FY27 MIS-TREATMENT Master Data Set.pdf

PDF 229 KB Posted Jul 31, 2026

Attached to: BEHAVIORAL HEALTH MANAGEMENT SYSTEM (BHMS)
Solicitation number: 215584
Issued by: Natrona County, Wyoming

About this file

Written by GovTribe AI · Sep 25, 2026

This file comprises the FY27 MIS-TREATMENT Master Data Set specifications for Wyoming's Behavioral Health Management System (BHMS), developed by the Wyoming Department of Health, Behavioral Health Division. The document establishes comprehensive data collection and reporting standards for mental health and substance use disorder treatment services delivered through state-contracted behavioral health centers. The BHMS collects client demographic data, treatment information, diagnoses, functional assessments using the DLA-20 scale, and specialized fields for mental health and substance use disorder populations across outpatient and residential service settings. Data submission occurs through admission (A), interim (I), and discharge (D) transaction records, with strict validation requirements including a maximum of four unknown values per form and mandatory completion of at least 15 of 20 DLA-20 activity fields for clients aged six and older. The specifications document contains 133 data elements organized by category, including required fields that must be populated for all records and conditional fields dependent on service type and billing taxonomy designation.

The BHMS data specifications include multiple validation rules and interdependent field requirements designed to ensure data quality and compliance with treatment reporting standards. Mandatory fields vary by transaction type, with certain demographic and clinical information required only on admission records while employment, residence, and presenting problems must be updated on interim and discharge records. The system differentiates between mental health-specific fields (CR-105 to CR-106) and substance use disorder-specific fields (CR-107 to CR-133), with these fields becoming mandatory based on billing taxonomy selections. Special designations identify populations including Early Serious Mental Illness-Coordinated Specialty Care (ESMI-CSC), Supported Opportunity Recovery (SOR), Sub-Acute Crisis Residential, pregnant and parenting women's programs, and in-reach services. The data specifications incorporate ICD-10 diagnostic codes, ASAM level of care assessments, and structured demographic categories including updated HHS guidance on sex classification and expanded sexual orientation and gender identity options. All data collection must adhere to privacy standards and support reporting to federal entities, with the document dated July 22, 2026, reflecting FY27 changes highlighted in red text and new fields presented in blue.

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BHMS Data Specifications FY27 MIS-TREATMENT Master Data Set

7-22-2026

MH=Mental Health, SUD = Substance Use Disorder OP=Outpatient, RES=Residential MH-SPECIFIC FIELDS (CR-105-CR-106) are required when CR-46 MHOPBillingTaxonomy and/or CR-55 MHRESBillingTaxonomy are marked 1=Yes. If CR-46 and CR-55 are both marked 2=No, then these fields must be blank.

SUD-SPECIFIC FIELDS (CR-107-CR-133) are required when CR-50 SUDOPBillingTaxonomy and/or CR-59 SUDRESBillingTaxonomy are marked 1=Yes. If CR-50 and CR-59 are both marked 2=No, then these fields must be blank.

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

Social Detox clients are identified by the value in CR-63 SUD RES PrimaryService Category (53 and 54).

Data Element

Number Data Element Codes/Descriptions A I D Notes

CR-1 FirstName Max Length 50 characters (alpha only)

CR-2 LastName Max Length 50 characters (alpha only)

CR-3 AddressUnknown 0=No 1=Yes

CR-4 AddressLine1 Max length 255 characters. Street address, PO Box, Etc. Required if CR-3 is 0=No.

Must be blank if CR-3 is 1=Yes.

CR-5 AddressLine2 Max length 255 characters. Apartment, Suite, Unit, etc.

CR-6 City Max length 100 characters. Required if CR-3 is 0=No.

Must be blank if CR-3 is 1=Yes.

CR-7 State 2 characters Required if CR-3 is 0=No.

Must be blank if CR-3 is 1=Yes.

CR-8 ZipCode 5 or 9 digits Required if CR-3 is 0=No.

Must be blank if CR-3 is 1=Yes.

