Home

Changes for September 8, 2010 • 2 new fields were added to the

Contents

1. that is entered after the 14 will be submitted the following month KIT Solutions 2010 S DATA TABLE FILE INFORMATION The following outline important information contained in several of the data table files Since it is important that these fields get imported correctly key fields they are emphasized in this section Unique Client Identifier Pseudo Social Security Number Assignment Social security number SSN is the key element for identifying each client There will be cases when the SSN cannot be collected client refuses client is unable to communicate etc In the event of this a pseudo SSN should be assigned that makes the client unique within that provider using the following criteria Potions OO O 01 31 depending on birth day BQ 00 99 depending on birth year If the pseudo ID is already in use by another client then the Data Entry Operator will alter the two digits of the birth day to a number greater than 31 In all other cases the DOB in the Pseudo ID must match the DOB in the DOB field Example If the client name is Unique Provider Identifier Each provider is identified by their unique 10 digit including the dash Federal Tax Identification Number Example 59 1234567 Valid Ids are recorded by the state during the agency registration process and recorded in a central database provider table All accepted data warehouse activity reported by an agency is associated with thier ID as rec
2. Registered Domestic Partner 4 Divorced 8 Legally Separated Default 1 HLTHSTAT CHAR 1 Code to identify client s health status at time of evaluation MANDATORY 1 Agitated 2 Comatose 3 Disoriented 4 Depressed 5 Forgetful 6 Lethargic 7 Other Mental Condition 8 Oriented Default 8 PREGTRIM CHAR 1 Code to identify the client s trimester of pregnancy MANDATORY 1 18 1 3 Months 3 Dr 7 9 Months 2 2 4 6 Months 4 Not pregnant or male Default 4 ADMITYPE CHAR 1 Code to identify client legal status 1 Voluntary Competent 3 Involuntary Competent 2 Voluntary Incompetent 4 Involuntary Incompetent Default 1 DRUGCRT CHAR 1 Code to identify if client is Drug Court ordered MANDATORY 1 Yes 0 No Definition Has the client been court ordered to seek Substance Abuse treatment reS Code to identify if client is involved in child welfare MANDATORY RESIDSTAT Code to identify chent o residence status at time of evaluation 01 degt Living ralone dep h Re ee a Gen Living with as FL FTP Us f Manual 30 KIT Solutions 2010 User View Name Type Size Field Description Prevention Discharge Outcome Position 05 Dependent Living with Non Relatives 06 Assisted Living Facility ALF 07 Foster Care Home 08 Group Home 09 Homeless 10 Hospital 11 Nursing Home 12 Supported Housing 13 Correctional Facility 14 DJJ Facility 99 Not Available or Unknown Default
3. These fields will be optional until January 5 2011 After that date the question will be mandatory e Reference E was modified to reflect the changes in the 10 11 FL PBPS application e Reference F Client Scan ID Algorithm has been removed Changes for August 11 2009 e 2new fields were added to the Level 1 and Level 2 Event file formats SessionContent and Fidelity These are mandatory fields e Reference E was modified to reflect changes due to the PPT Program Planning Tool Changes for September 25 2008 e The ICD9PRIM field name in position 153 in the Initial Outcome table has been changed to SA_DISGNOSIS The default has changed from 999 to 799 9 This is a mandatory field e The ICD9SEC field name in position 159 in the Initial Outcome table has been changed to MH_DISHNOSIS The default has changed from 999 to 799 9 This is an optional field Changes for September 11 2007 e The following field has been added to the Initial Outcome table in position 184 MHDiagnose e You must leave the PRIMSERV field blank if you are Cost Center 16 or 17 Changes for April 9 2007 e New definitions instructions screen shots tips and notes were added to Reference E Program Information Manage Program o Adding a Science Evidenced Based Program o Adding a Local Program o Group Registration Level 1 Program o Group Registration Level 2 Details Changes for December 27 2006 e A note was added to the Non Specific Service Event and th
4. 99 ROUTPRIM ROUTSEC ROUTTER 1 FREQPRIM 1 FREQSEC 1 FREQTER AGESEC 60 CHAR 2 PhD PsyD EdD Licensed psychologist STAFFID 64 CHAR 12 Enter the 12 digit including the dash staff ID The first two digits are for the education level of the staff that completed the outcome form followed by a dash and then the staff s Local ID the Local ID is found on the Staff MD DO Board Certified PURPEVAL 76 CHAR 1 Default to 3 Discharge When Administrative Discharge code 4 is used then the only mandatory files are CONTRACTORID SSN EVALDATE STAFFID and PROVIDERID DISCDATE 77 DATE 8 Eight digit date in YYYYMMDD format indicating the date of discharge MANDATORY efinitio Or pre g of the fina Registration page of the FL PBPS the system will generate this for you or you FL FTP Us f Manual 31 KIT Solutions 2010 DEPCRIMST PROBPRIM PROBSEC PROBTER can enter it manually yourself MANDATORY 01 Non Degree Trained Technician 02 AA Degree Trained Technician 03 BA BS Bachelor s Degree from an accredited university or college with a major in counseling social work psychology nursing rehabilitation special education health education or related human services field 04 MA MS Masters Degree from an accredited university or college with a major in the field of counseling social work psychology nursing rehabilitation special education health education or related human serv
5. Create New Group button Group Information Program Name Select One EN Program Description Site Name 50 characters max Group Description 4 Select the program the group is associated with from the Program Name dropdown list a The Program Description will be filled in for you once the Program Name is selected 5 Enter a name for the group in the Site Name field Note If you have more than one section starting on the same date you may want to add a section number or another identifying characters 6 Enter a brief description of the group in the Group Description field This field is optional KIT Solutions 2010 Start Date mm dd yyyy _ Study Group 7 Enter the Start Date for the group as mm dd yyyy This should be the first day you met with the group a Once saved the Study Group name will automatically be created combining the Site Name and Start Date Study omg 07 06AA C 8 Select the county the group resides in from the County dropdown list 9 Enter the 5 digit zip code from the Zip Code field Pre Test Estimated Date mmidd yyyy Post Test Estimated Date mm dd yyyy Pre Test Actual Date mm dd yyyy Post Test Actual Date mm dd yyyy Group Completed Date mm dd yyyy Status Active 10 Enter an estimated date that pre tests and post tests will be given in the Pre Tests Estimated Date and Post Tests Esti
6. If you need assistance entering a program please see Reference E lf ats is a Prevention Service this can be loft blank on e FL FTP Us f Manual 16 KIT Solutions 2010 Le User View Name Field Type Size Edits and Validations for EVNT Position when associated with a program If single Prevention Service and not a program this will not be a required field and can be left blank This must be 12 characters or less S a ae Cohort Start Date is the first date the above location met and is associated with a program In this scenario this field is required If single Prevention oe a and not a program then it is not required and will be left blank alll a i 0 Administration 1 Service This field is used to describe the type of activity If it is an activity related to a prevention service i e CSAP Model Program Local Innovative Program or Single Prevention Service such as a Health Fair enter 1 If the time is not related to a service i e training plan development professional development etc then enter 0 SESSIONCONTENT CHAR 1 Pulls the available options from IndxSessionContent MANDATORY 1 Baseline Testing 2 Post Testing 3 Follow Up Testing 4 Manualized Activity 5 Booster Session 6 Other 7 Interim Testing FIDELITY 169 CHAR 1 If the SessionContent is Manualized Activity a value of 4 you must specify a Fidelity Level If SessionContent is any other value Fidelity should b
7. s Provider ID Refer to Demographic Table for definition Site identification number of location where client was evaluated or where Provider personnel who provided the service evaluation are assigned CONTRACTORID CHAR 10 SITEID CHAR 2 SSN _ CLIENTID CHAR 10 RESIDCOUN II wem a FL FTP MANDATORY Definition Enter the site ID indicating where the client is being placed The Substance Abuse Data Office issues the site ID To obtain new site ID please contact Sherry Catledge at 850 921 3059 It is important that the site ID reported is a valid site and has been submitted to the Central Office The site ID is validated against the Provider Table in the data warehouse If the site ID is not listed the record is rejected CHAR 9 Client s Social Security Number SSN or pseudo SSN MANDATORY A ten character field the Provider uses to identify the client or local info OPTIONAL Refer to Demographic Table for definition Client s residence 01 Alachua 02 Baker 03 Bay 04 Bradford 05 Brevard 06 Broward 07 Calhoun 08 Charlotte 09 Citris 10 Clay 11 Collier 12 Columbia 13 Dade 14 DeSoto 15 Dixie 16 Duval 17 Escambia 18 Flagler 19 Franklin 20 Gadsden 21 Gilchrist 22 Glades 23 Gulf 24 Hamilton 25 Hardee 26 Hendry 27 Hernando 28 Highlands 29 Hillsborough 30 Holmes 31 Indian River 32 Jackson 33 Jefferson 34 L
8. social work psychology nursing rehabilitation special education health education or related human services field 05 Licensed Practitioner of the Healing Arts MA MS advanced registered nurse practitioner physician assistants clinical social workers mental health counselors marriage and family therapists 06 PhD PsyD EdD Licensed psychologist 07 MD DO Board Certified SSUPPORTTIME NUM 4 Enter staff support time in Minutes SSERVICETIME NUM 4 Enter staff direct service time in Minutes SERVICEDATE DATE 8 Enter the date of direct service BEGINTIME 71 CHAR 4 Time service began being provided to client This is for services measured in minutes MANDATORY Definition The beginning time is only required for service events that are measured in minutes Enter the beginning time Hours Minutes of the service event using the 24 hour clock This affects how the hours are reported Fora service event that starts following noon you will need to add 12 to the hour For example a service is provided at 2 45p m the proper recording of the time is 1445 If the procedure indicated is not measured in minutes then enter 0000 FL FTP Us f Manual 35 KIT Solutions 2010 CONTRACTNO 75 Enter the ADM contract number OPTIONAL Definition Enter the contract number ADM contract number not the subcontract number is you are a subcontractor with the managing entity Note If you are doing Level 1Prevention Services and have mul
9. 12 Using the checkboxes select the participants to be part of the group 14 Note If participants have not been registered yet see Identify Participants from the FL PBPS User Manual Click the za Save button Note To exit this screen without saving any of the changes you have made click Cancel KIT Solutions 2010 OCK GRANT FUNDING 1 Block Grant Adult 2 3 4 KIT Solutions 2010
