54
REPORT CROSSWALK TO STATE 23-DEC-16 01:28 Report Date : Run by : Report : CWMS_PROXY Filename : Crosswalk Management System

Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

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Page 1: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

REPORT CROSSWALK TO STATE

23-DEC-16 01:28Report Date :

Run by :

Report :

CWMS_PROXY

Filename :

Crosswalk Management System

Page 2: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 2 of 54

Status : FN

Start Date : 01-JAN-91End Date :

Follow-up :

Media ID : SASCAS2 - AL

AlabamaSystem

K

1

2

3

System Transaction Type

State Code

Reporting Date

A

C

D

-

Add

Change

Delete

AL

Add

Change

Delete

State Postal Abbreviation

System Transaction Type

State code

Month and Year of Submission

-

-

-

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Substance Abuse and Mental Health Services AdministrationCenter for Behavioral Health Statistics and Quality

Alabama Old System - SASCAS2Version : 1

A

C

D

-

MMYYYY

Page 3: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 3 of 54

AlabamaMinimum

K

K

K

K

K

1

2

3

3

4

State Provider Identifer

Client Identifer (Admission)

Co-Dependent/Collateral

Co-Dependent/Collateral

Client Transaction Type

1

2

1

2

3

Yes

No

Re-admission

New Admission

Transfer

No

Yes

Yes

No

Admission (SA)

Admission (SA)

Transfer/Change in Service (SA)

Center Number (preceded by the State Code of AL)

Case Number

Not Collected

Co-Dependent/Collateral

Client Transaction Type

--

--

-

-- 109

-- 111

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

2

1

1

2

A

A

T

No longer effective as of: 05-31-2014

Number assigned consecutively by center

Page 4: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 4 of 54

AlabamaMinimum

K

K

K

4

5

5

6

Client Transaction Type

Date of Admission

Date of Admission

Prior Treatment Episodes

1

2

-

-

08

Admission

Readmission

MM/DD/YY

YYMMDD

Not Collected

Admission (SA)

Admission (SA)

mmddyyyy

mmddyyyy

Not Collected

Type Admission

Date of Admission (AdmitDate)

Admission Date

Not Collected

--

--

--

-

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

A

A

m/d/y

m/d/y

8

No longer effective as of:

No longer effective as of:

No longer effective as of:

05-31-2014

05-31-2014

09-30-1992

Page 5: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 5 of 54

AlabamaMinimum

6

7

Prior Treatment Episodes

Principal Source of Referral

0

1

2

3

4

5

7

1

2

3

4

5

6

7

97

0

1

2

3

4

5 or more

Unknown

Individual (Includes self-referral)

Alcohol/Drug Abuse Care Provider

Other Health Care Provider

School (Educational)

Employer/EAP

Other Community Referral

Court/Criminal Justice Referral/DUI/DWI

Unknown

0 Previous Episodes

1 Previous Episodes

2 Previous Episodes

3 Previous Episodes

4 Previous Episodes

5 Or More Previous Episodes

Unknown

Individual (includes self-referral))

Alcohol/Drug Abuse Provider

Other Health Care Provider

School (Educational)

Employer/Employer Assistance ProgramEAP

Other Community Referral

Court/Criminal Justice/DUI/DWI

Unknown

Number of Prior Treatments

Referral Source

-- 137

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

0

1

2

3

4

5

7

01

02

03

04

05

06

07

97

No longer effective as of: 09-30-2002

Page 6: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 6 of 54

AlabamaMinimum

7 Principal Source of Referral

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

Self (individual)

Parent

Physician

School system

Other family

Friend

Spouse

DHR

Employer/EAP

Court/correctional agency

State/federal court

Formal adjudication process

Probation/parole

Recognized legal entity

DUI/DWI

Diversionary program/TASC

Prison

Other criminal justice

Individual (includes self-referral))

Individual (includes self-referral))

Other Health Care Provider

School (Educational)

Individual (includes self-referral))

Individual (includes self-referral))

Individual (includes self-referral))

Other Community Referral

Employer/Employer Assistance ProgramEAP

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Court/Criminal Justice/DUI/DWI

Principal Source of Referral-- 110

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

01

03

04

01

01

01

06

05

07

07

07

07

07

07

07

07

07

Page 7: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 7 of 54

AlabamaMinimum

7 Principal Source of Referral

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

Police

Guardian

Other community referral

Education agency

State/county psychiatric hospital

General hospital psychiatric hospital

Other inpatient psychiatric organization

Nursing Home, extended care organization

Alcohol treatment inpatient/residential

Drug abuse inpatient/residential

Alcohol treatment not inpatient

Drug abuse not inpatient

Multi service mental health agency

Outpatient psychiatric service/clinic

Private psychiatrist

Other Physician

Other private mental health practicioner

Other health provider

Partial day organization

Court/Criminal Justice/DUI/DWI

Individual (includes self-referral))

Other Community Referral

School (Educational)

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Alcohol/Drug Abuse Provider

Alcohol/Drug Abuse Provider

Alcohol/Drug Abuse Provider

Alcohol/Drug Abuse Provider

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Community Referral

Principal Source of Referral-- 110

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

07

01

06

04

03

03

03

03

02

02

02

02

03

03

03

03

03

03

06

Page 8: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 8 of 54

AlabamaMinimum

7

8

9

Principal Source of Referral

Date of Birth

Gender

38

39

40

41

42

43

44

45

98

-

F

M

Shelter for homeless

Shelter for abused

Mental retardation regional office

ARC

MR/DD 310

Vocational rehabilitation services

Personal care/boarding home

Clergy

Other

MMDDYYYY

Female

Male

Other Community Referral

Other Community Referral

Other Health Care Provider

Other Health Care Provider

Other Health Care Provider

Other Community Referral

Other Community Referral

Other Community Referral

Unknown

Date of birth

Female

Male

Principal Source of Referral

Date of Birth

Gender

-- 110

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

06

06

03

03

03

06

06

06

97

MMDDYYYY

2

1

Page 9: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 9 of 54

AlabamaMinimum

9

10

Gender

Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit

1

2

1

2

3

4

5

7

Male

Female

Alaskan Native

American Indian

Asian or Pacific Islander

Black

White

Other

Male

Female

Alaska Native (Aleut, Eskimo, Indian)