CR-9 PhoneNumber 10 digits (numeric only) CR-10 Email Max Length 50 characters (alpha and numeric) CR-11 ClientID 14-digit (alpha and numeric) algorithm (see FY27 MIS-TREATMENT Data Rules for details)

CR-12 DateOfBirth mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

CR-13 Sex (The client's immutable biological classification as either male or female) Changed to reflect updated HHS guidance

1=Male 2=Female 3=Unknown

CR-14 SocialSecurityNumber The last 4 characters must match last 4 characters of Client ID. Must be 9 characters

CR-15 ProviderClientID Agency specific, 0-30 alphanumerics, can have spaces and hyphens but no other special characters

CR-16 LocationCode Enter the state-assigned four-digit code of the provider location delivering services.

CR-17 TransactionStatus 1=A Admission 2=D Discharge 3 =(not a valid code) 4=I Interim (key data updates) 5=(not a valid code)

Client Demographic Data

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

7/22/2026 Page 1 of 34

MH-SPECIFIC FIELDS (CR-105-CR-106) are required when CR-46 MHOPBillingTaxonomy and/or CR-55 MHRESBillingTaxonomy are marked 1=Yes. If CR-46 and CR-55 are both marked 2=No, then these fields must be blank.

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-18 TransactionDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

CR-19 FirstContactDate (The date of the client's first inquiry for services for the current treatment episode) mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

Required on A. The value on I's and D must match the value on A.

CR-20 DeclinedAppt (Did client decline the earliest offered appointment?)

1=Yes 2=No

Required on A. The value on I's and D must match the value on A.

CR-21 EligibilityStateLevelJusticeInvolved (See definition in Wyo. Stat. § 35-1-613)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-22 EligibilityNonstateLevelJusticeInvolved (See definition in Wyo. Stat. § 35-1-613)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-23 EligibilityAdultsWithSeriousMentalIllness (See definition in Wyo. Stat. § 35-1-613)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-24 EligibilityAdultsWithAcuteMentalIllness (See definition in Wyo. Stat. § 35-1-613)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-25 EligibilityFamiliesAtHighRisk (See definition in Wyo. Stat. § 35-1-613)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-26 EligibilityIndigentClientWithHighNeeds (See definition in Wyo. Stat. § 35-1-613) Indigent

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-27 EligibilityIndigentGeneralAccessClients (See definition in Wyo. Stat. § 35-1-613) Indigent General Access eligibility means persons whose total household income is not more than two hundred percent (200%) of the federal poverty level and is determined using the financial information obtained in the Medicaid application only. Choosing this priority population in BHMS does not guarantee that they will receive the BHC-Full benefit plan.

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

Client Eligibility Data

7/22/2026 Page 2 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-28 EligibilityVeteran (Clients who have served in the uniformed services)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-29 EligibilityPersonsWhoInjectDrugs (Individuals at high risk for infectious disease, who use and share needles, syringes, or other drug injection equipment (e.g., cookers) .)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-30 EligibilityChildrenWithSeriousEmotionalDisturbance (Includes persons up to age 18 who have a diagnosable behavioral, mental, or emotional issue.)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-31 EligibilityPregnantWomenAndWomenWithDepende ntChildren (Refers to a woman with children who relies on or requires financial, emotional, or other support including women who are attempting to regain custody of their children.)

1=Yes 2=No

At least one eligibility field from CR-21 through CR-33 must be 1=Yes. More than one eligibility field CR-21 through CR-31 can be 1=Yes.

CR-32 EligibilityPending (Eligibility has not yet been determined)

1=Yes 2=No

If CR-32 is 1=Yes, then all fields CR-21 through CR-31 and CR- 33 must be 2=No

CR-33 EligibilityNotApplicable (Client is not eligible in any category)

1=Yes 2=No

If CR-33 is 1=Yes, then all fields CR-21 through CR-32 must be 2=No

CR-34 GenderIdentity (One’s internal, personal sense of their gender)

(See FY27 MIS-TREATMENT Data Rules for definitions)

1=Cisgender Male 2=Cisgender Female 3=Transgender Man/Trans Man/Female-To-Male 4=Transgender Woman/Trans Woman/Male-To-Female 5=Genderqueer/Gender Non-Conforming/Neither Exclusively Male Nor Female 6=Additional Gender Category (or Other) 9=Unknown/Preferred Not to Respond

CR-35 SexualOrientation (Describes the emotional, romantic, and/or physical feelings of attraction-usually over a period of time)

(See FY27 MIS-TREATMENT Data Rules for definitions)

1=Straight or Heterosexual 2=Lesbian or Gay 3=Bisexual 4=(not a valid code) 5=Additional Sexual Orientation Category (or Other) 6=Queer 7=Pansexual 8=Questioning 9=Unknown/Preferred Not to Respond 10=Asexual

Additional Client Demographic Data

7/22/2026 Page 3 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-36 Race** 1=White 2=Black 3=Native American/Alaskan 4=Asian 5=(not a valid code) 6=Native Hawaiian/Other Pacific Islander 7=More Than One Race Reported 8=Other Race Not Listed 9=Unknown

Required on A. The value on I's and D must match the value on A.