10. Default to 6 None ALCOHARM TOBAHARM TOBACUSE LEGGUARD EMPL PINCOSRC d INCOPERS Default to 00 FAMINC Default to 99 WAITDAYS Default to 000 POSTPART Male client Female pan 0 102 103 104 105 106 107 108 109 111 112 113 114 Local information that can be used by Provider to identify or track client s other SEH for ec E lee 115 ised b ify or track he ervice ea FL FTP Us f Manual 27 KIT Solutions 2010 Default to 0 Default to 0 Default to 0 Default to 0 Default to 0 Default to 0 Default to 0 Default to 99 Default to 0 Default to 0 Default to NULL Default to NULL DEVELOP PHYSICAL AMBULAT VISUAL ENGLISH REFERRAL CRIMJUST ARREST VHIST PRIORADM PROVINFO i ee User View Name Field Type Size Field Description Prevention Initial Outcome Position an ZE Ip NUMBER 5 _ Enter client s home residence US Postal Zip code _ _ _ FAMSIZE 141 NUMBER 1 Deia SADISGNOSIS 153 CHAR 6 Default to 799 9 MANDATORY lt MH DISGNOSIS 159 CHAR 6 Default to 799 9 S CONTNUM1 169 CHAR 5 If PURPEVAL 1 or 2 then valid values is CONTNUM Where CONTNUM1 is a valid contract found in FLAIR AND CONTRACTORID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject CONTNUM2 174 CHAR 5 If PURPEVAL 1 or 2 then valid values is CONTNUM Where CON
11. Procedure Codes Details of procedure code descriptions follow this table as reference B SERVDATE 26 Enter the date which the service was actually delivered in YYYYMMDD format The Service Date has to be lt than system date MANDATORY FACILITYP Definition The date which the service was actually delivered Must be less than or equal to the system date UNIT 34 NUMBER 4 Enter the unit code according to the type of procedure up to 4 digits number MANDATORY If amp R Services enter the staff contracted hours into minutes PRIMSERV PARTICIP STAFFID CHAR 12 FL FTP Us f Manual 15 KIT Solutions 2010 Number of clients participating in services provided MANDATORY Definition For primary prevention Outreach and Drop In Self Help enter the number of persons who participated in the service event Zero 0 participant is allowed in this field Enter the 12 digit including the dash staff ID The first two digits are for the education level of the staff that completed the outcome form followed by a dash and then the staff s Local ID the Local ID is found on the Staff Registration page of the FL PBPS the system will generate this for you or you can enter it manually yourself MANDATORY 01 Non Degree Trained Technician 02 AA Degree Trained Technician 03 BA BS Bachelor s Degree from an accredited university or college with a major in counseling social work psychology nursing rehabilitation speci
12. Specific Service Event Level 2 Position SERVCOUNT CHAR 2 County where client was serviced For clients who are homeless indicate the county in which the service was provided do not use code 88 Homeless MANDATORY Definition Enter the two digit number that represents the county where the service was rendered The codes conform to the alphabetical listing of the counties 01 Alachua 18 Flagler 35 Lake 52 Pinellas 02 Baker 19 Franklin 36 Lee 53 Polk 03 Bay 20 Gadsden 37 Leon 54 Putnam 04 Bradford 21 Gilchrist 38 Levy 55 St Johns 05 Brevard 22 Glades 39 Liberty 56 St Lucie 06 Broward 23 Gulf 40 Madison oo 07 Calhoun 24 Hamilton 41 Manatee 58 Sarasota 08 Charlotte 25 Hardee 42 Marion 59 Seminole 09 Citris 26 Hendry 43 Martin 60 Sumter 10 Clay 27 Hernando 44 Monroe 61 Suwannee 11 Collier 28 Highlands 45 Nassau 62 Taylor 12 29 Columbia Hillsborough SE EE SEHR 13 Dade 30 Holmes 47 Okeechobee 64 Volusia 14 DeSoto 31 Indian River 48 Orange 65 Wakulla 15 Dixie 32 Jackson 49 Osceola 66 Walton 67 16 Duval 33 Jefferson 50 Palm Beach Washington 17 Escambia 34 Lafayette 51 Pasco COSTCENT ER CHAR 2 See Reference A for appropriate Cost Center code MANDATORY CHAR 1 Code to identify the majority gt 51 funding source for the current service that the client is receiving OPTIONAL 1 M
13. client This is for services measured in minutes MANDATORY Definition The beginning time is only required for service events that are measured in minutes Enter the beginning time Hours Minutes of the service event using the 24 hour clock This affects how the hours are reported For a service event that starts following noon you will need to add 2 to the hour For example a service is provided at 2 45 p m the proper BEGINTIME recording of the time is 1445 If the procedure indicated is not measured in minutes then enter 0000 HEALTHPLA CLAIM ID STDCHARGE RECPAID PAMENT NULL 68 CHAR NULL NULL 76 NUMBER S NULL j D 4 79 CHAR 3 Enter three 3 digits code to indicate the payment of FUND1 for this service OPTIONAL 001 FULL 100 002 PARTIAL 1 99 CONTNUM1 82 CHAR 5 Enter the ADM contract number ONLY based on FUND1 MANDATORY Definition Enter the contract number ADM contract number If you are a subcontractor from the Managing Entity ASO please use the Managing Entity contract number with ADM NOT the subcontract number 7 12 STAFFID 8 CHAR 12 Enter the 12 digit including the dash staff ID The first two digits are for the education level of the staff that completed the outcome form followed by a dash and then the staff s Local ID the Local ID is found on the Staff Registration page of the FL PBPS the system will generate this for you or you can enter i
14. indicating where the client is being placed The Substance Abuse Data Office issues the site ID To obtain new site ID please contact Sherry Catledge at 850 921 3059 It is important that the site ID reported is a valid site and has been submitted to the Central Office The site ID is validated against the Provider Table in the data warehouse Ifthe site ID is not listed the record is rejected Client s Social Security Number SSN or pseudo SSN MANDATORY CANNOT BE NULL OR LESS THAN 9 DIGITS CANNOT START WITH THREE ZEROS 000 THREE NINE 999 O THREE EIGHTS 888 and must EXIST IN THE DEMOGRAPHIC RECORD A ten character field the Provider uses to identify the client or local info OPTIONAL Definition This agency client ID is only used to provide agencies with an easy method of cross walking submitted data back to their own data system Valid values up to 10 characters or blank Enter the type of provider HIPAA MANDATORY 01 Counselors by subtype 02 Marriage amp Family Therapist 03 Therapist 04 Neuropsychologist 05 Psychoanalyst by subtype 06 Psychologist by subtype 07 Nursing service related provider by type subtype 08 Physician assistant and advanced practice nursing providers by type subtype 09 Physician Osteopath by subtype 10 Psychosocial 11 Rehabilitation 12 Specialist 13 School Psychologist 14 Social Worke KIT Solutions 2010 DEE ee eege Size Field Description Client
15. nurse practitioner physician assistants clinical social workers mental health counselors marriage and family therapists PhD PsyD EdD Licensed psychologist MD DO Board Certified CHAR 1 Perceivesudrugs as harmful to health MANDATORY FOR CHILDREN ss 26 KIT Solutions 2010 und Field Position User View Name Type Size Field Description Prevention Initial Outcome 1 Yes 0 No 3 Unknown Definition Does the client perceive drugs as being harmful to their overall health The therapist should not answer these questions without the Client being present CHAR 1 Perceives alcohol as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client perceive alcohol as being harmful to their overall health The therapist should not answer these questions without the client being present CHAR 1 Perceives tobacco as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client perceive tobacco as being harmful to their overall health The therapist should not answer these questions without the client being present CHAR 1 Tobacco usage MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client use any kind of tobacco products The therapist should not answer these questions without the client being present CHAR 1 Default to 6 Not applicable CHARI Default to 82 student CHAR 1
16. strengthening protective factors 20 Newsletter development STNO7 Information Coalition Gathering information formatting and producing Dissemination ani izationalngwsiette KIT Solutions 2010 Prevention Service Codes me CSAP Preferred Pe Service Title Strate Description Code gy Entity p 21 Newsletter dissemination STN13 Information Coalition Activities related to the distribution of an Dissemination F organizational newsletter Service Provider 22 Parenting Family Support STE04S Education amp Service Provider Structured activities intended to assist parents Training and families in addressing family domain risk factors and protective factors and learning about the effects of substance abuse on individuals and families 23 Peer leader activities STE05S Alternative Service Provider Structured prevention activities that use people Activities S of a similar rank or standing peers to provide Coalition guidance support and other risk reduction activities 24 Peer leader training STE05 Education amp Service Provider Activities intended to prepare peer leaders to Training SS conduct peer leader activities including training Coalition and supervised practice experiences 25 Prevention assessment amp referral STPO6 Problem ID amp Service Provider Activities intended to provide a risk screening Referral assessment and referr
17. who do not need substance abuse treatment and generally have not participated in substance abuse treatment this is not a relapse prevention activity that address issues that threaten a substance abuse free lifestyle 39 Telephone information service STN18 Problem ID amp Referral Service Provider Activities for responding to telephone inquiries to identify an individual s substance abuse prevention issues that cannot be adequately addressed by the provider s prevention programs or services and to make appropriate referrals for other services 40 Training curriculum development STNO6 Education amp Training Service Provider This activity is the development of training curriculum and materials on substance abuse prevention related topics The training topics should be related to the prevention needs of the community 4 Tutoring STA07B Alternative Activities Service Provider This activity needs to be a part of a local effort that has a stated purpose or goal of reducing substance abuseultin he coordination of training of tutors superv ftutors and direct tutoring KIT Solutions 2010 Prevention Service Codes CSAP Preferred Code Entity O 42 Volunteer coordination STC03 Community Service Provider This activity allows staff to coordinate train and Process supervise volunteers who are conducting substan
18. 5 Dependent Living with Non Relatives 06 Assisted Living Facility ALF 07 Foster Care Home 08 Group Home 09 Homeless 10 Hospital 11 Nursing Home 12 Supported Housing 13 Correctional Facility 14 DJJ Facility 99 Not Available or Unknown Enter the education level of the staff that completed the outcome form followed by a dash and Registration page of the FL PBPS the system will generate this for you or you can enter it manually yourself MANDATORY 04 07 It 1 Default 99 DEPCRIMST 44 CHAR 2 PROBPRIM PROBSEC PROBTER ROUTPRIM ROUTSEC ROUTTER FREQPRIM FREQSEC FREQTER 58 CHAR 2 Default NULL AGESEC 60 CHAR 2 Default NULL AGETER 62 CHAR 2 Defaut NULL 12 digit including the dash staff ID The first two digits are for the then the staff s Local ID the Local ID is found on the Staff Non Degree Trained Technician AA Degree Trained Technician BA BS Bachelor s Degree from an accredited university or college with a major in counseling social work psychology nursing rehabilitation special education health education or related human services field MA MS Masters Degree from an accredited university or college with a major in the field of counseling social work psychology nursing rehabilitation special education health education or related human services field Licensed Practitioner of the Healing Arts MA MS advanced registered
