Release Notes (7.39) - 08.28.2017
|
Texas Department of State Health
Services (DSHS) Clinical Management for Behavioral
Health Services (CMBHS) Release Information Date 08/28/2017 |
||
|
Page or Function |
Description of Change and/or User Instructions |
Business Entity/User Type Impacted |
|
The DSM
5 Project impacts all CMBHS pages where a diagnosis is entered and/or displayed. All
CMBHS SUD Assessments have been updated as described in the section below. |
Changes are being
made to CMBHS to be consistent with the current national standard for psychiatric
diagnostic criteria and codes, the Diagnostic and Statistical Manual
of Mental Disorders, Fifth Edition (DSM-5) by the American
Psychiatric Association. The changes will be deployed on 08/28/2017. All CMBHS Security
Administrators will receive notices of free user training that will be made
available by Webinar during the month of August. User participation is critical
for a successful transition. The CMBHS Online Help will be updated and
electronic versions of the Help will also be distributed. What will not change in CMBHS: ·
HHSC policies regarding
eligibility for services have not changed however, significant changes have
been made to HHSC terminology used to describe qualifying and non-qualifying
diagnoses and its priority population. Please review the CMBHS Online Help
for additional information and participate in training; ·
Diagnoses will still be
documented on the same pages in CMBHS; for MH services on the MH Diagnosis (DIA113) page and for SUD services on the on the SUD Screening
(SCR014), Assessment (AST022),
Begin/End Service (SER030) and Admission and Discharge (ADM029) pages; ·
Diagnoses for physical health
disorders are still available in CMBHS; ·
User roles needed to document a
diagnosis in CMBHS have not changed. What will change: ·
Any page in CMBHS where a diagnosis is entered and/or displayed
will look different because of elimination of the multi-axial system; ·
The Global Assessment of Functioning (GAF) has been
eliminated, ·
Up to 18 diagnostic descriptor/codes may be entered for a
client. ·
The diagnosis for which the client
is receiving services, the principal diagnosis, must always be the
first diagnosis; if a client has an eligible diagnosis and it is included in
the list but it is not the first diagnosis, the client will be found
ineligible. ·
The Level of Care
Recommended (LOCR) calculator has been changed to accommodate the deletion of
Axis V - (GAF) in determining a Level of Care (LOC) for adults. ·
For mental health services, clinicians now have the
opportunity to document the basis for their diagnosis such as By Client
Report, By Physician’s Report or By Collateral Report. The following CMBHS pages and functions were
impacted in some way with the DSM-5 changes. -
Client Workspace -
SUD Screening -
SUD Admission & Discharge -
SUD Service Begin & Service End -
SUD Discharge Summary -
Discharge Follow-up -
Treatment/Service Plan -
Tobacco Cessation Referral -
Service Authorization -
Waitlist/Capacity Management -
Substance Abuse Data Downloads -
MH Diagnosis -
MH Adult Uniform Assessment (ANSA) -
MH Child & Adolescent Uniform Assessment (CANS) -
YES Waiver Clinical Eligibility -
YES Waiver Claims -
Print Blank Forms -
Texas Law Enforcement
Telecommunications System (TLETS) Jail Match For LMHAs that Batch Data
to HHSC Batch
business rules have been re-written to match the DSM-5 changes, primarily the
removal of the multiaxial system. The batch layout remains the same and
current batch work processes remain the same.
Data Dumps and Batch Reports will be impacted due to the requirement
changes. |
All CMBHS User Organizations are
impacted. |
|
All SUD
Assessments |
The CMBHS Substance Use Disorder (SUD)
Assessments have been updated to reflect
best clinical practices and more precisely identify our client’s needs. The change to data fields is substantial and
includes the level of care calculator. SUD Assessments types includes the: ·
Substance Use Disorder Assessment (Initial Update and
Discharge) ·
End Service Assessment ·
Detox Services Assessment (Initial Update and Discharge) ·
Case Management Assessment ·
It is important
that all users that complete SUD Assessments as part of their job, participate
in the HHSC SUD Assessment training. Contact
your CMBHS Security Administrator for more information about training. The CMBHS Online
Help for SUD Assessments will be updated and electronic versions of the Help
will also be distributed. |
All SUD User Organizations |
|
Section
508 Accessibility Compliant |
Additional changes have been made to all the
pages impacted by the DSM-5 changes to ensure they are compliant Section 508
of the Rehabilitation Act of
1973, as amended (29 U.S.C. § 794 (d)) in 1998. |
All CMBHS User Organizations are
impacted. |
|
If you have problems using CMBHS
please contact the |
||