**This field counts in the MIS Data Completeness Rule

CR-37 HispanicOrigin** 1=(not a valid code) 2=Not of Hispanic Origin 3=Cuban 4=Puerto Rican 5=Mexican 6=Other Hispanic 7=Unknown

Required on A. The value on I's and D must match the value on A.

**This field counts in the MIS Data Completeness Rule

CR-38 MedicaidNumber Must be 9 or 10 digits (Required when available) If eligible for Medicaid and/or the BHC Benefit Plan, enter Medicaid number on an A or I when available.

CR-39 CountyOfResidence** (The county in which the client normally lives and has a mailing address)

1=Natrona 2=Laramie 3=Sheridan 4=Sweetwater 5=Albany 6=Carbon 7=Goshen 8=Platte 9=Big Horn 10=Fremont 11=Park 12=Lincoln 13=Converse 14=Niobrara 15=Hot Springs 16=Johnson 17=Campbell 18=Crook 19=Uinta 20=Washakie 21=Weston 22=Teton 23=Sublette 98=Non-Wyoming Resident 99=Unknown

**This field counts in the MIS Data Completeness Rule

7/22/2026 Page 4 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-40 Employment (Current employment status)

1=Unemployed: Employable; no work available 2=Part Time: less than 30 hours per week 3=Full Time: greater than or equal to 30 hours per week 4=Homemaker: Adult not in workforce 5=Retired: Retired from active employment 6=Disabled Unemployed: Unable to work for disability reasons 7=Child: Under 16 years of age, not in the labor force 8=Student: 16 years of age or older, not in the labor force.

9=Inmate of an Institution 10=(not a valid code) 11=Unknown 12=Volunteer Position

Can be blank or 11=Unknown on A.

Must not be blank or 11=Unknown on I and D.

Must update on I's

CR-41 Residence** (Current residential status)

1=Lacks a fixed, regular, night-time residence (includes shelters, time-limited transitional housing, street, vehicle, or succession of friends/relatives) 2=Private Residence/Household 3=Group Home 4=Residential Treatment Center 5=Boarding/Foster Home 6=Jail/Correctional Facility 7=Hospital 8=Other Residential Setting 9=Unknown 10=Nursing Home

Must update on I's **This field counts in the MIS Data Completeness Rule

CR-42 MaritalStatus** (Current marital status)

1=Never Married 2=Now Married 3=Legally or Otherwise Absent 4=Divorced 5=Widowed 6=Minor Child 7=Unknown

**This field counts in the MIS Data Completeness Rule

CR-43 VeteranStatus** (Has the client served in the uniformed services?)

1=Veteran: Non-Combat 2=Not a Veteran 3=Veteran: Combat 9=Unknown

Required on A. The value on I's and D must match the value on A.

7/22/2026 Page 5 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-44 Education** (Highest completed level of schooling)

0=No Schooling 1=Kindergarten or 1st Grade 2=2nd Grade 3=3rd Grade 4=4th Grade 5=5th Grade 6=6th Grade 7=7th Grade 8=8th Grade 9=9th Grade 10=10th Grade 11=11th Grade 12=High School Degree/GED 13=1 Year of College 14=2 years of College/Associates Degree 15=3 Years of College 16=Bachelors Degree 17=(not a valid code) 18=Masters Degree 19=(not a valid code) 20=Doctoral Degree Value 21-24 (not valid codes) 99=Unknown

**This field counts in the MIS Data Completeness Rule

CR-45 Referral** (Source of referral at admission)

1=Self 2=Family/Friends 3=Police/Law Enforcement 4=Court (not Title 25 clients) 5=Private Psychiatrist 6=Other Physician 7=Other Private Mental Health Practitioner 8=Clergy 9=Wyoming State Hospital 10=Other Inpatient Psychiatric Service 11=Drug/Alcohol Abuse Treatment Center 12=(not a valid code) 13=Shelter 14=Behavioral Health Center 15=Other

Required on A. The value on I's and D must match the value on A.