19. 921 3059 It is important that the site ID reported is a valid site and has been submitted to the Central Office The site ID is validated against the Provider Table in the data warehouse If the site ID is not listed the record is rejected County where client was serviced For clients who are homeless indicate the county in which the service was provided do not use code 88 Homeless MANDATORY Definition Enter the two digit number that represents the county where the service was rendered The codes conform to the alphabetical listing of the counties 01 Alachua 02 Baker 03 Bay 04 Bradford 05 Brevard 06 Broward 07 Calhoun 08 Charlotte 09 Citris 10 Clay 11 Collier 12 Columbia 13 Dade 14 DeSoto 15 Dixie 16 Duval 17 Escambia 18 Flagler 19 Franklin 20 Gadsden 21 Gilchrist 22 Glades 23 Gulf 24 Hamilton 25 Hardee 26 Hendry 27 Hernando 28 Highlands 29 Hillsborough 30 Holmes 31 Indian River 32 Jackson 33 Jefferson 34 Lafayette 35 Lake 36 Lee 37 Leon 38 Levy 39 Liberty 40 Madison 41 Manatee 42 Marion 43 Martin 44 Monroe 45 Nassau 46 Okaloosa 47 Okeechobee 48 Orange 49 Osceola 50 Palm Beach 51 Pasco 52 Pinellas 53 Polk 54 Putnam 55 St Johns 56 St Lucie 57 Santa Rosa 58 Sarasota 59 Seminole 60 Sumter 61 Suwannee 62 Taylor 63 U
20. A Alternative Activities Service Provider This allows provider staff to participate in the planning and conduct of recreational activities that are part of a local effort that has a stated goal to prevent alcohol and other drug use 35 Service Learning STA06 Alternative Activities Service Provider These activities are a coordinated effort to link learning and community service i e participants learn about the issues related to a community need and then apply that learning and their general intellectual and physical skills into planning and conducting a community service project 36 Speaking Engagements STN17 Information Dissemination Service Provider Coalition L Community awareness on local risk and protective factors L Community awareness on local prevention resources L Community awareness on local prevention services gaps L Community awareness on local prevention accomplishments LI Community awareness of local drug problems 37 Student Assistance STPO3 Problem ID amp Referral Service Provider Activities conducted in cooperation with a school to assist students with personal problems that are detrimentally affecting school performance and making appropriate referrals 38 Support Group STEO6S Education and Training Service Provider Open group activities i e a participant may join or leave the group at any time for participants
21. PTIONAL fee justified up to 2 characters E E E 97 Enter the 2 4 modifier the modifier code is two digits HIPPA OPTIONAL Left justified up to 2 characters BANK 99 1SPACE 100 CHAR 2 Enter the 3 modifier the modifier code is two digits HIPPA OPTIONAL Left justified up to 2 characters MODIFIER4 103 CHAR 2 Enter the 4th modifier the modifier code is two digits HIPPA OPTIONAL Left justified up to 2 characters CONTNPI CHAR 10 Enter the National Provider Identifier for the contractor Valid values 0000000000 through 9999999999 or Blank E ie ees 10 Enter the National Provider Identifier for the service provider Valid values 0000000000 through 9999999999 or Blank ees es CSAP Service Codes reference C MANDATORY Note If you are using a service code that is only 5 characters in length please left justify your entry Please do not use a 0 for the additional field character BEGINTIME CHAR 4 Time service began This is for services measured in minutes MANDATORY Enter the beginning time Hours Minutes of the service event using the 24 hour clock This affects how the hours are reported For a service event that starts following noon you will need to add 12 to the hour For example a service is provided at 2 45p m the proper recording of the time is 1445 PROGRAMID 135 CHAR 12 To locate the Program ID it is available in a report on the FL PBPS in the Monitoring section of the Reports Module
22. Partner 4 Divorced 8 Legally Separated Default 1 HLTHSTAT CHAR 1 Code to identify client s health status at time of evaluation MANDATORY 1 Agitated 2 Comatose 3 Disoriented 4 Depressed 5 Forgetful 6 Lethargic 7 Other Mental Condition 8 Oriented Default 8 PREGTRIM CHAR 1 Code to identify the client s trimester of pregnancy MANDATORY 1 1s 1 3 Months 3 0 7 9 Months 2 2 4 6 Months 4 Not pregnant or male Default 4 ADMITYPE CHAR 1 Code to identify client legal status 1 Voluntary Competent 3 Involuntary Competent 2 Voluntary Incompetent 4 Involuntary Incompetent Default 1 DRUGCRT CHAR 1 Code to identify if client is Drug Court ordered MANDATORY 1 Yes 0 No Definition Has the client been court ordered to seek Substance Abuse treatment CHILDWEL CHAR 1 Code to identify if client is involved in child welfare MANDATORY 1 Yes a ee _ Neen Ge with Relatives FL FTP Us f Manual 25 KIT Solutions 2010 Field Position ser View Name PURPEVAL CHAR 1 Default 1 Initial Eight digit date in YYYYMMDD format indicating when the initial evaluation was completed MANDATORY Cohort Starting Date 77 EVALDATE H CHILDPREV 86 DRUGHARM FL FTP Us anual CHAR 2 CHAR 12 CHAR 1 Type Size Field Description Prevention Initial Outcome 03 Independent Living with Non Relatives 04 Dependent Living with Relatives 0
23. Program IDs follow the steps listed below 1 Ss 3 oo Nogo A Logon to the 10 11 fiscal year system using your User ID Password and Organization ID Once you are logged in click Data Tools from the main menu Click the PPT tab Note The page is defaulted to have the PPT tab selected upon entering the page Click the Select button next to the Programs Report from the list of reports Select any filtering parameters that may be applicable Click the _ Show button to bring up a separate window with the report The generated report will display all Program names and Program ID numbers If your Program is not displayed in the generated report your Program may not be registered in the system Contact KIT Support for assistance KIT Solutions 2010 D Level 1 Program D Registration for Level 1 Program is the demographic data that is provided about the group receiving the program Identify Groups Setingw B This module is used to create groups participants Home gt Manage Program gt Identify Groups Create New Group Site Name Program Name Program Level Contract Number Escambia Local High School Protecting Youth Level 1 TM710 Esc Local HS 2 Project SUCCESS Level 2 Tm710 CC Escambia Community Coalition man Show SiteMap 1 Click Manage Program from the main menu 2 Click Identify Groups from the Manage Program Landing Page 3 Click the _ Sre t NewSrup__
24. ROVINFO 113 Sa 20 Local information used by the Provider to identify or track client s other information for reporting purposes OPTIONAL Definition Local information used by the Provider to identify or track the service event back to their system For instance the Provider could code the Reporting Unit Funding Sources Staff ID and Service Code from their system to this field This would be an aid to troubleshooting crosswalk challenges CHAR 1 Code to identify the other lt 50 funding source for the current service that the client is receiving OPTIONAL Left justified up to 2 characters Left justified up to 2 characters 1 Medicaid 5 Local Match only 2 ADM 6 Medicaid Carve out 3 TANF 7 Other State fund i e FS DD JJ CBC 4 Private Self Pay 8 Other Federal Fund i e Block Grant A PTS effective WW e 10 01 2008 B Title 21 effective 10 01 2005 Definition Enter the code to identify the funding source for the current service that the client is receiving Code 4 indicates the client was self pay or private insurance Code 5 indicates Local Match only Code 7 indicates other funding i e Family Safety CBC JJ DD AS Code 8 indicates Federal Funding i e CONTNUM2 CHAR 5 Enter the ADM contract number based on FUND2 OPTIONAL Definition Enter the contract number ADM contract number If you are a subcontractor from the Managing Entity please use the Managing Entity contrac
25. TNUN2 is found in FLAIR AND CONTRACTORID or PROVID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject CONTNUM3 179 CHAR 5 If PURPEVAL 1 or 2 then valid values is CONTNUM Where CONTNUMS is found in FLAIR AND CONTRACTORID or PROVID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject 184 CHAR 1 Default 0 No 1 Yes SOCIAL 185 CHAR 2 Valid values are 01 through 06 Else reject 01 No attendance in the past month 02 1 3 times in past month 03 4 7 times in past month 04 8 15 times in past month 05 16 30 times in past month 06 Some attendance in past month but frequency unknown Note This field will be optional until January 5 2011 After that date the question will be mandatory SCHOOL 187 CHAR 1 Valid values are 0 through 4 Else reject 1 Suspended 2 Expelled 3 Suspended and Expelled 4 Not Applicable Note This field will be optional until January 5 2011 After that date the question will be mandatory KIT Solutions 2010 rge Outcome Type Size Field Description Prevention Discharge Outcome Position 10 digit Federal Tax ID of the provider agency that has the state contract with SAMH program office of DCF MANDATORY If your agency is the subcontracted provider with the ASO Managing Entity please enter the ASO Managing Entity s Provider ID NOT your agency
26. afayette 35 Lake 36 Lee 37 Leon 38 Levy 39 Liberty 40 Madison 41 Manatee 42 Marion 43 Martin 44 Monroe 45 Nassau 46 Okaloosa 47 Okeechobee 48 Orange 49 Osceola 50 Palm Beach 51 Pasco 52 Pinellas 53 Polk 54 Putnam 55 St Johns 56 St Lucie 57 Santa Rosa 58 Sarasota 59 Seminole 60 Sumter 61 Suwannee 62 Taylor 63 Union 64 Volusia 65 Wakulla 66 Walton 67 Washington 88 Homeless 99 Out of State Highest school grade completed at time of evaluation MANDATORY 20 No Schooling 21 Nursery 29 Schooling to An Grade KIT Solutions 2010 jel Field Description Prevention Discharge Outcome Position 25 10 Grade 26 11 Grade 27 12th Grade No Diploma 28 High School Graduate Diploma Degree 29 1 or more year College No Degree 30 Associate s Degree AA AS etc 31 Bachelor s Degree BA BS AB etc 32 Masters Degree MS MA MSW etc 33 Prof Degree MD DDS JD etc 34 Doc Degree PhD EDD etc 35 Special School 36 Vocational School Definition Enter the highest school grade completed at the time of evaluation The code can range from 20 for none to 36 Enter a GED or high school MARITAL CHAR 1 Enter Marital Status at time of evaluation MANDATORY 1 Single never been married 5 Separated 2 Married 6 Unreported 3 Widowed 7
27. agements special events and telephone information lines H0025 BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE Prevention Education Service means the delivery of services with target audiences based on affecting and attitude and or behavior The education strategy involves two way communication and is distinguished from awareness and information dissemination by the fact that interaction between education facilitator and the participants is the basis of its activities Activities under this education aim to affect critical life and social skills including decision making refusal skills critical analysis and systematic judgment abilities This includes but is not limited to children of substance abuser groups classroom educational activities education services for youth parenting family management services peer leader helper programs and small group sessions H0026 ALCOHOL AND OR OTHER DRUG PREVENTION COMMUNITY BASE PROCESS SERVICE Alcohol and or Drug Prevention Community based Process Service means the delivery of services to develop skills of impactors who will in turn provide awareness education and or skills to target groups The community based process strategy aims to enhance the ability of the community to provide more effective prevention services for alcohol tobacco and other drug use and abuse This includes but is not limited to accessing services and funding assessing community needs community and volunteer tr
