FY27 ESR-FUNDED BY GRANT (FBG) Master Data Set.pdf
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- Attached to
- BEHAVIORAL HEALTH MANAGEMENT SYSTEM (BHMS)
- Solicitation number
- 215584
- Issued by
- Natrona County, Wyoming
About this file
This file contains BHMS Data Specifications for FY27 ESR-Funded By Grant (FBG) Master Data Set for the State of Wyoming Department of Health, Behavioral Health Division, defining the required data elements and formats for Electronic Service Records (ESRs) submitted by grant-funded behavioral health programs. The specifications establish mandatory data fields for both Mental Health (MH) and Substance Use Disorder (SUD) programs, including client identification, date of birth, sex, provider agency codes, dates of service, funding source designation, location of service, and service event types with corresponding units. Mental Health services encompass 27 valid service event codes ranging from clinical assessments and therapy to medication management and crisis response services, with outpatient services measured in 15-minute units and residential services measured in daily units. Substance Use Disorder services include 20 valid service event codes covering engagement, assessment, group and individual therapy, medication-assisted treatment, residential treatment, and peer specialist services, similarly tracked in 15-minute increments for outpatient services and daily units for residential and detoxification services. The specifications document reflects multiple revisions effective as of March 30, 2026 through May 14, 2026, including updated field naming conventions, removal of previously valid service codes designated for internal use only, and alignment with updated HHS guidance regarding sex classification categories.
The data specifications require ESRs exclusively for clients in grant-funded programs and prohibit their use for clients in other funding categories. Valid funding source codes limit submissions to code 4 (Other Grant-funded programs), with codes 1, 2, 3, and 5 marked as invalid. The location of service field provides 25 distinct venue options including offices, community settings, correctional facilities, inpatient hospitals, homeless shelters, faith-based organizations, primary care facilities, homes, client job sites, various residential settings, schools, telehealth platforms, early childcare settings, nursing homes, senior citizen centers, and mobile crisis team locations. Mental Health and Substance Use Disorder service fields are mutually exclusive, with MH fields required when the provider agency code identifies a mental health program and must remain blank for SUD programs, while SUD fields are required for substance use disorder programs and must remain blank for mental health programs.
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BHMS Data Specifications FY27 ESR-FUNDED BY GRANT (FBG) Master Data Set
5/14/2026
Notes: Changes are in red text for FY27. ESRs are ONLY allowed for clients in grant-funded programs (SOR, etc.)
Data Element Number Data Element Codes/Descriptions MH SUD Notes
SR-1 ClientID 14-digit (alpha and numeric) algorithm (see FY27 ESR-FUNDED BY GRANT (FBG) Data Rules for details)
SR-2 DateOfBirth mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd
SR-3 Sex (The client's immutable biological classification as either male or female) Changed to reflect updated HHS guidance
1=Male 2=Female 3=Unknown
SR-4 ProviderClientID Agency specific, 0-30 alphanumeric, can have spaces and hyphens but no other special characters
SR-5 AgencyCode Enter the six-digit FUNDED BY GRANT (FBG) agency code of the provider program delivering services.
SR-6 DateOfService mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd
SR-7 FundingSource 1=(not a valid code) 2=(not a valid code) 3=(not a valid code) 4=Other (Grant-funded programs) 5=(not a valid code)
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
5/14/2026 Page 1 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
SR-8 LocationOfService 1=Office 2=Community 3=Correctional Facility (Jail) 4=Inpatient 5=Homeless/Emergency Shelter 6=Faith-based (Church) 7=Primary Care/Health care 8=Home 9=Client Job Site 10=Residential Care (not SA or MH specialty) 11=School 12=Telehealth/Telepsychiatry 13=Early Childcare Setting 14=Hospital 15=Nursing Home/Assisted Skilled Nursing Facility 16=MH Supervised Apartment 17=MH Group Home 18=RTC for Co-Occurring 19=SA Residential 20=SA Transitional Residential 21=Social Detox Facility 22=Phone 23=Other/Unknown 24=Senior Citizen Center 25=Mobile Crisis Team
5/14/2026 Page 2 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
SR-9 MentalHealthServiceEventType (See contract documents for service definitions)
1=Clinical Assessment 2=(not a valid code) 3=Group Therapy 4=Day Treatment 5=(not a valid code) 6=Case Management 7=Group Case Management 8=Individual Rehabilitative Services 9=(not a valid code) 10=Group Rehabilitation Services 11=Individual Activity Therapy 12=(not a valid code) 13=Medication Management Services by Psychiatrist 14=Medication Management Services by General Physician 15=Medication Management Services by Advanced Practitioner of Nursing 16=Medication Management Services by Physician Assistant 17=Medication Management Services by RN 18=Medication Management Services by LPN 19=(not a valid code) 20=Group Activity Therapy 21=(not a valid code) 22=(not valid) 23=MH Residential (1 unit = 1 day)
√ Mental Health Service fields (SR- 9 and SR-10) are required when SR-5 is a mental health program. Must be blank if SR-5 is a substance use disorder program.
