ATTACHMENT LISTING A through J. Process Flow Chart for Callers to the CSA Call Center

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A through J

A Process Flow Chart for Callers to the CSA Call Center

B Recommended Client Flow

C Description of Current Bed Tracking System Implemented by current contractor

D DHS IT Architecture

E Step-Down Referral and Admission Process Between Out-of-Home Treatment Settings

F Medicaid Billing Codes

G Report Name by Category (Provided Separately)

H Proposed List of Documents for the CSA RFP Bidders Library

I Memorandum of Understanding Between NJ Office of Children’s Services and the Juvenile Justice Commission

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Family MRSS Dispatch – within 1 hr, Stabilization 72hrs, up to 8 weeks.

Three way call with MRSS, Family and DYFS Coordinator. DYFS callers If true emergency, CSA will send caller to Triage. If not emergency Customer Service Registration is taken at CSA by DYFS Dedicated Customer Service Staff – performs Triage. For emergency MRSS or Police is dispatched.

Clinical – Refer for Clinical Assessment -

Care Coordination and Clinical Triage (preformed by CMO/LCSW).

DYFS/CMO/LCSW reviews clinical support documents to determine Plan of Care (POC) with family input.

Immediate Referral to Police or pys screening. Calls the CSA Call Center Call Center will determine DYFS or not DYFS

Calls after business hours for DYFS callers will be processed through the CSA, DYFS dedicated staff. For Emergent Cases DYFS/CMO staff will work with CSA to auth

Prior Auth package is based on POC-For Emergent Cases DYFS/CMO staff will work with CSA staff for Prior Auth services. -

Assessment reviewed and POC is created. Plan of Care is reviewed by

DYFS/CMO LCSW and services are authorized.

If clinical data is not available – refer to IIC, local community providers (not in system) and or expertwitness.

Non DYFS calls-not emergency- registration is taken by CSA customer service rep. and appropriate referral is made. Emergency

calls are forwarded to Care Coordinator and triage. If necessary forwarded to MRSS or Police. If Plan of care is available. If clinical data is NOT available. CSA performs Clinical

Assessment, Care

Coordination and Triage.

If clinical data is available A plan of care (POC) is developed by the CSA with family input and services are

authorized.

Referred to IIC, CMO, YCM or local community provider (not in system) for assessment. Assessment is

reviewed by the CSA and a POC is created. Prior-authorization

package is based on POC and Level

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Below is a sample of the purposed client, which delineates the pathways for clients to assess services through the CSA.

Initial Request for Services Initial Call

• When the caller dials the toll free number (1-800-000-0000) access line, he/she hears a message (no longer than 15 seconds long) (in Spanish or English) which instructs the caller to choose one of the following:

o Press “1” for emergencies

o Press “2” to request an out of home (OOH) treatment setting

o Press “3”, if you are a DYFS family with an open case or casework involved with an active DYFS case.

o Press “4” if you are a provider.

o Otherwise, you will be transferred to a customer service representative for help. (Within 10 seconds).

• The initial call can come from anyone (family member, police, provider, system partners, screening school, etc.) It is determined at the Call Center whether the call is a DYFS or non-DYFS caller.

DYFS callers will be referred to a CSA DYFS dedicated Customer Service staff.

All other calls will be referred to the CSA Customer Service.

• Emergency calls go to Customer Service. These calls must be answered within 10 seconds. Customer Service Staff performs triage.

o If call is an emergency CSA will dispatch MRSS or police.

o If the call is not a true emergency, the caller is placed back in the phone queue.

• All non-emergency calls go to Customer Service (CS) and registration is taken. Calls are answered within 30 seconds.

1. For all calls, the CSA registers the child (if not already in the system), answers non-clinical questions and directs the call as appropriate. 2. For DYFS children the CSA will coordinate with the Local DYFS

Office where a Licensed Clinical Social Worker (LCSW) in collaboration with the DYFS caseworker will help establish a plan of care.

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3. For Non DYFS involved youth or families the CSA will provide the functions listed below.

a. Perform a Clinical Assessment- Care Coordination and Clinical Triage.

If clinical data is available:

b. Services are authorized by CSA based on the plan of care. c. A pre authorization package based on the plan of care is issued. d. Services starts and re-authorizations can be obtained as

needed.

e. For Emergent DYFS Cases, LCSW located at the DYFS office will work with the CSA to authorize service.

If no clinical data is available – No plan of care is available, the caller is referred to IIC, or other community providers (not in the system) for assessment in their county. The assessment is reviewed by a clinician/LCSW and a Plan of Care is created. A pre authorization package is based on the plan of care. Service starts and re-authorizations can be obtained as needed.

f. If the caller pressed “2” to request an OOH admission review, the Customer Service will direct the call to appropriate staff. g. If the caller pressed “3” the caller will be directed to the CSA

dedicated DYFS Customer Service Staff.

h. If the caller pressed “4” for providers, the call will be transferred to a CSA Customer Service Staff to be directed appropriately. 4. All other calls are placed in the regular queue for the first available

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Description of Current Bed Tracking System Implemented by current Contractor Value Options

Residential Provider Summary Screen: Display a high-level summary of the current and potential capacity for each site under the provider Medicaid number. Providers are able to see the following:

• Total Bed Capacity by Medicaid #: This includes the bed increase approved by the state to allow providers to maximize contracted bed days.

• Total Bed Capacity by Provider Site: Since each Medicaid number may have more than one facility, this would show how many beds at each site.

• Total # of Admitted Children by Site: This would show a count of children actively enrolled in the program.

• Total # of Projected Discharge Children: This would show a count of children scheduled to transition from a program with a complete discharge plan in place as defined in current process.

• Total Available Capacity: Shows the vacant beds.

• Total Referred: Shows the count of children referred to the program waiting for child and family team acceptance of program and/or provider review of appropriateness.

• Total Referral Capacity: Shows how many additional referrals this facility can take. This number will reflect the Beds Search done by the CSA. If this number is zero then no additional referrals will be assigned to this facility.

Residential Provider Detail Screens: This set of screens allows the provider to investigate the details on how the system arrived at the totals on the Residential Provider Summary screen:

• Admitted Child list flags children that are projected discharge ready.

• Active Referrals list and status.

• Contracted Bed Capacity and breakout of the capacity of each site listing the male, female, coed, and temporary bed availability above contracted beds.

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Training: Train Providers

• Create users manual for new functionality and place on web site.

• Create online training video on web site to walk user through screens. Response to Provider Corrections: When a provider reviews the information on the Provider Summary or Provider Detail screens and finds a discrepancy with their actual census or admitted children, the provider contact the Information Technology Director at ValueOptions to determine the cause of the discrepancy and the necessary steps to correct the discrepancy. ValueOptions will make any necessary corrections within 48 hours of the providers report.

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Distributed

Information

Technology

Architecture

For 2006 - 2007

“Building Technology Solutions that Support the Care, Protection and

Empowerment of our Clients”

Jennifer Velez Commissioner

Diane Zompa Chief of Staff Carol Grant Assistant Commissioner for Administrations and Operations

Louis J. Marino Chief Technology Officer

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Document Version Control

Version 1 published 6/25/04.

