Clinical Management for Behavioral Health Services (CMBHS) Mental Health Implementation Project Update Presented October 24, 2012

AGENDA Introductions CMBHS update on the transition plans for authorizations CMBHS update on the CANS Web Service and CAUA Schedule CMBHS update on the Adult Uniform Assessment and Schedule Upcoming meetings

Open Authorization – Draft Migration Plan DSHS Program staff will develop a crosswalk from RDM service packages to TRR (Texas Resiliency and Recovery) levels of care. DSHS IT staff will migrate all RDM assessments in “Complete” status from CARE into CMBHS as read-only documents which may not be edited or deleted. Any RDM assessments left in “Incomplete” and/or “Provider Complete” status will not be migrated. The NS Assessments from VO will be migrated to respective entities based on the BHO Provider id, NPI and Vendor number. CMBHS will display the migrated assessments from CARE in distinct episode of care. Active clients will also have a “dummy” TRR assessment created in CMBHS. Active is defined as having an initial assessment and/or open authorizations but not a discharge assessment in CARE. Clients with future dated discharge assessments will still be considered as active. The NS Assessments for Active clients from VO will have dummy TRR assessments created in the respective entities based on the BHO Provider id, NPI and Vendor number.

Open Authorization – Draft Migration Plan The fields in the “dummy” TRR assessment will be prepopulated as follows: On the CANS/ANSA Tabs: All of the CANS/ANSA questions will be set to “zero” or “NA”. Using the above-mentioned crosswalk, the LOC-D will be set to the appropriate level of care based on the service package authorized in the most recent CARE RDM assessment in “closed” status. The Performed By should default to “Migration” All other fields will be prepopulated with the same responses as in the most recent CARE RDM assessment in “closed” status. On the Clinical Rating Scales all the fields will be prepopulated with the same responses as in the most recent CARE RDM assessment in “closed” status. On the Community Data Tab all the fields will be prepopulated with the same responses as in the most recent CARE RDM assessment in “closed” status.

Open Authorization – Draft Migration Plan On the Authorization Tab: The LOC-A will be set equal to the LOC-D. The “Reason for Deviation” will default to “Migration”. This value will only be available as default in the migration scenario. The Authorization Date for the CMBHS authorization will be the same as the Authorization Date for the authorization in CARE. The End date will be calculated based on the LOC A. (The LOC A will be based on the TRR levels of care) The Authorized By should default to “Migration” All other fields will be prepopulated with the same responses as in the most recent CARE RDM assessment in “closed” status. This will allow providers to perform update assessments and renew authorization according to the same schedule they were on in CARE.

Open Authorization – Draft Migration Plan The comment box will indicate that the assessment was auto-generated for the transition from CARE to CMBHS. The “dummy” assessment may not be edited or deleted. (Exception DSHS Admin role). Providers who want to place their clients in a level of care other than what was determined in the crosswalk will be required to perform an update assessment using the new TRR assessment in CMBHS. The system will not allow new CMBHS uniform assessments or authorizations to be back dated prior to the MH deployment of CMBHS (i.e., 09/01/2013). A broadcast message will be sent to all providers with detailed instructions. X-walk Rollover preparation timeline of 45 days Pre day one instructions Day one instructions

CANS Web Service The CANS and ANSA Web Service will calculate the recommended Level of Care (LOC-R) for: Age group 3 to 5 using calculator type = Baby CANS 3-5 Age group 6 to 17 using calculator type = CANS 6-17 Age group 18+ year using calculator type = ANSA Complete the CANS tab of Child and Adolescent Uniform t Complete the CANS tab of Child and Adolescent Uniform Assessment locally. Submit the Calculator Type, Axis I Diagnosis, and CANS data to the CANS and ANSA web service. Receive the Level of Care Recommended (LOC-R) from the CANS and ANSA web service. Store the calculated LOC-R in the Child and Adolescent Uniform Assessment in your local system. Send the calculated LOC-R on the batch assessment record to CMBHS CMBHS batch processing will recalculate the LOC-R. If the CMBHS calculation is different than the LOC-R in the assessment record CMBHS will flag as an error and put the batch assessment record in the suspense correction queue. Document for using the CANS and ANSA Web Service will be published on the provider documentation website https://cmbhslst.dshs.state.tx.us/cmbhs/Documents/

Child and Adolescent Uniform Assessment - Schedule

Adult Uniform Assessment – Draft Schedule There will be a MOU that will require signature by each provider that participates in testing the Adult Uniform Assessment and/or those providers that are required to send CMBHS test batch files for the Child and Adolescent Uniform Assessment and the Adult Uniform Assessment Melissa Brown is coordinating online testing with providers. Contact Melissa at Melissa.Brown2@dshs.state.tx.us for more information.

Meetings This presentation? Agenda for the IMC meeting on November 8, 2012 This presentation? Agenda for our next IMC Systems Policy Workgroup on November 28, 2012 Should we skip this meeting and have a meeting in mid December? Recommend December 12th or 19th.