American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other

Asian or Pacific Islander use only if not collecting codes separately

Black or African American

White

Other Single Race

Sex

Race

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

1

2

01

02

03

04

05

20

No longer effective as of:

No longer effective as of:

05-31-2014

09-30-2002

Page 10: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 10 of 54

AlabamaMinimum

10

11

Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit

Hispanic or Latino Origin ( Ethnicity)

1

13

2

20

21

23

4

5

97

1

2

3

5

6

Alaskan Native

Asian

American Indian

Other

More than one race reported

Native Hawaiian/Other Pacific Islander

Black or African American

White

Unknown

Not of Hispanic Origin

Puerto Rican

Cuban

Mexican/Mexican American

Other Hispanic

Alaska Native (Aleut, Eskimo, Indian)

Asian

American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other

Other Single Race

Two or More Races

Native Hawaiians or Other Pacific Islanders

Black or African American

White

Unknown

Not of Hispanic or Latino Origin

Puerto Rican

Cuban

Mexican

Hispanic or Latino - Specific Origin not Specified

Race

Ethnicity

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

13

02

20

21

23

04

05

97

05

01

03

02

06

Page 11: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 11 of 54

AlabamaMinimum

11

12

Hispanic or Latino Origin ( Ethnicity)

Education

1

2

3

4

5

97

00-12

13

14

15

16

17

18

19

20

Puerto Rican

Mexican

Cuban

Other Hispanic

Not of Hispanic Origin

Unknown

Years completed

High school diploma/GED

Some education > High school

Associate degree

Bachelor's degree

Master's degree

Doctorate

No formal education

Special education

Puerto Rican

Mexican

Cuban

Other Specific Hispanic

Not of Hispanic or Latino Origin

Unknown

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Less Than One Grade Completed

Unknown

Ethnicity

Education at Time of Admission

--

-- 170

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

97

01-25

01-25

01-25

01-25

01-25

01-25

01-25

00

97

No longer effective as of: 09-30-1994

Page 12: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 12 of 54

AlabamaMinimum

12

13

Education

Employment Status

0-25

0-25

1

2

3

4

97

0-25

0-25

Employed Full Time

Employed Part Time

Unemployed

Not in the Labor Force

Unknown

Less Than One Grade Completed

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Full Time - works 35 or more hours a week- includes military

Part Time - works less tahn 35 hours per week

Unemployed - looking for work in past 30 days or on layoff from job

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Unknown

Education at Time of Admission

Employment Status

-- 170

-- 127

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

00

01-25

01

02

03

04

97

No longer effective as of:

No longer effective as of:

10-31-2010

09-30-2002

Page 13: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 13 of 54

AlabamaMinimum

13 Employment Status

A

B

C

D

E

F

G

H

I

S

Employed Full Time

Employed Part Time

Unemployed/Looking for work

Homemaker

Student

Retired

Disabled

Inmate of Institution

Not looking for work over the past 30 days

Supported employment

Full Time - works 35 or more hours a week- includes military

Part Time - works less tahn 35 hours per week

Unemployed - looking for work in past 30 days or on layoff from job

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Part Time - works less tahn 35 hours per week

Employment Status-- 127

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

04

04

04

04

04

02

Page 14: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 14 of 54

AlabamaMinimum

14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

1001

1101

1102

1201

1301

1302

1303

1304

1305

1306

1307

1308

1401

1403

1501

1502

1503

Methamphetamine/Speed

Amphetamine

Methylphenidate

Other Stimulant

Alprazolam

Chlordiazepoxide

Clorazepate

Diazepam

Flurazepam

Lorazepam

Triazolam

Other Benzodiazepine

Meprobamate

Other Tranquilizers

Phenobarbital

Secobarbital/Amobarbital

Secobarbital

Methamphetamine

Other Amphetamines

Other Amphetamines

Other Stimulants

Benzodiazepines

Benzodiazepines

Benzodiazepines

Benzodiazepines

Benzodiazepines

Benzodiazepines

Benzodiazepines

Benzodiazepines

Other Non-Benzodiazapine Tranquilizers

Other Non-Benzodiazapine Tranquilizers

Barbiturates

Barbiturates

Barbiturates

Substance, Primary, Secondary, Tertiary--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

10

11

11

12

13

13

13

13

13

13

13

13

14

14

15

15

15

Page 15: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 15 of 54

AlabamaMinimum

14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

1601

1602

1603

1604

1605

1701

1702

1703

1704

1705

1801

2001

2002

201

301

302

401

501

Ethclorvynol

Glutethimide

Methaqualone

Other Non-Barbiturate Sedative

Other Sedatives

Aerosols

Nitrates

Other Inhalants

Solvents

Anesthetics

Diphenhydramine

Diphenylhdartian Sodium

Other Drugs

Alcohol

Crack

Other Cocaine

Marijuana/Hashish

Heroin/Morphine

Other Non-Barbituate Sedatives or Hypnotics

Other Non-Barbituate Sedatives or Hypnotics

Other Non-Barbituate Sedatives or Hypnotics

Other Non-Barbituate Sedatives or Hypnotics

Other Non-Barbituate Sedatives or Hypnotics

Inhalants

Inhalants

Inhalants

Inhalants

Inhalants

Over-the-Counter

Other

Other

Alcohol

Cocaine, Crack

Cocaine, Crack

Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)

