Common use of Child Data Submission Requirements Clause in Contracts

Child Data Submission Requirements. (1) Grantee shall submit all required information in compliance with the schedule established by HHSC through either CARE/WebCare or CMBHS, as set forth in the following table: Required Submission Approved Data Submission Methods CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch TRR Child UA using the Child and Adolescent Needs Assessment (CANS) Yes Yes No No Assignments (Service, Activity, and Destination) No No Yes Yes Case Maintenance (Case delete, ID merge, and ID split) No No Yes No Client Profile (New and Updated) Yes No Yes Yes Diagnosis Yes No Yes Yes Follow-up Contact No No Yes Yes CARE County of Residence No No Yes No Separations No No Yes No CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch Consent Yes No N/A N/A (2) Grantee may only batch to CMBHS if Grantee has submitted Form U, CMBHS Assessment Attestation, incorporated by reference and posted at: xxxxx://xxx.xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral- health-services-providers/behavioral-health-provider-resources/community- mental-health-contracts, regarding data exchange.

Child Data Submission Requirements. (1) Grantee Contractor shall submit all required information in compliance with the schedule established by HHSC System Agency through either CARE/WebCare or Clinical Management for Behavioral Health Services System (CMBHS), as set forth in the following table: Required Submission Approved Data Submission Methods CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch TRR Child UA using the Child and Adolescent Needs Assessment (CANS) Yes Yes No No CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch Assignments (Service, Activity, and Destination) No No Yes Yes Case Maintenance (Case delete, ID merge, and ID split) No No Yes No Client Profile (New and Updated) Yes No Yes Yes Diagnosis Yes No Yes Yes Follow-up Contact No No Yes Yes CARE County of Residence No No Yes No Separations No No Yes No CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch Consent Yes No N/A N/A (2) Grantee Contractor may only batch to CMBHS if Grantee Contractor has submitted Form U, CMBHS Assessment Attestation, incorporated by reference and posted at: xxxxx://xxx.xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral- health-services-providers/behavioral-health-provider-resources/community- mental-health-contracts, regarding data exchange. (3) Contractor shall no longer enter, and System Agency will no longer accept, UA information through WebCare or the CARE System. UA data must be entered into CMBHS online or through a System Agency-approved data exchange process.

Child Data Submission Requirements. (1) Grantee Contractor shall submit all required information in compliance with the schedule established by HHSC System Agency through either CARE/WebCare or Clinical Management for Behavioral Health Services System (CMBHS), as set forth in the following table: Required Submission Approved Data Submission Methods CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch TRR Child UA using the Child and Adolescent Needs Assessment (CANS) Yes Yes No No CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch Assignments (Service, Activity, and Destination) No No Yes Yes Case Maintenance (Case delete, ID merge, and ID split) No No Yes No Client Profile (New and Updated) Yes No Yes Yes Diagnosis Yes No Yes Yes Follow-up Contact No No Yes Yes CARE County of Residence No No Yes No Separations No No Yes No CMBHS Online (Use of the CMBHS web interface) CMBHS Batch CARE/WebCare Online CARE/WebCare Batch Consent Yes No N/A N/A (2) Grantee Contractor may only batch to CMBHS if Grantee Contractor has submitted Form U, CMBHS Assessment Attestation, regarding data exchange. (3) Contractor shall no longer enter, and System Agency will no longer accept, UA information through WebCare or the CARE System. UA data must be entered into CMBHS online or through a System Agency-approved data exchange process. 3. Service Requirements: Contractor shall: a) Comply with UA requirements outlined in Section I.A.u)(2) above. The UA is not required for individuals whose services are not funded with funds paid to Contractor under this Statement of Work. b) Children’s MH case managers can access and use xxxxx://xxx.000xxxxx.xxx/cms/ as required in Texas Government Code (TGC) § 531.0244. c) Implement a Patient and Family Education Program (PFEP) in which clients and family are provided with education and educational materials related to diagnosis and medication. Guidelines available from the NIMH are incorporated by reference and can be found at xxxx://xxx.xxxx.xxx.xxx/health/index.shtml, or alternative guidelines approved by System Agency and posted at: xxxxx://xxx.xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral- healthon the HHSC website, on a schedule determined by System Agency, can be used to satisfy this requirement as well. If clients and/or their families and caregivers have not been educated about their diagnosis, the reason for the lack of education shall be documented in the clinical progress notes. d) Apply Texas Resiliency and Recovery (TRR) to all client services funded with contract funds in accordance with the following standards: (1) Provide services in accordance with the most current versions of System Agency’s TRR Utilization Management (UM) Guidelines, the Uniform Assessment (UA), including the CANS, and Information Item V (for Crisis Services). (2) Each child or youth for whom services are requested shall be screened in order to determine if they are part of the priority population and if services are warranted. (3) Children and youth seeking services are assessed in order to determine if they meet the requirements of priority population, and, if so, a full assessment shall be conducted and documented using the most current versions of the System Agency UA instruments, including the CANS. Individuals whose services are not funded with Statement of Work funds are exempt from inclusion in TRR, regardless of priority population status. (4) Make available to each client who is recommended and authorized for a Level of Care (LOC), as indicated by the UA, which includes the CANS, all services and supports within the authorized LOC (“LOC-servicesA”): (a) Any eligible child or youth may not be deviated downward more than one (1) LOC without written documentation supporting clinical need for the deviation. If client and Legally Authorized Representative (LAR) refuse the entire LOC, the child or youth may not be deviated downward more than one (1) LOC without written documentation that the child or youth and LAR have received a detailed explanation of the increased risks that the child or youth may experience by not receiving the appropriate LOC and the impact that providing a lower LOC may have on the treatment outcomes and negative impact on the prognosis of the child or youth. (For example, LOC-4 may not be deviated downward to LOC-1.) (b) Medicaid-providerseligible children and youth may not have services denied, reduced, suspended, or terminated due to lack of available resources. If a Medicaid- eligible child or youth, or his/behavioralher LAR, refuses the recommended LOC, the child or youth may be served at the next most appropriate LOC as long as the services within that LOC are appropriate and medically necessary to address the child or youth’s emotional disturbance. The LOC should not be reduced if the child, youth, or LAR refuses Family Partner services or family support groups only. (5) Medicaid-healtheligible children and youth shall be provided with any medically necessary Medicaid-providerfunded MH services within the recommended LOC without undue delay; (6) Meet all training requirements, as well as require all TRR services subcontractors to meet all training requirements of the System Agency-resources/community- mental-health-contracts, regarding data exchangeapproved EBPs prior to the provision of these services and supports as outlined in Information Item A. Completion of the training requirements shall be documented and maintained by Contractor and subcontractor.