28. aining service and systematic planning services H0027 ALCOHOL AND OR OTHER DRUG PREVENTION ENVIRONMENTAL SERVICE Alcohol and or Drug Prevention Environmental Service means the broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law The environmental strategy establishes or changes written and unwritten community standards codes and attitudes thereby influencing incidence and prevalence of alcohol tobacco and other drugs in the general population This includes but is not limited to such activities as environmental consultation to communities preventing underage sale of tobacco and tobacco products preventing underage alcoholic beverage sales establishing ATOD free policies changing environmental codes ordinances regulation and legislation and public policy efforts H0028 ALCOHOL AND OR OTHER DRUG PREVENTION PROBLEM IDENTIFICATION AND REFERRAL SERVICE Alcohol and or Drug Prevention Problem Identification and Referral Service means any activity designed as a prevention program to modify the behavior of an individual at risk of becoming a substance user or who is currently using substances The problem identification and referral strategy aims at identification of those individuals who have indulged in illegal age inappropriate use of tobacco and alcohol and those who have indulged in the first use of illicit drugs in order to assess if their behavior can be re
29. al education health education or related human e User View Name Field Type Size Edits and Validations for EVNT Position nursing rehabilitation special education health education or related human services field 05 Licensed Practitioner of the Healing Arts MA MS advanced registered nurse practitioner physician assistants clinical social workers mental health counselors marriage and family therapists 06 PhD PsyD EdD Licensed psychologist 07 MD DO Board Certified PROVINFO 59 CHAR 20 Local information used by the Provider to identify or track client s other information for reporting purposes OPTIONAL Definition Local information used by the Provider to identify or track the service event back to their system For instance the provider could code the Reporting Unit Funding Source Staff ID and Service Code from their system to this field This would be an aid to troubleshooting crosswalk challenges CONTNUM 79 CHAR 5 Enter the ADM contract number MANDATORY Definition Enter the contract number ADM contract number NOT the subcontract number if you are a subcontractor with the Managing Entity PROVIDERID CHAR 10 10 digit Federal Tax ID of subcontractor provider agency serving consumer MANDATORY If your agency is the subcontractor from the ASO Managing Entity put your Federal Tax ID here eee Enter the 1s modifier the modifier code is two digits HIPPA O
30. al to prevention services or further social treatment service assessment 26 Prevention media message STNO8 Information Service Provider Activities related to the development of a media development Dissemination 8 message or campaign the message is usually Coalition less than five minutes long e g television and radio Public Service Announcements no cost newspaper ads billboard ads theater slide shows 27 Disseminating electronic media STN14 Information Coalition Activities related to the appearance of the media Dissemination f messages in the community Service Provider 28 Prevention Information Clearinghouse STNO1 Information Service Provider Activities related to a central repository and Dissemination 8 dissemination point for current factual and Coalition culturally competent written and audiovisual information and materials regarding substance use and abuse 29 Prevention print material development STNO5 Information Service Provider Activities related to the design and production of Dissemination ge written materials to inform community members Coalition about the effects of substance abuse and local provider and or coalition activities e g brochures flyers fact sheets posters pamphlets etc 30 Disseminating print material STN11 Information Coalition Activities for the purpose of distributing printed Dissemination f substance abuse prevention materials Service Provider 31 Prevention Technical Assistance STC08 Edu
31. cation amp Service Provider Activities intended to strengthen an Training Y organization s or individual preventions Coalition capabilities and skills for providing high quality prevention services including assistance on understanding prevention program evaluation program planning data interpretation etc 32 Prevention Training STC06 Education amp Service Provider Activities that present information or develop Training e skills related to improving the readiness of the Coalition local community to support substance abuse prevention or to improve the quality of the local substance abuse prevention workforce 33 Prevention Policy Development STV06 Environmental Coalition Activities intended to change public and Strategie BE org aT policwabou la Q e g changing local and state environ a codes ordinances regulations and legislation KIT Solutions 2010 Prevention Service Codes Service Title CSAP Code Strategy Preferred Entity Description sector policies Service Provider for single sector policies e g a school or school district and organizational policies and procedures Examples of targets for public policy efforts law enforcement priorities access to alcohol or tobacco products by minors zoning ordinances to reduce the number of retail alcohol distributors drug free school zones workplace policy 34 Recreation Support STA07
32. ce abuse prevention activities Service Title Strategy Description O 43 Youth Group Support STA07C Alternative Service Provider This activity allows staff to assist local youth Activities groups e g faith based groups clubs scouts etc in planning and conducting substance abuse prevention activities O 44 Other prevention activities services STEO6P Problem ID amp Service Provider Activities conducted with individuals seeking Prevention Counseling Referral guidance for remaining drug free for the purpose of determining the extent of the presenting problem giving guidance and if necessary making a referral to a prevention program or other appropriate service usually no more than three sessions this is not a service for a person who needs substance abuse treatment this service is not drug treatment screening KIT Solutions 2010 SAP POPULATION CODES CSAP Pop Codes CSAP Population Description KIT Solutions 2010 OGRAM INFORMATION MANAGE PROGRAM Adding Programs All Programs are entered into FL PBPS through the PPT Program Planning Tool See the PPT User Manual on the Support Site http kitusers kithost net support fl for instructions on entering your Programs Once the PPT is approved your Programs will be transferred to the current fiscal year s application to begin data entry Your Programs will receive a new Program ID To obtain the
33. ch of the seven data table files KIT Solutions 2010 HEDULE FOR IMPORTING The following is the schedule used to import data to FL PBPS and FL PBPS extracting data into OneFamily You will need to adhere to this schedule since many of the procedures will be triggered automatically by the computers internal clock and cannot be changed You must enter the demographic information for each client directly into the FL PBPS system 10 at 5PM EST to the 16t at 9AM EST of the Month The FL PBPS temporary holding table is closed for data importing or downloading error files Data is exported from FL PBPS to holding table then to OneFamily All other days of the month except the 10 to the 16th The FL PBPS temporary holding table is open for import and you are to upload the Data Table Files Remember the scrubber will not allow you to upload any data table files until all the records pass the validation so give yourself sufficient time to successfully upload your data table files Your error files from the most recent submission to OneFamily are available to download The error files detail the records that were submitted successfully but rejected by OneFamily for content reasons These records need to be corrected and resubmitted to be successfully imported to OneFamily and FL PBPS If you are entering data directly into FL PBPS you have until the 14th at 9AM EST to enter data to be submitted to OneFamily Any data
34. creen without saving any of the changes you have made click Cancel 200p Tips e Determine a unique naming structure for the Site Name prior to data entry to ensure consistency e After 30 days if the total participants are still set to 0 then it will automatically take you to the page that needs demographics It will then force you to enter your demographics If you have multiple groups that need demographics then each time you login it will go to the next group e All subcategories e g Participant by Race MUST be equal to the total Number of Participants e Even though Level 1 Program Activities are non client specific anticipated changes in Federal reporting requirements make it necessary to Estimate demographic information about the group It is important to recognize that DCF is asking for an estimate and not an actual count for Level 1 Activities KIT Solutions 2010 egistration Level 2 To use participants in Level 2 the participants will need to be assigned to a group and this group will need jo be assigned to a program The following section will show you how to enter a group from the Program area Even if you have not entered the participant s names into the application yet you can still set up the group and go back in later and use the button to add the participants into the group Once you have saved a program and would like to assign participants to this program you must assign a group to a
35. d to prevent illicit use of prescription or OTC drug abuse Strategies f prescription and OTC drugs e g physician prevention Service Provider education pharmacist education law inthe absence enforcement education support of laws and of a coalition policies to assure adequate control over the distribution of these drugs etc 17 Environmental strategies related to STV02 Environmental Coalition Activities intended to prevent the sale of tobacco tobacco sales prevention Strategies products to minors to track activities such as the Service Provider placement of legally required signs in bars inthe absence restaurants stores or other establishments of a coalition regarding the dangers of tobacco use or efforts to educate retailers and law enforcement personnel about these issues e g retail outlet cashier and management education working with Division of Alcoholic Beverage and Tobacco field agents to monitor underage sales etc 18 Health Promotion STNO3 Information Service Provider These activities address the indirectly ATOD Dissemination a related risk and protective factors in a Coalition community e g promoting good nutrition healthy relationships stress reduction displays at community events etc 19 Mentoring STEO6M Education amp Service Provider An older or more skilled person provides Training guidance to a younger or less skilled person for the purpose of reducing risk for substance abuse and
