Release
Notes (7.66) - 07.12.2019
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Texas Health and
Human Service Commission (HHSC) Clinical Management
for Behavioral Health Services (CMBHS) Release Date July 12,
2019 |
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Page or Function |
Description of Change and/or User Instructions |
Business Entity/User Type Impacted |
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HEI Case Management Note NEW NAME Case Management Activity |
The
name of the HEI Case Management Note has been changed to Case Management
Activity. The functions of the page remain the same but additional activity
groups and activities have been added. HEI
Case Management services may continue to use this note as before however, other
case management services, such as Overdose Prevention Centers, may also use
the note without concern that a client would be mistakenly identified as
having a specific health disorder. Please
refer to the CMBHS Online Help in the menu at the top of every page of CMBHS
for more detailed instructions on using this note type. |
All HEI Intervention
Providers All
Intervention Providers |
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Order of Mental Health Diagnosis on the
MH Diagnosis Page |
Background: In
June of 2018, changes were made to CMBHS to align it with the DSM 5. In
addition to conversion of the diagnoses descriptors from ICD-10 descriptors
to DSM 5 descriptors, the DSM 5 order of diagnoses rules, were also implemented.
The DSM 5 rules require that the principal diagnosis, the TRR Priority
Population mental health diagnosis, be in order 1. After
some months, it was noted that some batch files were being submitted without
having the principal mental health diagnosis in order 1. Due either to the
provider’s not having made the needed changes to their local system and/or
due to error. As a result, MH Assessments were calculating as LOC-9, when in
fact, the client did have a principal mental health diagnosis, it was just
not documented in the first order. At
the request of the LMHAs, a change was made to CMBHS to address the most
frequent type of error: a principal mental health diagnosis is documented for
the client but not in the first order. The Change: Consistent
with the DSM 5, HHSC MH Programs has not changed the program requirement that
the principal MH diagnosis be documented in order 1. This
change returns CMBHS back to how it functioned before the DSM 5 project was
deployed: when a user begins the process of documenting a MH Assessment
(CANS/ANSA) in CMBHS, CMBHS will search the client’s most recent diagnoses
for a qualifying MH diagnosis beginning with the first diagnosis and
searching through the next 5 for a total of 6. CMBHS will accept the first
qualifying MH diagnosis that it locates. When
diagnoses are batched, the diagnoses will be entered in the order submitted
and when a MH assessment is attempted, the search for a qualifying MH
diagnosis will go through the same process. The
first qualifying MH diagnosis will be used by the system to determine the
appropriate clinical scales for adults, and to calculate an LOC. This is how
the system worked prior to release of the DSM 5 change. Limitations: 1.
The
program requirement that the principal MH diagnosis be listed in order 1 has
not changed. The purpose of this change is to reduce the number of client’s
calculating to LOC-9 because of an error. 2.
CMBHS
will not differentiate between the principal diagnosis (the qualifying TRR
Priority Population diagnosis) and a qualifying MH diagnosis which means it
is a DSM 5 MH Diagnosis. 3.
If
the qualifying MH diagnosis is in order 7 – 18, it will not be located by
CMBHS and the Assessment calculator will find the client does not have a
qualifying MH diagnosis. |
Mental
Health Services Providers |
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Child and Adolescent Diagnosis and
Assessment |
The
error where CMBHS was accepting child and adolescent diagnosis that were not
mental health diagnoses as mental health diagnoses and allowing the
calculation of a level of care (LOC) has been corrected. The MH Assessment (CANS) will now only
calculate an LOC for a youth with a qualifying mental health diagnosis. |
Providers of Child and Adolescent MH
Services |
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YES
Waiver Claims By Service Type Report |
The
following fields have been added to the CMBHS YES Waiver Claims by Service
Type report ·
Claims
Identified Id ·
Claim
Nbr ·
Rate ·
Performed
by Field (from YES Waiver Service Note) ·
Billing
Procedure Code ·
Voucher/Check
Id ·
Source
Document ·
Claim
payment date ·
Claim
status date ·
Claim
submitted date ·
TMHP
Authorization Number ·
TMHP
R&S Date ·
EOB
code ·
Explanation
of Benefits This
report is available for YES Waiver Service provider users who have the CMBHS
YES Waiver Report role and for HHSC users with the equivalent HHSC role. Access
the report by going to the top menu, selecting Data > Reports > YES
Waiver Reports |
YES
Waiver Claims By Service Type Report |
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Curriculum Measures |
Providers
who may have previously had a problem entering a zero in a Curriculum Measure
field will find that the problem has been corrected. If for example, no youths successfully
complete a program, CMBHS now accepts a zero in that field. The
problem where some users were unable to edit their measures has also been
corrected. |
Prevention Providers that report
Curriculum Measures |
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Recovery
Support Services (RSS) Reports |
One
new report has been added to CMBHS for Recovery Support Services providers,
the RSS Demographic Summary Report. To
access RSS reports: ·
Your organization’s CMBHS Security
Administrator must give you the RSS Report Role at an RSS location; ·
You must be logged into an RSS location; ·
Use the Administrative toolbar at
the top of every CMBHS page by selecting Data and then the Reports menu
item. ·
Select the report you want. If
this message “No data to retrieve in Query 1” displays when you open the
report, click on ok and continue. ·
Select the Date range and
then Run. Report
Descriptions:
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Substance
Use Disorder Recovery Support Service Providers |
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If you have problems
using CMBHS please contact the |
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