Heroin

Substance, Primary, Secondary, Tertiary--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

16

16

16

16

16

17

17

17

17

17

18

20

20

02

03

03

04

05

Page 16: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 16 of 54

AlabamaMinimum

14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

601

701

702

703

704

705

706

707

801

901

902

9997

9998

Methadone

Codeine

D-Propoxphene

Oxycodone

Meperdine HCL

Hydromorphone

Other Narcotic Analgesics

Pentazocine

PCP/PCP Combination

LSD

Other Hallucinogens

Unknown

Not Collected

Non-Prescription Methadone

Other Opiates and Synthetics

Other Opiates and Synthetics

Other Opiates and Synthetics

Other Opiates and Synthetics

Other Opiates and Synthetics

Other Opiates and Synthetics

Other Opiates and Synthetics

PCP

Hallucinogens

Hallucinogens

Unknown

Not Collected

Substance, Primary, Secondary, Tertiary--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

06

07

07

07

07

07

07

07

08

09

09

97

98

No longer effective as of: 09-30-2002

Page 17: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 17 of 54

AlabamaMinimum

14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

None

Alcohol

Cocaine/Crack

Marijuana

Heroin

Non-prescription Methadone

Other opiates and synthetics

PCP

Other hallucinogens

Methamphetamine

Other Amphetamines

Other stimulants

Benzodiazepines

Other tranquilizers

Barbiturates

Other sedatives or hypnotics

Inhalants

None

Alcohol

Cocaine, Crack

Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)

Heroin

Non-Prescription Methadone

Other Opiates and Synthetics

PCP

Hallucinogens

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Non-Benzodiazapine Tranquilizers

Barbiturates

Other Non-Barbituate Sedatives or Hypnotics

Inhalants

Substance Problem Type-- 112,117

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

Page 18: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 18 of 54

AlabamaMinimum

14

15

Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)

R

Y

1

2

3

4

5

8

9

Over the counter

Other

Oral

Smoking

Inhalation

Injection IV

Injection Intramuscular

Other

Not Applicable

Over-the-Counter

Other

Oral

Smoking

Inhalation

Injection (IV or intramuscular, intradermal or subcutaneous)

Injection (IV or intramuscular, intradermal or subcutaneous)

Other

Not Applicable

Substance Problem Type

Route of Administration (Primary Drug)

-- 112,117

-- 114,119

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

18

20

01

02

03

04

04

20

96

Page 19: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 19 of 54

AlabamaMinimum

15

16

Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)

Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)

1

2

20

3

4

97

98

Oral

Smoking

Other

Inhalation

Injection (IV or intramuscular)

Unknown

Not Collected

Oral

Smoking

Other

Inhalation

Injection (IV or intramuscular, intradermal or subcutaneous)

Unknown

Not Collected

Route of Administration (Primary Drug)

Not Collected

-- 114,119

-

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

20

03

04

97

98

No longer effective as of:

No longer effective as of:

09-30-2002

09-30-1992

Page 20: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 20 of 54

AlabamaMinimum

16

17

17

Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)

Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)

Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)

1

2

3

4

5

97

98

00

01-95

No Past Month Use

1-3 Times in Past Month

1-2 Times Per Week

3-6 Times Per Week

Daily

Unknown

Not Collected

Newborn With A Substance Dependency Problem

Age At First Use

No use in the past month

1-3 times in past month

1-2 times per week

3-6 times per week

Daily

Unknown

Not Collected

Newborn with a substance dependecy problem

Age at First Use, in years

Frequency of Use

Not Collected

Age of first Use

-- 115,120

-

-- 116,121

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

97

98

00

01-95

No longer effective as of: 09-30-1992

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CWMS_PROXY

Crosswalk Report

Page 21 of 54

AlabamaMinimum

K

K

18

18

19

Type of Services

Type of Services

Medication-Assisted Opioid Therapy

1

2

3

4

5

1

2

3

4

5

N

Y

Medically monitored inpatient detox

Clinically managed high intensity residential

Clinically managed low intensity residential

Intensive outpatient

Outpatient

Assessment

Intensive Out-Patient

Crisis Residential

Residential Rehab

Res. Detox

No

Yes

Detoxification Free-standing Residential ( Detox, 24 hour Service)

Rehabilitation/Residential - Short-term, ( 30 days or fewer)

Rehabiliation/Residential - Long-term, ( more than 30 days)

Ambulatory - Intensive Outpatient

Ambulatory - Non-Intensive Outpatient

Ambulatory - Non-Intensive Outpatient

Ambulatory - Intensive Outpatient

Rehabiliation/Residential - Long-term, ( more than 30 days)

Rehabilitation/Residential - Short-term, ( 30 days or fewer)

Detoxification - Hospital Inpatient ( Detox, 24 hour Service)

No

Yes

Level of Service

Level of Service

Opioid Replacement Therapy

--

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

02

04

05

06

07

07

06

05

04

01

2

1

No longer effective as of: 09-30-2002

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CWMS_PROXY

Crosswalk Report

Page 22 of 54

AlabamaMinimum

19 Medication-Assisted Opioid Therapy

N

Y

No

Yes

No

Yes

Use of Methadone in Treatment--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