36. e Client Specific Service Event tables in the CSAPCODE field Changes for October 10 2006 e The default for Position 112 Arrest has changed from Null to 0 on the Initial Outcome table Changes for September 27 2006 e The following field has been added to the Staff Service Hours table in position 75 ContractNo This field is optional However those providers that are doing Level 1 Prevention services and have multiple contracts must populate this field to ensure their staff time is correct Changes for September 8 2006 e The following field has been added to the Initial Outcome table in position 184 MHDiagnose Changes for August 29 2006 Manual Updates 1on 102 Discharge Reason DREASON has changed from 01 to 10 on come table 01 is for Treatment 10 is for Prevention Intervention Changes for August 24 2006 e Contractor NPI ContNPI and Service Provider NPI ServNPI fields have been added to the Non Client Specific Service Event file Manual Updates L PBPS DATA UPLOAD MANUAL VERSION 2 6 SEPTEMBER 2010 BPO TANT INFORMATION EE 5 ae e Een 5 FL PBPS Prevention Benefits xa iccasiezscestssacnceasnaasctatsreacshasnaindaderntanssneddsdutatscthdocazenededcinancniatenateactiiniaietataraiceedamaiarateutues 5 Importing Data FTP Halet BE 6 Adding Data Directly le 6 importing Data mo FLPBPS E 7 Ne E EE 7 Schedule dree 8 Important Cross Data Table File Information esedeeegteeg ere 9 Unique C
37. e blank 1 Complete Fidelity 2 Very Good Fidelity 3 Partial Fidelity 4 Poor or No Fidelity Tips e A group called Planning Group has been added to all programs to specify services that were for planning If you select the group Planning Group and have a Service Count of zero then you will not be able to add Direct staff time If you have a Service Count of 1 or more then you must enter Direct staff time you will not be able to just save Support staff time KIT Solutions 2010 Field User View Name Position CONTRACTORID 1 SITEID CLIENTID PROVTYP FL FTP 10 2 ee ecific Service Event Level 2 Type Size Field Description Client Specific Service Event Level 2 CHAR 10 digit Federal Tax ID of the provider agency that has the state contract with SAMH program office of DCF MANDATORY If your agency is the subcontracted provider with the ASO Managing Entity please enter the ASO Managing Entity s Provider ID NOT your agency s Provider ID Valid Value 10 characters including dash in third position which exists in State Provider Data Set with corresponding record in the demographic record Else reject Refer to Demographic Table for definition Site identification number of location where client was served or where Provider personnel who provided the service are assigned MANDATORY Definition Enter the site ID
38. edicaid 5 Local Match only 2 ADM 6 Medicaid Carve out 3 TANF 7 Other State fund i e FS DD JJ CBC 4 Private Self Pay 8 Other Federal Fund Le Block Grant e SEN B Title 21 effective 10 01 2005 Definition Enter the code to identify the funding source for the current service that the client is receiving Code 4 indicates the client was self pay or private insurance Code 5 indicates Local Match only Code 7 indicates other funding i e Family Safety CBC JJ DD AS Code 8 indicates Federal Funding e Block grant ao KS Ee H0028 Alcoholand o Prevel ODIEMAQEN ion and eferral ed Jemen mee wier Dr g Prevention Alternatives Service Zem SERVDATE 45 DAP Jet e date which the service was actually delivered in YYYYMMDD format Code to identify service programs MANDATORY 1 Mental Health 2 Substance Abuse Procedure code assigned by HIPAA for service MANDATORY Definition Enter the code for the service provided by your agency Reference B H0024 Behavioral Health Prevention Information Dissemination Service H0025 Behavioral Health Prevention Education Service H0026 Alcohol and or Drug Prevention Community Base Process Service H0027 Alcohol and or Drug Prevention Environment Service FL FTP anual 19 KIT Solutions 2010 User View Name Field Type Size Field Description Client Specific Service Event Level 2 Position The Service Date ha
39. er agency that has the state contract with CHAR 1 CHAR 9 SAMH program office of DCF MANDATORY If your agency is the subcontracted provider with the ASO Managing Entity please enter the ASO Managing Entity s Provider ID NOT your agency s Provider ID Definition The Provider Identification number is the 10 digit including the dash Federal Tax Identification Number Example 59 1234567 It should be identical to the number provided in the Agency Registration component and to the first ten digits of the SISAR Provider ID if the agency has one When using the software provided by the ADM Central Offices the Provider ID number will automatically appear on each data entry screen if the Agency Registration component has been completed Client s Social Security Number SSN or pseudo SSN MANDATORY Definition Enter the client s Social Security Number If the client s Social Security Number is unavailable or the client refuses to give his her number then use a pseudo Social Security Number The construct for the pseudo social security number is as follows Digit 1 Client First initial Digit 2 Client middle initial use X if none or unknown Digit 3 Client Last initial Digit 4 5 Month of Birth use leading zeros for days 1 9 Digit 6 7 Date of Birth use leading zeros for Months 1 9 Digit 8 9 Year of Birth use leading zeros for where necessary If the pseudo ID is already in use by another client t
40. esting 3 Follow Up Testing 4 Manualized Activity 5 Booster Session 6 Other 7 Interim Testing FIDELITY 188 CHAR 1 If the SessionContent is Manualized Activity a value of 4 you must specify a Fidelity Level If SessionContent is any other value Fidelity should be blank 1 Complete Fidelity 2 Very Good Fidelity 3 Partial Fidelity 4 Poor or No Fidelity Tips e A group called Planning Group has been added to all programs to specify services that were for planning If you select the group Planning Group and have a Service Count of zero or no Attendance selected then you will not be able to add Direct staff time If you have a Service Count of 1 or more and or Attendance set to Yes then you must enter Direct staff time you will not be able to just save Support staff time KIT Solutions 2010 Type Size Field Description Prevention Initial Outcome Position CONTRACTORID CHAR 10 SITEID CHAR 2 10 digit Federal Tax ID of the provider agency that has the state contract with SAMH program office of DCF MANDATORY If your agency is the subcontracted provider with the ASO Managing Entity please enter the ASO Managing Entity s Provider ID NOT your agency s Provider ID Refer to Demographic Table for definition Site identification number of location where client was evaluated or where Provider personnel who provided the service evaluation are assig
41. hen the Data Entry Operator will alter the two digits of the Birth Day to a number greater than 31 In all other cases the DOB in the Pseudo ID must match the DOB in the DOB field The client s Social Security Number is also required to retrieve and update change an existing record If a pseudo SSN is created it must match the number that the provider agency reports to the ADM Central Office on client Demographics As soon as the true SSN is acquired the agency must correct the ADMDW record CANNOT START WITH THREE ZEROS 000 THREE NINE 999 OR THREE EIGHTS 888 20 CHAR 1 A ten character field the Provider uses to identify the client or local info OPTIONAL 30 CHAR 3 65 CHAR 3 Last Name of client MANDATORY Definition Enter the client s last name Left justified up to 35 characters First Name of client MANDATORY Definition Enter the client s first name Left justified up to 35 characters KIT Solutions 2010 User View Name GENDER RACE ETHNIC PROVINFO PROVERID CONTNPI SERVNPI CONTRACTNO Field Position 114 124 132 133 134 135 155 165 175 185 Type Size Edits and Validations for DEMO PF Left justified up to 14 characters CHAR 10 Suffix of client OPTIONAL Definition Enter the client s suffix e g K DATE 8 Date of client s birth in YYYYMMDD format MANDATORY Definition If the exact date of birth is not know
42. ices field 05 Licensed Practitioner of the Healing Arts MA MS advanced registered nurse practitioner physician assistants clinical social workers mental health counselors marriage and family therapists tl User View Name Field Type Size Field Description Prevention Discharge Outcome Position CHAR 1 Defautto1 Yes e CHAR 1 Perceives drugs as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client perceive drugs as being harmful to their overall health The therapist should not answer these questions without the client being present ALCOHARM 87 CHAR 1 Perceives alcohol as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client perceive alcohol as being harmful to their overall health The therapist should not answer these questions without the Client being present TOBAHARM 88 CHAR 1 Perceives tobacco as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Does the client perceive tobacco as being harmful to their overall health The therapist should not answer these questions without the client being present TOBACUSE CHAR 1 Tobacco usage MANDATORY FOR CHILDREN 1 Yes 5 No Unknown De Does the client use any kind of tobacco products The therapist should not answer these questions without the client being present FUTUSE CHAR 1 Current status of the client s experimentation or inte
43. in partnership with county school boards Counselors provide individual group and family counseling and school personnel implement an intensive education program This cost center also includes children adolescents and adults who are at risk of substance abuse problems and receive targeted prevention services in non school based programs or through the Florida Youth Initiative Program Although the contract manual does not specifically indicate adult substance abuse targeted prevention programs these clients can be reported under this cost center KIT Solutions 2010 OCEDURE CODES H0024 BEHAVIORAL HEALTH PREVENTION INFORMATION DISSEMINATION SERVICE One way direct contact with service audiences to affect knowledge and attitude Prevention Information Dissemination Service means one way direct or non direct contact with service audiences based on affecting knowledge and attitudes The information dissemination strategy is a way to provide awareness and knowledge of the nature and extent of behavioral health abuse and addiction and their effects on individuals families and communities An example includes but is not limited to clearinghouse information resource center health fairs health promotions original materials development AV printed curricula newsletter PSA resource directory material dissemination AV printed curricula newsletter PSA resource directory media campaigns distributed speaking eng
44. ity operated on a 24 hour a day basis that is designated by the department for persons found to be substance abuse impaired as described in Section 397 675 F S The program may include detoxification assessment stabilization and short term treatment 22 Interim Services Are those minimal services provided to a person while the person is waiting for admission into a substance abuse treatment setting 23 FYI Grant Services Any indicated prevention program conducted under the Florida Youth initiative FYI Grant These can be either school based or non school based a cni pe E FL FTP Us f Manual 20 KIT Solutions 2010 UNIT ser View Name Field Type Size Field Description Client Specific Service Event Level 2 Position funded through Block Grant Funds for this purpose 25 Therapeutic Foster Home 26 Specialized Therapeutic Foster Home Level 1 27 Specialized Therapeutic Foster Home Level 2 28 Residential Treatment Center 29 Statewide Inpatient Psychiatric Program 30 Therapeutic Group Care Definition Service Setting is a two digit code that best represents the type of setting in which the service was rendered Any service that takes place on the agency s property should be coded Provider premises code 11 Other Setting code 16 should only be used when none of the other service settings adequately describes where the service occurred 59 CHAR Time service began being provided to
