 0 Table of Contents |
  1 Home |
  2 Implementation Guidance |
  3 Profiles |
  4 Questionnaires |
  5 Terminology |
  6 Workflow |
  7 About |
  8 Redefined FMM |
  9 Changes and Questions |
  10 Artifacts Summary |
   10.1 BHA Admission Questionnaire |
   10.2 BHA Client Questionnaire |
   10.3 BHA Diagnosis Questionnaire |
   10.4 BHA Discharge Questionnaire |
   10.5 BHA Special Connections Baby Questionnaire |
   10.6 BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire |
   10.7 BHA Substance Use Disorder Questionnaire |
   10.8 BHA Client Profile |
   10.9 BHA Encounter Profile |
   10.10 BHA Episode Diagnosis Profile |
   10.11 BHA EpisodeOfCare Profile |
   10.12 BHA Provider Organization Profile |
   10.13 BHA Action Type |
   10.14 BHA Ethnicity Value Set |
   10.15 BHA Gender Identity ValueSet |
   10.16 BHA Household Language ValueSet |
   10.17 BHA Sexual Orientation ValueSet |
   10.18 CO BHA Service Identifier Billing and Diagnosis ValueSet |
   10.19 CO BHA Service Identifiers from ICD-10-CM |
   10.20 ValueSet for BHA Access to Other Drug/Alcohol Treatment |
   10.21 ValueSet for BHA Action Type |
   10.22 ValueSet for BHA ASAM Levels of Care |
   10.23 ValueSet for BHA Children Ages Living in Home |
   10.24 ValueSet for BHA Client Identifier Types |
   10.25 ValueSet for BHA Counties |
   10.26 ValueSet for BHA Diagnosis Type |
   10.27 ValueSet for BHA Disability Codes |
   10.28 ValueSet for BHA Discharge Type |
   10.29 ValueSet for BHA Drug Using Partner |
   10.30 ValueSet for BHA Education Level |
   10.31 ValueSet for BHA Employment Status |
   10.32 ValueSet for BHA End of Treatment Reasons |
   10.33 ValueSet for BHA Family Substance Use Disorder |
   10.34 ValueSet for BHA Family/Social Support |
   10.35 ValueSet for BHA HIV Risk |
   10.36 ValueSet for BHA Home Stability and Safety |
   10.37 ValueSet for BHA Income Source |
   10.38 ValueSet for BHA Involuntary Commitment Reason |
   10.39 ValueSet for BHA Legal Status |
   10.40 ValueSet for BHA Living Situation |
   10.41 ValueSet for BHA Marital Status |
   10.42 ValueSet for BHA Mental Health History |
   10.43 ValueSet for BHA Personal Safety |
   10.44 ValueSet for BHA Pregnancy / Postpartum Status |
   10.45 ValueSet for BHA Pregnancy/Postpartum Care Status |
   10.46 ValueSet for BHA Primary Substance Use Codes |
   10.47 ValueSet for BHA Prior Alcohol/Drug Treatment |
   10.48 ValueSet for BHA Prior Criminal Record |
   10.49 ValueSet for BHA Race |
   10.50 ValueSet for BHA Referral Source |
   10.51 ValueSet for BHA School Attendance Status |
   10.52 ValueSet for BHA Secondary and Tertiary Substance Use |
   10.53 ValueSet for BHA Service Identifier Codes |
   10.54 ValueSet for BHA SMI / SED Statuses |
   10.55 ValueSet for BHA Substance Use Routes of Administration |
   10.56 BHA Access to Other Drug/Alcohol Treatment |
   10.57 BHA Action Type Codes |
   10.58 BHA ASAM Levels of Care |
   10.59 BHA Children Ages Living in Home |
   10.60 BHA Client Identifier Types |
   10.61 BHA County Codes |
   10.62 BHA Diagnosis Type Codes |
   10.63 BHA Disability Codes |
   10.64 BHA Discharge Type |
   10.65 BHA Drug Using Partner |
   10.66 BHA Education Level |
   10.67 BHA Employment Status |
   10.68 BHA End of Treatment Reasons |
   10.69 BHA Ethnicity Codes |
   10.70 BHA Family Substance Use Disorder |
   10.71 BHA Family/Social Support |
   10.72 BHA Gender Identity Codes |
   10.73 BHA HIV Risk |
   10.74 BHA Home Stability and Safety |
   10.75 BHA Household Language Codes |
   10.76 BHA Income Source |
   10.77 BHA Involuntary Commitment Reason |
   10.78 BHA Legal Status |
   10.79 BHA Living Situation |
   10.80 BHA Marital Status |
   10.81 BHA Mental Health History |
   10.82 BHA Personal Safety |
   10.83 BHA Pregnancy / Postpartum Status |
   10.84 BHA Pregnancy/Postpartum Care Status |
   10.85 BHA Prior Alcohol/Drug Treatment |
   10.86 BHA Prior Criminal Record |
   10.87 BHA Race Codes |
   10.88 BHA Referral Source |
   10.89 BHA School Attendance Status |
   10.90 BHA Service Identifier Codes |
   10.91 BHA Sexual Orientation Codes |
   10.92 BHA SMI / SED Status Codes |
   10.93 BHA Substance Use Codes |
   10.94 BHA Substance Use Route of Administration Codes |
   10.95 BHA Client Race ConceptMap |
   10.96 BHA Education Level ConceptMap |
   10.97 BHA Ethnicity ConceptMap |
   10.98 BHA Ethnicity Detailed ConceptMap |
   10.99 BHA Gender Identity ConceptMap |
   10.100 BHA Household Language ConceptMap |
   10.101 BHA Marital Status ConceptMap |
   10.102 BHA Service Identifier to US Core Condition Code ConceptMap |
   10.103 BHA Sexual Orientation ConceptMap |
   10.104 BHA Substance Use Route of Administration ConceptMap |
   10.105 CO BHA Service Identifier to CPT/HCPCS ConceptMap |
   10.106 CO BHA Service Identifier to ICD-10-CM ConceptMap |
   10.107 Example Baby Patient Resource |
   10.108 Example BHA Admission Questionnaire Responses |
   10.109 Example BHA Client |
   10.110 Example BHA Client Questionnaire Responses |
   10.111 Example BHA Episode Diagnosis 2 — Mental Health |
   10.112 Example BHA Episode Diagnosis — Mental Health |
   10.113 Example BHA Episode Diagnosis — Substance Use Disorder |
   10.114 Example Diagnosis Questionnaire Responses |
   10.115 Example Discharge Questionnaire Responses |
   10.116 Example Encounter for a BHA Episode |
   10.117 Example Encounter for a BHA Episode of both Behavioral Health and Pregnancy for a Pregnant Client |
   10.118 Example Episode |
   10.119 Example Episode of Care for Pregnant Client |
   10.120 Example Episode of Care for SUD Program |
   10.121 Example Organization |
   10.122 Example Pregnancy Condition |
   10.123 Example Pregnancy Status Observation |
   10.124 Example SC Baby Questionnaire Resource Responses |
   10.125 Example SC Baby Questionnaire Responses |
   10.126 Example SC no Baby Questionnaire Responses |
   10.127 Example SC Pregnancy and Postpartum Risk Screening Questionnaire Responses |
   10.128 Example Substance Use Disorder Questionnaire Responses |
   10.129 Second Example Encounter for a BHA Episode |