Files > BILLING THRESHOLDS

name

BILLING THRESHOLDS

number

354.3

location

^IBE(354.3,

description

This file contains the threshold amounts for the Medication Copayment Income Exemption. The Medication Copayment Income Exemption legislation was effective on 30-Oct-92. The thresholds are normally effective on December 1. To simplify implementation VACO has determined that the threshold effective 1-Dec-92 would be used for the period from 30-Oct-92 to 1-Dec-92. The Medication Copayment Income Exemption from 1992 thru 11/30/96 was based on veterans making less than the VBA rate for pension plus Aid and Attendence. With the filing of the 1996 thresholds, the directive was changed to reflect that the Medication Copayment Income Exemption was to be based on veterans making less than the VBA rate for Basic Pension. This is the directive that is still in effect for current rates. Per VHA Directive 10-93-142, this file definition should not be modified.

Fields

#	Name	Location	Type	Details	Index	Description
.01	date(+)	0;1	DATE-TIME		B	This is the effective date of this threshold.
.02	type(+)	0;2	SET OF CODES	1:BASIC PENSION 2:PENSION PLUS A&A	AC	These are the types of Thresholds that this entry is for. The Medication Copayment exemption based on income uses the Basic Pension entry from 1996 to the present and uses Pension plus A&A threshold for years prior to 1996..
.03	base rate for veteran(+)	0;3	NUMERIC			This is the rate for a single veteran.
.04	base rate with 1 dependent(+)	0;4	NUMERIC			This is the amount for the Veteran with 1 Dependent.
.05	base rate with 2 dependents	0;5	NUMERIC			This is the amount for the Veteran with 2 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount, it can be left null and computed.
.06	base rate with 3 dependents	0;6	NUMERIC			This is the amount for the Veteran with 3 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.07	base rate with 4 dependents	0;7	NUMERIC			This is the amount for the Veteran with 4 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.08	base rate with 5 dependents	0;8	NUMERIC			This is the amount for the Veteran with 5 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.09	base rate with 6 dependents	0;9	NUMERIC			This is the amount for the Veteran with 6 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.1	base rate with 7 dependents	0;10	NUMERIC			This is the amount for the Veteran with 7 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.11	base rate with 8 dependents	0;11	NUMERIC			This is the amount for the Veteran with 8 Dependents. If this rate is the same as the rate for Veteran with 1 dependent plus an additional dependent amount for each dependent, it can be left null and computed.
.12	additional dependent amount(+)	0;12	NUMERIC			This is the rate for each additional dependent.