1. Added Hubs/Switches/Routers, Firewalls, Specialized Appliances to Appendix 4.

1. Added this version control sheet.

2. Added Single-SignOn description in Application Development and Infrastructure. 3. Added Development Environment and Storage Area Network diagrams as

Appendices and updated Logical and Physical Network diagrams.

1. Removed ‘2005’ from title page and page headers.

2. Incorporated changes from DHS OIS groups and divisional IT organization input.

1. Changed Commissioner and Chief of Staff names on cover page. 2. Minor updates to diagrams and wording.

1. Changed Commissioner and Chief of Staff names on cover page. 2. Updates to diagrams and wording.

1. Added DHS Secure Remote Access Architecture, Desktop, E-Mail and Directory Services and Dell / Windows SAN.

2. Reorganized content

1. Changed Commissioner and Chief of Staff names on cover page. 2. Revised network digrams.

Comments

All questions and comments concerning this document and its contents should be directed to the Department of Human Services Chief Technology Officer.

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IBM / AIX SAN... 25

Appendix 4 – Storage Area Network Diagrams ... 26

DELL / WINDOWS SAN... 26

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General Overview

The New Jersey Department of Human Services (DHS) Office of Information Systems (OIS) is responsible for the development, maintenance and hosting of many applications serving the agency, its employees, business partners, and clients throughout the State.

The current DHS OIS computing and data communications environment is an amalgam of centrally managed enterprise servers; division and departmental application, database, and file servers; county-administered applications; and desktop clients. Network interconnectivity is provided via Local Area Networks (LANs), Campus Area Networks (CANs), and Wide Area Networks (WANs) linking DHS facilities to the State Hub, State SAC, Capital Place One, the Garden State Network (GSN), and the Internet. This environment supports hundreds of various size applications and services across all the DHS. The computing environment includes security and disaster recovery resources.

DHS has implemented and is expanding the delivery of distributed services through the Internet and intranets. DHS continues to enhance its large network and is currently in the process of initiating a number of application modernizations in an effort to enhance client access to DHS services, while empowering employees with expanded client and program information and analysis.

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Facilities and Environment

The DHS computing facilities and network are distributed across the State. There are seven computer centers:

• Capital Place One (CP1) • Quakerbridge Center (QBC) • Luczak Data Center (LDC) • Capital Center (CC)

• State Police Systems and Communications Center (SAC) • Office of Information Technology (Hub)

• OARS

There are nine communications hub sites:

• Woodbridge Developmental Center (Woodbridge) • Joseph Kohn Rehabilitation Center (JKRC) • Capital Place One (CP1)

• Quakerbridge Center (QBC) • Capital Center (CC)

• State Police Systems and Communications Center (SAC) • Office of Information Technology (Hub)

• Woodbine Developmental Center (Woodbine) • Ancora Psychiatric Hospital (Ancora)

Security and Monitoring

DHS employs physical security to ensure that client assets are safe, secure, and protected against outside intrusion and unauthorized access. Uniformed and civilian personnel control the movement of all persons within the center facilities. Security measures include registration of all visitors, viewable credentials worn by employees and visitors, access key controlled door locks, camera surveillance systems and random patrolling of facilities by security personnel.

Access to secured areas is permitted via an authorized badge access system that is maintained by the DHS Facilities Group. The access badge system database is audited to ensure that only authorized personnel are permitted access to secure areas within the data center facilities. All previously authorized personnel that are no longer working with DHS or for the State of New Jersey are purged from the access badge system database. The majority of the servers are housed within standard unlocked cabinet systems that are open and available to authorized system administrators (and vendors under system administrator supervision) to perform standard software, hardware, and diagnostic

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services. Locked smart cabinet systems are utilized to secure access to sensitive servers and the information they contain.

The responsibility of the Computer Center personnel is to ensure the availability, reliability and operational status of all production servers, the network, the environmental systems, and security systems within the facility. Facility Management, Capacity/Performance and Network Management systems and software are utilized by the Computer Center personnel to proactively monitor and display the status of these systems within the facility.

Alarms are strategically placed throughout each computer center facility and within the server rooms to alert personnel in the event of an unauthorized intrusion, environmental system failure, or fire. All support systems within these facilities are tested on a regularly scheduled basis to ensure that the alarm systems properly operate.

Power Distribution

Each computer center is fed commercial power to multiple onsite transformers. Each data center contains redundant power systems to achieve maximum availability and reliability of all systems. Computer Center personnel closely monitor external and internal power distribution systems to maximize system uptime.

Each computer center maintains multiple Uninterruptible Power Sources (UPS) that allow all critical systems and associated equipment to remain powered up and operational in the event of a power failure.

Environmental Climate Control

Each computer center is equipped with a complete environmental system to guarantee optimal heating, cooling, and humidity levels in order to facilitate the availability, reliability, and continued operation of all systems.

Fire Detection and Suppression Systems

Each computer center has a complete fire detection and suppression system equipped with an annunciator panel that shows the current status of the fire detection and suppression system.

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DHS Network

Distributed N-Tier Architecture

DHS has implemented distributed n-tier network architecture to provide state-of-the-art security design to DHS’ network resources. This architecture consists of multiple firewalls with strict firewall rules protecting the network resources from the Internet and Internal networks. The firewall rules control access to each tier, requiring source, destination and TCP and/or UDP ports. A server or workstation can communicate with any device on a higher layer, and the response can come back to only that originating device. Therefore, in communicating downward in the model, at each tier there must be a process, which takes a request and hands it down to the next layer. Typically, this model fits well with distributed application design, where tier 1 handles presentation (Web or Public tier servers), tier 2 handles business logic (Application servers), and tier 3 houses the data (Data servers). Refer to Appendix 1 – logical network diagram.

N-Tier (Internet)

An Internet user can only communicate with the public tier load balance network hardware. The load balance network hardware will communicate with a public tier server. The public tier server will communicate with the tier 2 enterprise business load balance network hardware or application server. A tier 2 application server can only communicate with tier 3 enterprise business database servers.

N-Tier (Enterprise Business)

Internal and Extranet users can only communicate with the tier 1 enterprise business load balance network hardware. The load balance network hardware will communicate with a tier 1 presentation web server. A tier 1 presentation web server can only communicate with tier 2 enterprise business load balance network hardware or application server. A tier 2 application server can only communicate with tier 3 enterprise business database servers.

DHS Network Architecture

DHS builds and manages a multi-agency, TCP/IP network across New Jersey. This network supports agencies through dedicated and switched services in support of centralized and distributed data processing applications resident in mainframe, mini-computer, local area network (LAN), and personal computer environments. The DHS network also provides network services such as DNS (domain name system), DHCP (Dynamic Host Configuration Protocol), Active Directory, Email, Calendar, and File and

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Print Shares.

The DHS network is comprised of nine communication hub sites. These sites are interconnected to form a statewide backbone network. The backbone is designed with multiple paths to increase service reliability and availability in the event of a failure. Primary transport technologies in use include frame relay (FR), Asynchronous Transfer Mode (ATM), T-1, T-3, OC3, OC12 and TLS. The major contracted carrier service providers at this time are AT&T and Verizon for the Garden State Network (GSN), the State’s network maintained by the Office of Information Technology.