7/22/2026 Page 6 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

Referral (continued) 16=Schools 17=Employer 18=DFS (Department of Family Services) 19=DVR (Division of Vocational Rehabilitation) 20=Nursing Home 21=Medical Hospital 22=DD (Developmental Disability) 23=Drug Court 24=(not a valid code) 25=Adult Probation and Parole 26=Juvenile Probation (DFS) 27=Early Childhood Setting 28=Attorney 29=Veterans Affairs 30=Department of Corrections 31=Court Order (Title 25 clients) 32=Social Security/Disability 33=WLRC (Wyoming Life Resource Center) 34=988 System 35=Youth Crisis Center 36=Wyoming Behavioral Institute 37=Avel E-Care 99=Unknown

CR-46 MHOPBillingTaxonomy (MH OP Billing Taxonomy is 261QM0801X)

1=Yes 2=No

Can be blank on A. Required on I's and D, where at least one billing taxonomy field (CR-46 MHOPBillingTaxonomy, CR-50 SUDOPBillingTaxonomy, CR-55 MHResBillingTaxonomy, and CR-59 SUDOPBillingTaxonomy) must be marked 1=Yes

CR-47 MHOPStartDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-46 is 2=NO, then CR-47 must be blank If CR-46 is 1=Yes, then CR-47 is required

CR-48 MHOPEndDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-46 is 2=NO, then CR-48 must be blank

Client ServiceTaxonomy Data

7/22/2026 Page 7 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-49 MHOPEndDateReason 1=Treatment Completed (Majority of the treatment plan or program was completed) 2=AMA (Against Medical Advice. Self terminated treatment when client clearly does not follow through with treatment recommendations) 3=Terminated by Facility (Treatment terminated by action of facility--not because client dropped out of treatment or client incarcerated or other client reason, documentation of steps taken for solution and explaining why termination was necessary) 4=Transferred to Another Facility (Client was transferred to another substance use disorder or mental health treatment program, provider or facility) 5=Evaluation Only (Client evaluated without agency intention to treat client) 6=Death (Patient/Client Died) 7=Other (e.g. Illness, hospitalization, or other reason somewhat out of client’s control) 8=Incarcerated (Jail, prison, or house confinement) 9=(not a valid code) 10=No Show (Client makes appointments but never returns for services) 11= Automatically Discharged by BHMS (This value is used internally by BHMS only) 12=Moved 13=Recommended for Another Level of Treatment 14=(not a valid code) 15=BHC-Full Ineligible 16 = Client declined completing Medicaid application process

If CR-46 is 2=NO, then CR-49 must be blank If CR-48 has a value, then CR-49 is required

CR-50 SUDOPBillingTaxonomy (SUD OP Billing Taxonomy is 261QR0800X)

1=Yes 2=No

CR-51 SUDOPStartDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-50 is 2=NO, then CR-51 must be blank If CR-50 is 1=Yes, then CR-51 is required

CR-52 SUDOPEndDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-50 is 2=NO, then CR-52 must be blank

7/22/2026 Page 8 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-53 SUDOPEndDateReason 1=Treatment Completed (Majority of the treatment plan or program was completed) 2=AMA (Against Medical Advice. Self terminated treatment when client clearly does not follow through with treatment recommendations) 3=Terminated by Facility (Treatment terminated by action of facility--not because client dropped out of treatment or client incarcerated or other client reason, documentation of steps taken for solution and explaining why termination was necessary) 4=Transferred to Another Facility (Client was transferred to another substance use disorder or mental health treatment program, provider or facility) 5=Evaluation Only (Client evaluated without agency intention to treat client) 6=Death (Patient/Client Died) 7=Other (e.g. Illness, hospitalization, or other reason somewhat out of client’s control) 8=Incarcerated (Jail, prison, or house confinement) 9=(not a valid code) 10=No Show (Client makes appointments but never returns for services) 11= Automatically Discharged by BHMS (This value is used internally by BHMS only) 12=Moved 13=Recommended for Another Level of Treatment 14=(not a valid code) 15=BHC-Full Ineligible 16 = Client declined completing Medicaid application process