2

1

No longer effective as of: 05-31-2014

Page 23: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 23 of 54

AlabamaSupplementalK = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

Page 24: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 24 of 54

AlabamaSupplemental

1 Detail Drug Code, Primary

00

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

None

Alcohol

Crack

Other Cocaine

Marijuana/Hashish

Heroin/Morphine

Methadone

Codeine

D-Propoxyphene

Oxycodone

Meperidine HCI

Hydromorphone

Other Narcotic Analgesics

Pentazocine

PCP or PCP Combinations

LSD

Other Hallucinogens

Methamphetamine/Speed

Not Applicable

Alcohol

Crack

Other Cocaine

Marijuana/Hashish,THC and any other cannabis sativa preparation

Heroine/Morphine

Methadone

Codeine

D-Propoxyphene

Oxycodone (Oxycotin)

Meperidine HCL

Hydromorphone (Dilaudid)

Other Narcotic Analgesics

Pentazocine (Talwin)

PCP or PCP Combinations

LSD

DMT, mescaline, peyote,STD and Other Hallucinogens

Methamphetamine/Speed

Specific Drug~ 113,118

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

9996

0201

0301

0302

0401

0501

0601

0701

0702

0703

0704

0705

0706

0707

0801

0901

0902

1001

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CWMS_PROXY

Crosswalk Report

Page 25 of 54

AlabamaSupplemental

1 Detail Drug Code, Primary

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

Amphetamine

Methylphenidate

Other Stimilants

Alprazolam

Chlordiazepoxide

Clorazepate

Diazepam

Flurazepam

Lorazepam

Triazolam

Other Benzodiazepine

Mephrobamate

Other Transquilizer

Phenabarbital

Secobarbital/Amobarbital

Secobarbital

Ethclorvynol

Glutethimide

Methaqualone

Amphetamine

Methylphenidate - (Ritalin)

Other Stimulants

Alprazolam (Xanax)

Chlordiazepoxide (Librium)

Clorazepate (Tranzene)

Diazepam (Valium)

Flurazepam (Dalmane)

Lorazepam (Ativan)

Triazolam (Halcion)

Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other

Meprobamate (Miltown)

Other non-benzodiazepineTranquilizer

Phenobarbital

Secobarbital/Amobarbital (Tuinal)

Secobarbital (Seconal)

Ethclorvynol (Placidyl)

Glutethimide (Doriden)

Methaqualone

Specific Drug~ 113,118

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

1101

1202

1201

1301

1302

1303

1304

1305

1306

1307

1308

1401

1403

1501

1502

1503

1601

1602

1603

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CWMS_PROXY

Crosswalk Report

Page 26 of 54

AlabamaSupplemental

1 Detail Drug Code, Primary

37

38

39

40

41

42

43

44

44

45

47

48

49

50

51

98

Other Non-Barbiturate Sedatives

Other Sedatives

Aerosols

Nitrites

Other Inhalants

Solvents

Anesthetics

Diphenhydramine

Diphenhydramine

Diphenylhydantoin Sodium

Methylenedioxmethamphetamine (Ecstasy, MDMA)

Flunitrazepam (Rohypnol)

GHB/GBL (gamma hydoxybutyrate, gamma butyrolactone)

Ketamine (Special K)

Clonazepam (Klonopin, Rivotril)

Other

Other Non-Barbiturate Sedatives

Other Sedatives

Aerosols

Nitrites

Gasoline,glue, and other inapproriately inhaled products

Solvents (paint thinners and other solvents)

Anesthetics (Choloform,ether, nitrous oxzide and other anesthetics)

Diphenhydramine

Diphenhydramine

Dephenylhydantoin/Phenytoin (Dilantin)

Methyleneioxymethampetamine (MDMA, Ecstacy

Flutirazepram (Rohypnol)

GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)

Ketamine - ( Special K)

Clonazepam - (Klonopin, Rivotril)

Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs

Specific Drug~ 113,118

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

1604

1605

1701

1702

1703

1704

1705

1801

1801

2001

1103

1309

2003

2004

1310

2002

Page 27: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 27 of 54

AlabamaSupplemental

1 Detail Drug Code, Primary

1001

1101

1102

1201

1301

1302

1303

1304

1305

1306

1307

1308

1401

1403

1501

1502

1503

1601

Methamphetamine/Speed

Amphetamine

Methylphenidate

Other Stimulant

Alprazolam

Chlordiazepoxide

Clorazepate

Diazepam

Flurazepam

Lorazepam

Triazolam

Other Benzodiazepine

Meprobamate

Other Tranquilizers

Phenobarbital

Secobarbital/Amobarbital

Secobarbital

Ethclorvynol

Methamphetamine/Speed

Amphetamine

Methylphenidate (Ritalin)

Other Stimulants

Alprazolam (Xanax)

Chlordiazepoxide (Librium)

Clorazepate (Tranzene)

Diazepam (Valium)

Flurazepam (Dalmane)

Lorazepam (Ativan)

Triazolam (Halcion)

Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other

Meprobamate (Miltown)

Other non-benzodiazepineTranquilizer

Phenobarbital

Secobarbital/Amobarbital (Tuinal)

Secobarbital (Seconal)

Ethclorvynol (Placidyl)

Substance, Primary, Secondary, Tertiary--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

1001

1101

1102

1201

1301

1302

1303

1304

1305

1306

1307

1308

1401

1403

1501

1502

1503

1601

Page 28: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 28 of 54

AlabamaSupplemental

1 Detail Drug Code, Primary

1602

1603

1604

1605

1701

1702

1703

1704

1705

1801

2001

2002

201

301

302

401

501

601

701

Glutethimide

Methaqualone

Other Non-Barbiturate Sedative

Other Sedatives

Aerosols

Nitrates

Other Inhalants

Solvents

Anesthetics

Diphenhydramine

Diphenylhdartian Sodium

Other Drugs

Alcohol

Crack

Other Cocaine

Marijuana/Hashish

Heroin/Morphine

Methadone

Codeine

Glutethimide (Doriden)