Internet access to DHS public information is provided through the State’s public access Web server (www.state.nj.us). The DHS network firewall infrastructure provides a physical n-tier architecture designed for internal, external and extranet networks. The External firewall infrastructure has a tier 1 for web serving, tier 2 for application serving (business logic) and tier 3 for database serving. The Internal firewall infrastructure has a tier 1 for web serving, tier 2 for application serving (business logic) and tier 3 for database serving. The Extranet firewall infrastructure has a perimeter defense to restrict Extranet Partners to access only State mandated systems and network services by way of TCP/IP protocol and ports. Refer to Appendix 1 – logical network diagram.

The policy prohibits advancing inbound more than one tier at a time without a process to supervise communications with the next tier. Firewall rules are created to allow specific connection defined by specific ports. The typical public access is by port 80 (http) and 443 (https). Dialup services are provided to limited users through Cisco 5350 routers. It provides 56K asynchronous capabilities for remote access. Extranet connections require point-to-point connections from the vendor to the secure layer of the firewall infrastructure. The cost of these connections varies based on the circuit ordered.

DHS Secure Remote Access Architecture

DHS has implemented a secure remote access architecture and has integrated the design into the DHS distributed and network environments. This architecture has three remote access methods, Virtual Private Network (VPN), Dial-in and Wireless. Each access method communicates through one or more firewalls and is restricted by firewall rules, protecting the internal network resources. Each access method uses either a RADIUS service or communicates directly with the DHS Directory Service to verify the user’s credentials and remote access privilege. Access to the internal network and its resources are limited and must receive approval from an authorized IT administrator or management.

VPN and Wireless both use 128-bit encryption from the source to the access method device.

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Enterprise Servers and Operating Systems

Shared Server Infrastructure

The Shared Server Infrastructure (SSI) is located at the Hub and Capital Place One data centers. It is an area in each computer room where servers are centralized to offer a common location to manage the distributed environment. Optimizing key server resources through common logical and physical environments positions DHS to properly plan, manage and control a growing server infrastructure. The SSI supports the following operating system platforms:

• IBM AIX

• Microsoft Windows

Hardware and Software

The hardware is IBM pSeries (formerly RS/6000 Scalable Parallel (SP)) running AIX UNIX, WebSphere and Oracle software for the J2EE model, and Dell hardware and Microsoft ISA, IIS.NET and SQL Server for the Microsoft model.

Web Serving:

• IBM pSeries (AIX UNIX) running IBM HTTP Server

• Dell PowerEdge Servers (Windows 2000/XP) running Microsoft Internet Information Services (IIS) and Microsoft Internet Security and

Acceleration (ISA)

Application Serving:

• IBM pSeries running both Oracle Internet Application Server (iAS) and IBM WebSphere Application Server software

• Dell PowerEdge Servers (Windows 2000/2003) running Microsoft .NET Data Serving:

• IBM pSeries (AIX UNIX) running Oracle

• Dell PowerEdge Servers (Windows 2000/2003) running Microsoft SQL • IBM WebSphere MQ (formerly MQ Series)

Directory Serving:

• Lightweight Directory Access Protocol(LDAP) • Microsoft Active Directory

There are a number of development servers. Some provide staging and development for the Web applications utilizing HTML scripts and graphics bound for the state public web

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server and the department’s intranet. Others are staging and development servers for Java and Microsoft applications bound for the application Web servers.

Storage Area Network

DHS manages one Storage Area Network (SAN) at Capital Place One in Trenton and one at the OIT Hub in West Trenton. The SANs consists of a communication infrastructure that provides physical connections, and a management layer, which organizes the connections, storage elements and computer systems so that data transfer is secure and robust. The DHS SANs attaches storage devices to servers in a networked fashion, using hubs, switches, bridges, and directors to build the topology.

Backup and Recovery

Database

For daily database backup, Oracle’s Recovery Manager (RMAN) utility and Tivoli’s Data Protection for Oracle (TDPO) product are utilized to perform “hot” physical backups to tape. A hot backup means that the databases being backed up actually remain open and available to end-users.

“Cold” physical backups are also performed in development environments only. In this case, the database is shut down and the key Oracle database components (control, database and redo log files) are backed up at the file system level via Tivoli Storage Manager (TSM).

Logical backups are performed where data (tables, stored procedures, etc.) is extracted with the Oracle Export Utility and stored in a binary file. Logical backups are used to supplement Physical backups.

For remote backup, Oracle’s Data Guard product provides complete protection against corruptions and data loss. Redo data is synchronously transmitted from the primary production database to a remote, standby database. Data Guard automates the manual process of maintaining this standby copy of the production database. The standby database can be used if the production database is taken offline for routine maintenance or becomes unexpectedly damaged or unavailable. Data Guard can also be configured in such a way to also provide off-line reporting capabilities.

Finally, copies of backup tape sets created by Tivoli Storage Manager (see above) are stored at a remote location for disaster recovery purposes.

IBM / AIX

For IBM pSeries servers, DHS uses a combination of AIX Operating System (OS) tools and third party products to permit a complete data solution for enterprise level storage management, backup and recovery across heterogeneous IT environments comprised of hardware devices, applications, databases, and operating systems.

At the Operating System level, Tivoli Storage Manager (TSM) provides policy-based back up and restoration functionality across the entire network so that a copy of business

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critical data can be kept secure at all times from both natural and unnatural disasters. TSM optimizes storage utilization, minimizes downtime and streamlines storage management. AIX operating system backup images are created using the AIX mksysb command.

Intel / Microsoft Windows

The Intel platform running all Microsoft Windows servers are backed up using Veritas BackupExec and Symantec LiveState Recovery and/or Veritas NetBackup. Backups occur nightly, with full backups occurring daily or weekly with daily incremental. The servers are imaged using the Symantec LiveState Recovery software. A server image can be restored and data restored using these products.

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Data Management

DHS has built a logical data model and data management framework to manage a core of common data at the enterprise level. This strategy has enabled DHS to use relational technologies to collect, disseminate and maintain the integrity of critical data elements across multiple DHS programs. By adhering to common data standards, DHS will be able to:

• Collect data once and use it often, improving data accuracy • Warehouse data more effectively for various needs

• Store data more effectively for a timelier and more complete information picture • Better protect the privacy of individuals while improving access to non-restricted

information

The intent is to manage the overall data assets to achieve optimal integration, sharing, access, and utilization of technology resources and infrastructure. DHS utilizes various concepts and tools to accomplish these goals. These include:

• Shared Data Warehouse and Data Mart • Business Intelligence Tools

• Extract, Transform and Load (ETL) Tools • Meta Data Management

• Data Modeling • Data Quality Tools • Data Cleansing • Data Integration • Data Mining

Database Management Systems (DBMS)

The strategic relational database for DHS is Oracle. DHS also maintains some SQL Server Relational DBMS databases.

Data Transfers

DHS has two ways of sending and receiving files for host to host transfer. The first method is a secure file transfer (SFT) utilizing advanced data encryption technologies. This is a manual interface through the DHS Citrix server environment. Connectivity is through the use of the Citrix client and authenticating to the Citrix server environment. The user selects the file needed to send, receive or browse and selects the source or destination of that file. The transfer occurs using 128-bit encryption and the user is advised of the success of that transfer. The second method is through the DHS firewall infrastructure using the private network. No transfers occur over the Internet or the public network.

