retroacti ve effecti ve date th at goes ba ck to the previous c alendar ye ar(s), the n the Fami ly Member ACA MEC no tification letter an d IRS form 1095-B sh all be sen t to the F amily Memb er and the updated e ligibility shall be reported t o the IRS for the pr evious cal endar year (s), then it is true . | ||
1146 | |||
1147 | NOTES:We n eed more i nformation on how th e notifica tion lette r and form are sent to the fam ily member ? | ||
1148 | Does the ' updated el igibility shall be r eported to the IRS' need to be another s tory? | ||
1149 | -I s there an y connecti on with th e enrollme nt/dis-enr ollment re ports? | ||
1150 | -T he update is associa ted with t he automat ion of the main/orig inal ACAIR S file/rep ort; mec_d ataextract _o_2016_b_ 2016051107 1942 | ||
1151 | -B eneficiari es that ar e edited i n the syst em where e ligibility dates are changed n eed to aut omatically get added to the co rrected AC AIRS file/ report; me c_dataextr act_c_2016 _b_2016051 1071942 | ||
1152 | -W hat is/are the repor t name(s) for the an nual IRS r eport, Fam ily Member MEC notif ication le tters, and IRS Form 1095-B and where is currently located? (see respo nse listed above) | ||
1153 | -W here are t he reports located? (see resp onse liste d above) | ||
1154 | -A re there c hanges to the field labels, co ntent or a re we just making su re that th e existing reports i nclude the four stat uses: enro llment, di senrollmen t, re-enro llment, an d deceased ? (see re sponse lis ted above) | ||
1155 | -O utside of the 'backd ate eligib ility' men u option i s there an y other wa y that you would ret ro-active a date? . | ||
1156 | -W hat are th e backdati ng eligibi lity rules ? Situati on depende nt. EEV T echnicians will set the Qualif ying Event Date. | ||
1157 | -D isplay a n otificatio n on scree n when the MEC Lette r, 1095-B Form are p rinted? W hen you re quest a re print from VistA’s B C menu opt ion, the s ystem does acknowled ge the for m/letter w ill be in the next b atch. Plu s, from wh at I have heard a us er could r eprint fro m the DAPE R tool. E ven though , I haven’ t done or seen it my self. | ||
1158 | -I s there an existing SOP to run on demand ? Not tha t I am awa re of. | ||
1159 | -W hat is the current p rocess for reporting backdated eligibili ty? is it per Bene? In a batc h? for a period of time? Not sure what is meant by this qu estion, th ere is cur rently no report, | ||
1160 | HAC_CPE (C M),790941, ACA_Disenr ollment_US 020 - Repr int CVA re -enrollmen t notifica tions,As a n Eligibil ity and En rollment V erificatio n group, I need the ability fo r authoriz ed users t o reprint CVA ID car d/letter o n demand. | ||
1161 | |||
1162 | |||
1163 | Acceptance Criteria: The syste m shall pr ovide the ability fo r authoriz ed users t o reprint CVA ID car d/letter o n demand, then it is true. | ||
1164 | |||
1165 | C1: User m ust have a uthorized user permi ssions to print CHAM PVA re-enr ollment no tification s (all Eli gibility u ser roles) | ||
1166 | A1: Verify authorize d users ca n reprint CHAMPVA re -enrollmen t notifica tions, | ||
1167 | HAC_CPE (C M),790939, ACA_Disenr ollment_US 006 - Auto generate CVA disenr ollment no tification ,ACA_Disen rollment_U S006 - Aut o generate CHAMPVA d isenrollme nt notific ation | ||
1168 | |||
1169 | As an Elig ibility an d Enrollme nt Vericat ion group, I need th e system t o automati cally gene rate CHAMP VA disenro llment not ification when a fam ily member is disenr olled from the CHAMP VA Program . | ||
1170 | |||
1171 | Acceptance Criteria: | ||
1172 | C1: Family member is status in CHAMPVA = DISENROLL ED | ||
1173 | A1: Verify CHAMPVA D ISENROLLED notificat ion is gen erated in CCL letter | ||
1174 | |||
1175 | NOTES: | ||
1176 | - Which CC L Letter? | ||
1177 | |||
