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Information Management Consortium
CMBHS IT Program
HHSC Program & IT Applications-CMBHS
August 14 & 16, 2019
Agenda for 8/14 and 8/16
8/9/2019 2
Topic Remarks Presenter Duration
CurrentIT Project Updates
Roadmap Phase II
HCBS-AMH
Dave Gross
Dave Gross
5 minutes
5 minutes
Change Requests Change Requests and the Release Calendar Latha Kaliyur 10 minutes
CMBHSBusiness Team
CMBHS Business Team Jackie Webster 10 minutes
Training Updates Training and Technical Assistance Marlene Creel 10 minutes
MBOW MBOW Overview Rosa Hernandez 10 minutes
Data Analytics Data Analytics Overview William Tharp 10 minutes
EVV EVV Update Jordan Nichols 30 minutes
Q & A General Open Q & A All 10 Minutes
CMBHS Complete Roadmap Phase II
8/9/2019 3
Dave Gross
Complete Roadmap Phase-IIDeployment Milestones
8/9/2019 4
Initiative & Change Request Deployment Milestones Deployment Date % Complete
Deploy IPC & Provider Setup Accessibility Fixes 11/27/2017 100%Deploy YES Assessment CANS, CE and Consent 01/12/2018 100%Deploy CR -114-Modifications to Inpatient Care Waitlist 01/12/2018 100%Deploy CR -112- Modifications to PPI Screening 04/02/2018 100%Deploy CR -111- Modifications to Close Case Screen 04/02/2018 100%Deploy CR -110 - New Life Event Notes Screen 05/11/2018 100%Deploy CR -106 - Associate provider with regions 05/11/2018 100%Deploy CR -056- SUD Data Downloads 10/05/2018 100%Deploy CR -098 – Option to print Consent in Spanish 10/05/2018 100%Deploy CR -078 - Court Ordered Commitments Changes 01/25/2019 100%Deploy new BO reports for RSS Program (10 reports)
……………………………………………….Set #1 (2 reports) 11/16/2018 100%……………………………………………….Set #2 (1 reports) 01/25/2019 100%
……………………………………………….Set #3 (3 reports) 03/29/2019 100%
……………………………………………….Set #4 (3 reports) 07/19/2019 100%……………………………………………….Set #5 (1 reports) 08/23/2019 80%Deploy CR -039 – Limit Payments of Claims not Compliant with Service Delivery Requirements
05/10/2019 100%
Deploy SUD Medicaid Billing Changes: Updated 835 file feature 06/28/2019 100%Deploy SUD Medicaid Billing Changes: Prior Authorization feature
08/23/2019 70%
Project Closeout 08/31/2019 70%
Complete Roadmap Phase-IIDeployment Milestones
8/9/2019 5
SUD Medicaid Billing – Deploy prior authorization and claims processing for Medicaid SUD Fee for Services clients.
Deploy new BO reports for the Recovery Support Service (RSS) Program - The objective of this initiative is design and develop 10 new BusinessObject reports for the RSS Program.
Release Schedule for the BO Reports for RSS Program
8/9/2019 6
• One remaining RSS report:
1. Draft Report - 8/23/19
1)RSS Close case Report2)RSS Draft report
Home and Community Based Services-Adult Mental Health
(HCBS-AMH) Automation
8/9/2019 7
Dave Gross
HCBS-AMH Automation
8/9/2019 8
Project Insights:
Home and Community Based Services - Adult Mental Health (HCBS-AMH).
The HCBS-AMH Program was created in response to a mandate from the 83rd Texas Legislature.
This project will automate the business processes of the HCBS-AMH program in the CMBHS system.
The functionality will allow HCBS-AMH providers to use CMBHS to document required client information for the HCBS-AMH program and submit claims for payment.