Mental Health Services
5/14/2026 Page 3 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
MentalHealthServiceEventType (continued) 24=Supported Employment 25=(not a valid code) 26=Peer Specialist - Individual 27=Peer Specialist - Group Values 28-39 (not valid codes) 40=Crisis Clinical Response Services (CCRS) 41=Acute Crisis and Diversion Services (ACDS) 42=(not a valid code) 43=Sub-Acute Crisis Residential (1 unit = 1 day) 44=Intensive Outpatient Group 45=After Hours Emergency Line 46=(not a valid code) 47=Client Engagement Services 48-49=(not valid codes) 50=Agency-based Individual Therapy 51=Agency-based Family Therapy 52=Community-based Individual Therapy 53=Community-based Family Therapy 54-58=(not valid codes)
SR-10 MentalHealthServiceEventUnits Outpatient Service (1 Unit = 15 minutes) MH Residential Services (1 Unit = 1 day) Sub-Acute Crisis Residential Services (1 Unit = 1 day)
√ Mental Health Service fields (SR- 9 and SR-10) are required when SR-5 is a mental health program. Must be blank if SR-5 is a substance use disorder program.
5/14/2026 Page 4 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
SR-11 SubstanceAbuseServiceEventType (See contract documents for service definitions)
1=Client Engagement Services 2=Clinical Assessment 3=(not a valid code) 4=(not a valid code) 5=Group Therapy 6=Intensive Outpatient Group 7=(not a valid code) 8=Women's Intensive Outpatient Group 9=Case Management 10=Medication Management Services by Psychiatrist 11=Medication Management Services by General Physician 12=Medication Management Services by Advanced Practitioner of Nursing 13=Medication Management Services by Physician Assistant 14=Medication Management Services by RN 15=Medication Management Services by LPN 16=Social Detox (1 unit = 1 day) 17=(not a valid code) 18=Primary Residential Treatment - Adult (1 unit = 1 day) 19=Primary Residential Treatment - Adolescent (1 unit = 1 day) 20=Transitional Housing (1 unit = 1 day) 21=Peer Specialist - Individual 22=Peer Specialist - Group Values 23-26 (not valid codes) 27=Supported Employment Values 28-31(not valid codes) 32=(not a valid code)
√ Substance Use Disorder fields (SR-11 and SR-12) are required when SR-5 is a substance use disorder program. Must be blank if SR-5 is a mental health program.
Substance Use Disorder Services
5/14/2026 Page 5 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
SubstanceAbuseServiceEventType (continued)
33=MAT for Opioid Use 34=(not a valid code) 35=Group Case Management 36=Individual Rehabilitative Services Values 37-45 (not valid codes) 46=SA Rehabilitative Services - Group 47=Crisis Clinical Response Services (CCRS) 48=(not a valid code) 49=After Hours Emergency Line 50-53=(not valid codes) 54=Agency-based Individual Therapy 55=Agency-based Family Therapy 56=Community-based Individual Therapy 57=Community-based Family Therapy 58-62=(not valid codes) 63 = Acute Crisis and Diversion Services (ACDS) 64 = Individual Activity Therapy 65 = Group Activity Therapy 66 = Medication Management Services (shadow)
SR-12 SubstanceAbuseServiceEventUnits Outpatient Service (1 Unit = 15 minutes) Primary Residential Services (1 Unit = 1 day) Social Detox (1 Unit = 1 day) Transitional Housing (1 Unit = 1 day)
√ Substance Use Disorder fields (SR-11 and SR-12) are required when SR-5 is a substance use disorder program. Must be blank if SR-5 is a mental health program.
5/14/2026 Page 6 Of 7
Data Element Number Data Element Codes/Descriptions MH SUD Notes
BHMS Data Specifications
FY27 ESR-FUNDED BY GRANT (FBG)
Master Data Set
5/14/2026 REQUIRED FIELDS
MH=Mental Health SUD=Substance Use Disorder
Date Change Type Field 3/30/2026 Updated field name SR-3 Sex 3/30/2026 Removed field SR-2 MothersFirstName 3/30/2026 Removed field SR-3 PlaceOfBirth 3/30/2026 Removed value SR-7 FundingSource 3/30/2026 Removed value SR-7 FundingSource
5/12/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType 4/9/2026 Removed value SR-9 MentalHealthServiceEventType
4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType
4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType 4/9/2026 Removed value SR-11 SubstanceAbuseServiceEventType
3=State
Change Log Value
Updated Gender to Sex
1=Medicaid
62=Medicare Services (Internal Use Only)
58=Medicare Services (Internal Use Only) 50=Medication Management Services with Incorrect Provider Type (Internal Use Only) 51=Therapeutic Injection (internal Use Only) 52=Interactive Complexity (Internal Use Only) 53=Drug Test Direct Observation (Internal Use Only)
46=Medication Management Services with Incorrect Provider Type (Internal use only)
58=Eligibility Screening (Internal Use Only) 59=Lab Test (Internal Use Only) 60=Prenatal Care (Internal Use Only) 61=Interpreter (Internal Use Only)
48=Therapeutic Injection (internal Use Only) 49=Interactive Complexity (Internal Use Only)
55=Lab Test (Internal Use Only) 56=Prenatal Care (Internal Use Only) 57=Interpreter (Internal Use Only)
54=Eligibility Screening
5/14/2026 Page 7 Of 7
FY27 ESR-FBG Master Data Set
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