If CR-50 is 2=NO, then CR-53 must be blank If CR-52 has a value, then CR-53 is required

CR-54 SUDOPPrimaryServiceCategory (The level of service the client was actually admitted into)

0=No Treatment Recommended 1-38 (not valid codes) 39=Adult Early Intervention and Secondary Prevention 40=Level 1.0 Adult Long-Term Remission Monitoring 41=Level 1.0Y Youth Long-Term Remission Monitoring 42=Level 1.5 Adult Outpatient Therapy 43=Level 1.5Y Youth Outpatient Therapy 44=Level 1.7 Adult Medically Managed Outpatient 45=Level 1.7Y Youth Medically Focused Outpatient 46=Level 2.1 Adult Intensive Outpatient (IOP) 47=Level 2.1Y Youth Intensive Outpatient (IOP) 48=Level 2.5 Adult High-Intensity Outpatient (HIOP) 49=Level 2.5Y Youth High-Intensity Outpatient (HIOP) 50=Level 2.7 Adult Medically Managed Intensive Outpatient 51=Level 2.7Y Youth Medically Focused Intensive Outpatient 52-58 (not valid codes) u

CR-55 MHRESBillingTaxonomy (MH RES Billing Taxonomy is 320800000X)

1=Yes 2=No

7/22/2026 Page 9 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-56 MHRESStartDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-55 is 2=NO, then CR-56 must be blank If CR-55 is 1=Yes, then CR-56 is required

CR-57 MHRESEndDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-55 is 2=NO, then CR-57 must be blank

CR-58 MHRESEndDateReason 1=Treatment Completed (Majority of the treatment plan or program was completed) 2=AMA (Against Medical Advice. Self terminated treatment when client clearly does not follow through with treatment recommendations) 3=Terminated by Facility (Treatment terminated by action of facility--not because client dropped out of treatment or client incarcerated or other client reason, documentation of steps taken for solution and explaining why termination was necessary) 4=Transferred to Another Facility (Client was transferred to another substance use disorder or mental health treatment program, provider or facility) 5=Evaluation Only (Client evaluated without agency intention to treat client) 6=Death (Patient/Client Died) 7=Other (e.g. Illness, hospitalization, or other reason somewhat out of client’s control) 8=Incarcerated (Jail, prison, or house confinement) 9=(not a valid code) 10=No Show (Client makes appointments but never returns for services) 11= Automatically Discharged by BHMS (This value is used internally by BHMS only) 12=Moved 13=Recommended for Another Level of Treatment 14=(not a valid code) 15=BHC-Full Ineligible 16 = Client declined completing Medicaid application process

If CR-55 is 2=NO, then CR-58 must be blank If CR-57 has a value, then CR-58 is required

CR-59 SUDRESBillingTaxonomy (SUD Res Billing Taxonomy is 324500000X)

1=Yes 2=No

7/22/2026 Page 10 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-60 SUDRESStartDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-59 is 2=NO, then CR-60 must be blank If CR-59 is 1=Yes, then CR-60 is required

CR-61 SUDRESEndDate mm/dd/yyyy mm-dd-yyyy mm,dd,yyyy mmddyyyy yyyy/mm/dd yyyy-mm-dd yyyy,mm,dd

If CR-59 is 2=NO, then CR-61 must be blank

CR-62 SUDRESEndDateReason 1=Treatment Completed (Majority of the treatment plan or program was completed) 2=AMA (Against Medical Advice. Self terminated treatment when client clearly does not follow through with treatment recommendations) 3=Terminated by Facility (Treatment terminated by action of facility--not because client dropped out of treatment or client incarcerated or other client reason, documentation of steps taken for solution and explaining why termination was necessary) 4=Transferred to Another Facility (Client was transferred to another substance use disorder or mental health treatment program, provider or facility) 5=Evaluation Only (Client evaluated without agency intention to treat client) 6=Death (Patient/Client Died) 7=Other (e.g. Illness, hospitalization, or other reason somewhat out of client’s control) 8=Incarcerated (Jail, prison, or house confinement) 9=(not a valid code) 10=No Show (Client makes appointments but never returns for services) 11= Automatically Discharged by BHMS (This value is used internally by BHMS only) 12=Moved 13=Recommended for Another Level of Treatment 14=(not a valid code) 15=BHC-Full Ineligible 16 = Client declined completing Medicaid application process