HCBS-AMH Automation
8/9/2019 9
Project Activities:
• Requirements sessions progressing
• Developmental activities on features begun
• LMHA updates to occur monthly
HCBS-AMH AutomationDeployment Milestones
8/9/2019 10
Initiative Deployment MilestonesDeployment
Dates% Complete
Capital authority approval 10/15/18 100%
Budget and dept. ID setup 10/31/18 100%HR0029 forms approval 12/30/18 100%Framework documents review from Agency 12/03/18 100%QAT approval of Business Case 01/31/19 100%Project start date 02/01/19 100%Project Plan, Acquisition Plan, BOP Amendment file with QAT
03/15/19 100%
Resource hiring and onboarding 04/19/19 100%Requirements elicitation sessions 08/31/19 50%Requirements sign off and approval 08/31/19 20%
System change and readiness from providers 01/18/20 0%
System change and readiness from TMHP 01/18/20 0%Iterative: design, development, accessibility, test 02/05/20 10%User acceptance test (UAT) with SMEs 02/10/20 0%UAT with providers, system interface group 03/09/20 0%Regression test 03/28/20 0%Acceptance to deploy 04/03/20 0%IT Go/No-Go 04/10/20 0%Deployment 04/24/20 0%Stabilization – production warranty support 08/31/20 0%
CMBHS Change Requests and Release Planning
8/14/2019 11
Latha Kaliyur
Help Files and Content
Announcement
CMBHS team has updated the Application HELP on July 12th.
It is now available for all USERS.
8/14/2019 12
Change Requests – Deployed in Production
8/14/2019 13
Objectives – Plan, analyze, estimate and execute the change requests prioritized by
BHS Program area staff and other internal customers.
Change Requests Status
CR # TFS # Description Release Date
199 17483Update reference table to include new EOB
codes associated with EVV service claim denial.
5/31/2019
185 16416 Order of Qualifying MH Diagnosis 7/12/2019
194 17489Rename HEI Case Management Progress
Note Type to a generic type for all Intervention Service Locations.
7/12/2019
Change Requests – Development in Progress
14
Objectives – Plan, analyze, estimate and execute the change requests prioritized
by BHS Program area staff and other internal customers.
Change Requests Status
CR # TFS # Description Release Date
203 18578
Correct the age calculation for a question in the PPI and PADRE Screenings, “Are you a teenaged parent” from 17 to 19 yo
9/13/2019
173 16252PPI Screening Eligibility Update (-No new requirements)
9/13/2019
168 17697
Modification to YES Waiver CE Termination in CMBHS to allow user to select the "Reason for Termination" from a dropdown list versus the current process in which user may enter it in the "Notes on Termination" field.
TBD
Release Management-Upcoming Releases
8/14/2019 15
Objectives – Plan, analyze, estimate and execute the change requests prioritized
by BHS Program area staff and other internal customers.
08/23 - This Release will deploy MH Grants (HB 13) feature set. Includes functions needed for Grants recipients to report performance measures and access basic clinical documentation.This is also the last planned release for the CMBHS Roadmap project and will deploy the functionality to allow Requests for Prior Authorization and Claims to be submitted directly from CMBHS to TMHP for SUD Medicaid Fee for Service Clients only.
09/13 - Maintenance release pushed back from 08/23, to meet other CMBHS timelines. Additionally, since all of these releases impact the same code base, breaking up the releases up will help us keep the code base stable during this very busy time.
10/11 - This will be a maintenance and support release. Scope for this release is TBD in the coming weeks.
IDD-BHSOffice of Decision Support
Business Team
Training and Technical Assistance Team
Data Services Team
Information Management ConsortiumTexas Council of Community Centers
ODS Business Team
• Jackie Webster, Team Lead
• Kevin Davis, Program Specialist
• Teresa Cabral, Program Specialist
• Rosa Hernandez, Program Specialist
• Amber O’Conner, Business Analyst
• 1 Vacant Business Analyst Position
8/9/2019 17
ODS Business Team
• Ensures that the Clinical Management for Behavioral Health Services (CMBHS) application is developed and maintained to support the HHSC mission and meet user needs.
• Projects and change requests must be completed on time and within budget.
8/9/2019 18
ODS Business Team
We impact all phases of the application
development cycle:
• Planning-exceptional item estimates, IT
governance intakes, change requests,
project documentation including
communication, risk plans.
• Ongoing Communications & Oversight-
monitor quality, risk status and
expenditures.
• Requirements Gathering-support
programs in level requirements gathering.
8/9/2019 19
ODS Business Team
We impact all phases of the application
development cycle (cont.):
• Design-ensure consistency within the
application as well as welcoming
innovations.
• Development and Testing-support
developers, assisting in identification of
scenarios and assist testing.
• Deployment-ensure communication with
users.
• Maintenance-assist programs to prioritize.
8/9/2019 20
Monthly CMBHS User Call
• Alternate months addressing CMBHS substance use and mental health topics.
• Changing to a GoToMeeting format but will also support the old conference call format.
• Will have slides so you can review to make a decision about who should participate; less focus on taking notes and you have something to share.
