Release Notes (7.45) - 01.26.2018

 

 

Texas Department of State Health Services (DSHS)

Clinical Management for Behavioral Health Services (CMBHS)

Release Information

Date 01/26/2018

Page or Function

Description of Change and/or

User Instructions

Business Entity/User Type Impacted

Annual Update of ICD 10 Codes for all CMBHS Documents

NOTE: ICD 10 CODES Pending Deployment Date:

 

HHSC has completed its annual update of ICD10 diagnostic codes in CMBHS.

 

CARE has made the same changes, effective on same date of 01/26/2018.

 

Summary of Changes to CMBHS Axis I:

•  10 of the changes are to substance abuse disorder codes

    and split a diagnosis that previously combined mild,

    moderate and severe in remission into 2 diagnoses; mild in

    remission and moderate and severe in remission;

 

•   12 of the changes are new diagnoses not previously ICD 10;

 

•   2 of the changes are deletions;

 

Summary of Changes to CMBHS Axis III:

•   271 of the updates are changes;

 

•   588 of the changes are new diagnoses not previously ICD

    10;

 

•   108 of the changes are deletions.

 

Instructions for Accessing the ICD10 Diagnostic Code Update Detail

To view or download an Excel file of the diagnostic code

changes follow these instructions:

 

•   Login to CMBHS;

•   From the Administrative Toolbar at the top of the page,

    select Provider Tools and then the last item Technical

    Documentation.

 

•   Go to the ICD 10 folder and download these files

    2017 CMBHS ICD 10 Update Axis-I

    2017 CMBHS ICD 10 Update Axis-III

 

Recovery Support Services (RSS) Enrollment

A problem in the RSS Enrollment document has been corrected so that users can still document the client’s substance(s) of abuses even if they have not abused a drug in the last 30 days.

After answering the questions about use of substances in the last 30 days, enter information about the client’s primary, secondary, and tertiary use of substances prior to the 30 days. Even if the client has not used in the last 30 days the provider should still be able to select from the primary, secondary, and tertiary use of substances list box. This function works the same as it does in other parts of CMBHS. Remember to select None for Secondary and/or Tertiary substance used if the client only abuses one substance.

Recovery Support Services (RSS) Users

Screening for Substance Use Disorders (SUD)

Two updates have been made to the CMBHS Screening for Substance Use Disorders.

1.     The SUD Priority Population has been updated to reflect current state and federal requirements.

2.     The Public Health Risk function has been refined to more accurately report clients at risk and cover a broader range of risks.

 

SUD Priority Population

SUD Priority Population will be calculated using the information documented in the screening and in the following order. If a client meets more than one priority, only the highest will display.

 

1.   Pregnant Injecting drug user (Federal and State)

2.   Pregnant substance abuser (Federal and State)

3.   Injecting Drug user (Federal and State)

4.   High Risk for Overdose (State)

5.   Client referred by DFPS (State)

6.   Parents with children in foster care (State)

7.   Veterans with honorable discharge

 

Public Health Risks

All the risks selected as Yes will display on the Recommendations tab of the SUD Screening.

 

•   At risk for overdose

•   At risk for Tuberculosis infection

•   At risk for HIV infection

•   At risk for Hepatitis

•   At risk for sexually transmitted diseases or

•   No health risk identified at this time (if none of the risks were

    answered Yes)

 

Public Health Risk

The Public Health Risk questions have been moved from the Recommendations tab to the Intake tab. They can be answered by clicking

Yes or No.

 

The Public Health Risk Questions are as follow.

 

To your knowledge have you had any unsafe exposure to anyone that might have HIV infections in the last six months?

 

To your knowledge have you been exposed to anyone that may had have Tuberculosis in the three months?

 

To your knowledge have you had any unsafe exposure to anyone that might have Hepatitis in the last month?

 

To your knowledge have you had any unsafe exposure to anyone that might have sexually transmitted diseases in the last three months?

 

High Risk for Over Dose

New questions have been added to assist in identifying persons at high risk for an opioid over dose. They can be answered by clicking Yes or No.

 

The High Risk Over Dose questions are as follows:

 

•   In the last 30 days have you been released from a secured

    environment such as residential substance use disorder

    treatment program, jail, or prison?

 

       If yes, in the year before you entered the controlled

       environment did you use opioids

 

•   Are you currently or have you ever been prescribed Vivitrol

    (naltrexone) methadone, or buprenorphine for your use of

    opioids?

 

       If yes, have you recently stopped prescription use of

       Vivitrol (naltrexone), methadone, or buprenorphine

       (Suboxone, Subutex)?

 

•   Have you used opioids intravenously?

 

•   Have you experienced a non-fatal overdose?

      

       If yes, have you ever been administered naloxone or

       Narcan?

 

•   Do you and/or your friends/family have access to naloxone

    or Narcan to reverse an overdose?

 

Substance Abuse Services Users

If you have problems using CMBHS please contact the
CMBHS Help Line at 1 866 806-7806
Monday - Friday 8:00 am to 4:30 pm