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 clients 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 clients 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 |
||