Methaqualone

Other Non-Barbiturate Sedatives

Other Sedatives

Aerosols

Nitrites

Gasoline,glue, and other inapproriately inhaled products

Solvents (paint thinners and other solvents)

Anesthetics (Choloform,ether, nitrous oxzide and other anesthetics)

Diphenhydramine

Dephenylhydantoin Sodium

Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs

Alcohol

Crack

Other Cocaine

Marijuana/Hashish,THC and any other cannabis sativa preparation

Heroine/Morphine

Methadone

Codeine

Substance, Primary, Secondary, Tertiary--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

1602

1603

1604

1605

1701

1702

1703

1704

1705

1801

2001

2002

0201

0301

0302

0401

0501

0601

0701

Page 29: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 29 of 54

AlabamaSupplemental

1

2

2

Detail Drug Code, Primary

Detail Drug Code, Secondary

Detail Drug Code, Secondary

702

703

704

705

706

707

801

901

902

9997

9998

D-Propoxphene

Oxycodone

Meperdine HCL

Hydromorphone

Other Narcotic Analgesics

Pentazocine

PCP/PCP Combination

LSD

Other Hallucinogens

Unknown

Not Collected

D-Propoxyphene

Oxycodone (Oxycotin)

Meperidine HCL

Hydromorphone (Dilaudid)

Other Narcotic Analgesics

Pentazocine (Talwin)

PCP or PCP Combinations

LSD

DMT, mescaline, peyote,STD and Other Hallucinogens

Unknown

Not Collected

Same as Detail Drug Code, Primary

Same as Detail Drug Code, Primary

Substance, Primary, Secondary, Tertiary

Specific Drug

Substance, Primary, Secondary, Tertiary

--

~ 113,118

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

0702

0703

0704

0705

0706

0707

0801

0901

0902

9997

9998

_

_

No longer effective as of:

No longer effective as of:

09-30-2002

09-30-2002

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CWMS_PROXY

Crosswalk Report

Page 30 of 54

AlabamaSupplemental

3

3

4

4

5

Detail Drug Code, Tertiary

Detail Drug Code, Tertiary

Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i

Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i

Psychiatric Problem in Addition to Alcohol or Drug Problem

-

xxx.xx

1

2

###.##

DSM Diagnosis

Yes

No

Same as Detail Drug Code, Primary

Same as Detail Drug Code, Primary

DSM/ICD codes

DSM/ICD codes

Yes

No

Substance, Primary, Secondary, Tertiary

Specific Drug

DSMIII-R Axis I

Diagnosis

Psychiatric Problems

--

~ 113,118

~

~

~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

_

_

XXX.XX

XXX.XX

1

2

No longer effective as of:

No longer effective as of:

No longer effective as of:

09-30-2002

05-31-2014

05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 31 of 54

AlabamaSupplemental

5

6

6

7

Psychiatric Problem in Addition to Alcohol or Drug Problem

Pregnant at Admission

Pregnant at Admission

Veteran Status

N

Y

A

N

Y

1

2

N

Y

No

Yes

Not applicable

Not pregnant

Pregnant

Yes

No

No

Yes

No

Yes

Not Applicable - use this code for male clients or children in prepuberty age

No - female client was not pregnant at admission

Yes - female client was pregnant at admission

Yes - female client was pregnant at admission

No - female client was not pregnant at admission

No

Yes

Co-Occurring Disorder Identified

Pregnant at Time of Admission

Pregnant at Time of Admission

Veteran

~ 135

~ 131

~ 131

~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

2

1

6

2

1

1

2

2

1

No longer effective as of:

No longer effective as of:

09-30-2002

05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 32 of 54

AlabamaSupplemental

7

8

Veteran Status

Living Arrangements

N

Y

Y

A

B

C

D

E

F

G

H

I

No

Yes, previously on active duty

Yes

Independent living

Resides with family

Homeless

Jail or correctional facility

Other institutional setting (ex nursing home)

Center operated/contracted residential program

Center subsidized housing

Alabama Housing Finance Authority

Other (ex. foster care, DYS group home)

No

Yes

Yes

Independent Living - clients living alone or with others but no supervision

Dependent Living - clients living in a supervised setting

Homeless - clients with no fixed address; includes homeless shelter

Dependent Living - clients living in a supervised setting

Dependent Living - clients living in a supervised setting

Dependent Living - clients living in a supervised setting

Dependent Living - clients living in a supervised setting

Dependent Living - clients living in a supervised setting

Dependent Living - clients living in a supervised setting

Veteran _

Living Arrangement

~ 132

~ 130

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

2

1

1

03

02

01

02

02

02

02

02

02

Page 33: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 33 of 54

AlabamaSupplemental

8

9

Living Arrangements

Source of Income/Support

1

2

3

97

1

2

20

21

3

4

97

Homeless

Dependent Living

Independent Living

Unknown

Wages/Salary

Public Assistance

Other

None

Retirement/Pension

Disability

Unknown

Homeless - clients with no fixed address; includes homeless shelter

Dependent Living - clients living in a supervised setting

Independent Living - clients living alone or with others but no supervision

Unknown

Wages/Salary

Public Assistance

Other

None

Retirement/Pension

Disability

Unknown

Living Arrangement

Primary Source of Income (Financial Support)

~ 130

~ 139

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

97

01

02

20

21

03

04

97

No longer effective as of:

No longer effective as of:

09-30-2002

05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 34 of 54

AlabamaSupplemental

9

10

Source of Income/Support

Health Insurance

001

002

003

004

008

098

0

1

2

3

5

6

7

7

8

97

Wages/Salary

Public Assistance

Retirement/Pension

Disability (includes Social Secyrity Disability & SSI Disability)