45. lient Identifier Pseudo Social Security Number Aeeigonment AE 9 Unique Provider Identifier EE 9 defteg dd 9 MOM AHO Ui scat eelgrass liek afb a AAE 9 EIER 10 Summary EENEG 11 Detailed Data Table File Description geegent dtasdigsilastdacctacalesdieanthcalacstaadieas 12 EE 12 Non Client Specific Service Event Level 1 eisereen 14 Client Specific Service Event ECKE 18 it EI e ue E 24 BEE e 29 Sellie eA eUT sai SEEE AE EA E E EEE 35 Reterence A Cost Cental iiini nen npa Aa R E E E a AAEE 37 Re t rence B Procedure E 38 Reference C CSAP Serica CodeS sieisen iiaiai aiaa naaasar aE aeia aidaa aeeie dia hae anii aieiai 39 Reference D CSAP Population Code Sissi iescrsiatsinschadiucstincstascbodaxaptiabinniunsdladsecsthacnesthasaeavibeditabihebtunsisbtetadancesiuksaaidbedts 44 Reference E Program Information Manage Program s sssssssssssssssssssssesssseesseecsseseseeessseateseeteneeseneacatseeaseneaseaeass 45 Adding iere 45 Group Registration Level 1 ru DE 46 Gro p STE EE 49 Reference F Block Grant Funding E 52 KIT Solutions 2010 ORMATION Every table layout has been altered in some way The changes are highlighted in RED text Please ensure that you make any necessary adjustments to your file structure INTRODUCTION The Department of Children and Families desires to have all prevention data flow through the FL PBPS for tracking reporting and evaluating purposes FL PBPS has recently bee
46. ll then be responsible to importing the data into the State s FL PBPS system The following diagrams compare the relationship between importing data from your local system into FL PBPS and adding the data directly into the web based FL PBPS system Adding Data Directly Into FL PBPS Data added directly to PBPS Temporary Holding Tables You are only responsible for adding data into FL PBPS FL PBPS will validate the data and export to OneFamily automatically KIT Solutions 2010 nto FL PBPS Six Data Tables imported to PBPS Demographic Level 1 Services Level 2 Services Initial Outcome Final Outcome Error Files that will need resubmitted Scrubber amp Temporary Holding Tables Non Error Records Imported Error Records Returned with OneFamily error codes FL PBPS What is a Scrubber A scrubber is a tool used to validate the data prior to importing The purpose of the scrubber is to prevent bad data from being imported into the system and give immediate feedback on the problem record or records This way you will be able to correct the problem in a timely manner The scrubber will not permit any data table file to be imported until all records pass the scrubber s validation The scrubber used for FL PBPS importing will continue to grow in its intelligence and trap more errors prior to importing The remainder of this manual gives the schedule for importing and details ea
47. lues is CONTNUM Where CONTNUN2Z is found in FLAIR AND CONTRACTORID or PROVID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject If PURPEVAL 1 or 2 then valid values is CONTNUM Where CONTNUMS is found in FLAIR AND CONTRACTORID or PROVID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject Valid values are 01 through 06 Else reject 01 No attendance in the past month 02 1 3 times in past month 03 4 7 times in past month 04 8 15 times in past month 05 16 30 times in past month 06 Some attendance in past month but frequency unknown Note This field will be optional until January 5 2011 After that date the question will be mandatory Valid values are 0 through 4 Else reject 1 Suspended 2 Expelled 3 Suspended and Expelled 4 Not Applicable Note This field will be optional until January 5 2011 After that date the question will be mandatory KIT Solutions 2010 ervice Hours Position SUBCONT 1 CHAR 10 10 digit Federal Tax ID of subcontractor provider agency serving consumer MANDATORY If your agency is the subcontractor from the Managing Entity ASO put your Federal Tax ID here If you are ADM contracted provider put your Provider ID here PROGRAMID 11 CHAR 12 To locate the Program ID it is available in a report on the FL PBPS in the Monitoring section of the Repo
48. mated Date fields a You will need to return to this screen at a later time and enter the actual date the Pre and Post tests were given in the Pre test Actual Date and Post test Actual Date fields Note Do not enter the Post test Actual Date until all the post tests are completed for the group The Outcome Discharge file will be sent to FL PBPS when this date is entered b Enter the date the group was completed in the Group Completed Date field Note Entering the Group Completed Date will set the group Status to Inactive The status cannot be changed once the Group Completed Date has been entered 11 The Status is defaulted to Active a Active a group that is in use b Inactive a group that has been completed 12 The Demographic information must then be filled in for the group This is an estimation of the demographics of the group KIT Solutions 2010 Participants Demographics _ Total Participants Number of Participants 0 Age 65 0 Enter the total Number of Participants for this group Enter the number of Participants By Age in the appropriate categories Enter the number of Participants By Gender in the appropriate categories Enter the number of Participants By Race in the appropriate categories e Enter the number of Participants By Ethnicity in the appropriate categories 13 Click the Sr Save button Note To exit this s
49. n determine the person s age as closely as possible Then enter the codes for January 1 of the year that would create the approximate age Example if the person s age is about 50 and it is 2002 enter 01 01 1952 in the ADM reporting software and report this date to Tallahassee as 19520101 Valid values valid date that is lt or System Date and gt or 1850 CHAR 1 Code to identify the client s gender MANDATORY 1 Male 2 Female CHAR 1 Code to identify client s race MANDATORY 1 White 2 Black 3 American Indian or Alaskan Native 7 Asian 8 Native Hawaiian or Other Pacific Islander 9 Multi Racial CHAR 1 Code to identify the client s ethnicity MANDATORY 1 Puerto Rican 2 Mexican 3 Cuban 4 Other Hispanic 5 Haitian 6 None of the above 7 Mexican American 8 Spanish Latino CHAR 20 Local information that can be used by Provider to identify or track client s other information for reporting purposes OPTIONAL Definition Local information used by Provider to identify or track the service event back to their system For instance the provider could code the Reporting Unit Funding Source Staff ID and Service Code from their system to this field This would be an aid to troubleshooting crosswalk challenges CHAR 10 10 digit Federal Tax ID of provider agency serving consumer MANDATORY If your agency is the subcontractor from the Managing Entity put your Federal Tax ID he
50. n recognized nationally by the Center for Substance Abuse Prevention CSAP as one of the leading data collection applications in the field of prevention FL PBPS Prevention Benefits Using FL PBPS Prevention to collect prevention data has the following benefits 1 Eliminates the confusion because treatment data is entered into FL PBPS formally Unity One PIDS and Prevention data is entered into FL PBPS 2 Meets Prevention Minimum Data Set standards established by CSAP 3 Collects all CSAP s requirements for block grant reporting 4 Will continue to expand to meet future additional standards and Prevention Performance Grant requirements as they are established by CSAP 5 Standardizes the use of surveys and pre and post test instruments 6 Convenience to providers web based system a No VPN configuration which is time and money consuming b No additional hardware or software to purchase 7 Risk free a Meets contractual requirement b Provides monthly reports 8 Tracks number of clients served and attendance dosage for Level 2 programs 9 Number of contracted hours a Indirect services b Direct services 10 No additional training cost fee to providers 11 FL PBPS is a scientific based training tool that can be used to standardize and evaluate Prevention activities across the State KIT Solutions 2010 Into FL PBPS u may continue to collect data in your local systems and then import the data FTP into FL PBPS FL PBPS wi
51. ned MANDATORY Definition Enter the site ID indicating where the client is being placed The Substance Abuse Data Office issues the site ID To obtain new site ID please contact Sherry Catledge at 850 921 3059 It is important that the site ID reported is a valid site and has been submitted to the Central Office The site ID is validated against the Provider Table in the data warehouse If the site ID is not listed the record is rejected CHAR 9 Clients Social Security Number SSN or pseudo SSN MANDATORY OPTIONAL Be CHAR 10 RESIDCOUN i CHAR 2 01 Alachua 02 Baker 03 Bay 04 Bradford 05 Brevard 06 Broward 07 Calhoun Charlotte 09 Citris 10 Clay 11 Collier 12 Columbia 13 Dade 14 DeSoto 15 Dixie 16 Duval 17 Escambia 18 Flagler 19 Franklin 20 Gadsden 21 Gilchrist 22 Glades 23 Gulf 24 Hamilton 25 Hardee 26 Hendry 27 Hernando 28 Highlands 29 Hillsborough 30 Holmes 31 Indian River 32 Jackson 33 Jefferson 34 Lafayette 35 Lake 36 Lee 37 Leon 38 Levy 39 Liberty 40 Madison 41 Manatee 42 Marion 43 Martin 44 Monroe 45 Nassau 46 Okaloosa 47 Okeechobee 48 Orange 49 Osceola 50 Palm Beach 51 Pasco A ten character field the Provider uses to identify the client or local info Definition This agency client ID is only used to provide agencies with an easy method of c
52. nion 64 Volusia 65 Wakulla 66 Walton 67 Washington Code indicating the age group of the group MANDATORY Definition Enter the appropriate age group of the majority of the group 1 Under 3 2 3 5 KIT Solutions 2010 User View Name Field Type Size Edits and Validations for EVNT Position 5 15 17 6 18 21 7 22 Enter the facility type of the client MANDATORY 1 Drop In 3 Outreach 2 Information amp Referral 4 Prevention Code to identify the funding source for the current service that the client is receiving OPTIONAL 1 Medicaid 5 Local Match only 2 ADM 6 Medicaid Carve out 8 7 Other State fund e FS DD Ju 3 TANF CBC 4 Private Self Pay 8 Other Federal Fund i e Block Grant A PTS effective a 10 01 2005 B Title 21 effective 10 01 2005 Definition Enter the code to identify the funding source for the current service that the client is receiving Code 4 indicates the client was self pay or private insurance Code 5 indicates Local Match only Code 7 indicates other funding i e Family Safety CBC JJ DD AS Code 8 indicates Federal Funding i e PROGTYPE CHAR 1 1 Mental Health 2 Substance Abuse COSTCENT See Reference A for appropriate Cost Center code Code must be 16 only for prevention MANDATORY PROCODE 21 CHAR 5 Procedure code assigned by HIPAA for service MANDATORY Definition All Procedure Codes are currently Proposed