• Request that you send in topics and questions for the agenda
• New GoToMeeting 1-877-820-7831 Participant code – 568412
8/9/2019 21
CMBHS Online Help Workgroup
• James LeeRethi – IT Business Analysis
• Jackie Webster – Business Services Team Lead
• Marlene Creel – Training & Technical Team Lead
• Teresa Cabral – Business Team
• Alice Wren – Training & Technical Team
8/9/2019 22
CMBHS Online Help Workgroup
8/9/2019 23
The CMBHS Online Help added/updated to the following sections:
• Mental Uniform Assessments (CANS/ANSA)
• YES Waiver Services
• All Substance Abuse Disorder functions & RSS
• Will add Help for HCBS-AMH and MH Grants (HB 13) when they are deployed.
Training and Technical Assistance Team
• Marlene Creel, Team Lead
• Alice Wren, Program Specialist
• Richard Greene, Program Specialist
• Victoria Guerra, Program Specialist
• Lynda Hurley, Training Specialist
8/9/2019 24
Training and Technical Assistance Team
Daily Technical Assistance on Helpline supporting all 9,597+ users from the following programs:
• Local Behavioral Health Authorities
• Local Mental Health Authorities
• YES Waiver
• Targeted Case Management (S.B. 58)
• SUD ProvidersOpioid Treatment Services (NAS/OST
(MAT)/TTOR/OTS-V)Prevention/Intervention
• Recovery Support Providers
8/9/2019 25* Appendix available with Program details
Training and Technical Assistance Team
8/9/2019 26
CMBHS Helpline
Jan 2019 – Jun 20191063
961
1132
795
1007
885959
0
200
400
600
800
1000
1200
Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19
Calls Handled
Training and Technical Assistance Team
8/9/2019 27
7-Month Attendee Total = 1,019
CBMHS Training Topics Provided:
• TPV-Treatment Plan Verification Deployment (Webinar)
• SUD-Substance Use Disorder (Classroom)
• RSS-Recovery Support Services (Webinar)
• PPI-Pregnant and Postpartum Intervention (Webinar)
• S.B. 58-Targeted Case Management (Webinar)
71219 20
24
16
23126
59
2 6
12
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan Feb Mar Apr May Jun Jul
Attendees
TPV SUD RSS PPI SB58
Training and Technical Assistance Team
8/9/2019 28
• MBOW User account set-up facilitation
• MBOW Training and Support• CMBHS Provider Set-Up and
Maintenance• CMBHS User accounts set-up and
maintenance• CMBHS System Maintenance Set-up
MBOW – HHSC Data Warehouse
• Mental Retardation and Behavioral Health
Outpatient Data Warehouse (MBOW) – Stores
behavioral health assessment and service
encounter data for state funded contractors.
• Data is presented in a variety of reports used
to measure contract compliance.
• There are approximately 600 statewide users.
• MBOW data is downloaded and disseminated to
direct service staff, clinical supervisors and
executive leadership at the contractors MHA.
8/9/2019 * Appendix available with login and access request details 29
MBOW Survey Results
8/9/2019 30
Timeline
8/9/2019 31
MBOW Folder Structure
8/9/2019 32
Data Services Team
• William Tharp, Team Lead
• Cathy Guo, Program Specialist
• Daniel Gunter, Program Specialist
• Yan Jiang, Program Specialist
• Renee Boehmert, Program Specialist
• Priyanka Raghav, Program Specialist
8/9/2019 33
Data Services Team Reporting and Analysis
• Legislative Reporting
• Contract Reporting
• Block Grant Data Requirements
• Impact & Trend Analysis
• New Report Development
• Data & Information Requests
34
Data Services Team Reporting and Analysis
35
April (TwoWeeks)
May June July
Contractor Request 1 2 2 4
External Request 0 0 3 6
Internal Request 17 30 38 72
ORR 7 4 3 3
Legislative Inquiry 9 0 0 0
Routine Report 19 43 38 23
Total 53 79 84 108
53
7984
108
0
20
40
60
80
100
120
ODS Customer Requests
Data Services Team Contract Oversight & Data
• Provide contract oversight support for BHS Health Surveillance Projects:
Texas School Survey of Drug & Alcohol Use
College Survey of Drug & Alcohol Use
• Dissemination of data to:
Prevention resource coordinators
Agency prevention staff
Other community prevention partners
36
Data Services Team Program Evaluation
• Customized internal evaluations for BHS projects, policies, and programs.