None

Other

None

Workman's compensation

Personal resources (self/family)

Commercial health insurance (Blue Cross/Blue Shield, Champus)

Medicaid

Medicare

Medicare/Medicaid (both received)

Medicare/Medicaid (both received)

Other

Unknown

Wages/Salary

Public Assistance

Retirement/Pension

Disability

None

Other

None

None

None

Private Insurance (other than BCBS or HMO)

Medicaid

Medicare

Medicaid

Medicare

Other (e.g. TriCare)

Unknown

Primary Source of Income (Financial Support)

Source of Payment

~ 139

~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

21

20

21

21

21

01

04

03

04

03

20

97

No longer effective as of: 05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 35 of 54

AlabamaSupplemental

10 Health Insurance

0

1

2

3

5

6

7

7

8

97

None

Workmen's Compensation

Personal Resources (self/family)

Commercial Health Insurance (Blue Cross/Blue Shield, Champus)

Medicaid

Medicare

Medicaid/Medicare (receiving both)

Medicaid/Medicare (receiving both)

Other

Unknown

None

None

None

Private Insurance (other than BCBS or HMO)

Medicaid

Medicare

Medicaid

Medicare

Other (e.g. TriCare)

Unknown

Health Insurance _~ 140

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

21

21

21

01

04

03

04

03

20

97

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CWMS_PROXY

Crosswalk Report

Page 36 of 54

AlabamaSupplemental

11 Expected/Actual Primary Source of Payment

0

1

2

3

4

5

6

7

7

8

97

None

Workmen's Compensation

Personal resources (self/family)

Commercial Health Insurance (Blue Cross/Blue Shield, Champus)

Service Contract (EAP, HMO, public mental health authority)

Medicaid

Medicare

Medicaid/Medicare

Medicaid/Medicare

Other

unknown

Other Government Payments

Worker's Compensation

Self-Pay

Other Health Insurance Companies

Other Government Payments

Medicaid

Medicare

Medicare

Medicaid

Other

Unknown

Source of Payment_~ 141

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

05

06

01

07

05

04

03

03

04

09

97

Page 37: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 37 of 54

AlabamaSupplemental

11 Expected/Actual Primary Source of Payment

0

1

2

3

4

5

6

7

7

8

97

None (organization o\to absorb total cost)

Workmen's Compensation

Personal Resources (self/family)

Commercial Health Insurance (Blue Cross/Blue Shield, TriCare)

Service Contract (EAP, KMO, Public Mental Health)

Medicaid

Medicare

Medicare/Medicaid

Medicare/Medicaid

Other

Unknown

Other Government Payments

Worker's Compensation

Self-Pay

Other Health Insurance Companies

Other Government Payments

Medicaid

Medicare

Medicare

Medicaid

Other

Unknown

Primary Source of Payment~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

05

06

01

07

05

04

03

03

04

09

97

No longer effective as of: 05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 38 of 54

AlabamaSupplemental

12

12

Detailed Not in Labor Force

Detailed Not in Labor Force

1

2

3

4

5

97

98

D

E

F

G

H

I

Homemaker

Student

Retired

Disabled

Inmate of Institution

Other

Unknown or N/A

Homemaker

Student

Retired

Disabled

Inmate of Institution

Not looking for work over past 30 days

Homemaker

Student

Retired

Disabled

Inmate of Institution ( Prison or Institution - keeps people out of work force)

Other

Unknown

Homemaker

Student

Retired

Disabled

Inmate of Institution ( Prison or Institution - keeps people out of work force)

Other

Detail Not-In-The-Labor Force

Employment Status (detailed not in labor force)

~

~ 127

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

06

97

01

02

03

04

05

06

No longer effective as of: 05-31-2014

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CWMS_PROXY

Crosswalk Report

Page 39 of 54

AlabamaSupplemental

13 Detailed Criminal Justice Referral Categories

10

11

12

13

14

15

16

17

18

19

97

Court/correctional agency

State/federal court

Formal adjudication process

Probation/parole

Recognized legal entity

DUI/DWI

Diversionary program/TASC

Prison

Other criminal justice

Police

Unknown

Other Court ( Not State or Federal)

State/Federal Court

Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board

Probation/Parole

Other Court ( Not State or Federal)

DUI/DWI

Diversionary Program (E.G. TASC)

Prison

Other

Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board

Unknown

Principal Source of Referral-- 110

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

02

01

04

03

02

07

05

06

08

04

97

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CWMS_PROXY

Crosswalk Report

Page 40 of 54

AlabamaSupplemental

13 Detailed Criminal Justice Referral Categories

1

2

3

4

5

6

7

8

97

State/Federal Court

Formal Adjudication Process

Probation/Parole

Other Recognized Legal Entity

Diversionary Program (TASC)

Prison

DUI/DWI

Other

Unknown

State/Federal Court

Other Court ( Not State or Federal)

Probation/Parole

Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board

Diversionary Program (E.G. TASC)

Prison

DUI/DWI

Other

Unknown

Detail Criminal Referral (Principal source of referral)

~ 110

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

06

07

08

97

No longer effective as of: 09-30-2002

Page 41: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 41 of 54

AlabamaSupplemental

14

14

Marital Status

Marital Status

1

2

3

4

5

6

97

1

2

3

4

5

97

Legally Married

Never Married

Separated/Legally or Otherwise Absent

Divorced

Widowed

Common Law/Cohabitating

Unknown

Never Married

Now Married

Separated

Divorced

Widowed

Unknown

Now Married ( includes those living together as married)

Never Married - includes clients who are single or whose

Separated (legally seperated or otherwise absentbecasue of marital discord))

Divorced

Widowed

Now Married ( includes those living together as married)

Unknown

Never Married - includes clients who are single or whose

Now Married ( includes those living together as married)

Separated (legally seperated or otherwise absentbecasue of marital discord))

Divorced

Widowed

Unknown

Marital Status.