If CR-59 is 2=NO, then CR-62 must be blank If CR-61 has a value, then CR-62 is required

7/22/2026 Page 11 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-63 SUDRESPrimaryServiceCategory (The level of service the client was actually admitted into)

0=No Treatment Recommended 1-51 (not valid codes) 52=Level 3.1 Adult Clinically Managed Low-Intensity Residential *Note: There is no Level 3.1 for youth 53=Level 3.5 Adult Clinically Managed High-Intensity Residential 54=Level 3.5Y Youth Medically Integrated-Clinically Focused Residential 55=Level 3.7 Adult Medically Managed Residential 56=Level 3.7Y Youth Medically Focused Residential 57=Level 4 Adult Medically Managed Inpatient (Hospital or Addiction Unit) 58=Level 4Y Youth Inpatient

If CR-59 is 2=NO, then CR-63 must be blank If CR-59 is 1=Yes, then CR-63 is required

CR-64 InsurancePaymentType Does the client have Medicaid, commercial insurance or Medicare?

0=Not Applicable 1=Medicaid 2=Commercial Insurance 3=Medicare 4=Medicaid and Commercial Insurance 5=Medicaid and Medicare 6=Medicare and Commercial Insurance 7=Medicaid, Medicare, and Commercial Insurance

Can be left blank on A. Required on I's and D.

CR-65 SpecialDesignation Special designations are used to identify specialized populations

1=Not Applicable

2=ESMI - CSC

3=SOR

4=Sub-Acute Crisis Residential 5=In-Reach 6=ESMI-CSC and SOR 7=Sub-Acute Crisis Residential and SOR 8=Sub-Acute Crisis Residential and ESMI-CSC 9=In-Reach and SOR 10=Pregnant/Parenting Women's Primary Residential 11=Pregnant/Parenting Women's Primary Residential and SOR 12=Pregnant/Parenting Women's Primary Residential and Sub-Acute Crisis Residential

Can be left blank A. Required on I's and D.

If CR-65 is 2, 6, or 8, then Agency must have an ESMI program If CR-65 is 4, 7, or 8, then CR-16 must be a location with a Sub- Acute Crisis Residential program If CR-65 is 10, 11, or 12, then CR-16 must be a location with a Primary Residential Program for Pregnant and Parenting Women If CR-65 is 3, 6, 7, 9, or 11, then Agency must have a SOR program

CR-66 PrimaryIncomeSource** 1=Self 2=Family (Parent/Guardian/Spouse/Adult Children) 3=SSI (Supplemental Security Income) 4=SSDI (Social Security Disability Income) 5=Other Disability 6=Retirement 7=DFS (Department of Family Services/Welfare) 8=Other/Unemployment 99=Unknown

**This field counts in the MIS Data Completeness Rule

Additional Client Data

7/22/2026 Page 12 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-67 ProbationUnderSupervision (Probation status identifies the client under supervision by the court at the time of granting probation or at any later time in accordance with Wyo. Stat. Ann. § 7-13- 410(b).)

1=Yes – I am currently on Probation Under Supervision (at Transaction Date) 2=No – I am not currently on Probation Under Supervision (at Transaction Date)

CR-68 ProbationNotUnderSupervision (Probation status identifies whether the client is currently serving a sentence through the courts without confinement which imposes conditions of the sentence in accordance with Wyo. Stat. Ann. § 7-13- 401(a)(x).)

1=Yes – I am currently on Probation Not Under Supervision (at Transaction Date) 2=No – I am not currently on Probation Not Under Supervision (at Transaction Date)

CR-69 Parole (Parole status identifies whether the client is currently on a conditional release from an institutional confinement or imprisonment in accordance with Wyo.

Stat. Ann. § 7-13-401(a)(vii).)