1178 | 08/07/2018 : Julia Do wns confir med the CC L letter w as created and is cu rrently wo rking in P roduction. Code is g enerated w hen a "Sen d A Letter ?" questio ns is answ ered with 'Y'. The c ode then g oes to bat ch. | ||
1179 | |||
1180 | - Make sur e it's gen erated int o a batch (Barry is familiar w ith this), | ||
1181 | HAC_CPE (C M),790936, ACA_IRS_Re porting_00 3 - Regene rate IRS d ata file,A CA_IRS_Rep orting_003 : Provide the abili ty to rege nerate and print the annual IR S report/d ata file, Family Mem ber MEC no tification letters, and IRS Fo rm 1095-B to include correctio ns/updates to the ex isting dat a files. | ||
1182 | |||
1183 | Acceptance Criteria: | ||
1184 | Provided i n RM: The user shall be able t o regenera te the ACA IRS Repor ting data file to in clude corr ections an d updates to the exi sting data file, the n it is tr ue. | ||
1185 | |||
1186 | NOTES: | ||
1187 | -W e need mor e informat ion on how the notif ication le tter and f orm are se nt to the family mem ber. | ||
1188 | -T he origina l file/pro cess was c reated and has been functionin g in Produ ction sinc e 2015, | ||
1189 | -T he annual file (CHME AI01) is m anually ge nerated by OIT on a date (mid to late Ja nuary) pro vided by t he Busines s manageme nt user(s) . When co mpleted it rests in a file/fol der (FS3Bi g/IRS_Lett ers) for t he designa ted POC to pick up a nd transmi t to the p rint vendo r. The No tification Letter an d 1095B ta x form is printed an d sent out to all be neficiarie s listed i n the file by the pr int vendor . | ||
1190 | -B eneficiari es can cal l in and r equest a r eprint of their 1095 B tax form , where th e request is added t o the file that gets set in th e same fil e/folder f or pick up every Wed nesday. T he reprint process i s handle u nder menu; CHAMPVA V oice Mail Menu [CHM VCM MENU] via menu o ptions; | ||
1191 | -C HAMPVA Voi ce Mail La bel Batch Creation [ CHMBLABC] - Users s elect the tax year f or the req uest and e nter the B eneficiary Name or S SN, that w hen recogn ized in CH AMPPVA dat abase gets added to the file. | ||
1192 | -C HAMPVA Voi ce Mail La bel Print Control [C HMBLA01] - Allows the user t o review t he list/re port of be neficiarie s added to the file. | ||
1193 | -D oes the 'u pdated eli gibility s hall be re ported to the IRS' n eed to be another st ory? | ||
1194 | -T he update was origin ally ident ified as P hase II of the ACA p roject and listed un der TeamTr ack Ticket ENC026162 : ACAIRS P roject – P ermanent S olution. This was o riginally coded, ins talled in TEST, and backout du e to serio us issues. | ||
1195 | -T his starte d and was listed in the docume nt; Afford able Care Act (ACA) Minimal Es sential Co verage (ME C) Interna l Revenue Service (I RS) Report ing and Fa mily Membe r Notifica tion Natio nal Servic e Requires #20120516 , what you have iden tified as #970688 li sted below and #9706 87 listed above. | ||
1196 | -I s there an y connecti on with th e enrollme nt/dis-enr ollment re ports? | ||
1197 | -T his starte d and was listed in the docume nt; Afford able Care Act (ACA) – Health C are Author ity Disenr ollment Re quirements Elaborati on Documen t (RED), w hat you ha ve identif ied as #97 0688 liste d below an d #970687 listed abo ve | ||
1198 | -W hat is/are the repor t name(s) for the an nual IRS r eport, Fam ily Member MEC notif ication le tters, and IRS Form 1095-B and where is currently located? | ||
1199 | -T he informa tion is li sted above in the fi rst ‘IRS R eporting, . . . Ques tions’ bul let. It w as never s et up as a n option f or users, since the task is ru n by OIT. | ||
1200 | -W here are t he reports located? | ||
1201 | -T he annual and reprin t file/rep ort are lo cated; Fs3 Big/IRS_Le tters | ||
1202 | -A re there c hanges to the field labels, co ntent or a re we just making su re that th e existing reports i nclude the four stat uses: enro llment, di senrollmen t, re-enro llment, an d deceased ? | ||