Marital Status

~ 169

12

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

02

01

03

04

05

02

97

01

02

03

04

05

97

No longer effective as of: 09-30-2002

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CWMS_PROXY

Crosswalk Report

Page 42 of 54

AlabamaSupplemental

15

15

16

Days Waiting to Enter Treatment

Days Waiting to Enter Treatment

Number of Arrests in the 30 Days Prior to Admission

000-996

998

998

00

01-96

97

Days waiting

Not collected

Not Collected

None

1-96

Unknown

Number of Days waiting

Not Collected

Not Collected

Number of Arrests

Number of Arrests

Unknown

Days Waiting to Enter Treatment

Not Collected

Arrests in 30 days prior to admission

~

-

~ 138

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

000-996

998

998

00-96

00-96

97

No longer effective as of: 05-31-2014

Page 43: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 43 of 54

AlabamaSupplemental

17 Frequency of Attendance at Self-Help Programs in 30 days prior to Admission

1

2

3

4

5

6

97

No attendance in the past month

1-3 times in past month (less than 1 per week)

4-7 times in past month (about 1 per week)

8-15 times in past month (2-3 times perweek)

16-30 times in past month (4+ times perweek)

Some attendance but frequency unknown

Unknown

No Attendance in past month

less than once a week -1 to 3 times in past 30 days

About once a week - 4 to 7 times in past 30 days

2 to 3 times per week - 8-15 times in the past 30 days

4 or more times a week - 16 to 30 times in past 30 days

Some Attendance in past month, but number of times and frequency is unknown

Unknown

Has client participated in selfhelp groups in last 30 days

~ 171

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

05

06

97

Page 44: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 44 of 54

AlabamaDischarge/NOMS

1

2

3

4

5

6

System Transaction at Discharge

State Code at Discharge

Reporting Date at Discharge

State Provider Identifer at Discharge

Client Identifier at Discharge

Co-Dependent/Collateral at Discharge

A

C

D

1

2

Add

Change

Delete

Yes

No

Add

Change

Delete

Yes

No

System transanction type

FIPS State Code

Month and year data file submitted

Provider ID at discharge

Client ID - unique State ID

Co-dependent/collateral

~~

~~

~~

~~

~~

~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

A

C

D

1

2

Page 45: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 45 of 54

AlabamaDischarge/NOMS

7

8

9

Type of Treatment Service/Treatment Setting at Discharge

Date of Last Contact or Data Update

Date of Discharge

1

2

3

4

5

-

-

Medically monitored inpatient detox

Clinically managed high intensity residential

Clinically managed low intensity residential

Intensive outpatient

Outpatient

MMDDYYYY

MMDDYYYY

Detoxification, 24-Hour Service, Free Standing Residential

Rehabilation/Residential - Short Term (30 Daysor Fewer)

Rehabilation/Residential - Long Term (More than 30 Days)

Ambulatory - Intensive -Outpatient

Ambulatory -Non Intensive -Outpatient

MMDDYYYY

MMDDYYYY

Service at Discharge

Date of last contact

Date of discharge

~~

~~

~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

02

04

05

06

07

-

-

Page 46: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 46 of 54

AlabamaDischarge/NOMS

10

11

12

13

Reason for Discharge, Transfer, or Discontinuance of Treatment

Provider Identifier at Admission

Client Identifier at Admission

Co-Depentent/Collateral at Admission

1

14

2

3

4

5

6

7

8

1

2

Treatment completed

Transferred to other SA treatment program, did not report

Left against advice including drop-out

Terminated by facility

Transferred to other SA treatment program

Incarcerated

Death

Other

Unknown

Yes

No

Treatment Completed

Transferred to Trtment Prog or Facil, but did notreport

Dropped out of treatment (lost contact, Left Against Professional Advice

Ternimated by Facility

Transferred to Another Treatment Program or Facility

Incarerated or released by or to courts

Death

Other - includes aging out of MH childrens system, extended placement (condition

Unknown - This code will still be accepted by states shouls use 97 Unknown

Codependent/collateral

Client

Reason for discharge

Center Number (preceded by the State Code of AL)

Case Number

Co-Dependent/Collateral

~~

--

--

-- 109

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

14

02

03

04

05

06

07

08

1

2

Number assigned consecutively by center

Page 47: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 47 of 54

AlabamaDischarge/NOMS

14

15

16

17

Client Transaction Type (pulled from admission dataset)

Date of Admission (pulled from admission dataset)

Type of Service at Admission (pulled from admission dataset)

Date of Birth (pulled from admission dataset)

1

2

3

1

2

3

4

5

-

Re-admission

New Admission

Transfer

Medically monitored inpatient detox

Clinically managed high intensity residential

Clinically managed low intensity residential

Intensive outpatient

Outpatient

MMDDYYYY

Initial Admission (SA)

Initial Admission (SA)

Transfer or change in service (SA)

Detoxification , 24 hour service , Free-StandingResidential

Rehabilitation/Residential - Short Term (30 days or fewer)

Rehabilitation/Residential - Long Term (more than 30 days)

Ambulatory - Intensive Outpatient

Ambulatory - Non-Intensive Outpatient

MMDDYYYY

Client Transaction Type

Date of Admission (AdmitDate)

Level of Service

Date of Birth

-- 111

--

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

A

A

T

02

04

05

06

07

-

Page 48: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 48 of 54

AlabamaDischarge/NOMS

18

19

Gender (pulled from admission dataset)