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Application Development and Infrastructure

Application Development Environment and Programming Languages

The application environment for new web browser based applications is object-oriented design using Java J2EE or .Net components running on WebSphere or MS IIS application servers. Programs are developed utilizing HTML, Java Server Pages, Java Script, Microsoft .Net components, Servlets, Java Beans and Enterprise Java Beans. The goal of the enterprise is to develop reusable components and make use of DHS standard shared architectural components.

Service Oriented Architecture and Enterprise Frameworks

The DHS strategic direction is the placement of existing and future services into an enterprise design consistent with service oriented architectures. An enterprise design moves otherwise wholly unique and separate designs into an architecture that supports sharing of business processes, technical services, and common data. Each program manages its own unique business rules and information but builds from a common data model. Enterprise frameworks provide the ‘glue’ that simplifies the required integration among the programs. Benefits include:

z Providing common technical services such as security, scheduling, and auditing, z Utilizing shared human services functions such as case management,

z Presenting a common interface for users and clients, and z Reduced development and maintenance costs.

Single-SignOn Service

DHS uses a Single-SignOn process which employs an application Header control. It is in the form of a light-weight Java HTTP Servlet or a .NET user control. Either of these can be called or included in another application. It is a mandatory requirement for all DHS applications developed in Java or .NET to include this universal application banner/header in all their respective applications.

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Integration and Messaging

Message Oriented Middleware

DHS has implemented IBM WebSphere MQ (formerly MQ Series) in many critical application environments for enterprise messaging between systems. WebSphere MQ is currently in production on the IBM pSeries platforms for connectivity to the J2EE application environment and IIS applications.

Enterprise Application Integration (EAI)

An EAI solution enables real-time data and workflow integration from one system to another. DHS uses IBM WebSphere MQ as its EAI product.

Web to Host

The State supports two Web to Host products; GWEB for access to the Bull environment and IBM Host Integrator for access to the IBM environment.

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Geographic Information System (GIS) Services

DHS currently has access to the State GIS services. The State’s management and access of spatial data is facilitated through a gateway, which utilizes a combination of technologies including Oracle Spatial and Environmental Research Institute (ESRI) Arc Spatial Data Engine (ArcSDE). Spatial data is provided in a format that can be accessed by a variety of desktop GIS clients or by other applications using standard SQL queries. Any proposed solution that includes a GIS component and/or incorporates spatial data is evaluated, planned, designed, and implemented in concert with the OIT Office of GIS.

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Identity Management

Enterprise Directory Services

DHS maintains a SunONE Lightweight Directory Access Protocol (LDAP) compliant enterprise directory service for all DHS employees (DHS Master Directory). It is currently in use supporting PKI deployments as well as agency-based extranet user management. DHS personnel names, locations, telephone system data, and e-mail addresses have been integrated into the directory. Approximately 20,000 entries, one for each DHS employee, extranet business partner and community service provider organizations now reside in the directory. DHS is in the process of transitioning from the SunONE Directory to Microsoft Active Directory and Active Directory Application Module (ADAM).

DHS clients and business extranet partners will also be authenticated using ADAM to allow access to certain DHS services and applications. Authorization leverages pre-defined communities of users and applies role-based policy against those communities to ensure that non-DHS employees access and use only those services for which permission has been granted and is controlled by the application program staff.

Public Key Infrastructure

DHS has implemented and is hosting a private certificate authority using products and services from VeriSign to implement an Public Key Infrastructure. DHS technical staff has implemented the following components for PKI:

• Registration

• Certificate Issuance • Revocation of Certificates

• Storing and Retrieving Certificates • Certificate Revocation Lists • Key Lifecycle Management

The infrastructure meets the majority of PKI business requirements for Internet, Intranet and Extranet users. A distributed administration model gives the Office of Information Systems control over registration and issuance of certificates. DHS maintains the Certificate Revocation function, Certificate Revocation Lists, and Key Lifecycle management. Security requirements for the DHS distributed environment will vary, ranging from simple user name and password to more stringent requirements including the use of PKI.

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Presentation and Portal Services

DHS has implemented a distributed n-tiered technical architecture and production environment to facilitate the delivery of web based services to clients, business partners and employees of the State of New Jersey. The distributed architecture facilitates true portal functionality through the registration and management of intranet, extranet and Internet based members into appropriate portal venues. Management of portal members is role based; i.e., users are assigned one or more roles (e.g., DHS Client, DHS Employee, Provider, etc.), which govern their access to informational and transactional services.

The Distributed architecture provides the following functional services: • User registration, authentication & security services

• Policy Management • Directory Services • Public Key Infrastructure

• Data, application and web serving platforms Portal Management

The DHS portal environment is provided via a combination of: • Microsoft Content Management Server software • Microsoft SharePoint

• Microsoft Active Directory • LDAP directory

• Microsoft SQL database services

• A custom administration tool, with an HTML user interface, written in .Net and served from the distributed application server platform

Access to the LDAP directory and SQL database services is managed by a custom .Net framework served from the distributed application server platform.

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Desktop, E-Mail and Directory Services

DHS has implemented a new Standard Desktop Management framework and an Active Directory and Exchange Architecture framework.

The Standard Desktop Management framework establishes standards for building, securing, delivering and managing the desktop computer for employees within the DHS.

The Department desktop computer use Windows operating systems with 100% of present deployments in Windows XP Professional. See Appendix 6 for the standard configuration of desktop software.

The Active Directory and Exchange Architecture framework provides a directory, email and calendar environment. The framework is part of the Distributed N-Tier Architecture, and includes security and disaster recovery resources. The framework’s protocol or interface is RPC over https (SSL) and is accessible using the email software Microsoft Outlook or a web browser. The interface allows mobile devices to access the same services as the other software. The framework is accessible on the DHS internal network and the Internet. The framework allow employees within the DHS to communicate with other state departments, federal government, county, business partners, providers and the public through a secure network environment.

Components of the Standard Desktop Management and Active Directory and Exchange Architecture frameworks are:

• Multi-layer network environment • Central Desktop Management • Directory Services

• Email and Calendar Services • Security Control Services

• Application Deployment Management • External Interface Management

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Network Monitoring and Performance Assessment

IPSwitch Whatsup Gold and MRTG (Multi-protocol Routing Traffic Grapher) are used to perform baseline analysis of the existing network environment prior to deploying new and existing applications, and connectivity to Human Service network facilities. The existing application protocols and their respective volumes traversing the local (LAN) and wide area network (WAN) are identified and their bandwidth consumption, average response times and traffic volumes measured. This analysis can be used as a benchmark comparison against future performance. In instances where a wide area network connection employs Frame Relay technologies, the circuit utilization can be obtained.

Etherpeek, Ethereal and TCPDump are used to collect local area network traffic packets. The packet analysis provides data for tracking host to host connectivity and type of data being sent and received over TCP/IP, ip addresses, protocols and port numbers.

Enterprise Systems Management (ESM) Architecture

Enterprise Systems Management (ESM) can be concisely defined as the end-to-end management of the evolving, heterogeneous, multi-platform, distributed computing environment. ESM tools are used to detect, correlate, escalate and prioritize events; manage responses to those events; and report on those incidents in a pro-active, real-time event management environment in order to provide a secure, highly available, robust, multi-platform enterprise infrastructure that meets or exceeds system requirements.