1=Yes – I am currently on Parole (at Transaction Date) 2=No – I am not currently on Parole (at Transaction Date)

CR-70 FirstPresentingProblem (The client's primary complaint at the time of service)

1=Marital/Family 2=Social 3=Coping 4=Medical 5=Mood Disorder 6=Suicide 7=Alcohol 8=Drugs 9=Criminal Justice System 10=Eating Disorder 11=Thought Disorder 12=Abuse/Assault/Rape Victim 13=Runaway Behavior 14=Perpetrator 15=Evaluation 16=Gambling

Client Treatment Data

7/22/2026 Page 13 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-71 SecondPresentingProblem (The client's secondary complaint at the time of service)

0=Not Applicable 1=Marital/Family 2=Social 3=Coping 4=Medical 5=Mood Disorder 6=Suicide 7=Alcohol 8=Drugs 9=Criminal Justice System 10=Eating Disorder 11=Thought Disorder 12=Abuse/Assault/Rape Victim 13=Runaway Behavior 14=Perpetrator

CR-72 ThirdPresentingProblem (The client's tertiary complaint at the time of service)

7/22/2026 Page 14 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-73 FourthPresentingProblem (The client's quaternary complaint at the time of service)

0=Not Applicable 1=Marital/Family 2=Social 3=Coping 4=Medical 5=Mood Disorders 6=Suicide 7=Alcohol 8=Drugs 9=Criminal Justice System 10=Eating Disorder 11=Thought Disorder 12=Abuse/Assault/Rape Victim 13=Runaway Behavior 14=Perpetrator

CR-74 Diagnosis1 Refer to Appendix F for valid ICD-10 codes CR-75 Diagnosis2 Refer to Appendix F for valid ICD-10 codes CR-76 Diagnosis3 Refer to Appendix F for valid ICD-10 codes CR-77 Diagnosis4 Refer to Appendix F for valid ICD-10 codes CR-78 Diagnosis5 Refer to Appendix F for valid ICD-10 codes CR-79 Diagnosis6 Refer to Appendix F for valid ICD-10 codes CR-80 DLA20HealthPractices

(DLA-20: Health Practices) 1=Extremely severe functional impairment, needs pervasive level of continuous paid supports 2=Very severe functional impairment, needs extensive level of continuous paid supports 3=Severe functional impairment, needs moderate level of continuous paid supports 4=Moderate functional impairment, needs low level of continuous paid supports 5=WNL/Strength, Mild functional impairment, needs moderate level of intermittent paid supports 6=WNL/Strength, Intermittent mild functional impairment, needs low level of paid supports 7=WNL/Strength, Independent, Optimal functioning, no need for paid supports

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

7/22/2026 Page 15 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-81 DLA20Housing (DLA-20: Housing Stability, Maintenance)

1=Extremely severe functional impairment, needs pervasive level of continuous paid supports 2=Very severe functional impairment, needs extensive level of continuous paid supports 3=Severe functional impairment, needs moderate level of continuous paid supports 4=Moderate functional impairment, needs low level of continuous paid supports 5=WNL/Strength, Mild functional impairment, needs moderate level of intermittent paid supports 6=WNL/Strength, Intermittent mild functional impairment, needs low level of paid supports 7=WNL/Strength, Independent, Optimal functioning, no need for paid supports

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-82 DLA20Communication (DLA-20: Communication)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-83 DLA20Safety (DLA-20: Safety)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and

7/22/2026 Page 16 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-84 DLA20Time (DLA-20: Managing Time)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-85 DLA20Money (DLA-20: Managing Money)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-86 DLA20Nutrition (DLA-20: Nutrition)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and

7/22/2026 Page 17 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-87 DLA20ProblemSolving (DLA-20: Problem Solving)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-88 DLA20Family (DLA-20: Family Relationships)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and Social Detox)

CR-89 DLA20AlcoholDrug (DLA-20: Alcohol/Drug Use)

Required on I's and D for all clients aged 6 and over.

Must be blank for clients under age 6.

Must enter scores for at least 15 of the 20 DLA-20 activity fields (CR-80 through CR-99).

Must update on I's (except for Sub-Acute Crisis Residential and

7/22/2026 Page 18 of 34

Sub-Acute Crisis Residential clients are identified by the value in CR-65 Special Designation (4, 7, or 8).

BHMS Data Specifications

A=Admission record I=Interim record D=Discharge record

**MIS Data Completeness Rule: An MIS form is only allowed up to 4 Unknowns in all of the marked fields.FY27 MIS-TREATMENT Master Data Set

7/22/2026

Note: FY27 changes to existing values are in red text. New fields for FY27 are highlighted in blue.

REQUIRED FIELDS

CR-90 DLA20Leisure…

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File details come from the government source that posted it. Updated Sep 25, 2026.