Need for indicators for Hospice, LTC, Disability and ESRD. There is a need to have an indicator when a particular coverage type was invoked.

There is a monthly Medicare file between Medicare (IDR). Need code to indicate the type of coverage and span for when it applies.

Benoit perhaps had possible business case as well.

Going to add something to COVERAGE at least a dated data element. Complex element to be a code and date. For the US, will need a US CORE code set. Need code set to ID the types of subplan. If putting into coverage, will need to be included in any coverage for which it has been invoked. Will only be for the actual coverage it has been invoked. It isn't a status about the person. It won't be able to be used for things like pregnancy indicator. There are other things other than hospice and it must be invoked by the patient (or whatever the process is).

There are some coverage and other member alerts that limit or impact coverage (high use individual limited to a single pharmacy). There might be other alerts that would be in a clinical sense, but that wouldn't necessarily be in coverage. This new thing is specific to patient invoked rather than limitations imposed on coverage by someone else. When will change in coverage resource be made so the Da Vinci project, when will it be available for use (R5 in 2 years), but extension can be used in the interim. FM would develop the universal extension.