DHS has implemented various monitors, distributed storage management, and event management components that are integrated with problem management for the automatic generation of trouble tickets for critical events.

IBM / AIX

DHS uses Tivoli Enterprise Console (TEC) to monitor and manage its IBM platforms. The IBM / AIX platform, software products and event management report to the central TEC system.

DHS uses Tivoli’s Configuration Manager for inventory, remote control and monitoring of transaction performance (to monitor the performance and availability of distributed and enterprise transactions).

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platforms. The Intel / Microsoft Windows platform, software products and event management report to the central MOM system.

Both systems, TEC and MOM detect, record, and correlate all enterprise significant events; and provide notification through the system, as well as e-mail and pagers.

Enterprise Service and Asset Management

DHS uses Alloy Software Navigator application for Incident and Problem Management, Change Management, Asset Management, Knowledge Management and Software Licensing Compliance. This product improves client application availability through the automatic notification and escalation of problems via e-mail and pagers and integration into the DHS Active Directory environment.

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Appendix 1 - Logical Network Diagram

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P ow er Sup ply 0

CISCO SYSTEMS P owe r Supply 1 Swit chProc es sor

S ERIE S

S D

Cata lyst8 50 0

Pow er S upply 0

CISCO YSTEMSS Pow er S upply 1 Sw itc hProcess or

S E RIES

SD

Cat aly st85 00

P ower Supply 0

CISCO YSTEMSS Po wer Supply 1 S wit chP roces sor

SE RIE S S D C atal yst8 50 0 Pow er S upply 0 CISCO YSTEM SS Pow er S upply 1 Sw itc hProcess or S E RIES S D C atal yst8 50 0 Pow er S upply 0

CISCO YSTEM SS Pow er S upply 1 Sw itc hProcess or

S E RIES

SD

C atal yst8 50 0

Pow er S upply 0

CISCO YSTEMSS P ow er Sup ply 1 Sw itchProc es sor

(29)

(30)

(31)

Appendix 4 – Storage Area Network Diagrams

IBM / AIX SAN

p Ser ies p Ser ies p Ser ies p Ser ies p Ser ies p Ser ies

(32)

Appendix 4 – Storage Area Network Diagrams

DELL / WINDOWS SAN

Capital Place One

PowerVault51F

Po we r Vau lt51 F Po we rVa ult

5 1F Po we r Vau lt 51 F Po we r Vau lt 51 F Po we r Vau lt51 F 26 50Pow er Ed ge Powe rEdg e 4 600 Powe rEdg e 4 600 P owe rE dg e4600 P owe rE dg e 4600 2 650 Po wer Ed g e 9 o o 10 o o 11 oo 12o o 13 o o 14 o o 15 o o 8o o5o o4o o3o o2o o1o o0oo P ower Vault220S 9 o o 10 o o 11 oo 12 o o 13 o o 14 o o 15 o o 0 oo 1 o o 2 o o 3 o o 4 o o 5 o o 8 o o P ower Vault220S 9 o o 10 o o 11 oo 12o o 13 o o 14 o o 15 o o 8o o5o o4o o3o o2o o1o o0oo P ower Vault220S 9 o o 10 o o 11 oo 12o o 13 o o 14 o o 15 o o 8o o5o o4o o3o o2o o1o o0oo P ower Vault220S 26 50 Pow er Ed ge 26 50Pow er Ed ge E MC2 E MC 2 E MC2 E MC 2 E MC 2 E MC2 E MC2 E MC2 E MC2 E MC2 E MC2 E MC2 OIT Hub

Dual 16-port 1GB Fibre Switches PowerVault

51F PowerVa ult

51F

PowerVault51F PowerVault51F

Dual 32-port 2GB Fibre Switches Storage Area Network

(SAN)

Enterprise Firewall

MailNet

SAN and Backup Fiber Network

2650 PowerEdge

Router

Replication & Backup

PowerEdge4600 PowerEdge 4600 PowerEdge4600 PowerEdge4600 Powervault 160T, LTO-2 Messaging Servers T3 / 45MB Switch Switch NBU Media Server

CP1 Replication and Backup Network

Dell | EMC DAE2 Dell | EMC CX200 (Acquire & E105)

EMC 2 EMC2 EMC2 EMC2 EMC2 EMC2

6 - Dell | EMC DAE2s 2 - Dell | EMC CX700s (Exchange Store) EMC2 EMC2 EMC2 EMC2

(33)

Appendix 5 – Development Environment

DHS IT is applying this development methodology as a means to:

z

eliminate duplicate functions in each division by building and

supporting then from a framework perspective

z

pull common data together to eliminate duplication

z

standardize access to data via web services

(34)

Appendix 6 - Products and Technologies

* Direction Key:

P = Preferred This technology represents our strategic direction. DHS will give priority to this technology.

A = Acceptable This technology represents our minimum requirements. DHS considers this technology adequate/satisfactory.

S = Sunset This technology is in use, but DHS deems this technology undesirable/unacceptable.

Note: While release versions are not listed for products below, DHS expects to use the most current or next current released production version at the time of implementation.

Category Product Direction*

Operating Systems - Servers

AIX UNIX P

LINUX A

Solaris - to be replaced by Microsoft Exchange servers S

Windows 2000 Server A Windows NT S Windows 2003 Server P Operating Systems – PCs Windows 2000 A Windows XP P Database Platforms Oracle P Microsoft SQL Server A Languages COBOL A J2EE Java P HTML P JavaScript P SQL A Oracle Forms/Reports/PL SQL S XML P .NET P

(35)

Portal Services

Microsoft SharePoint P

Identity Management / Policy Services

DHS Single Sign On Module, authentication and application controls through LDAP

P

Directory Services

Microsoft Active Directory P

Sun ONE LDAP S

Microsoft Active Directory Application Module (ADAM) P

Data Transfer

Secure File Transfer P

Direct Private Connection A

EAI (Enterprise Application Integration)

IBM WebSphere MQ Series P

GIS Technology

ESRI: ArcSDE – Spatial Data Hosting via State services P

Application Servers

Oracle Internet Application Server (iAS) A

IBM WebSphere Application Server P

Microsoft Internet Security and Acceleration (ISA) P

Web Servers

IBM HTTP Server P

Microsoft IIS P

Apache P

Messaging Technology

IBM WebSphere MQ Series P

Security Tools

ACF2 A

VeriSign PKI P

SSL A

Qualysguard Intranet Scanner P

Microsoft Baseline Analyzer P

NMAP A

DOTNET FXCOP P

(36)

Internet Filter: Websense P

Antivirus / Antispyware: McAfee P

Desktop Firewall: McAfee P

Document Imaging

IBM Content Manager P

Kodak Scanners and Kofax Software

Network / System Management

IPSwitch Whatsup P

Tivoli Suite P

Microsoft Operations Manager P

Mail

Microsoft Outlook P

Microsoft Outlook Express S

Netscape Messenger Mail S

Calendar Netscape Calendar S Microsoft Outlook P Audio / Video Real Media A Microsoft A Avid Xpress A

