Release
Notes (7.32) - 11.01.2016
|
Texas
Department of State Health Services (DSHS) Clinical
Management for Behavioral Health Services (CMBHS) Release
Information Date
11/01/2016 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Page or
Function |
Description
of Change and/or User
Instructions |
Business
Entity/User Type Impacted |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ICD 10 Diagnostic Code Updates for 2016 CMBHS Pages SUD Screening SUD Assessment SUD Admission MH Diagnosis YES Waiver Clinical
Eligibility and YES Waiver Claims are also impacted |
The annual update of
the ICD 10 diagnostic code has been made in CMBHS to ensure consistency
between various state data systems, your local systems, and TMHP for those of
you that submit claims to TMHP. Twenty-five
(25) codes used on Axis I that were previously not active in CMBHS have been
added, sixteen (16) codes used on Axis III have also been added and fourteen
(14) codes that were active in CMBHS have been expired as indicated in the
tables below. These changes have an
effective date in CMBHS of 10/1/2016. CMBHS
will adjust the version of codes that display depending on the Date of
Service or Performed on Date that you enter for a diagnostic document. If you create a document with a Performed
on Date of 11/01/2016, the new diagnostic codes will display. If you create a
document with a Performed on Date of 09/28/2016, the old diagnostic
codes will display. The date you enter or edit the document in CMBHS does not
impact the code version that displays, only the date that you provided the
service to the client matters. Additional
Examples Service Date
Diagnostic Codes that Display 09/28/2016 Old
diagnostic codes 10/01/2016 New
diagnostic codes* 10/04/2016 New
diagnostic codes* 10/21/2016 New
diagnostic codes* *Because there is a one month gap between the
effective date of the updated codes (10/01/2016) and the date the codes were actually
made available in CMBHS (11/01/2016), users have had to document some
diagnoses before the updated codes were available. No change is required to
most of the documents created during the gap. If a change is required, you
will receive an error message. This may occur when you try to submit a claim
for payment to TMHP. Follow the directions in the error message.
|
All CMBHS Users are
potentially impacted by this change |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Financial Eligibility Assessment for NorthSTAR |
A correction has been
made to the Financial Eligibility Assessment used by NorthSTAR substance use
disorder and mental health service providers.
In the past, CMBHS has allowed some service providers to change,
usually to extend, the Financial Eligibility assessments Expiration Date even
though this was not allowed by the business rules. These users can no longer
change the Financial Eligibility Assessment Expiration Date. If there is a
situation where you believe that the Expiration Date of a client’s Financial
Eligibility Assessment should be changed, contact ValueOptions staff as they
are able to change the Expiration Date when appropriate. |
Substance Use Disorder and Mental Health Service
Providers that complete Financial Eligibility Assessments for NorthSTAR |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
If you have problems using CMBHS please contact the HHSC CMBHS Help
Line at 1 866 806-7806 Monday
- Friday 8:00 am to 5:00 pm |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||