1203 | -R eports req uested to include; e nrollment, disenroll ment, re-e nrollment, dates and data are new reques ts that ne ed to be d efined by the Busine ss users. Those rep orts reque sts are se parate fro m what the ACAIRS fi le/report generates. | ||
1204 | -T he ACAIRS file/repor t is liste d as; mec_ dataextrac t_o_yyyy_b _date and time | ||
1205 | -i .e. mec_d ataextract _o_2016_b_ 2016051107 1942 | ||
1206 | -I will find the file format and send. Th is file/re port extra cts multip le data po ints, with the main data are t he months per the re quested ta x year the beneficia ry had med ical cover age. | ||
1207 | -1 1/27/18 - See attach ed ACAIRS info provi ded by Jul ia Downs. | ||
1208 | -W hat menu o ption shou ld be used to run th e reprint reports? | ||
1209 | -F rom what I have foun d out, we already ha ve the abi lity to re print 1095 b’s and IR S letters from the D APER tool & there is also the ability to reprint 1 095b forms from the voice mail menu, opt ion #12 in VISTA., | ||
1210 | HAC_CPE (C M),790935, ACA_Disenr ollment_US 023 - Crea te new SB True Perio d of Eligi blity (TPO E),correct | ||
1211 | |||
1212 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to create a new SB period of eligibilit y to allow for claim payments when a fam ily member is re-enr olled into the SB Pr ogram. | ||
1213 | |||
1214 | Acceptance Criteria: | ||
1215 | C1: Family member st atus is se t to RE-EN ROLLED in Spina Bifi da (SB) pr ogram | ||
1216 | C2: Re-enr ollment da te for fam ily member is presen t | ||
1217 | A1: Verify new enrol lment peri od start d ate for fa mily membe r is the s ame as the re-enroll ment date entered by authorize d user | ||
1218 | , | ||
1219 | HAC_CPE (C M),790934, ACA_Disenr ollment_US 027 - SB r e-enrollme nt reporti ng,As an E ligibility and Enrol lment Veri fication g roup, I ne ed the abi lity to re port for a date rang e on SB fa mily membe rs who hav e been re- enrolled i nto the SB Program, so that I can see at a glance SB members who have re-enrolle d.” | ||
1220 | |||
1221 | Acceptance Criteria: | ||
1222 | The system shall pro vide the a bility to report on SB family members wi th a repor t that inc ludes Last Name, Fir st Name, S SN, DOB, S tatus and Date of St atus who h ave been r e-enrolled into SB, then it is true. | ||
1223 | |||
1224 | C1: Family member st atus set t o RE-ENROL LED in Spi na Bifida program | ||
1225 | C2: User h as authori zed permis sions to g enerate re ports in S B | ||
1226 | A1: Verify authorize d user can generate report for family me mber's wit h status R E-ENROLLED in SB | ||
1227 | |||
1228 | NOTES: | ||
1229 | -I s this an existing r eport? if so, what menu optio n or routi ne can we find this report, wh at is the name of th e report? If new, c an you pro vide the e xpected re port forma t and fiel ds you nee d on the r eport? S ee answer above. Re port forma t should i nclude Dis -enrolled & Re-enrol led benes. Report w ould list First, Las t name and SSN for b enes that fall into these stat us. | ||
1230 | -D o you want one menu that shows all statu ses? Enro lled, Dis- Enrolled, and then f or Spina, ChampVA, a nd All Men u would ha ve two opt ions – CHA MPVA & SPI NA options . Under e ach would be sub-opt ions to se e Enrolled or Disenr olled. | ||
1231 | -D o you want four sepa rate repor ts or all combined o n one? On ly want 1 report tha t would sh ow for fou r status f or Spina a nd CVA. W ould like the report to be run on demand and for t he report to have an option fo r user to run the re port to fi le, so tha t report c an be expo rted to Ex cel. | ||
1232 | -U pdate stor y to inclu de decease d (wirefra me include s deceased ). Yes | ||
1233 | -D o you want only the most recen t disenrol lment / re enrollment status ch ange or al l of the e ligibility changes f or each re cord? Onl y the most recent st atus chang e. | ||
1234 | -D o you want the repor ts to be f or view on ly or outp ut to a pr inter? W ant report to run to file. (F S3BIG) | ||