OLAP (Online Analytical Processing)

Business Objects A

Web Focus P

Software Administration

SourceSafe P

Data Warehouse Products

Informatica (ETL Platform) P

Trillium (Data Integration - UCI) P

MetaCenter (Meta Data Repository) A

Teleran i-Sight (Performance Tool) P

ArcView (Geographic Analysis) P

(37)

BusinessObjects (Data Retrieval, Reporting & Analysis) P

SPSS (Statistical Analysis) A

SPSS Clementine (Data Miner) A

QueryPath (Data Retrieval and Reporting) A

SAS A Reporting Tools Oracle Reports A Crystal Reports A Web Focus P Magna8 S Development Tools Macromedia DreamWeaver (HTML) A Forte P Adobe A Quark A Macromedia Flash A Macromedia Fireworks A Pagemaker A Microsoft FrontPage P

Microsoft Developer Studio P

Microsoft Source Safe P

Rationale Rapid Application Development P

Performance Assessment Tools

IPSwitch Whatsup Gold P

Multi-protocol Routing Traffic Grapher (MRTG) P

WildPackets Etherpeek P

Ethereal P

TCPDump P

Mercury Load Runner A

Watchfire WebXM A

Optnet (J2EE Diagnostics) A

Desktop Software Netscape Communicator S Internet Explorer P Office 97 S Office XP S Office 2003 P McAfee VirusScan P

(38)

Tivoli TME A

Symantec Livestate Delivery P

Glink P

Oracle Client P

Adobe Acrobat P

Sun JAVA Runtime P

Macromedia Flash Player P

Microsoft Media Player P

Microsoft Visio Viewer P

ExtendNet Connect for TCP/IP P

HP JetDirect Printing System P

Hubs/Switches/Routers Data: Cisco P Data: HP / ProCurve A VOIP: Avaya P Data: 3COM S Firewalls Cisco – Pix P

Nokia – Check Point FW1 P

Specialized Appliances

Cache Engine: Cisco P

Load Balancing: Cisco P

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STEP DOWN REFERRAL AND ADMISSION PROCESS BETWEEN OUT-OF-HOME TREATMENT SETTINGS

A. The following procedure is designed to shorten and simplify the process for stepping a youth from a more intensive level of care to a less intensive level of care. The out-of-home treatment setting where the child, youth, or young adult is referred for admission will obtain all information necessary to make an acceptance decision and design the treatment plan from the child, youth, or young adult’s electronic medical record. This includes the “Step down Joint Care Review (SDJCR)”, other JCRs and Strengths and Needs Assessments in the electronic medical record and progress notes. 1. The current out-of-home treatment provider, case manager and family

are in agreement that the child, youth, or young adult has made significant progress in their treatment and are ready to step down to a less intense level of care.

2. The case manager enters a progress note in the child, youth, or young adult’s electronic medical record that indicates the family and the case manager are in agreement with the decision to step the child, youth, or young adult to a less intensive level or care and specifies the family’s preferences regarding the out-of-home treatment setting. Failure to document this information in the progress note will result in a return of the SDJCR and a delay in the transition process. In the instance where a treatment team has identified a specific out-of-home treatment setting for step down, the name of the out-of-home treatment setting should be included in the SDJCR.

3. The current out-of-home treatment provider completes a Strengths and Needs Assessment and SDJCR in the electronic medical record for the child, youth, or young adult. The SDJCR shall include documentation of progress on all treatment goals, treatment recommendations, and recommended behavior management techniques. In addition, the SDJCR shall identify barriers to returning home with services and goals to overcome these barriers.

4. A level of care determination based on the Strengths and Needs Assessment and SDJCR is completed by the CSA.

5. The CSA searches for a vacancy consistent with the family’s preferences that matches the needs of the child, youth, or young adult. When an out-of-home treatment provider is selected by the case manager the child, youth, or young adult’s SDJCR is made accessible to the provider for review. When no vacancies are available at this level of care, the search criteria are stored and used daily in the automated search.

(40)

within the same provider agency, the CSA will confirm that the provider has a vacancy. When no current vacancy exists, the CSA will request that the provider submit a projected vacancy for the facility. 7. The out-of-home treatment provider selected by the case manager in

consultation with the family as appropriate for step down reviews the SDJCR, and within 3 business days calls the case manager and the referring out-of-home provider to obtain any additional information. Within 3 business days of the referral it is the responsibility of the case manager to facilitate this exchange of information and if necessary, schedule a meeting between the family and the out-of-home treatment provider, including any transportation arrangements. Information to be obtained may include but is not limited to

(a) Consultation with the psychiatrist or therapist at the referring out-of-home provider;

(b) A review of the course of treatment with the referring out-of-home treatment provider; and

(c) Child Study Team/Individual Education Plan information. 8. Within 8 business days of the electronic referral, it is expected that

the case manager and the step down out-of-home treatment provider will have exchanged sufficient information for the provider to make a decision regarding admission. The provider must enter an admission decision in the electronic medical record. If the child, youth, or young adult is accepted for admission, the provider enters a scheduled admission date into the electronic medical record.

9. It is the responsibility of the case manager to facilitate the step down provider’s receipt the admission packet defined within this policy and to facilitate the transfer of the referral packet from the current out-of-home treatment provider.

10. At the time of admission, the parent or legal guardian must be present to sign all required consent forms. The legal guardian must provide legal documentation of guardianship. Where needed, it is the responsibility of the case manager to facilitate transportation of the parent(s) or legal guardian to the facility.

(41)

The codes listed below are part of one of the newsletters that was sent to providers when the CBHS started. These are the most common codes used by CBHS

providers. APPENDIX E

CSC01 - Acute Care Hospital

DRGs 424 Mental Illness/psychosocial dysfunction 425 Mental illness/psychosocial dysfunction

426 Neuroses

427 Neuroses

428 Personality disorders

430 Psychoses

431 Childhood mental disorders This code is to

be deleted from table: this includes

surgical

procedure with MH as a major diagnosis

432 Other mental disorders

CSC02 – Ambulatory Care (including O/P Hospital)

Revenue Codes

OP513 Psych clinic

OP900 Psych/psychol treatment; general OP901 Psych/psychol treatment; electric OP902 Psych/psychol treatment; milieu

OP903 Psych/psychol treatment; play therapy OP909 Psych/psychol treatment; other

OP910 Psych/Psychol services, general OP912 Psych/Psychol services, day care OP913 Psych/Psychol services, night care OP914 Psych/Psychol services, individual OP915 Psych/Psychol services, group OP916 Psych/Psychol services, family OP917 Psych/Psychol services, biofeedback OP918 Psych/Psychol services, testing OP919 Psych/Psychol services, other OP961 Professional fees psychiatric

(42)

HCPCS for psychotherapeutic services (Physicians, Psychiatrists, Advance Practice Nurses, Psychologists, Mental Health Clinics, FQHCs, and other

community based behavioral health/mental health Medicaid enrolled providers) plus all modifiers including ZI

90801 Initial Comprehensive Psychiatric Evaluation 90804 Individual Psychotherapy - appx. 20 to 30 minutes 90805 Individual Psychotherapy - w/medical evaluation 90806 Individual Psychotherapy - appx. 45 to 50 minutes 90807 Medical Psychotherapy

