CMBHS User Agreement for Medicaid Managed Care Organization (MCO) Mental Health Providers

Loading...

Requirements for MCO Mental Health Providers

If you are a provider of mental health rehabilitation and targeted case management services and have a contract with a Medicaid Managed Care Organization (MCO) that includes the requirement of entry of MH Uniform Assessment data (CANS/ANSA) into the Texas Department of State Health Services (DSHS) Clinical Management for Behavioral Health Services (CMBHS) data system, you must sign this user agreement before you will be given access to CMBHS.

Completion and return of this document begins the process of giving you access to CMBHS, however additional forms and training must also be completed.

If you are a Local Mental Health Authority that is contracting with an MCO to provide mental health rehabilitation and targeted case management services and you already have a contract with DSHS that requires the use of CMBHS, you do not need to sign this agreement. Call the CMBHS Help Line at (512) 776-7341 to assist you with your CMBHS set-up to enter data for this population.

How to Sign and Submit  the CMBHS User Agreement

  • After downloading the document, print it.  Review and Sign the document.
  • Scan the document to create an electronic version displaying your signature. Email the electronic version to MHContracts@dshs.state.tx.us
  • Mail the signed paper CMBHS user agreement to:
    • U.S. Postal Mail
      Department of State Health Services
      Mental Health Contracts Management Unit (Mail Code 2058)
      P. O. Box 149347
      Austin, TX 78714-9347
    • Overnight Mail
      Department of State Health Services
      Mental Health Contracts Management Unit (Mail Code 2058)
      909 West 45th Street, Bldg. 552
      Austin, TX 78751
  • Loading...
Last updated August 22, 2014