• ODS can provide much higher levels of program knowledge and much lower costs than external contractors.
• Initial analyses for needs assessment and to program feasibility, likely eligible client population(s), and possible outcome measures.
• Final analyses to determine effectiveness and efficiency, impact, and return on investment.
37
CMBHS Training and Technical Assistance Team
Appendix – Program Details
• SUD Providers include
Outpatient (Youth and Adult)
COPSD
Residential
Supportive
Intensive
Residential Detoxification
Ambulatory Detoxification
Youth, Adult, Specialized Female, Women and Children
Opioid Treatment Services (NAS/OST (MAT)/TTOR/OTS-V)
Prevention/Intervention
PPI/PADRE
HEI
HIV
YPI/YPS/YPU
8/9/2019 39
MBOW Training & Support
Appendix – Link to Data Warehouse Web Portal and Access Request Forms
• https://hhsc4svpop1.hhsc.txnet.state.tx.us/DataWarehousePage/
• The warehouse web portal contains access request forms to MBOW.
• Forms can be found under the section titled “Data Warehouse Access.”
8/9/2019 40
Electronic Visit Verification (EVV) Update
8/14/2019 41
Trish Burkett
Technology Program Manager
HHSC Claims Management/EVV
Good Faith Effort Delay
• On August 2, 2019, HHSC submitted a request to secure a one-year exemption from loss of federal matching dollars for EVV non-compliance.
• If approved, HHSC will announce a revised timeline for implementation of EVV for new programs and services required by the federal 21st Century Cures Act.
8/9/2019 42
EVV Vendor Status
• The Texas Medicaid and Healthcare Partnership (TMHP) is still working with selected vendors to confirm adherence to business rules.
• EVV vendors will be announced as soon as their systems and business processes meet all Texas-specific requirements.
• Announcements will be published on the HHSC EVV, TMHP, and MCO websites.
8/9/2019 43
Legislative Update
• Senate Bill 1991:
• Use of provider-owned EVV proprietary systems
• HHSC plans to begin workgroups on this subject in October 2019
• Email [email protected] if you are interested in participating in the workgroup
• Goal is to allow providers to go-live with proprietary systems in summer 2020.
• MCO EVV recoupments
8/9/2019 44
Legislative Update (continued)
• Consumer Directed Services (CDS) EVV funding
• Funding was appropriated to increase CDS employer budgets to purchase EVV equipment such as a mobile phone
• HHSC is working to allocate the funding
8/9/2019 45
Software Development Status
• EVV release 3 scheduled for implementation on Sept. 1, 2019
• Full deployment of EVV Aggregator
• EVV Portal
• Standardized visit validation
• Claims Matching
• Claim denials for no-match for current EVV programs/services
• Managed care denials begin Sept. 1, 2019
• Fee-for-service denials begin Nov. 1, 2019
8/9/2019 46
Communications Status
• Presentations and Workgroups
• IDD Management Consortium
• IDD System Redesign Advisory Committee
• MCO Payer Monthly Workgroup
• MCO IT Monthly Workgroup
• Senate Bill 894 Client Workgroup
• CDS Workgroup
• Provider Workgroup
• New Workgroups
• EVV Expansion Workgroup began in July 2019
• EVV Proprietary Systems Workgroup scheduled to begin in October 2019
8/9/2019 47
Training Status
• EVV Roadshow began Aug. 1 and runs through Nov. 1, 2019
• Computer-based training available• TMHP: Portal, Aggregator, claims matching • HHSC: Overall EVV process, EVV policy
• EVV Tool Kit • Aug. 1, Module 14: EVV Compliance Oversight Policies • Aug. 15, Module 15: Preparation for Sept. 1
• EVV Webinars • TMHP webinar and live Q&A: Aug. 1 and Aug. 15• Aug. 22, Preparation for Sept. 1 and Recap of EVV changes• FAQs updated as of June 15, 2019. These are posted on
the HHSC EVV website under the 21st Century Cures Act section:https://hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/providers/long-term-care/evv/evv-webinar-faqs.pdf
8/9/2019 48
EVV Resources
• To receive EVV updates, sign up for GovDelivery: https://public.govdelivery.com/accounts/TXHHSC/subscriber/new?topic_id=TXHHSC_247
•
• HHSC EVV website: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/resources/electronic-visit-verification
•
• HHSC EVV mailbox: [email protected]
8/9/2019 49
Thank you
8/9/2019 50