53. nity Service Provider Activities conducted by service provider staff in awareness Process support of a coalition sponsored community awareness initiative e g activities related to a media campaign development of presentation material etc 4 Coalition Support Needs amp Resource STC02 Community Service Provider Activities conducted by service provider staff in Assessment Process support of a coalition needs assessment and resource assessment e g data gathering report writing data analysis etc 5 Coalition Support environmental STVO1A Community Service Provider Activities conducted by provider staff in support strategies Process of a coalition driven environmental initiative e g representing not just attending public policy making meetings developing materials making presentations on behalf of the coalition 6 Coalition Support Strategic Planning STC10 Community Service Provider Activities conducted by provider staff in support Process of community strategic planning for substance abuse prevention e g participating in meetings plan writing etc 7 Community resource directory STN15 Information Coalition Activities related to the effective dissemination of dissemination Dissemination f a community directory Service Provider in the absence of a coalition 8 Community wide Awareness STN16 Information Coalition Activities directed to the community at large or Dissemination S other large community subgroups and acr
54. ntions to use drugs or alcohol if under 21 MANDATORY 1 No past experimentation or use and no future intent to use 2 No past experimentation or use but expresses future intent to use 3 Past experimentation or use but no further intent to use 4 Past experimentation or use and expresses future intent to use 5 Currently experiments or uses substance if yes complete Substance Problem Primary Definition Indicate the current status of the client s experimentation or intentions to use drugs or alcohol i CHAR 1 Perceives Drugs as harmful to health MANDATORY FOR CHILDREN 1 Yes 0 No 3 Unknown Definition Do the friends of this client use any kind of tobacco products The therapist should not answer these questions without the client being present DATE 8 Cohort Start Date This date must be matched with the Prevention Initial outcome record for the same client at Level 2 CHAR 2 Default 82 student CHAR 2 Default W CHAR 1 _Deta lt e pment WV emmmer H HILDPREV DRUGHARM INITEVADA EMPL DREASON DOUTEOHE FL FTP anual 32 KIT Solutions 2010 User View Name Field Type Size Field Description Prevention Discharge Outcome Position The following 23 items indicate the services provided or referrals given during the episode of service This is not intended to be all inclusive listing of services The items listed are federal or state reporting mandates and the Subs
55. oblem ID amp Service Provider Activities intended to provide information to Referral individuals experiencing substance abuse related problems that are interfering with work performance e g workplace prevention education risk reduction education health education and promotion supervisor training screening and referral 14 Environmental Strategies related to STV03 Environmental Coalition Activities intended to prevent the sale of underage alcohol sales prevention Strategies f alcoholic beverages to minors to track activities Service Provider such as the placement of legally required signs inthe absence in bars restaurants stores or other of a coalition establishments regarding the dangers of alcohol use or efforts to educate retailers and law enforcement personnel about these issues e g retail outlet server and management education working with Division of Alcoholic Beverage and Tobacco field agents to monitor underage sales etc 15 Environmental strategies related to STVO1C Environmental Coalition Activities intended to prevent the use and illegal drug abuse prevention Strategies f trafficking of illegal drugs e g working with SS i g Service Provider ke Geen an EE to inthe absence establish neighborhood watch programs making of a coalition drug trafficking an enforcement priority establishing a drug court etc 16 Environmental strategies related to STV01D Environmental Coalition Activities intende
56. orded in this central table Report your agency s Name and Provider ID even if you are subcontractors from the Managing Entity Data reported with a non existent ID will not be accepted into the state data warehouse Unique Contract Number Each contract is identified by ADMs unique 5 digit number Example AH123 If you are a subcontractor from the Managing Entity please enter the contract number from the Managing Entity with ADM NOT the subcontract number which does not exist in ADMs contract database Contractor ID Primary Provider contracted with SAMH program office DCF Tax ID If your agency is contracted with ASO or the Managing Entity you need to put ASO Managing Entity s Tax ID here NOT your agence ID KIT Solutions 2010 your own Provider ID provides the services to clients If you are the ASO Managing Entity and do provide the services then put your Provider ID KIT Solutions 2010 ABLE FILE DESCRIPTION DEMOGRAPHICS The demographic table is used to describe a new client This includes information such as age gender race and ethnicity A demographic record needs sent when a participant receives a Level 2 service and has not been registered previously NON CLIENT SPECIFIC A Level 1 Service is non client specific and information related to this type of SERVICE EVENT LEVEL 1 service is included A Level 1 service may also need to be linked to a FL PBPS Program and coh
57. ort Level 1 Service record needs sent for every day a service event was performed CLIENT SPECIFIC SERVICE EVENT LEVEL 2 A Level 2 Service is client specific and in addition to the information needed for a Level 1 Service a Level 2 service also needs linked to a registered Client demographic and FL PBPS Program and Cohort Level 2 Service record needs sent for every day a service event was performed PREVENTION INITIAL Prevention Initial Outcomes is linked with Demographic information to begin OUTCOMES a participant to a FL PBPS Program and Cohort Every time a participant begins a new program a Prevention Initial Outcome file needs sent PREVENTION DISCHARGE Prevention Discharge Outcomes is linked with Demographic information to OUTCOMES end a participant to a FL PBPS Program and Cohort Every time a participant completes or withdraws from a program a Prevention Discharge Outcome file needs sent STAFF SERVICE HOURS The Staff Service Hours links the staff service time Direct and Indirect to Level 1 and Level 2 activities At least one Staff Service Hours record needs sent for every Level 1 and Level 2 Service record submitted KIT Solutions 2010 ABLE FILE DESCRIPTION Demographic User View Name CONTRACTORID SSN CLIENTID LAST FIRST MIDDLE FL FTP Us anual Field Type Size Edits and Validations for DEMO Position 10 digit Federal Tax ID of the provid
58. oss Service Provider multiple sectors this activity is not classroom inthe absence drug education and is mostly the conveyance of a coalition of information about the community drug problem the community risk and protective factor profile community norm information about priority prevalence or risk or protective factor issues community resources the coalition s strategic plan and progress being made toward strategic goals 9 Consultation on organizational STV01B Environmental Service Provider Activities that provide guidance to a community environmental strategies Strategies A group or coalition to maximize the development Coalition of and or enforcement of healthy substance abuse norms and standards 10 Children of Substance Abusers STE01 Education amp Service Provider Substance abuse prevention educational COSA Groups Traini children of substance abusers KIT Solutions 2010 Prevention Service Codes me CSAP Preferred er Service Title Code Strategy Entity Description 11 Drug Education Schools STE02 Education amp Service Provider Substance abuse prevention education Training presentations to youth in school settings 12 Drug Education Youth Groups STE03S Education amp Service Provider Substance abuse prevention education Training presentations to groups of youth in non school settings 13 Employee Assistance STPO1 Pr
59. program for the program to appear in the Level 2 section Identify Groups Setingy B This module is used to create groups participants Home gt Manage Program gt Identify Groups Create New Group Site Name Program Name Program Level Contract Number Escambia Local High School Protecting Youth Level 1 TM710 Esc Local HS 2 Project SUCCESS Level 2 Tm710 CC Escambia Community Coalition TM710 Show SiteMap 1 Click Manage Program from the main menu 2 Click Identify Groups from the Manage Program Landing Page 3 Click the _ Sre t NewSroup_ Create New Group button Group Information Program Name Select One EN Program Description Site Name 50 characters max Group Description 4 Select the program the group is associated with a The Program Descripti eh ou once the Program Name is selected KIT Solutions 2010 e group in the Site Name field Ote If youhave more than one section starting on the same date you may want to add a section number or another identifying characters BD Enter a brief description of the group in the Group Description field This field is optional Start Date mm dd yyyy Study Group County Select One x Zip Code 7 Enter the Start Date for the group as mm dd yyyy This should be the first day you met with the group a Once saved the Study ao name wil a
60. re If you are an ADM contracted provider put your Provider ID here Valid values 10 characters for PROVID including dash in third position as reported in statewide provider directory Valid values 0000000000 through 9999999999 or Blank Enter the National Provider Identifier for the service provider Valid values 0000000000 through 9999999999 or Blank CHAR 5 Enter the ADM contract number MANDATORY Definition Enter the contract number ADM contract number NOT the subcontract number if you are a subcontractor with the Managing Entity KIT Solutions 2010 lent Specific Service Event Level 1 User View Name Field Type Size Edits and Validations for EVNT Position 10 digit Federal Tax ID of the provider agency that has the state contract with SAMH program office of DCF MANDATORY If your agency is the subcontracted provider with the ASO Managing Entity please enter the ASO Managing Entity s Provider ID NOT your agency s Provider ID Refer to Demographic Table for definition Site identification number of the location where the client was served or where the Provider personnel who provided the service are assigned CONTRACTORID CHAR 1 SITEID CHAR 2 SERVCOUNT CHAR 2 AGEGROUP CHAR 1 FL FTP MANDATORY Definition Enter the site ID indicating where the client is being placed The Substance Abuse Data Office issues the site ID To obtain new site ID please contact Sherry Catledge at 850
61. ross walking submitted data back to their own data system Code identifying client s County of Residence For Homeless enter 88 MANDATORY 52 Pinellas 53 Polk 54 Putnam 55 St Johns 56 St Lucie 57 Santa Rosa 58 Sarasota 59 Seminole 60 Sumter 61 Suwannee 62 Taylor 63 Union 64 Volusia 65 Wakulla 66 Walton 67 Washington 88 Homeless 99 Out of State Highest es grade completed at time of evaluation MANDATORY a No nNoounal te Nursey Snooth Seck ee to o Grane FL FTP anual 24 KIT Solutions 2010 i Field Description Prevention Initial Outcome Position 23 7 to 8 Grade 24 9th Grade 25 10 Grade 26 11 Grade 27 12th Grade No Diploma 28 High School Graduate Diploma Degree 29 1 or more year College No Degree 30 Associate s Degree AA AS etc 31 Bachelor s Degree BA BS AB etc 32 Masters Degree MS MA MSW etc 33 Prof Degree MD DDS JD etc 34 Doc Degree PhD EDD etc 35 Special School 36 Vocational School Definition Enter the highest school grade completed at the time of evaluation The code can range from 20 for none to 36 Enter a GED or high school equivalency as 12 grade code 27 MARITAL CHAR 1 Enter Marital Status at time of evaluation MANDATORY 1 Single never been married 5 Separated 2 Married 6 Unreported 3 Widowed 7 Registered Domestic
