Behavioral Health Data System Behavioral Health Supplemental Transaction Data Guide VERSION: 4.1 PUBLISH DATE: 7/16/2020 APPROVE DATE: 7/16/2020 GUIDE EFFECTIVE DATE: 1/1/2020 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................................................................................................................................................................. 28 Cascade Merge – 130.04 ................................................................................................................................................... 29 Cascade Delete – 131.04 ................................................................................................................................................... 30 Client Demographics – 020.08 .......................................................................................................................................... 31 Client Address – 022.03 .................................................................................................................................................... 33 BHDS Data Guide Return to Table of Contents 2 Client Profile – 035.10 ....................................................................................................................................................... 34 Authorization – 023.03 ..................................................................................................................................................... 36 Service Episode – 170.06 .................................................................................................................................................. 37 Program Identification – 060.06 ....................................................................................................................................... 39 Co-occurring Disorder – 121.05 ........................................................................................................................................ 40 ASAM Placement – 030.03 ................................................................................................................................................ 42 DCR Investigation – 160.05 ............................................................................................................................................... 43 ITA Hearing – 162.05 ......................................................................................................................................................... 46 Mobile Crisis Response – 165.01 ...................................................................................................................................... 47 Substance Use – 036.04 .................................................................................................................................................... 48 Funding – 140.01 ............................................................................................................................................................... 50 Identifiers .............................................................................................................................................................................. 52 SUBMITTER ID ................................................................................................................................................................... 52 Client ID ............................................................................................................................................................................. 53 Provider NPI ...................................................................................................................................................................... 54 Batch Number ................................................................................................................................................................... 55 Batch Date ......................................................................................................................................................................... 56 Cascade Merge ...................................................................................................................................................................... 57 Client ID to Keep ............................................................................................................................................................... 57 Client ID to Void ................................................................................................................................................................ 58 Common Transaction Elements: ........................................................................................................................................... 59 Effective Date .................................................................................................................................................................... 59 Source Tracking ID............................................................................................................................................................. 60 BHDS Data Guide Return to Table of Contents 3 Client Demographics 020.08 ................................................................................................................................................. 61 First Name ......................................................................................................................................................................... 61 Middle Name..................................................................................................................................................................... 62 Last Name ......................................................................................................................................................................... 63 Alternate Last Name ......................................................................................................................................................... 64 Social Security Number ..................................................................................................................................................... 65 Birthdate ..........................................................................................................................................................................