REPORT CROSSWALK TO STATE 23-DEC-16 02:25 Report Date : Run by : Report : CWMS_PROXY Filename : Crosswalk Management System
REPORT CROSSWALK TO STATE
23-DEC-16 02:25Report Date :
Run by :
Report :
CWMS_PROXY
Filename :
Crosswalk Management System
CWMS_PROXY
Crosswalk Report
Page 2 of 26
Status : IN
Start Date : 01-JAN-96End Date :
Follow-up :
Media ID : KCPC (Kansas Client Placement Criteria)
KansasSystem
K
1
2
3
System Transaction Type
State Code
Reporting Date
A
C
D
-
Add
Change
Delete
KS
Add
Change
Delete
State Postal Abbreviation
System Transaction Type
Two Character Alpha State Code
Month and year data file submitted
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Substance Abuse and Mental Health Services AdministrationCenter for Behavioral Health Statistics and Quality
KCPC (Kansas Client Placement Criteria)Version : 1
A
C
D
-
CWMS_PROXY
Crosswalk Report
Page 3 of 26
KansasMinimum
K
K
K
K
K
1
2
3
4
5
6
State Provider Identifer
Client Identifer (Admission)
Co-Dependent/Collateral
Client Transaction Type
Date of Admission
Prior Treatment Episodes
1
2
0
1
2
3
4
5
99
Primary Client
Collateral Client
0
1
2
3
4
5
Unknown
No
Yes
0 Previous Episodes
1 Previous Episodes
2 Previous Episodes
3 Previous Episodes
4 Previous Episodes
5 Or More Previous Episodes
Unknown
Provider ID
Client ID - unique
Co-dependent/collateral
Client tranaction type
Date of Admission
No Prior treatment episodes
~
~
~
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
2
1
0
1
2
3
4
5
7
8 characters
Algorithim including parts of name, birth, date, gender - mhuniqueid
Admission Date (MMDDYYY)
CWMS_PROXY
Crosswalk Report
Page 4 of 26
KansasMinimum
7 Principal Source of Referral
01
01
01
04
05
05
06
07
08
10
11
12
13
14
16
17
18
22
Friends
Family/Relative(s)
Self
Clergy
Priate Health Car Professional
Priate Health Car Professional
Attorney
Court
Peace Officer
State Mental Health Hospital
Private Psychiatric Hospital
Alcohol and Drug Program
Comprehendsive Screening Unit for Youth
General Hospital
SRS Area Office
Social Service/Community Agency/Group Home
State Mental Retardation Hospital
Community Mental Retardation Facility
Individual (includes self-referral))
Individual (includes self-referral))
Individual (includes self-referral))
Other Community Referral
Other Health Care Provider
Employer/Employer Assistance ProgramEAP
Other Community Referral
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Other Health Care Provider
Alcohol/Drug Abuse Provider
Other Health Care Provider
Other Health Care Provider
Other Community Referral
Other Community Referral
Other Health Care Provider
Other Health Care Provider
Principal Source of Referral/Detailed Criminal Justice Referral
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
01
01
01
06
03
05
06
07
07
03
03
02
03
03
06
06
03
03
CWMS_PROXY
Crosswalk Report
Page 5 of 26
KansasMinimum
7 Principal Source of Referral
23
24
26
27
29
30
31
32
33
34
36
37
38
39
40
41
43
44
45
SRS Vocational Rehabilitation Disability Determination
Veterans Administration (VA) Hospital
College/school