Race (pulled from admission dataset)

F

M

1

2

20

21

23

4

5

97

Female

Male

Alaskan Native

American Indian

Other

More than one race reported

Native Hawaiian/Other Pacific Islander

Black or African American

White

Unknown

Female

Male

Alaskan Native (Aleut, Eskimo)

American Indian

Other single race

Two or more races

Native Hawaiian or other Pacific Islander

Black or African American

White

Unknown

Gender

Race

--

--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

2

1

01

02

20

21

23

04

05

97

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CWMS_PROXY

Crosswalk Report

Page 49 of 54

AlabamaDischarge/NOMS

20 Ethnicity (pulled from admission dataset)

1

2

3

5

6

Not of Hispanic Origin

Puerto Rican

Cuban

Mexican/Mexican American

Other Hispanic

Not of Specific Hispanic or Latino Origin

Puerto Rican

Cuban

Mexican

Hispanic or Latino - specific origin not specified

Ethnicity--

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

05

01

03

02

06

Page 50: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

CWMS_PROXY

Crosswalk Report

Page 50 of 54

AlabamaDischarge/NOMS

21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)

1

10

11

12

13

14

15

16

17

18

2

20

3

4

5

6

7

8

None

Methamphetamine

Other Methamphetamine

Other stimulants

Benzodiazepine

Other non-Benzodiazepine tranquilizers

Barbiturates

Other non-Barbiturate sedatives or hypnotics

Inhalants

Over-the-counter

Alcohol

Other

Cocaine/crack

Marijuana/Hashish

Heroin

Non-prescription Methadone

Other Opiates and synthetics

PCP-phencyclidine

None

Methampetamine/SPeed

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Tranquilizer

Barbiturates

Other Sedatives or Hypontics

Inhalants

Over-The-Counter medicines

Alcohol

Other

Cocaine/Crack

Marijuana/Hashish

Heroin

Non-Prescription Methadone

Other Opiates and Synthetics

PCP- phencyclidine

Substance problem at discharge~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

10

11

12

13

14

15

16

17

18

02

20

03

04

05

06

07

08

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CWMS_PROXY

Crosswalk Report

Page 51 of 54

AlabamaDischarge/NOMS

21

22

23

Substance Problem At Discharge, (Primary, Secondary, Tertiary)

Frequency of Use at Discharge (Primary, Secondary, Tertiary)

Living Arrangements at Discharge

9

97

1

2

3

4

5

96

97

1

2

3

97

Other Hallucinogens

Unknown

No use in the past month

1-3 times in past month

1-2 times in past week

3-6 times in past week

Daily

Not applicable

Unknown

Homeless

Dependent living

Independent living

Unknown

Hallucinogens

Unknown

No Use in the Past Month

1-3 Times in the Past Month

1-2 Times in the Past Week

3-6 Times in the Past Week

Daily

Not Applicable

Unknown

Homeless - clients with no fixed address; includes homeless shelter

Dependent Living - clients living in a supervised setting

Independent Living - clients living alone or with others but no supervision

Unknown

Substance problem at discharge

Frequency of use at discharge

Living arrangement at discharge

~~

~~

~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

09

97

01

02

03

04

05

96

97

01

02

03

97

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CWMS_PROXY

Crosswalk Report

Page 52 of 54

AlabamaDischarge/NOMS

24

25

Employment at Discharge

Detailed Not In Labor Force at Discharge

A

B

C

D

E

F

G

H

I

S

D

E

F

G

H

I

Full-time

Part-time

Unemployed/looking for work

Homemaker

Student

Retired

Disabled

Inmate of institution

Not looking for work over the past 30 days

Supported employment

Homemaker

Student

Retired

Disabled

Inmate of institution

Not looking for work over past 30 days

Full Time - works 35 or more hours a week- includes military

Part Time - works less tahn 35 hours per week

Unemployed - looking for work in past 30 days or on layoff from job

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.

Part Time - works less tahn 35 hours per week

Homemaker

Student

Retired

Disabled

Inmate of Institution ( Prison or Institution - keeps people out of work force)

Other

Employment status at discharge

Detailed not in labor force at discharge

~~

~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

01

02

03

04

04

04

04

04

04

02

01

02

03

04

05

06

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CWMS_PROXY

Crosswalk Report

Page 53 of 54

AlabamaDischarge/NOMS

26

27

Number of Arrests in 30 Days Priorto Discharge

Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge

0

1-96

97

1

2

3

4

5

6

97

98

None

1-96

Unknown

No attendance in past month

1-3 times in past month (less than 1 per week)

4-7 times in past month (about 1 per week)

8-15 times in past month (2-3 times perweek)

16-30 times in past month (4+ times perweek)

Some attendance but frequency unknown

Unknown

Not collected

Number of Arrests

Number of Arrests

Unknown

No Attendance in past month

less than once a week -1 to 3 times in past 30 days

About once a week - 4-7 times in the pastt 30 days

2 to 3 times a week - 8 to 15 times in past 30 days

4 or more times a week - 16 to 30 times in past 30 days

Some Attendance in past month, but number of times and frequency is unknown

Unknown

Not Collected

Arrests in 30 days prior to discharge

Frequency of attendance self help prog 30 days prior

~~

~~

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Alabama Old System - SASCAS2Version : 1

00-96

00-96

97

01

02

03

04

05

06

97

98

Page 54: Crosswalk Management System · 09-30-1992. CWMS_PROXY Crosswalk Report Page 5 of 54 Minimum Alabama 6 7 ... Employer/EAP Other Community Referral Court/Criminal Justice Referral/DUI/DWI

REPORT CROSSWALK TO STATE

Crosswalk Management System

End of Report