Texas Department of State Health Services (DSHS)

Clinical Management for Behavioral Health Services (CMBHS)

Release Information - 7.10

 Date 01/30/2015
Page or Function Description Of Change and/or Instructions Business Entity Type Impacted
Use of Microsoft Internet Explorer (IE) v7 Microsoft Internet Explorer (IE) v7 can no longer be used to access CMBHS. A banner message has been posted on the CMBHS login page for several weeks to notify users of this upcoming change. If you try to login to CMBHS with a computer that still uses IE7, you will see a message that informs you of the browser incompatibility. Contact your IT support, provide this information and request that your computer be upgraded to IE 8, 9 or 10. This change impacts online users only.

NOTE: If you use IE v8 in compatible view, it must be turned off to use CMBHS.

Organizations using IE v7 to Access CMBHS
YES Waiver Service Notes and Claims for Nutritional Services YES Waiver MH service providers should continue to refrain from documenting Service Notes in CMBHS for the provision of Nutritional Services with a Date of Service after January 1, 2015.

YES Waiver service providers may document and continue to submit claims for Nutritional Services with a Date of Service on or before December 31, 2014.

YES Waiver MH Service Providers
New Health Services Screenings – Progress Notes and Claims Substance abuse services providers that contract with DSHS for delivery of Opioid Substitution Therapy(OST) may now submit claims to DSHS for certain health services screenings, immunizations and related outpatient visits:

  • Outpatient Visit – To obtain consent from the client for the health screening and immunization;
  • Hepatitis B - Surface Antigen test;
  • Hepatitis C - Antibody test;
  • HIV (Initial) - Ag/Ab EIA Combination test;
  • HIV (Confirmatory) - Multispot test;
  • Gonorrhea - Urine-based test;
  • Chlamydia- Urine-based test;
  • Diabetes - A1c Glucose test;
  • Outpatient Visit – To provide the client with test results and referrals as appropriate;


USER INSTRUCTIONS:

  • The new health service screenings can only be documented and claims submitted for clients receiving Adult OST services with DSHS Program Funding.
  • Users can document these services by going to the Client’s Workspace in CMBHS, selecting Progress Notes from the Client Services menu on the left and selecting Other as the Progress Notes Type.
  • A text box labeled Other Progress Note Type appears. This is where you should type in “Health Screening”.
  • After you complete the next six (6) fields and add the Service Type, the page will refresh and the health screenings will display in the Service Description drop-down.
  • If a Treatment or Service Plan exists in CMBHS for the client, you be asked to identify an Objective for the Service Description you select.
  • After selecting the screening, CMBHS requires that you enter text into the Session Narrative box to Save the Progress Note.
  • After the Progress Note has been Saved, a pending claim will be created. To see the Pending Claim, go to the Business Office in the Administrative menu at the top of every page of CMBHS.
  • To see the Pending Claim for the service you just documented, enter as many search criterion as you can;
  • Selected claims can now be submitted to DSHS from the Pending Claims page in the usual manner.

 Substance Abuse Services Users that Provide Opioid Substitution Therapy- OST
Medicaid Eligibility Verification (MEV) The CMBHS Medicaid Eligibility Verification (MEV) function is now available to the NorthSTAR substance abuse and mental health service providers and Behavioral Healthcare Organization (BHO).


PRECONDITIONS
  • The user organization must have an NPI or API entered at the CMBHS location level in order to submit an MEV to TMHP;
  • Your local Security Administrator can enter this number for SA locations or for MH locations, contact the DSHS CMBHS Help Line, to request that the number be entered.


USER INSTRUCTIONS
  • From the Client Workspace, go to the Client Services menu on the left and select Intake, and then Medicaid Eligibility Verification (MEV);
  • Enter as much information about the client as you have as this will improve your search results and then select Submit;
  • The MEV should take no longer than a minute to return results;.
  • Check for the MEV results in the Client Workspace Document List.

 NorthSTAR Users
Financial Eligibility Changes to the Financial Eligibility Rules for documents created at NorthSTAR locations only


Edit and Revise Buttons

  • CMBHS will no longer display the Revise button after a Financial Eligibility has been saved in any status. This includes existing Financial Eligibility documents in Closed Complete.
  • Once a Financial Eligibility has been saved in any status, the Edit button will continue to display for 30 days from the Financial Eligibility Created Date. NOTE: This is not the same as the Last Saved Date.
  • The Edit button will display whenever a Financial Eligibility is accessed by a user with a BHO role.


Financial Eligibility Date Changes

CMBHS will default the Financial Eligibility Expiration Date to be the same as the Financial Eligibility Date when “Eligibility status for DSHS funded services” is anything other than “Eligible for NorthSTAR Services”.


Financial Eligibility Expiration Date
  • If the Financial Eligibility Expiration Date calculates to be in the client's birthday month or within either of the 2 months prior the client's birthday month, CMBHS will set the Financial Eligibility Expiration Date to the last day of the client's birthday month of the next year.
  • If the Financial Eligibility Date is 2 months or more before the client birth month, CMBHS will prepopulate the Expiration Date to the last day of the client's next birthday month.

 NorthSTAR Users Only
YES Waiver Individual Plan of Care (IPC) The CMBHS functionality for YES Waiver has been improved so that it will now:

  • ensure that a client has an active Medicaid ID documented in CMBHS before it will allow the creation of an IPC; Initial, Revision or Annual Update type. CMBHS uses the IPC Annual Begin Date to perform this check.
  • allow users to create another Initial or Annual Renewal IPC when the previous Initial or Annual Renewal IPC has been denied by DSHS. This ensures that users can submit the appropriate type of IPC type when making a second attempt to get approval from DSHS.

 YES Waiver MH Service Providers
Local Case Number (LCN) When a Client Profile is created in CMBHS, a unique Local Case Number (LCN) must be entered.

Healthy Community Collaborative (HCC) users must also enter a unique LCN when they open a case for a client and CMBHS is now enforcing this rule to ensure that Client Profiles can be successfully saved.

Healthy Community Collaborative (HCC) Users
Client Profile CMBHS will now correctly display the name of a client with the First or Last Name of “True”. CMBHS no longer converts the name “True” to "Y".

All CMBHS Users
If you have problems using CMBHS please contact the
CMBHS Help Line at 1 866 806-7806