Behavioral Health Data System Behavioral Health Supplemental Transaction Data Guide VERSION: 4.2 PUBLISH DATE: 2/5/2021 APPROVE DATE: 2/5/2021 GUIDE EFFECTIVE DATE: 2/5/2021 LAST UPDATED: 7/16/2020 Table of Contents Data Guide Overview: ........................................................................................................................................................... 10 Overview ........................................................................................................................................................................... 10 Terminology Guide ............................................................................................................................................................ 10 Document Use Guide ........................................................................................................................................................ 11 Navigation ......................................................................................................................................................................... 11 Effective Dates .................................................................................................................................................................. 11 Nationally Accepted Health Information Technology (HIT) Code Crosswalk: .................................................................. 11 General Considerations of Guide .......................................................................................................................................... 13 Reporting Organization ..................................................................................................................................................... 13 Service Episodes ................................................................................................................................................................ 13 Data File Format ................................................................................................................................................................ 13 Key Fields .......................................................................................................................................................................... 13 SFTP Accounts ................................................................................................................................................................... 13 Blanks/Unknowns/Not Collected ...................................................................................................................................... 14 Add/Change Status ........................................................................................................................................................... 14 Special Characters ............................................................................................................................................................. 14 Appendices ........................................................................................................................................................................ 14 Summary of Transactions ..................................................................................................................................................... 15 Header - 000.01................................................................................................................................................................. 27 Cascade Merge – 130.04 ................................................................................................................................................... 28 Cascade Delete – 131.04 ................................................................................................................................................... 29 Client Demographics – 020.08 .......................................................................................................................................... 30 Client Address – 022.03 .................................................................................................................................................... 32 BHDS Data Guide Return to Table of Contents 2 Client Profile – 035.10 ....................................................................................................................................................... 33 Authorization – 023.03 ..................................................................................................................................................... 35 Service Episode – 170.06 .................................................................................................................................................. 36 Program Identification – 060.06 ....................................................................................................................................... 38 Co-occurring Disorder – 121.05 ........................................................................................................................................ 39 ASAM Placement – 030.03 ................................................................................................................................................ 41 DCR Investigation – 160.05 ............................................................................................................................................... 42 ITA Hearing – 162.05 ......................................................................................................................................................... 45 Mobile Crisis Response – 165.01 ...................................................................................................................................... 46 Substance Use – 036.04 .................................................................................................................................................... 47 Funding – 140.01 ............................................................................................................................................................... 49 Identifiers .............................................................................................................................................................................. 50 SUBMITTER ID ................................................................................................................................................................... 50 Client ID ............................................................................................................................................................................. 51 Provider NPI ...................................................................................................................................................................... 52 Batch Number ................................................................................................................................................................... 53 Batch Date ......................................................................................................................................................................... 54 Cascade Merge ...................................................................................................................................................................... 55 Client ID to Keep ............................................................................................................................................................... 55 Client ID to Void ................................................................................................................................................................ 56 Common Transaction Elements: ........................................................................................................................................... 57 Effective Date .................................................................................................................................................................... 57 Source Tracking ID............................................................................................................................................................. 58 BHDS Data Guide Return to Table of Contents 3 Client Demographics 020.08 ................................................................................................................................................. 59 First Name ......................................................................................................................................................................... 59 Middle Name..................................................................................................................................................................... 60 Last Name ......................................................................................................................................................................... 61 Alternate Last Name ......................................................................................................................................................... 62 Social Security Number ..................................................................................................................................................... 63 Birthdate ..........................................................................................................................................................................