62. rts Module If you need assistance entering a program please see Reference E If this is a Prevention Service this can be left blank LOCATION CHAR 12 Site Service Location of cohort group is a mandatory field This location can be any description of where the service was held and is a MANDATORY field when associated with a program If single Prevention Service and not a program this will not be a required field and can be left blank This must be 12 characters or less Seid Wgd Cohort Start Date is the first date the above location met and is associated with a program In this scenario this field is required If single Prevention Service oe not a program then it is not required and will be left blank Wei 12 Enter the 12 digit including the dash staff ID The first two digits are for the education level of the staff that completed the outcome form followed by a dash and then the staffs Local ID the Local ID is found on the Staff Registration page of the FL PBPS the system will generate this for you or you can enter it manually yourself MANDATORY 01 Non Degree Trained Technician 02 AA Degree Trained Technician 03 BA BS Bachelor s Degree from an accredited university or college with a major in counseling social work psychology nursing rehabilitation special education health education or related human services field MA MS Masters Degree from an accredited university or college with a major in the field of counseling
63. s to be lt than system date and gt thanclient s DOB MANDATORY Definition The date which the service was actually delivered Must be less than or equal to the system date All Service events will be accepted if the mandatory fields are completed However only service events provided within an episode of care will be credited to the provider In such cases an exception report will be generated to notify the service provider and allow them to make any necessary corrections 53 7 Date that is lt system date and gt client s DOB NUMBER 4 Enter the unit code according to the type of procedure up to 4 digits number MANDATORY Definition Enter the unit code according to the type of procedure i e dose minutes or day SETTING 5 CHAR 2 Enter the two digit code that best represents the type of setting in which the service was rendered MANDATORY 01 Assisted Living Facilities 02 Recipient s Home or Apartment 03 County Health Department 04 Court 05 Delinquency 06 Foster Home 07 DCF Office 08 Jail 09 Juvenile Detention Center 10 Nursing Home 11 Provider Premises Other than BHOS 12 School 13 Shelter Facility 14 State Hospital 15 Other DCF funded Provider 16 Other Setting 17 DJJ BHOS 18 Family Safety BHOS 19 Selected Prevention Services 20 Indicated Prevention Services 21 Addictions Receiving Facility An APF is a community basis secure facil
64. t manually yourself MANDATORY 01 Non Degree Trained Technician 02 AA Degree Trained Technician 03 BA BS Bachelor s Degree from an accredited university or college with a major in counseling social work psychology nursing rehabilitation special education health education or related human services field MA MS Masters Degree from an accredited university or college with a major in the field of counseling social work psychology nursing rehabilitation special education health education or related human services field Licensed Practitioner of the Healing Arts MA MS advanced registered nurse practitioner physician assistants clinical social vorkers mental healthcounselors marriage and fam ists Ne PHDIPSII D EdD Licensed psychologist FL FTP Us f Manual 21 KIT Solutions 2010 e User View Name Field Type Size Field Description Client Specific Service Event Level 2 mm 07 MD DO Board Certified Leen Te the 1st modifier the modifier code is two digits HIPPA OPTIONAL BLANK 1 SPACE Left justified up to 2 characters 102 CHAR 2 Enter the 2 4 modifier the modifier code is two digits HIPPA OPTIONAL BLANK 1 SPACE 105 CHAR 2 Enter the 3 modifier the modifier code is two digits HIPPA OPTIONAL BLANK 1 SPACE ae i en Enter the 4th modifier the modifier code is two digits HIPPA OPTIONAL eee te justified up to 2 characters BLANK n0 _ SPACES EE P
65. t number with ADM NOT the subcontract number PROVIDERID CHAR 10 10 digit Federal Tax ID of subcontractor provider agency serving consumer MANDATORY If your agency is the subcontractor from the Managing Entity ASO put your Federal Tax ID here CSAPCODE CHAR 6 CSAP Service Codes reference C MANDATORY Note If you are using a service code that is only 5 characters in length please left justify your entry Please do not use a 0 for the additional field character PROGRAMID CHAR To locate the Program ID it is available in a report on the OneFamily ECH Prevention system in the Monitoring section of the Reports Module If you need assistance entering a program please see Reference E LOCATION CHAR 1 Site service Location of cohort group is a mandatory field This location can ees ym yes be any peace of where the service was held and i isa MANDATORY field tna program A ne group FL FTP Us f Manual 22 KIT Solutions 2010 e Te Type Size Field Description Client Specific Service Event Level 2 Position Demi be 12 characters or less STARTDATE 179 DATE 8 Cohort Start Date is the first date the above location met and is associated with a program In this scenario this field is required This must match with the group information that you entered into the OneFamily Prevention system SESSIONCONTENT 187 CHAR 1 Pulls the available options from IndxSessionContent MANDATORY 1 Baseline Testing 2 Post T
66. tance Abuse Program Office is required to report to the federal government the extent of the use of other services or referrals Indicate all that apply The correct codes are 1 Agency provided 2 Referral made 3 Both provided amp referred 4 Unknown 5 NA FL FTP Us f Manual 33 KIT Solutions 2010 i ee Type Size Field Description Prevention Discharge Outcome Position OTHERZIP CHAR 5 Default NULL OTHERPH CHAR 10 Default NULL PROVINFO CHAR 20 DRUGFREE CHAR 1 Local information that can be used by Provider to identify or track client s other information for reporting purposes OPTIONAL Definition Local information used by Provider to identify or track the service event back to their system For instance the provider could code the Reporting Unit Funding Source Staff ID and Service Code from their system to this field This would be an aid to troubleshooting crosswalk challenges Default 4 Defaut 4 00 CONTNUM1 CHAR 5 5 5 2 CONTNUM2 CONTNUM3 SOCIAL CHAR CHAR CHAR CHAR 1 SCHOOL Marchman field has been removed for Level 2 If PURPEVAL 1 or 2 then valid values is CONTNUM Where CONTNUM1 is a valid contract found in FLAIR AND CONTRACTORID Tax ID in FLAIR AND EVALDATE is between BEGINDATE and ENDDATE for the Contract in FLAIR Else reject If PURPEVAL 1 or 2 then valid va
67. tiple contracts you must populate the field to ensure your staff time is correct KIT Solutions 2010 RE COST CENTER 16 Prevention Prevention services are those involving strategies that preclude forestall or impede the development of substance abuse and mental health problems and include increasing public awareness through information education and alternative focused activities This cost center is used only for contracting do not report services under this cost center 17 Prevention Intervention Day This cost center includes school based day services for children and adolescents for four or more consecutive hours per day For children with mental health problems these services include school based mental health services for children who have been identified by the school as having or are at risk of developing mental health problems Services are individualized and may be provided in a self contained classroom a regular classroom or as a component of a full service school For children and adolescents with substance abuse problems it includes Alpha and Beta targeted prevention programs serving students in grades 4 6 and 6 8 respectively who are identified as at risk for alcohol or other drug abuse They consist of multiple structured contacts overtime to specific individuals or groups identified as having behavioral biological or patterns of use Services are provided through community provider agencies
68. utomatically be created combining the Site Name and Start Date or Pee 8 Select the county the group resides in from the County dropdown list 9 Enter the 5 digit zip code from the Zip Code field Pre Test Estimated Date mm dd yyyy Post Test Estimated Date mm dd yyyy Pre Test Actual Date mm dd yyyy Post Test Actual Date mm dd yyyy Group Completed Date mm dd yyyy Status Active wl 10 Enter an estimated date that pre tests and post tests will be given in the Pre Tests Estimated Datei and Post Tests Estimated Date fields a You will need to return to this screen at a later time and enter the actual date the Pre and Post tests were given in the Pre test Actual Date and Post test Actual Date fields Note Do not enter the Post test Actual Date until all the post tests are completed for the group The Outcome Discharge file will be sent to FL PBPS when this date is entered b Enter the date the group was completed in the Group Completed Date field Note Entering the Group Completed Date will set the group Status to Inactive The status cannot be changed once the Group Completed Date has been entered 11 The Status is defaulted to Active a Active a group that is in use b Inactive a group that has been completed KIT Solutions 2010 Participants Demographics Individual Participants C Check All Oolsen Memillen C Rukse Eric Thomas Justin
69. versed through education This strategy does NOT include any activity designed to determine if a person is in need of treatment Student assistance programs employee assistance programs prevention assessment and referral activities are examples of such activities H0029 ALCOHOL AND OR OTHER DRUG PREVENTION ALTERNATIVES SERVICE Alcohol and or Drug Prevention Alternatives Service means that which strategy provides for the participation of service populations that excluded alcohol tobacco and other drug nis g gaes DULIS D rvices and youth adult leadership functions KIT Solutions 2010 SAP SERVICE CODES Prevention Service Codes Su et CSAP Preferred SA Service Title Code Strategy Entity Description 1 Alcohol tobacco and other drug free STA01 Alternative Service Provider Social and recreational activities for youth and activities Activities SC adults that specifically exclude the use of Coalition alcohol tobacco and other drugs e g Project Graduation Prom Promise events done as part of annual special campaigns Red Ribbon Campaign Drunk and Drugged Driving Awareness Week National Family Month etc and locally initiated events 2 Coalition Participation STC04 Community Service Provider Service provider participation in coalition Process meetings and other events non leadership participation 3 Coalition Support community STCO5A Commu

Download Pdf Manuals

Related Search

Related Contents

Benutzerhandbuch  SCS 330 - AGR - Agricultura de Precisão  We`ve Made a Change! ¡Hicimos un cambio! Nous - Fisher  NB750 UG - Netcomm    Sunbeam Cooktop HP6000 User's Manual  取扱説明書  

Copyright © All rights reserved. Failed to retrieve file