Release
Notes (7.29) - 08.26.2016
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Texas
Department of State Health Services (DSHS) Clinical
Management for Behavioral Health Services (CMBHS) Release
Information Date
08/26/2016 |
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Page or Function |
Description
of Change and/or User Instructions |
Business
Entity/User Type Impacted |
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ICD 10 Diagnostic Code |
An ICD 10 diagnostic
code has been added to CMBHS to ensure consistency with CMS rules for
submission for claims. F203
Undifferentiated Schizophrenia has been added to CMBHS. |
All CMBHS Users |
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Pending Claims Page |
Improvements have
been made to the CMBHS Pending Claims page to correct a frequent user error
for Day Rate Attendance claims. CMBHS has always
prohibited changes to submitted claims source documents until the claims have
finished processing and are in a final status. Unfortunately, users have
continued to make changes to Day Rate Attendance documents, causing the
claims process to stall. When this happens, a call to the CMBHS Help Line and
a data fix by DSHS IT are required to restart the process so the claim can
reach its final status. The improvements
prevent a user from submitting claims while there are claims that are not in
a final status displaying in a group of search results. So, when you conduct
a Pending Claim search and the results include claims that are not in final
status, you will receive the following message: The search criteria you entered includes
client(s) who have submitted claims that are still being processed by DSHS.
Day Rate Attendance claims can be submitted for these clients only when those
claims are in a final status. --------------------------------------------------------------------- CMBHS Client #: 1111111 Claim #: 2222222 Begin Date - End Date: 00/00/0000 - 00/00/0000 --------------------------------------------------------------------- You cannot continue submitting claims from
this page for other clients until you do a new search that does not include
these clients for these days. This
means you must redefine your search parameters to exclude these unprocessed
claims from your search so they do not display on the page. Often just changing the date will exclude
these claims. |
Substance Abuse
Services Organizations that submit Claims to DSHS |
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Case Management Open Case Page |
Three
(3) new case management types have been added to the Case Management Open
Case page. 1. Recovery Support - For substance abuse recovery support services, 2 new types have been
added Recovery Support Adult and Recovery Support Youth. Select the Case Type
from the drop-down list that corresponds to the recovery support service type
provided, adult or youth. 2. Other
- Another case management type has also been added to the drop-down list, Other. Only use
Other if you have been instructed to do so by DSHS
for a specific Case Management type. When Other is
selected, a text box appears where you must enter text to identify the type.
This information will be provided by DSHS when it is applicable. The requirement that
identifying text be entered allows Other to be used for more than one case
management type and a 100 character drop down box appears. DSHS
will notify users when the CMBHS case management reports have been updated to
display these new types. |
Substance Use
Recovery Support Services All Case Management
Services Users |
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Health Community Collaborative (HCC) -
Case Manager Reassignment |
The Reassign Case Manager function is now
available at all case management locations in CMBHS including HCC case
management locations. This
means that after an HCC Open Case is created and a case manager assigned to a
client, HCC users now have a way to change the assigned case manager when
needed. The
Reassign Case Manager function is available from the Administrative toolbar
at the top of the page under Provider Tools. |
HCC Organizations and Locations |
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Invoices |
Improvements have
been made to the CMBHS Invoice function to display more information that
users need and to help reduce user errors. The number and order of the columns on the
Invoice List page have been changed and two new columns have been added, the
Invoice Begin and End Dates. Invoice Type - Indicates if Initial or Supplemental Invoice Begin Date As entered by the user Invoice End Date As entered by the user CONTRACT _NBR
System entered CONTRACT _ID
- System entered VENDOR_ID For your organization's BEGIN_DATE - Invoice Begin Date (NEW) END_DATE - Invoice End Date (NEW) Invoice_
PAYMENT (As per *SOURCE) - Actual_Invoice_ AMOUNT (As per CMBHS) Vouchered - Provider - Your organization's name Difference - Between the amounts in the *Source and CMBHS, if any. * The Source is a DSHS data system that works with CMBHS
and other state systems to ensure that DSHS contractors are paid. Corrected
Problems The following problems that occurred one or
more times in CMBHS have been corrected: ·
Total did not work
correctly; ·
Two Initial Invoices were
allowed; ·
Creation of a
Supplemental Invoice when there was no Initial; ·
Invoices and Invoice List
did not consistently display cents; NOTE: ·
A new invoice cannot be
submitted for a DSHS contract until the previously submitted invoice for that
contract is in a final status. Final statuses for CMBHS Invoices are Vouchered, Deleted and Rejected. ·
The same rules apply to
all contract type invoices in CMBHS. ·
If you have questions
about whether you should submit Invoices for a DSHS Contract, contact your
DSHS Contract Manager. |
CMBHS User
Organizations that Submit Invoices to DSHS |
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Automated Medicaid Eligibility Verification
(MEV) Process |
The
automated CMBHS Medicaid Eligibility Verification process has been improved
to submit a query to the TMHP Medicaid Eligibility Roster for mental health services
clients whenever a MH Uniform Assessment documented in CMBHS is placed in
Closed Complete status. For clients who already have an MEV documented in
CMBHS, this process update the information. NOTE:
This change does not impact the user initiated MEV process. |
CMBHS Mental Health
and Substance Abuse Disorder User Organizations |
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Begin/End Service Page, Comment Field |
An
error in CMBHS where user entered Comments in the End Service section of the
page overwrite the comments entered into the Begin Service section of the
page, has been corrected. A
new Comments field has been added to the End Service section, so that the
Begin Service and End Service sections each have their own Comment field. No
changes have been made to how the Comments fields work. |
Substance Abuse
Services Users |
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If
you have problems using CMBHS please contact the |
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