90830 Psychological Testing 1 hour

90843 Individual Psychotherapy 20-30 minutes 90844 Medical Psychotherapy

90846 Family Medical Psychotherapy 1 hr 90847 Special Family Therapy

90847-22 Family Therapy 80 minute session 90853 Group Medical Psychotherapy

90862 Pharmacological Management psych 90870 Electroconvulsive therapy

90871 Electroconvulsive therapy 90887 Consultation with family 90899 Unlisted procedure/service 96100 Psychological Testing 96105 Assessment of aphasia

96111 Extended developmental testing 96115 Neurobehavioral status exam 96117 Neuropsychological testing battery 99313 Subsequent nursing facility care 99333 Domiciliary or rest home visit H5025 Psychotherapy, group

W9105 Psychological Diagnostic Interview W9106 Crisis intervention

W9113 Individual psychotherapy, W9114 Individual psychotherapy, by a W9115 Group therapy by a psychologist W9116 Interpretation or Explanation

W9117 Family Psychotherapy, by a psychologist W9118 Family Psychotherapy, by a psychologist W9130 Bayley Scale of Infant Development W9131 Bender Visual-Motor Gestalt

W9132 Benton Visual Retention Test W9133 Blacky Pictures

W9134 Cattell Infant Intelligence Scale W9135 Children’s Apperception Test

(43)

W9137 Draw a Person W9138 Kinetic Drawings W9139 Merrill-Palmer Scale W9140 Michigan Picture Test W9142 MMPI (Machine Score)

W9143 Peabody Picture Vocabulary Test W9144 Projective Drawings

W9145 W9146

W9147 Rorschach (or Holtzman) Inkblots W9148

W9149 W9150 W9151 W9152

W9153 Thematic Apperception Test W9154 Vineland Social Maturity Scale W9155

W9156 Wechsler Memory Scale W9157

W9158 W9159 W9160 W9161

Z0100 Off Site Crisis Intervention

Z0130 Psychological Testing

Z0150 Partial hospitalization-half day Z0160 Partial hospitalization-full day Z0170 Half Day-Partial care

Z0180 Full Day-Partial care 90847AV22 Special Family Therapy

90862AV Pharmacological Management

90887AV Consultation with family

H5025AV Group therapy

CSC03 – Inpatient Specialty Hospital

Diagnosis Codes (V)

V110 Schizophrenia V111 Affective disorders

V112 Neurosis

V118 Other mental disorders V119 Unspecified mental disorder

V170 Family history of certain chronic disabling diseases – psychiatric condition

(44)

Codes (R) 40--4099

V400 Problems with learning

V401 Problems with Communication (including speech) V402 Other Mental Problems

V403 Other behavioral problems

V409 Unspecified mental or behavioral problem Diagnosis

Code (V) V610-V6129

V610 Other family circumstances, (family disruption divorce, estrangement)

V6120 Counseling for parent-child problem, unspecified V6121 Counseling for victim of child abuse

V6129 Other, Counseling for problem concerning adopted or foster child

Diagnosis Codes (V)

V663 Convalescence and palliative care - Following psychotherapy and other treatment for mental disorder

V673 F/u exam following psychotherapy and other treatment for mental disorder

V701 General psychiatric exam, requested by authority V702 General psychiatric exam, other and unspecified V7101 Observation for suspected mental conditions, adult

antisocial behavior

V71029 Observation for suspected mental conditions, Childhood or adolescent antisocial behavior

V7109 Observation for suspected mental conditions, other suspected mental condition

V715 Observation following rape or seduction (including examination of victim or culprit)

V716 Observation following other inflicted injury (including examination of victim or culprit)

(45)

Diagnosis Codes (R) 290-2909

290 Senile and presenile organic psychotic conditions 2900 Senile dementia, uncomplicated

2901 Presenile dementia

29010 Persenile dementia, uncomplicated 29011 Presenile dementia with delirium

29012 Presenile dementia with delusional features 29013 Presenile dementia with depressive features 2902 Senile dementia with delusional or depressive

features

29020 Senile dementia with delusional features 29021 Senile dementia with depressive features 2903 Senile dementia with delirium

2904 Arteriosclerotic dementia

29040 Arteriosclerotic dementia, uncomplicated 29041 Arteriosclerotic dementia with delirium

29042 Arteriosclerotic dementia with delusional features 29043 Arteriosclerotic dementia with depressive features 2908 Other unspecified senile psychotic conditions 2909 Unspecified senile psychotic condition

Diagnoses Codes 293-29399(R)

2930 Acute delirium

2931 Subacute delirium

2938 Other specified transient organic mental disorders 29381 Transient organic delusional syndrome

29382 Transient organic hallucinois syndrome 29383 Transient organic affective syndrome 29384 Transient organic anxiety disorder

29389 Other specified transient organic mental disorder 2939 Unspecified transient organic mental disorder Diagnosis

Codes (V)

2940 Amnestic syndrome

2948 Other specified organic brain syndromes (chronic) 2949 Unspecified organic brain syndrome (chronic) Diagnosis

Codes (R) 2950-3029

2950 Schizophrenia, simple type 2951 Schizophrenia, disorganized type 2952 Schizophrenia, catatonic type 2953 Schizophrenia, paranoid type

2954 Schizophrenia, acute schizophrenic episode 2955 Schizophrenia, latent

(46)

2957 Schizophrenia, schizo-affective type 2958 Schizophrenia, other unspecified types 2959 Schizophrenia, unspecified

2960 Affective psychoses, manic disorder, single episode 2961 Affective psychoses, manic disorder, recurrent

episode

2962 Major depressive disorder, single episode 2963 Major depressive disorder, recurrent episode 2964 Bipolar affective disorder, manic

2965 Bipolar affective disorder, depressed 2966 Bipolar affective disorder, mixed 2967 Bipolar affective disorder, unspecified 29680 Manic-depressive psychosis, unspecified 29681 Atypical manic disorder

29682 Atypical depressive disorder

29689 Manic-depressive psychosis, mixed type

29690 Unspecified affective psychosis

29699 Other specified affective psychoses 2970 Paranoid state, simple

2971 Paranoia

2972 Paraphrenia

2973 Shared paranoid disorder 2978 Other specified paranoid states 2979 Unspecified paranoid states 2980 Depressive type psychosis 2981 Excitative type psychosis

2982 Reactive confusion

2983 Acute paranoid reaction

2984 Psychogenic paranoid psychosis

2988 Other and unspecified reactive psychosis

2989 Unspecified psychosis

2990 Infantile autism

2991 Disintegrative psychosis

2998 Other specified early childhood psychoses 2999 Unspecified childhood psychoses

3000 Anxiety states

30000 Anxiety states, unspecified 30001 Panic disorder

30002 Generalized anxiety disorder 30009 Other anxiety states

3001 Hysteria

30010 Hysteria, unspecified

30011 Conversion disorder

30012 Psychogenic amnesia

(47)

30015 Dissociative disorder or reaction, unspecified 30016 Factitious illness with psychological symptoms 30019 Other and unspecified factitious illness

