Texas Department of State Health Services (DSHS)Clinical Management for Behavioral Health Services (CMBHS)Release Information - 7.8 |
Date 11.06.2014 | |
| Page or Function | Description Of Change and/or Instructions | Business Entity Type Impacted |
| LMHAs Contracting with MCOs to Provide Medicaid Services | LMHAs contracting with Managed Care Organizations (MCOs) to provide MH Rehabilitation and Case Management services, that would like a special location created for those clients in CMBHS, should submit an email to the DSHS Data Exchange Team cmbhs.dataexchange@dshs.state.tx.us to request creation of this new CMBHS location. | Mental Health Services Providers Only |
| Claims Auto- correct Accessed from the Begin Service Page | A new function, Claims Auto-correct, is now available in CMBHS. It helps you make changes to Claim Source Documents, especially when there is a funding source change. Claims Auto-correct was included in the most recent trainings and webinars provided by the DSHS CMBHS Training and Technical Assistance team. What does the Claims Auto-correct function do? When you change a Funding Source or a Claim Source Document (Progress Note, Medication Service Note and/or Day Rate Attendance record), the Claim Auto-correct pop-up page opens and displays all existing claims that will be impacted by the change. A message displays to inform you that if you Click on “Ok”, a change will be made to the Claim Source Documents displayed on the page. If you select Cancel, the change will not be madeWhat changes does the Claims Auto-correct make if you have already submitted claims in CMBHS for the impacted service? • Progress and Medication Service Notes – the funding source will be changed and the note will be marked non-billable. You must go to the note if further changes are needed and submit both the cancel claims and corrected submit claims from the Pending Claims page.• Day Rate Attendance records – the funding source will be changed and marked non-billable. The Client Present, Yes or No will not be changed. CMBHS will automatically submit the cancel claims. What changes does the Claims Auto-correct make if you have not submitted any claims in CMBHS for the impacted service? • Progress and Medication Service Notes – the funding source will be changed on the note and it is marked non-billable. The Pending Claims disappears from the Pending Claims page.• Day Rate Attendance records – the funding source will be changed and the record marked non-billable. |
All Substance Use Service Providers that Submit Claims to DSHS and/or Medicaid in CMBHS |
| Medicaid Eligibility Verification (MEV) | In order to ensure that data exchange with TMHP (for MEV and submission of Medicaid claims) operates correctly for your organization, DSHS has added certain identifiers (NPI, TPI and Taxonomy Code) to your CMBHS locations if they were not already entered. The identifiers were obtained from TMHP and correspond to those used when you enrolled as a Medicaid provider.
Security Administrators should review their CMBHS location set-up to make sure that: • All locations that will submit claims for substance abuse services have the correct substance abuse NPI/API, TPI and Taxonomy Codes entered;• Locations that will submit claims for mental health YES Waiver services have the correct YES Waiver NPI, TPI and Taxonomy Codes entered; • All locations have a billing address that is a physical address, not a P.O. Box. The physical address should be the same address used at enrollment with TMHP or the same physical address as your main administrative offices in CMBHS. MH Service Providers should submit an email to the DSHS Data Exchange Team at cmbhs.dataexchange@dshs.state.tx.us to request changes to their identifiers if needed. |
Substance Abuse and Mental Health Service Providers, OSARs and the NorthSTAR BHO |
| Yes Waiver Mental Health Individual Plans of Care (IPC) | Changes have been made to prevent users from submitting a Revision IPC until an Authorization Number is returned by TMHP and displayed on the Initial IPC. The TMHP Authorization Number will not display on the YES Waiver Service Note until a 278 Authorization file has been accepted by TMHP. If TMHP rejects the 278 Authorization file, you will not have an Authorization Number.
NOTE: You may experience a delay of several weeks for receipt of payment from TMHP for Minor Home Modifications, Adaptive Aids and Transitional Services because they are being manually entered for a short period of time while the TMHP system is updated. |
Yes Waiver Mental Health Services |
| Substance Abuse Services Screening and Assessment | New values have been added to the drop-down list for documentation of the client’s Referral Source on the Screening and Treatment, Assessment and Case Management Assessment for substance abuse services. The new values include the DSHS state psychiatric hospitals and an additional court related value.
State Psychiatric Hospitals:
Court Related:
It is important that Clinicians and Case Managers use these new values and document exactly which state psychiatric hospital or court type referred the client for services. |
Substance Abuse Service Providers |
| Health Community Collaboratives (HCC) | Functionality has been added to allow the addition of Health Community Collaboratives in CMBHS. HCC organizations serve clients that need substance abuse and/or mental health services and meet certain eligibility criteria.
The HCC determines eligibility, opens a case in CMBHS, makes a referral to a HCC service provider and obtains a CMBHS Release of Information from the client. The service provider delivers MH and/or SA services to the client in the usual manner. When services are completed, the provider Discharges the client and the HCC Closes the case. An important element of the program is the post-discharge follow-up conducted at 30 and 90 days. Health Community Collaboratives should contact the DSHS CMBHS Help Line at 866 806-7806 for information about training and access to CMBHS. |
Health Community Collaboratives Substance Abuse and Mental Health Services Providers |
| CMBHS MH Levels of Care | Two changes have been made in CMBHS related to Levels of Care: • Individuals who are eligible for LOC-1S (LOCR=1S), have an Intellectual and/or Developmental Disability (IDD) diagnoses and only need the services of 1M because they have another service provider, may now be deviated into LOC-1M. • MH Services users participating in the Early Onset Pilot Program (MHMRA of Harris County and Dallas MetroCare) may now select a Level of Care Deviation into LOC- EO, Early Onset for persons that meet the criteria. |
Mental Health Services Providers Only MHMRA of Harris County and Dallas MetroCare Only |
| MH-Diagnosis Document Status | Changes have been made to the MH-Diagnosis page to only allow appropriate Document Statuses to be selected. For this page, only Draft and Closed Complete are accepted Document Statuses.
NOTE: Ensure that all MH-Diagnoses batched to DSHS are in Closed Complete Status. |
Mental Health Services Providers Only |
| Changes Made in October 2014 | ||
| Client Profile
Age Type |
The ‘Age Type’ in the Client Profile now reflects only the client’s chronological age type, designated as either Youth or Adult. Youth is the designation for persons from birth to 17. After a youth has their 18th birthday, they are considered an Adult. The Age Type no longer has any relationship to the type of services a client is receiving. For substance abuse services, when a clinician determines the client will benefit from services designated for another age type, for example, a youth needs adult services. Document this by selecting a Youth service type on the Begin Service rather than an adult service. |
All Users
Substance Abuse Service Providers |