1235 | -C an you pro vide a wir eframe? Ag reed with wireframe provided b y Faith. Attached a s a Link. | ||
1236 | -W hat menu s hould the reports ap pear on? User will get to the reports m enu (Per V A SME) - I .e. "Selec t CHAMPVA Reports Me nu Option: "; Then se lect: Enro lled/Disen rolled; Th en select: CVA or SB , | ||
1237 | HAC_CPE (C M),790932, ACA_Disenr ollment_US 011 - End SB True Pe riod of El igibility (TPOE),ACA _Disenroll ment_US011 - End SB True Perio d of Eligi bility (TP OE) | ||
1238 | |||
1239 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need the system to end SB family me mber's per iod of eli gibility t o disconti nue claim payments w hen the SB family me mber is di senrolled from the S B Program. | ||
1240 | |||
1241 | Acceptance Criteria: | ||
1242 | C1: Family member st atus is se t to DISEN ROLLED | ||
1243 | C2: Disenr ollment da te is pres ent | ||
1244 | A1: Verify eligibili ty period ends on ef fective da te of dise nrollment (date ente red by aut horized us er) | ||
1245 | A2: Verify claim pay ments are discontinu ed on effe ctive date of disenr ollment | ||
1246 | |||
1247 | , | ||
1248 | HAC_CPE (C M),790929, ACA_Disenr ollment_US 019 - Main tain histo ry of CVA re-enrollm ent notifi cations,AC A_Disenrol lment_US01 9 - Mainta in history of CVA re -enrollmen t notifica tions | ||
1249 | |||
1250 | As an Elig ibility an d Enrollme nt Verific ation grou p, As an E ligibility and Enrol lment Veri fication g roup, I ne ed the sys tem to mai ntain the history of each date /time CVA ID card/le tter(s) ha ve been ge nerated wh en a famil y member i s re-enrol led into t he CVA Pro gram. | ||
1251 | |||
1252 | Acceptance Criteria: The syst em shall m aintain th e history of CVA ID card/lette r(s) when a family m ember is r e-enrolled into the CVA progra m, then it is true. | ||
1253 | |||
1254 | C1: Family member is RE-ENROLL ED in CHAM PVA progra m | ||
1255 | A2: Verify status ch ange date is the sam e as re-en rollment d ate | ||
1256 | A3: Verify dates for re-enroll ment notif ication ge neration c an be view ed (same a s re-enrol lment date ), | ||
1257 | HAC_CPE (C M),790909, ACA_Disenr ollment_US 016 - CVA Re-enrollm ent,Replac e | ||
1258 | |||
1259 | As an Elig ibility an d Enrollme nt Verific ation grou p, I need to have th e ability to re-enro ll a famil y member i n the CVA Program. | ||
1260 | |||
1261 | Acceptance Criteria: | ||
1262 | C1: User r ole/permis sions allo ws ability to change family me mber to RE -ENROLLED | ||
1263 | C2: Disenr ollment da te is pres ent | ||
1264 | C3: Family member me ets all ex isting CHA MPVA eligi bility cri teria | ||
1265 | A1: Verify eligibili ty status is set to ELIGIBLE - ACTIVE up on re-enro llment dat e entry | ||
1266 | , | ||
1267 | |||
1268 | |||
1269 | |||
1270 | |||
1271 | |||
1272 | |||
1273 | |||
1274 | |||
1275 | |||
1276 | |||
1277 | |||
1278 | |||
1279 | |||
1280 | |||
1281 | |||
1282 | |||
1283 | |||
1284 | |||
1285 | |||
1286 | |||
1287 | |||
1288 | |||
1289 | |||
1290 | |||
1291 | |||
1292 | |||
1293 | |||
1294 | |||
1295 | |||
1296 | |||
1297 | |||
1298 | |||
1299 | |||
1300 | |||
1301 | |||
1302 | |||
1303 | |||
1304 | |||
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1308 | |||
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1319 | |||
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1321 | |||
1322 | |||
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1324 | |||
1325 | |||
1326 | |||
1327 | |||
1328 | |||
1329 | |||
1330 | |||
1331 | |||
1332 | |||
1333 | |||
1334 | |||
1335 | |||
1336 | |||
1337 | |||
1338 | |||
1339 | |||
1340 | |||
1341 | |||
1342 | |||
1343 | |||
1344 | |||
1345 | |||
1346 | |||
1347 | |||
1348 | |||
1349 | |||
1350 | |||
1351 | |||
1352 | |||
1353 | |||
1354 | |||
1355 | |||
1356 |
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