3002 Phobic disorders 30020 Phobia, unspecified

30021 Agoraphobia with panic attacks

30022 Agoraphobia without mention of panic attacks 30023 Social phobia

30029 Other isolated or simple phobias 3003 Obsessive-compulsive disorders

3004 Neurotic depression

3005 Neurasthenia

3006 Depersonalization syndrome

3007 Hypochondriasis

3008 Other neurotic disorders 30081 Somatization disorder

30082 Undifferentiated somatoform disorder 30089 Other neurotic disorders

3009 Unspecified neurotic disorder 301 Personality disorders

3010 Paranoid personality disorder

30110 Affective personality disorder, unspecified 30111 Chronic hypomanic personality disorder 30112 Chronic depressive personality disorder

30113 Cyclothymic disorder

3012 Schizoid personality disorder

30120 Schizoid personality disorder, unspecified 30121 Introverted personality

30122 Schizotypal personality

3013 Explosive personality disorder 3014 Compulsive personality disorder 3015 Histrionic personality disorder

30150 Histrionic personality disorder, unspecified 30159 Other histrionic personality disorder

3016 Dependent personality disorder 3017 Antisocial personality disorder 3018 Other personality disorders 30181 Narcissistic personality

30182 Avoidant personality

30183 Borderline personality

30184 Passive-aggressive personality

30189 Other personality disorders 3019 Unspecified personality disorder 302 Sexual deviations and disorders

(48)

3022 Pedophilia

3023 Transvestism

3024 Exhibitionism

3025 Transexualism

30250 Transexualism, with unspecified sexual history 30251 Transexualism, with asexual history

30252 Transexualism, with homosexual history

30253 Transexualism, with heterosexual history 3026 Disorders of psychosexual identity 3027 Psychosexual dysfunction

30270 Psychosexual dysfunction, unspecified

30271 Psychosexual dysfunction with inhibited sexual desire 30272 Psychosexual dysfunction with inhibited sexual

excitement, Frigidity, impotence

30273 Psychosexual dysfunction with inhibited female orgasm

30274 Psychosexual dysfunction with inhibited male orgasm 30275 Psychosexual dysfunction with premature ejaculation 30276 Psychosexual dysfunction with functional dyspareunia 30279 Psychosexual dysfunction with other specified

psychosexual dysfunctions

3028 Other specified psychosexual disorders 30281 Fetishism

30282 Voyeurism

30283 Sexual masochism

30284 Sexual sadism

30285 Gender identify disorder of adolescent or adult life

30289 Nymphomania, satyriasis

3029 Unspecified psychosexual disorder Diagnosis

Codes (R) 306-3099

306 Physiological malfunction arising from mental factors (includes 3060 to 3069)

307 Special symptoms or syndromes, not elsewhere classified

3070 Stammering and stuttering 3071 Anorexia nervosa

3072 Tics

3073 Stereotyped repetitive movements

3074 Specific disorders of sleep or nonorganic origin (includes 30740-30749)

3075 Other and unspecified disorders of eating (Includes 30750-30759)

3076 Enuresis

(49)

30781 Tension headache 30789 Psychogenic backache

3079 Other and unspecified special symptoms or syndromes, not elsewhere classified

308 Acute reaction to stress (Includes 3080-3089) 309 Adjustment reaction (Includes 3090-3099) Diagnosis

Codes (R) 3101-31499

3101 Organic personality disorder

311 Depressive disorder, not elsewhere classified 312 Disturbance of conduct, not otherwise classified

(Includes 3120 to 3129)

313 Disturbance of emotions specific to childhood and adolescence ((Includes 3130 to 3139)

314 Hyperkenetic syndrome of childhood (, 3140 Attention deficit disorder

3141 Hyperkinesis with developmental delay 3142 Hyperkinetic conduct disorder

3148 Other specified manifestations of hyperkinetic disorder

3149 Unspecified hyperkinetic syndrome Diagnosis

Code (V)

7992 Nervousness “Nerves”

CSC04 – Crisis Services (not yet defined)

CSC05 – Structured Living Residences

HCPCS H0018TJ Crisis Bed Management, per diem, up to 7 days

Y9930 Room and board services provided to a newborn in a facility that is providing mental health rehabilitation services to the mother who is residing in an adolescent pregnancy facility licensed by and under contract with the Division of Youth and Family Services

Y9931 Mental health rehabilitation services provided in teen adolescent pregnancy programs licensed by and under contract with the Division of Youth and Family Services

Y9932 Mental health rehabilitation services provided in treatment homes licensed and under contract with the Division of Youth and Family Services

(50)

JCAHO accredited community psychiatric residences for youth licensed by the Division of Mental Health Services

Y9934 Mental health rehabilitation services provided in therapeutic foster care facilities licensed by the Division of Youth and Family Services

Y9935 Mental health rehabilitation services provided in group homes (serving 6 to 12 children) licensed by the Division of Youth and Family Services

Y9936 Mental health rehabilitation services provided in supervised transitional living homes licensed by the Division of Youth and Family Services

Y9937 Mental health rehabilitation services provided in teaching family homes licensed by the Division of Youth and Family Services

Y9938 Mental health rehabilitation services provided in

treatment homes licensed by the Division of Youth and Family Services

Y9939 Mental health rehabilitation services provided in alternative care homes licensed by the Division of Youth and Family Services

Y9943 Mental health rehabilitation services provided in non-JCAHO accredited child care facilities licensed by the Division of Youth and Family Services

Y9944 Room and board for mental health rehabilitation services provided in facilities licensed by the Division of Youth and Family Services

Y9945 Room and board for mental health rehabilitation services in f

ATTACHMENT LISTING A through J. Process Flow Chart for Callers to the CSA Call Center

A through J

F Medicaid Billing Codes

Calls after business hours for DYFS callers will be processed through the CSA, DYFS dedicated staff. For Emergent Cases DYFS/CMO staff will work with CSA to auth

Initial Request for Services Initial Call

Description of Current Bed Tracking System Implemented by current Contractor Value Options

Training: Train Providers

Distributed

Document Version Control

Comments

Table of Contents

IBM / AIX SAN... 25

General Overview

Security and Monitoring

Power Distribution

Fire Detection and Suppression Systems

DHS Network Architecture

DHS Secure Remote Access Architecture

• IBM AIX

Hardware and Software

Storage Area Network

IBM / AIX

Data Management

Database Management Systems (DBMS)

Application Development Environment and Programming Languages

Single-SignOn Service

Enterprise Application Integration (EAI)

Identity Management

Presentation and Portal Services

Desktop, E-Mail and Directory Services

Network Monitoring and Performance Assessment

IBM / AIX

Enterprise Service and Asset Management

SE RIE S

S ERIE S

S E RIES

Appendix 4 – Storage Area Network Diagrams

Enterprise Firewall

Appendix 5 – Development Environment

Operating Systems - Servers

Identity Management / Policy Services

EAI (Enterprise Application Integration)

Messaging Technology

Network / System Management

Software Administration

Performance Assessment Tools

Specialized Appliances

STEP DOWN REFERRAL AND ADMISSION PROCESS BETWEEN OUT-OF-HOME TREATMENT SETTINGS

CSC01 - Acute Care Hospital

CSC03 – Inpatient Specialty Hospital

CSC04 – Crisis Services (not yet defined)