In-House Staffer/Transfer
Penal System
Self- Help Group(s)
DUI/DWI
Adult Residential Facility
Other Employee Assistance Program (EAP)
Military
Probation
Parole/Community Corrections or Service Programs
Community Mental Health Center
Diversionary Program
Youth Center (YCAT,YCAL,TCAA,YCAB)
State or Local Health Department
Managed Care Organization
Parole
Community Corrections
Other Community Referral
Other Health Care Provider
School (Educational)
Alcohol/Drug Abuse Provider
Court/Criminal Justice/DUI/DWI
Other Community Referral
Court/Criminal Justice/DUI/DWI
Other Community Referral
Employer/Employer Assistance ProgramEAP
Other Community Referral
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Principal Source of Referral/Detailed Criminal Justice Referral
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
06
03
04
02
07
06
07
06
05
06
07
07
03
07
07
03
03
07
07
CWMS_PROXY
Crosswalk Report
Page 6 of 26
KansasMinimum
7
8
9
Principal Source of Referral
Date of Birth
Gender
46
47
48
49
50
51
52
53
54
55
56
57
58
1
2
Community Services Programs
State Work Assistance Program
SRS-other
SRS-EES/Kanwork
SRS-Income Maintenance
SRS-Privatized Foster Care
SRS-Privatized Family Preservation
Juvenile Justice Authority
SRS-Children and Family Services
JJA-Larned Juvenile Correction Facility
JJA-Topeka Juvenile Correction Facility
JJA-Beloit Juvenile Correction Facility
JJA-Atchison Juvenile Correction Facility
Male
Female
Other Community Referral
Employer/Employer Assistance ProgramEAP
Other Community Referral
Other Community Referral
Other Community Referral
Other Community Referral
Other Community Referral
Court/Criminal Justice/DUI/DWI
Other Community Referral
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Male
Female
Principal Source of Referral/Detailed Criminal Justice Referral
Date of Birth
Sex
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
06
05
06
06
06
06
06
07
06
07
07
07
07
1
2
Birth Date (MMDDYYYY)
CWMS_PROXY
Crosswalk Report
Page 7 of 26
KansasMinimum
10
11
Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
Hispanic or Latino Origin ( Ethnicity)
1
2
3
6
7
8
9
0
1
2
3
4
White
African American
American Indian
Asian
Other
Alaskan Native
Pacific Islander
Not of Hispanic Origin
Mexican
Puerto Rican
Cuban
Other Hispanic
White
Black or African American
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Asian
Other Single Race
Alaska Native (Aleut, Eskimo, Indian)
Native Hawaiians or Other Pacific Islanders
Not of Hispanic or Latino Origin
Mexican
Puerto Rican
Cuban
Other Specific Hispanic
Race
Ethnicity
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
05
04
02
13
20
01
23
05
02
01
03
04
CWMS_PROXY
Crosswalk Report
Page 8 of 26
KansasMinimum
12 Education
00
01-12
14
15
16
17
18
19
20
21
25
28
29
Years completed -0
Years completed 01-12
One Year of College
Two Years of College: Includes Associate Degree
Three Years of College
Four Years of Coleege or More (no degree)
Batchelor Degree
Graduate Work (no degree)
Master Degree
Doctorate Degree
Kindergarten
General Education Degree (G.E.D.)
