October MSP 

Counties can expect to see the October MSP in production systems Feb. 10.  

New CARE Act Hearing Procedure Code 

A county has indicated that hearing-type specific procedure codes for the CARE Act should include “Hearing on the Merits.” CalMHSA invites all counties to provide feedback on this via email at [email protected] with any concerns or questions. Feedback will be reviewed by Feb. 20. If no negative feedback is received on adding this non-billable procedure code, it will be deployed to production systems on Feb. 21. 

If deployed, the code will use the CARE Act Narrative Note type. We may create a custom “CARE Act – Merit Hearing Note” to match the other hearing notes if we receive information about what types of questions are addressed in this hearing from the requesting county or via county feedback.  

 

Feedback Requested

CalMHSA has received a county request to make the Staff Client Access Tracking Report — which shows what users have accessed a client’s record and when — available only to the County Affiliate SysAdmin user role. CalMHSA is interested to hear other county users’ feedback on this; please complete this short questionnaire by Feb. 14. We will review and provide results in the Feb. 20 Bulletin.  

 

Renaming Assessment Contribution by Non-LPHA Procedure Code 

CalMHSA has received county feedback that the Assessment Contribution by Non-LPHA procedure code is misleading, as LPHAs may also use this code. The code will be renamed “Assessment Contribution” on Feb. 21. The associated degree types will not change; if this procedure code is selectable in a service, the clinician is allowed to use it. 

CalMHSA will also update the description in the procedure codes list to reflect that this can also be used by LPHAs for assessment services that do not meet the 16-minute threshold for CPT Code 90791 (Assessment LPHA). Please pass this information along to clinical staff to make sure they are using the appropriate codes when documenting services. 

 

Permissions Removed for Safety/Crisis Plan List Page Due to CDAG 

CalMHSA discovered that the “Safety/Crisis Plan List Page” is not CDAG’d and, as such, permissions to this list page have been removed to prevent inappropriate disclosures. The page will be deactivated to ensure no custom user roles can access this non-CDAG’d screen. 

This list page was created by a different Streamline customer. The Safety/Crisis Plan was also requested by that customer, though Streamline has now created a core version of the document. CalMHSA will switch to the new document to ensure that any changes made by the other customer will not impact us, which will involve deactivating one document and activating another. Documents that have already been created and signed will not be impacted. Any “Safety/Crisis Plan” documents that are in progress will need to be completed before this cutover occurs Feb. 21. 

Questions or concerns about this process can be directed to [email protected] by Feb. 14. 

 

Configuration Change for Discharge Summary Request 

CalMHSA requested county input on a Discharge Summary simple configuration change. This change would give counties the ability for non-authors to edit/sign/collaborate on the discharge summary document. Having received no feedback from counties about any potential negative impacts, CalMHSA will move forward with the change on Feb. 20. 

 

New Permissions Added to Inpatient Activity Details Screen 

CalMHSA has created permissions for two fields — “Action” and “Billing Procedure” — on the Inpatient Activity Details screen in an effort to minimize errors. Making edits to these fields will cause billing errors. CalMHSA plans to deny permissions to these fields to most user roles on Feb. 20.

For the “Action” field, only CalMHSA SysAdmins and County Affiliate SysAdmins will continue to have permission. For the “Billing Procedure” field, only CalMHSA SysAdmin, County Affiliate SysAdmin, Billing, Clinician Supervisor, and Medical Supervisor roles will have access. If counties feel that other staff members need permission to edit these fields, they can do this via the Staff Details screen for certain staff members or create a custom county user role to address this need.   

Please keep in mind that making edits to this screen overwrites the current record, which is why CalMHSA recommends the screen only be editable by system administrators or billing staff who need to correct billing errors.  

 

New Procedure Codes Added 

New procedure codes have been added to support BH Connect and SB 43. See the updated list here. 

 

User Role Permission Changes

The following roles now have permission to the service note reviewer screen: CalMHSA SysAdmin, LPHA/Clinician, IP/CSU/Res, Medical Records/Quality Assurance, County Affiliate SysAdmin, Medical Supervisor, Clinician Supervisor, Medication Rx, Non-LPHA, Nurse Medical IP/CSU/Res, Prescriber, Pharmacist, Prescriber IP/CSU/Res, and Auditor/Read Only. 

 

Review Existing Orders for Correct Frequencies 

CalMHSA had previously planned to adjust issues with order frequencies in Medication Rx and Client Order/MAR. Unfortunately, Streamline was unable to apply changes for existing orders, so while these fixes have been made to the frequency field for future orders, counties’ providers may see that existing orders will now have erroneous or missing frequencies. 

We continue to address these issues. Please review your existing orders to ensure they reflect the correct frequencies; this may require your teams to manually adjust orders. We apologize for any inconvenience this causes and will keep you abreast of any corrections or changes. The following order frequencies were impacted: