Clinical Management for Behavioral Health Services (CMBHS) Mental Health Implementation

Project Update Presented October 9th and 16th, 2012

AGENDA

1. Welcome, Housekeeping & DSHS Introductions

2. Project Update

3. Options for implementing the new Child and Adolescent Uniform Assessment

4. Changes to Batch Submission process

5. Child and Adolescent Uniform Assessment Timeline

6. Adult Uniform Assessment Timeline

7. Next Steps for LMHAs/Providers Questions

8. Demo the Child and Adolescent Uniform Assessment Demo Client Profile, Diagnosis and Assessment

Questions

9. Demo the batch correction process Questions

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Project Update

Child and Adolescent Uniform Assessment – First production release published and communicated on September 26, 2012

Adult Uniform Assessment is in development.

There are three options for implementing the new Child and Adolescent Uniform Assessment:

1. Choose to use CMBHS onlineLMHA/Provider will not need to modify their local application. If a

LMHA/Provider chooses, they may utilize CMBHS’ web interface to fully calculate clients’ recommended Level of Care. To use this service, a client profile, diagnosis and assessment must be completed in CMBHS online. CMBHS will store the information, then calculate and return a recommended Level of Care. This option will require providers to manually enter the data into both their local system and CMBHS.

CMBHS

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2. Modify local application to include the new assessment and use a web service to calculate the LOC-R

Providers may choose to utilize a web service provided by DSHS to calculate the LOC-R. Using this approach, providers should modify their local systems to collect the required data and submit them to DSHS for real time processing. DSHS will return the recommended Level of Care, which the provider should record and submit to DSHS as part of its regular batch data submission process.

3. Modify local application to include the new assessment and the new LOC-R calculatorUsing this approach, providers should modify their local systems to collect the required data and calculate the Level of Care Recommended. The provider records the LOC-R and submits to DSHS as part of its regular batch data submission process.

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Changes to Batch Submission Process

CMBHS

• In March 2012, DSHS and HHSC agreed that the Care Assignment and Registration (CARE) system will be the system of record (SOR) for Client Registration and Diagnosis in order to maintain integrity of data between DSHS and DADS.

• This agreement required a change in the vision the CMBHS project team had for the batch interface. Previously, the plan was for all batch providers to send their data to CMBHS instead of CARE. Since CARE is going to remain the SOR for Client Registration and Diagnosis data, it was decided the providers using batching will need to submit two files to the state.

• Providers will continue to send select (i.e. non-assessment) data to CARE and CARE will forward any appropriate information to CMBHS .

• Assessment data will be sent by provider directly to CMBHS. CMBHS will provide any required assessment data to CARE.

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CMBHS

Process Incoming Batch Transactions from LMHA’s

LMHAMH & MR Provider

· Client Registration – New 05

· Client Registration – Update 07

· Diagnosis· New Gen Meds· MH Assignment

Batch (non-80-byte)

LMHAMH Provider

· Child Uniform Assessment

· Adult Uniform Assessment

80- byte

CARECARE

CAREBatch Process

CMBHSBatch Process

Move it Central Move it Central

XML/CMBHS 80 byte XML

Success/Fail

Suspense File/

Correction

Success

Success/Fail

Suspense File/

Correction

Fail

Fail

CMBHSCMBHS

Corrections

Write batch error reportsto printer spooler and XPTR

Write batch error reports to Global Scape

Corrections

Batch (non-80-byte)

Central Repository

Child and Adult Uniform Assessment Reports

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Process Incoming Batch Transactions from NorthSTAR SPN’s

· Client Profile - New· Financial Eligibility· Diagnosis· Child Uniform Assessment· Adult Uniform Assessment

Move it CentralMove it Central

CMBHSBatch Process

Success/Fail

Suspense File/

Correction

CMBHSCMBHS

Corrections

NorthSTAR SPN Providers

XML/80 Byte(CMBHS)

Fail

Success

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Daily Update Report and Trans Files

I-3

NorthSTARNorthSTAR VOVO

Batch Processing Reports

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4a

3, 4b

1 - Enrollment Request (1620)2 - Acknowledgment of Request Received3 - Research (Enrollment Requests, FE, Auth etc)4a - Enrollment Data4b - Delete of Enrollment Requests

(VO has found ineligible FE...)5 - Daily online and batch updates, client enrollment updates & deletes from I-3 process

SPNRead/Write

VORead only

VORead only

CMBHS - NorthSTAR

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Child and Adolescent Uniform Assessment Timeline

CMBHS

Milestone Activity Date Established by DSHS

First production release of code, use case/business rules for Child and Adolescent Uniform Assessment(CAUA) released to LMHAs

September 26, 2012

LMHA provides schedule for implementing technology to support the use of the CAUA to DSHS. October 19, 2012

LMHAS begin modifications to local systems for CAUA October 19, 2012 (Recommended)

LMHA begins testing CAUA batch data with DSHS March 1, 2013 (Required)

LMHA complete testing CAUA batch data with DSHS April 30, 2013 (Required: Testing schedule must be established with DSHS)

Attestation of Readiness for CAUA by LMHAs May 13, 2013 (Required)

“Go Live” date September 1, 2013 (Required)

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Adult Uniform Assessment Draft Timeline

CMBHS

Milestone Activity Draft Date Established by DSHS

First draft version of use case/business rules for Adult Uniform Assessment (AUA) to LMHAS September 17, 2012

First production release of code, use case/business rules for Adult Uniform Assessment (AUA) published by DSHS November 30, 2012. Bulleting sent to LMHAs announcing code release, including schedule of web demo/Q and A calls. (No date change: added note regarding bulletin and demos/Q and A calls.)

LMHA provides schedule for modifications to local system to implement AUA to DSHS January 1, 2013 if AUA released by DSHS in November. If release is delayed, there is a day-for-day delay for schedule production and modification, however testing schedule should not change.. (No date change: clarified impact on delay of release.)

LMHAs begin modifications to local systems for AUA 

January 1, 2013 (Recommended) (Date change to align with schedule submission.)

LMHAs Begin testing AUA batch data with DSHS  

May 1, 2013

LMHAs completes testing AUA batch data with DSHS 

June 28, 2013

Attestation of Readiness for AUA 

July 15, 2013 (Required)

“Go Live” date September 1, 2013 (Required)

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Next Steps for LMHAs/Providers

Develop Schedule and complete the worksheet included in the broadcast communication and return to DSHS by October 19, 2012.

If you will be batching, start modifications to your local system for the Child and Adolescent Uniform Assessment.

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Questions?

CMBHS