Vocational Training Beyond High School
Less Than One Grade Completed
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Less Than One Grade Completed
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Education~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
00
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
00
01-25
01-25
CWMS_PROXY
Crosswalk Report
Page 9 of 26
KansasMinimum
13 Employment Status
2
3
4
5
7
Part-time
Fulltime
Retired
Unemployed
Not in Labor Force
Part Time - works less tahn 35 hours per week
Full Time - works 35 or more hours a week- includes military
Full Time - works 35 or more hours a week- includes military
Unemployed - looking for work in past 30 days or on layoff from job
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Employment Status~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
02
01
01
03
04
CWMS_PROXY
Crosswalk Report
Page 10 of 26
KansasMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
-
-
0001
0002
0003
0004
0005
0006
0007
0008
0009
0010
0011
0012
0013
0014
0015
Can never be marked "None"
If Collateral Client
Alcohol
Cocaine/Crack
Marijuana, Hashish,THC, Any Other Cannabis Preps
Heroin
Non-presciption Methadone
Other Opiates and Synthetics
PCP -phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamine
Other Stimulants
Benzodiazepines
Other Tranquilizer
Barbituates
Other Sedatives or Hypnotics
None
Not Collected
Alcohol
Cocaine, Crack
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Heroin
Non-Prescription Methadone
Other Opiates and Synthetics
PCP
Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepines
Other Non-Benzodiazapine Tranquilizers
Barbiturates
Other Non-Barbituate Sedatives or Hypnotics
Substance Problem (Primary, Secondary, and Tertiary)
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
01
98
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
CWMS_PROXY
Crosswalk Report
Page 11 of 26
KansasMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
0016
0017
0018
0021
0022
0023
0024
0025
0026
Inhalants
Over-the-counter
Other drug combinations
MDMA, Ecstasy
Flunitrazepam (rohypnol)
GHB/GBL
Ketamine (special K)
Clonazepam (klonopin, Rivotril)
LSD
Inhalants
Over-the-Counter
Other
Other Amphetamines
Benzodiazepines
Other
Other
Benzodiazepines
Hallucinogens
Substance Problem (Primary, Secondary, and Tertiary)
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
17
18
20
11
13
20
20
13
09
CWMS_PROXY
Crosswalk Report
Page 12 of 26
KansasMinimum
15
16
Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)
Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)
-
-
1
2
3
4
5
-
-
1
2
3
4
5
If no secondary or tertiary problem
If collateral client
Oral
Smoking
Inhalation
Injection (IV or intramuscular)
Other
If no secondary or tertiary
If collateral client
No Past Month Use
1-3 Times in Past Month
1-2 Times Per Week
3-4 Times Per Week
Daily
Not Applicable
Not Collected
Oral
Smoking
Inhalation
Injection (IV or intramuscular, intradermal or subcutaneous)
Other
Not Applicable
Not Collected
No use in the past month
1-3 times in past month
1-2 times per week
3-6 times per week
Daily
Usual Route of Administration (Primary, Secondryand Tertiary)
Frequency of Use (Primary, Secondary and Tertiary)
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
96
98
01
02
03
04
20
96
98
01
02
03
04
05
CWMS_PROXY
Crosswalk Report
Page 13 of 26
KansasMinimum
17 Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)
-
-
00
01-95
If collateral client
If no secondary or tertiary problem
Zeros indicate a newborn with a substance dependency problem
Age of First Use
Not Collected
Not Applicable
Newborn with a substance dependecy problem
Age at First Use, in years
Age of First Use (Primary, Secondary and Tertiary)
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
98
96
00
01-95
CWMS_PROXY
Crosswalk Report
Page 14 of 26
KansasMinimum
K 18
19
Type of Services
Medication-Assisted Opioid Therapy
05
06
07
08
10
21
22
34
35
36
37
38
39
1
2
Acute Care Detox
Social Detox
Intermediate
Reintegration
Intensive Outpatient
Inpatient
Outpatient
Person Centered Case management - Level l
Person Centered Case management - Level ll
Person Centered Case management - Level lll
Medicaid Case Management - Level l
Medicaid Case Management - Level ll
Medicaid Case Management - Level lll
Yes
No
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Hospital (other thandetox)
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Yes
No
Type of Service (Admission Modality)
Opioid Replacement Therapy
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
01
02
04
05
06
03
07
07
07
07
07
07
07
1
2
CWMS_PROXY
Crosswalk Report
Page 15 of 26
KansasSupplementalK = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
CWMS_PROXY
Crosswalk Report
Page 16 of 26
KansasSupplemental
1 Detail Drug Code, Primary
0001
0002
0003
0004
0005
0006
0007
0008
0009
0010
0011
0012
0013
0014
0015
0016
0017
0018
Alcohol
Cocaine/Crack
Marijuana, Hashish,THC, Any Other Cannabis Preps
Heroin
Non-presciption Methadone
Other Opiates and Synthetics
PCP -phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamine
Other Stimulants
Benzodiazepines
Other Tranquilizer
Barbituates
Other Sedatives or Hypnotics
Inhalants
Over-the-counter
Other drug combinations
Alcohol
Crack
Marijuana/Hashish,THC and any other cannabis sativa preparation
Heroine/Morphine
Non - Prescription Methadone
Other Opiates or Synthetics
PCP or PCP Combinations
DMT, mescaline, peyote,STD and Other Hallucinogens
Methamphetamine/Speed
Other Amphetamines
Other Stimulants
Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other
Other non-benzodiazepineTranquilizer
Other Barbiturate Sedatives
Other Non-Barbiturate Sedatives
Gasoline,glue, and other inapproriately inhaled products
Other Over-The-Counter
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
Substance Problem (Primary, Secondary, and Tertiary)
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
0201
0301
0401
0501
0601
0706
0801
0902
1001
1109
1201
1308
1403
1509
1604
1703
1809
2002
CWMS_PROXY
Crosswalk Report
Page 17 of 26
KansasSupplemental
1
2
3
4
Detail Drug Code, Primary
Detail Drug Code, Secondary
Detail Drug Code, Tertiary
Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i
0021
0022
0023
0024
0025
0026
999.98
MDMA, Ecstasy
Flunitrazepam (rohypnol)
GHB/GBL
Ketamine (special K)
Clonazepam (klonopin, Rivotril)
LSD
Not Collected
Methyleneioxymethampetamine (MDMA, Ecstacy
Flutirazepram (Rohypnol)
GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)
Ketamine - ( Special K)
Clonazepam - (Klonopin, Rivotril)
LSD
Same as Detail Drug Code, Primary
Same as Detail Drug Code, Primary
Not Collected
Substance Problem (Primary, Secondary, and Tertiary)
Substance Problem (Primary, Secondary, and Tertiary)
Substance Problem (Primary, Secondary, and Tertiary)
Not Collected
~
~
~
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
1103
1309
2003
2004
1310
0901
_
_
999.98
CWMS_PROXY
Crosswalk Report
Page 18 of 26
KansasSupplemental
5
6
7
8
Psychiatric Problem in Addition to Alcohol or Drug Problem
Pregnant at Admission
Veteran Status
Living Arrangements
-
1
2
-
1
2
1
2
3
If Collateral Client
Yes
No
If Collateral Client
yes
No
Homeless
Dependent Living
Independent Living
Uncollected
Yes
No
Not Collected
Yes - female client was pregnant at admission
No - female client was not pregnant at admission
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Independent Living - clients living alone or with others but no supervision
Psych Problem in aadition to alcohol and drug
Pregnant at Admission
Veteran Status
Living Arrangement
^
^
^
^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
8
1
2
8
1
2
01
02
03
CWMS_PROXY
Crosswalk Report
Page 19 of 26
KansasSupplemental
9 Source of Income/Support
0
1
2
3
4
5
6
7
No Income
Wages /Salary/Self Employed
Public Assistance
Retirement/Pension
Disability
Child Support/Alimony
Unemployment Insurance
Other
None
Wages/Salary
Public Assistance
Retirement/Pension
Disability
Other
Other
Other
Source of Income^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
21
01
02
03
04
20
20
20
CWMS_PROXY
Crosswalk Report
Page 20 of 26
KansasSupplemental
10 Health Insurance
01
02
04
05
06
07
08
09
11
12
13
14
15
16
17
18
Blue Cross/Blue Shield
Other Private Insurance
Other Public/Govment Funds (Not Champus or ADAS)
Private Pay
ADAS Funds
No Charge
Volunteer Services
Health Maintenance Organization (HMO)
Employment Assistance Program (EAP)
Student Assistance Program (SAP)
Medicaid
Medicare
Champus
Veterans Administration (VA)
Dept of Corrections (SB67 - 4th Time Dui)
Community Corrections SB123
Blue Cross/Blue Shield
Private Insurance (other than BCBS or HMO)
Other (e.g. TriCare)
None
None
None
None
Health Maintenance Organization (HMO)
None
None
Medicaid
Medicare
Other (e.g. TriCare)
Other (e.g. TriCare)
None
None
Pay Source - also Health Insurance^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
02
01
20
21
21
21
21
06
21
21
04
03
20
20
21
21
CWMS_PROXY
Crosswalk Report
Page 21 of 26
KansasSupplemental
11 Expected/Actual Primary Source of Payment
01
02
04
05
06
07
08
09
11
12
13
14
15
16
17
18
Blue Cross/Blue Shield
Other Private Insurance
Other Public/Govment Funds (Not Champus or ADAS)
Private Pay
ADAS Funds
No Charge
Volunteer Services
Health Maintenance Organization (HMO)
Employment Assistance Program (EAP)
Student Assistance Program (SAP)
Medicaid
Medicare
Champus
Veterans Administration (VA)
Dept of Corrections (SB67 - 4th Time Dui)
Community Corrections SB123
Blue Cross/Blue Shield
Other Health Insurance Companies
Other Government Payments
Self-Pay
Other Government Payments
No Charge ( Free, Charity, Special Research or Teaching)
Other
Other Health Insurance Companies
Other Government Payments
Other
Medicaid
Medicare
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Pay Source - also Health Insurance^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
02
07
05
01
05
08
09
07
05
09
04
03
05
05
05
05
CWMS_PROXY
Crosswalk Report
Page 22 of 26
KansasSupplemental
12 Detailed Not in Labor Force
-
12
13
14
4
4
If not in labor force and none of the above
Homemaker (Occupation)
Student (Occupation)
Inmate of Institution (Occupation)
Retired (Employment)
Disability (Income Source)
Other
Homemaker
Student
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Retired
Disabled
Detailed not in labor force^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
06
01
02
05
03
04
From #17 Occupation, #16 Employment, #20 Income Source - if Employment = 7 and Occupation not = to 12,13 or 14 and Income Source not = 4
CWMS_PROXY
Crosswalk Report
Page 23 of 26
KansasSupplemental
13 Detailed Criminal Justice Referral Categories
07
08
29
31
36
39
44
45
53
55
56
57
58
Court
Peace Officer
Penal System
DUI/DWI
Probation
Diversionary Program
Parole
Community Corrections
Juvenile Justice Authority
JJA-Larned Juvenile Correction Facility
JJA-Topeka Juvenile Correction Facility
JJA-Beloit Juvenile Correction Facility
JJA-Atchison Juvenile Correction Facility
State/Federal Court
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Prison
DUI/DWI
Probation/Parole
Diversionary Program (E.G. TASC)
Probation/Parole
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Principal Source of Referral/Detailed Criminal Justice Referral
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
01
04
06
07
03
05
03
04
04
04
04
04
04
CWMS_PROXY
Crosswalk Report
Page 24 of 26
KansasSupplemental
14
15
Marital Status
Days Waiting to Enter Treatment
1
2
4
5
6
7
0-996
998
Never Married
Married
Divorced
Separated
Widowed
Common-Law
Days Waiting
If Collateral Client
Never Married - includes clients who are single or whose
Now Married ( includes those living together as married)
Divorced
Separated (legally seperated or otherwise absentbecasue of marital discord))
Widowed
Now Married ( includes those living together as married)
Number of Days waiting
Not Collected
Marital Status
Days waiting to enter treatment
^
^
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
01
02
04
03
05
02
000-996
998
CWMS_PROXY
Crosswalk Report
Page 25 of 26
KansasDischarge/NOMS
1
2
System Transaction at Discharge
State Code at Discharge
- KSState abreviation according postal codes
System Transaction Type
Two Character Alpha State Code
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
KCPC (Kansas Client Placement Criteria)Version : 1
-
REPORT CROSSWALK TO STATE
Crosswalk Management System
End of Report