REVISED 09/18/2014 - CPS Status Report, Ending Program Levels are highlighted REVISED 09/11/2014 - Substane Abused - ADADM - ADA Disease ManagementREVISED 10/29/2014 - Present On Admission - ICD 10 Note: ICD10 will be activated 10-1-2015REVISED 04/06/2015 - Substance Abused - 1605, ended Other SedativesREVISED 08/10/2015 - Program - CPSADULT-CMHCSCLREVISED 09/24/2015 - Program - ADA MAT - PDOA and Program Level MATREVISED 12/10/2015 - Referral Source - ADA DOC MAT ServicesREVISED 12/10/2015 - Assessments DLAREVISED 12/10/2015 - Program - CPS Youth Assertive Community TreatmentREVISED 03/08/2016 - Program Level ADA GEN TREAT - Outpatient, CollateralDependREVISED 05/11/2016 - Referral Source - KCATCREVISED 05/23/2016 - MHCPP ChangesREVISED 09/15/2016 - Living Arrangement - Added a new code (Available on 9-1-2016 )REVISED 10/19/2016 - Referral Source - Add/End several codes (End date 11/17/2016 - Available date for new 11/18/2016)REVISED 07/19/2017 - Admission Reason - PPS

Pre-Encounter Transaction Code List

Field Name CodeADA Number 00ADA Number 01ADA Number 02ADA Number 03ADA Number 04ADA Number 05ADA Number 06ADA Number 07ADA Number 08ADA Number 09ADA Number 10ADA Number 11ADA Number 12ADA Number 13ADA Number 14ADA Number 15ADA Number 16ADA Number 17ADA Number 18ADA Number 19ADA Number 20ADA Number 21ADA Number 22ADA Number 23ADA Number 24ADA Number 25ADA Number 26ADA Number 27ADA Number 28ADA Number 29ADA Number 30ADA Number 31

ADA Number 32ADA Number 33ADA Number 34ADA Number 35ADA Number 36ADA Number 37ADA Number 38ADA Number 39ADA Number 40ADA Number 41ADA Number 42ADA Number 43ADA Number 44ADA Number 45ADA Number 46ADA Number 47ADA Number 48ADA Number 49ADA Number 50ADA Number 51ADA Number 52ADA Number 53ADA Number 54ADA Number 55ADA Number 56ADA Number 57ADA Number 58ADA Number 59ADA Number 60ADA Number 61ADA Number 62ADA Number 63ADA Number 64ADA Number 65ADA Number 66ADA Number 67ADA Number 68ADA Number 69ADA Number 70ADA Number 71ADA Number 72ADA Number 73ADA Number 74ADA Number 75ADA Number 76ADA Number 77ADA Number 78ADA Number 79ADA Number 80ADA Number 81

ADA Number 82ADA Number 83ADA Number 84ADA Number 85ADA Number 86ADA Number 87ADA Number 88ADA Number 89ADA Number 90ADA Number 91ADA Number 92ADA Number 93ADA Number 94ADA Number 95ADA Number 96

ADA Number 997ADA Number NAADA Number 10 00ADA Number 10 01ADA Number 10 02ADA Number 10 03ADA Number 10 04ADA Number 10 05ADA Number 10 06ADA Number 10 07ADA Number 10 08ADA Number 10 09ADA Number 10 10

ADA Number 10 997ADA Number 20 00ADA Number 20 01ADA Number 20 02ADA Number 20 03ADA Number 20 04ADA Number 20 05ADA Number 20 06ADA Number 20 07ADA Number 20 08ADA Number 20 09ADA Number 20 10ADA Number 20 11ADA Number 20 12ADA Number 20 13ADA Number 20 14ADA Number 20 15ADA Number 20 16

ADA Number 20 17ADA Number 20 18ADA Number 20 19ADA Number 20 20

ADA Number 20 997ADA Number Prior 00ADA Number Prior 01ADA Number Prior 02ADA Number Prior 03ADA Number Prior 04ADA Number Prior 5ormoreAdmission Reason 1Admission Reason 2Admission Reason 3Admission Reason 4Admission Reason PPSAssessment DLA Type ADAssessment DLA Type AMHAssessment DLA Type YMHChronicity Acute

Chronicity EnduringChronicity UnknownCommitment Type 100Commitment Type 120Commitment Type 130Commitment Type 200Commitment Type 210Commitment Type 220Commitment Type 230Commitment Type 240Commitment Type 250Commitment Type 260Commitment Type 270Commitment Type 300Commitment Type 301Commitment Type 302Commitment Type 303Commitment Type 310Commitment Type 312Commitment Type 313Commitment Type 341Commitment Type 343Commitment Type 353Commitment Type 363Commitment Type 381Commitment Type 383Commitment Type 393

Commitment Type 400Commitment Type 410Commitment Type 420Commitment Type 440Commitment Type 450Commitment Type 460Commitment Type 470Commitment Type 471Commitment Type 472Commitment Type 473Commitment Type 474Commitment Type 500Commitment Type 510Commitment Type 520Commitment Type 530Country ADCountry AECountry AFCountry AGCountry AICountry ALCountry AMCountry ANCountry AOCountry AQCountry ARCountry ASCountry ATCountry AUCountry AWCountry AZCountry BACountry BBCountry BDCountry BECountry BFCountry BGCountry BHCountry BICountry BJCountry BMCountry BNCountry BOCountry BRCountry BSCountry BTCountry BVCountry BWCountry BYCountry BZ

Country CACountry CCCountry CFCountry CGCountry CHCountry CICountry CKCountry CLCountry CMCountry CNCountry COCountry CRCountry CUCountry CVCountry CXCountry CYCountry CZCountry DECountry DJCountry DKCountry DMCountry DOCountry DZCountry ECCountry EGCountry EHCountry ERCountry ESCountry ETCountry FICountry FJCountry FKCountry FMCountry FOCountry FRCountry FXCountry GACountry GBCountry GDCountry GECountry GFCountry GHCountry GICountry GLCountry GMCountry GNCountry GPCountry GQCountry GRCountry GT

Country GUCountry GWCountry GYCountry HKCountry HMCountry HNCountry HRCountry HTCountry HUCountry IDCountry IECountry ILCountry INCountry IOCountry IQCountry IRCountry ISCountry ITCountry JMCountry JOCountry JPCountry KECountry KGCountry KHCountry KICountry KMCountry KNCountry KPCountry KRCountry KWCountry KYCountry KZCountry LACountry LBCountry LCCountry LICountry LKCountry LRCountry LSCountry LTCountry LUCountry LVCountry LYCountry MACountry MCCountry MDCountry MGCountry MHCountry MKCountry ML

Country MMCountry MNCountry MOCountry MPCountry MQCountry MRCountry MSCountry MTCountry MUCountry MVCountry MWCountry MXCountry MYCountry MZCountry NACountry NCCountry NECountry NFCountry NGCountry NICountry NLCountry NOCountry NPCountry NRCountry NUCountry NZCountry OMCountry PACountry PECountry PFCountry PGCountry PHCountry PKCountry PLCountry PMCountry PNCountry PRCountry PTCountry PWCountry PYCountry QACountry RECountry ROCountry RUCountry RWCountry SACountry SBCountry SCCountry SDCountry SE

Country SGCountry SHCountry SICountry SJCountry SKCountry SLCountry SMCountry SNCountry SOCountry SRCountry STCountry SVCountry SYCountry SZCountry TCCountry TDCountry TFCountry TGCountry THCountry TJCountry TKCountry TMCountry TNCountry TOCountry TPCountry TRCountry TTCountry TVCountry TWCountry TZCountry UACountry UGCountry UMCountry USCountry UYCountry UZCountry VACountry VCCountry VECountry VGCountry VICountry VNCountry VUCountry WFCountry WSCountry YECountry YTCountry YUCountry ZACountry ZM

Country ZRCountry ZWCounty 001County 003County 005County 007County 009County 011County 013County 015County 017County 019County 021County 023County 025County 027County 029County 031County 033County 035County 037County 039County 041County 043County 045County 047County 049County 051County 053County 055County 057County 059County 061County 063County 065County 067County 069County 071County 073County 075County 077County 079County 081County 083County 085County 087County 089County 091County 093County 095

County 097County 099County 101County 103County 105County 107County 109County 111County 113County 115County 117County 119County 121County 123County 125County 127County 129County 131County 133County 135County 137County 139County 141County 143County 145County 147County 149County 151County 153County 155County 157County 159County 161County 163County 165County 167County 169County 171County 173County 175County 177County 179County 181County 183County 185County 187County 189County 193County 195County 197

County 199County 201County 203County 205County 207County 209County 211County 213County 215County 217County 219County 221County 223County 225County 227County 229County 510County 997CPSAssessmentType ADMITCPSAssessmentType REVIEWCPSAssessmentType DISCHARGECPSEducationAttendanceStatus YESCPSEducationAttendanceStatus NOCPSEducationAttendanceStatus PRECPSEducationAttendanceStatus ADULTCPSEducationAttendanceStatus UNKNCPSEducationLevel NONECPSEducationLevel NURSRYCPSEducationLevel KINDGCPSEducationLevel G1CPSEducationLevel G2CPSEducationLevel G3CPSEducationLevel G4CPSEducationLevel G5CPSEducationLevel G6CPSEducationLevel G7CPSEducationLevel G8CPSEducationLevel G9CPSEducationLevel G10CPSEducationLevel G11CPSEducationLevel G12CPSEducationLevel CONTCPSEducationLevel VOCTECHCPSEducationLevel CFRESHCPSEducationLevel CSOPHCPSEducationLevel CJUNCPSEducationLevel CSENCPSEducationLevel GRADCPSEducationLevel UNKNCPSEmploymentStatus FULL

CPSEmploymentStatus PARTCPSEmploymentStatus SUPP

CPSEmploymentStatus UNEMPLOY

CPSEmploymentStatus HOMEMK

CPSEmploymentStatus STUDENT

CPSEmploymentStatus RETIREDCPSEmploymentStatus MDISCPSEmploymentStatus BDISCPSEmploymentStatus ODISCPSEmploymentStatus HOSPCPSEmploymentStatus VOLCPSEmploymentStatus SHELCPSEmploymentStatus NOTCPSEmploymentStatus UNKNCPSResidentialStatus HLESSCPSResidentialStatus FHOMECPSResidentialStatus RESCARECPSResidentialStatus CRISISCPSResidentialStatus NHOMECPSResidentialStatus HOSPINPCPSResidentialStatus CORRCPSResidentialStatus PRIVINDEPCPSResidentialStatus PRIVDEPCPSResidentialStatus PRIVYOUTHCPSResidentialStatus OTHERCPSResidentialStatus UNKNCredential CPACredential DCCredential DDSCredential DOCredential DSWCredential EDDCredential JDCredential LCSWCredential MDCredential MSWCredential PHDCurrently Pregnant 1Currently Pregnant 2Currently Pregnant 3Currently Pregnant 5Diagnosis Status AdmissionDiagnosis Status CODDiagnosis Status CurrentDiagnosis Status DischargeDiagnosis Status Entered In Error

Diagnosis Status EndedDischarge Reason 1Discharge Reason 2Discharge Reason 3Discharge Reason 4Discharge Reason 4ADischarge Reason 5Discharge Reason 6Discharge Reason 7Discharge Reason 8Discharge Reason 9Discharge Reason 10Discharge Reason 11Discharge Reason 12Discharge Reason 13Discharge Reason 14Discharge Reason 14A

Discharge Reason 14BDischarge Reason 14CDischarge Reason 14DDischarge Reason 15Discharge Reason 16Discharge Reason 16FDischarge Reason 18Discharge Reason 19Discharge Reason 20Discharge Reason 21Discharge Reason 23Discharge Reason 24Discharge Reason 25Discharge Reason ERRORDMH Division ADADMH Division CPSDMH Division MRDDEducation 1Education 2Education 3Education 4Education 5Education 6Education 7Education 8Education 9Education 10Education 11Education 12Education 13Education 14Education 15

Education 16Education 17Education 18Education 19Education 20Education 21Education 22Education 23Education 24Education 25Education 26Education 27

Education 28Employment Status 1Employment Status 2Employment Status 3Employment Status 6Employment Status 8Employment Status 12Employment Status 13Employment Status 14Employment Status 15Employment Status 16Employment Status 17Employment Status LayoffEmployment Status ShelWSEmployment Status SeasonalEmpEmployment Status SeekingEmpEmployment Status SupportedSeeking

Employment Status UnknownExposure Reason ETDSTExposure Reason RELAPSEExposure Reason TPDLHLExposure Reason UNKNOWNGender 00Gender 01Gender 02Gender 03Gender 04Gender 05Gender 09Grade Point Average 11Grade Point Average 10Grade Point Average 9Grade Point Average 8Grade Point Average 7

Grade Point Average 6Grade Point Average 5Grade Point Average 4Grade Point Average 3Grade Point Average 2Grade Point Average 1Grade Point Average 0Grade Point Average 98

Grade Point Average 99Hearing Status 144Hearing Status 145Hearing Status 146Hearing Status 147HIV Test 1HIV Test 2HIV Test 3HIV Test 4Income Source 1Income Source 2Income Source 4Income Source 5Income Source 6Income Source 7Income Source 8Income Source 9Income Source 10Income Source 11Income Source 12Income Source 13Income Source 14Income Source 15Income Source 16Income Source 17Income Source 18Income Source 19Income Source 20Income Source 21Income Source 22

Income Source 999Legal Status 1Legal Status 2Legal Status 3Legal Status 4Legal Status 5

Legal Status UnknownLiving Arrangement 01Living Arrangement 02Living Arrangement 03Living Arrangement 04Living Arrangement 05Living Arrangement 06Living Arrangement 07Living Arrangement 08Living Arrangement 09Living Arrangement 10Living Arrangement 11Living Arrangement 12Living Arrangement 13Living Arrangement 14Living Arrangement 15Living Arrangement 16Living Arrangement 17Living Arrangement 18Living Arrangement 19Living Arrangement 20Living Arrangement 21Living Arrangement 22Living Arrangement 23Living Arrangement 96Living Arrangement 97Living Arrangement 98Living Arrangement 99

Living Arrangement 100Living Arrangement RCFMarital Status 1Marital Status 2Marital Status 3Marital Status 4Marital Status 5Marital Status 6Marital Status CLMarital Status LAMMarital Status LTMarital Status U2Medication Prescribed 00Medication Prescribed 01Medication Prescribed 02Medication Prescribed 03Medication Prescribed 04Medication Prescribed 05

Medication Prescribed 06Medication Prescribed 07Medication Prescribed 08Medication Prescribed 09Medication Prescribed 10Medication Prescribed 11Medication Prescribed 12Medication Prescribed 13Medication Prescribed 14Medication Prescribed 15Medication Prescribed 999Occupation 01Occupation 02Occupation 03Occupation 04Occupation 05Occupation 06Occupation 07Occupation 08Occupation 09Occupation 10

Occupation 16Occupation 18Occupation 19Occupation 20Occupation 21Occupation 22Occupation 23Occupation 24Occupation 25Occupation 26Occupation 27Occupation 28Occupation 29Occupation 30Occupation 31Occupation 32Occupation 33Occupation 34Occupation 35Occupation 36Occupation 37Occupation 38Occupation 39Occupation 40Occupation 41Occupation 42Occupation 43

Preferred Language 1Preferred Language 2Preferred Language 3Preferred Language 4Preferred Language 5Preferred Language 6Preferred Language 7Preferred Language 8Preferred Language 9Preferred Language 10Preferred Language 11Preferred Language 12Preferred Language 13Preferred Language 14Preferred Language 15Preferred Language 16Preferred Language 17Preferred Language 18Preferred Language 19Preferred Language 20Preferred Language 21Preferred Language 22Preferred Language 23Preferred Language 24Preferred Language 25Preferred Language 26Preferred Language 27Preferred Language 28Preferred Language 29Preferred Language 30Preferred Language 164Preferred Language 165Preferred Language 166Preferred Language 167Preferred Language 168Preferred Language 309735Preferred Language CSVPreferred Language DEAFNOSL

Preferred Language PSEPreferred Language SEEPrefix DrPrefix ESQPrefix HONPrefix MissPrefix MrPrefix MrsPrefix MsPrefix RevPrefix Sr

Primary Health Insurance 02Primary Health Insurance 06Primary Health Insurance 01Primary Health Insurance 03Primary Health Insurance 04Primary Health Insurance 20Primary Health Insurance 21Primary Source Of Payment 01Primary Source Of Payment 02Primary Source Of Payment 03Primary Source Of Payment 04Primary Source Of Payment 05Primary Source Of Payment 06Primary Source Of Payment 07Primary Source Of Payment 08Primary Source Of Payment 09Program ADACompGamb

Program ADADOCPRPLUSProgram ADACSTARAdProgram ADACSTARDETOXPProgram ADACSTARGen Program ADACSTARGenEnhProgram ADACSTAROpioidProgram ADACSTARWCProgram ADACSTARWCEnhProgram ADACSTARWCACProgram ADADOCCASEMGMTProgram ADADOCCommunPrtProgram ADADOCFreeCleanProgram ADADOCFreePlusProgram ADADOCOutpatProgram ADADOCPCRProgram ADADOCSTLEDUCProgram ADAEARLYINTERVSERV

Program ADAEnhPrimRecPLProgram ADAGENTREATProgram ADAMATPDOAProgram ADAMHCPP

Program ADAPrimRecPLProgram ADAPRPLUSProgram ADARecSupPilotProgram ADASATOPAdCLIntProgram ADASATOPSROPProgram ADASATOPYthCLIntProgram ADASATWIP

Program ADASECUREMMIDETOXProgram CPSACTProgram CPSADOSProgram CPSADULT-CMHCSCLProgram CPSAdult-CommunityServicesProgram CPSAdult-C Program CPSAdult-SProgram CPSAdult-TProgram CPSDOCSCProgram CPSFOVProgram CPSMH3Program CPSMHCPPProgram CPSSBSProgram CPSYOUTHACTProgram CPSYouth-CProgram CPSYouthCommServProgram CPSYJJPProgram CPSYouth-ChildSystemOCareProgram CPSYouth-SProgram CPSYouth-ShowMeKidsProgram CPSYouth-TProgram CPSYouth-Transitions-STLouisProgram Level ADA Comp Gambling 1BasicProgram Level ADA Comp Gambling 2BasicProgram Level ADA Comp Gambling 2AuthorizedProgram Level ADA Comp Gambling AssessmentProgram Level ADA Comp Gambling CODP1BProgram Level ADA Comp Gambling CODP2BProgram Level ADA Comp Gambling CODP2AProgram Level ADA DOC Free Plus CollateralDependProgram Level ADA DOC Free Plus CODPAUTHProgram Level ADA DOC Free Plus Phase1Program Level ADA DOC Free Plus Phase1AuthProgram Level ADA DOC Free Plus Phase2Program Level ADA DOC Free Plus Phase2AuthProgram Level ADA DOC Free Plus Phase3Program Level ADA DOC Free Plus Phase3AuthProgram Level ADA DOC PCR CollateralDependProgram Level ADA DOC PCR CODPAUTHProgram Level ADA DOC PCR Phase1Program Level ADA DOC PCR Phase1AuthProgram Level ADA DOC PCR Phase2Program Level ADA DOC PCR Phase2AuthProgram Level ADA DOC PCR Phase3Program Level ADA DOC PCR Phase3AuthProgram Level ADA GEN TREAT OutpatientProgram Level ADA GEN TREAT CollateralDependProgram Level ADA MHCPP WAIVER-ELIGProgram Level ADA MHCPP MMDETOXProgram Level ADA PRPLUS 1Basic

Program Level ADA PRPLUS 2AuthorizedProgram Level ADA PRPLUS 2BasicProgram Level ADA PRPLUS 3AuthorizedProgram Level ADA PRPLUS 3BasicProgram Level ADA PRPLUS 4FollowUpProgram Level ADA PRPLUS AssessmentProgram Level ADA PRPLUS CODPAUTHProgram Level ADA PRPLUS CollateralDependProgram Level ADA PRPLUS DetoxProgram Level ADA PRPLUS DetoxAuthProgram Level ADA PRPLUS MMIDetoxProgram Level ADA PRPLUS MMIDetoxAuthProgram Level ADA SATOP SROP Phase1Program Level ADA SATOP SROP Phase1AuthProgram Level ADA SATOP SROP Phase1ExtProgram Level ADA SATOP SROP Phase2Program Level ADA SATOP SROP Phase2AuthProgram Level ADA SATOP SROP Phase2ExtProgram Level ADA SATOP SROP Phase3Program Level ADA SATOP SROP Phase3AuthProgram Level ADA SATOP SROP Phase3ExtProgram Level ADA SATOP SROP Phase4Program Level ADA SATOP SROP Phase4ExtProgram Level CPS CPR IntensiveProgram Level CPS CPR RehabilitationProgram Level CPS CPR MaintenanceProgram Level CPS MHCPP WAIVER-ELIGProgram Level CSTAR 1BasicProgram Level CSTAR 1AuthorizedProgram Level CSTAR 1RBasicProgram Level CSTAR 1RAuthorizedProgram Level CSTAR 2BasicProgram Level CSTAR 2AuthorizedProgram Level CSTAR 3BasicProgram Level CSTAR 3AuthorizedProgram Level CSTAR 4FollowUpProgram Level CSTAR CollateralDependProgram Level CSTAR CODPAUTHProgram Level CSTAR CODP1R

Program Level CSTAR DETOX MMDETOXProgram Level CSTAR DETOX MMDETOXAUTHProgram Level CSTAR DETOX SSDETOXProgram Level CSTAR DETOX SSDETOXAUTHProgram Level CSTAR WCAC 1BasicProgram Level CSTAR WCAC 1AuthorizedProgram Level CSTAR WCAC 2BasicProgram Level CSTAR WCAC 2AuthorizedProgram Level CSTAR WCAC 3BasicProgram Level CSTAR WCAC 3Authorized

Program Level CSTAR WCAC 4FollowUpProgram Level CSTAR WCAC CollateralDependProgram Level CSTAR WCE 1BasicProgram Level CSTAR WCE 1AuthorizedProgram Level CSTAR WCE 1RBasicProgram Level CSTAR WCE 1RAuthorizedProgram Level CSTAR WCE 2BasicProgram Level CSTAR WCE 2AuthorizedProgram Level CSTAR WCE 3BasicProgram Level CSTAR WCE 3AuthorizedProgram Level CSTAR WCE 4FollowUp

Program Level CSTAR WCE CODP1RProgram Level CSTAR WCE CollateralDependProgram Level MAT MATProgram Status 1Program Status 2Program Status 3Program Status 4Program Status 5Program Status 6Program Status 7Program Status 8Program Status 9Program Status 10Program Status 11Public Assistance 1Public Assistance 2Public Assistance 3Public Assistance 4Public Assistance 5Public Assistance 6Public Assistance 7Public Assistance 8Public Assistance 9Public Assistance 10Public Assistance 11Public Assistance 12Public Assistance 13Public Assistance 14Public Assistance 15Public Assistance 16Public Assistance 17Public Assistance 18Public Assistance 19Public Assistance 20Public Assistance 21Public Assistance 22Public Assistance 23Public Assistance 24

Public Assistance 25Public Assistance 26Public Assistance 27Public Assistance 28Public Assistance 29Public Assistance 30Public Assistance 31Public Assistance 32Public Assistance 33Public Assistance 34Public Assistance 35Public Assistance 36Public Assistance 37Public Assistance 99Public Assistance 999Referral Location CMHL CMHLBJCFARMReferral Location CMHL CMHLBJCSTLCITYReferral Location CMHL CMHLBJCSTLCOUNTYReferral Location CMHL CMHLBJCBHRReferral Location CMHL CMHLBOOTHEELReferral Location CMHL CMHLBURREL10Referral Location CMHL CMHLBURRELL12Referral Location CMHL CMHLCCCReferral Location CMHL CMHLCLARKReferral Location CMHL CMHLCOMPREHENSIVReferral Location CMHL CMHLCOMTREAReferral Location CMHL CMHLCRIDERReferral Location CMHL CMHLEASTCTRLReferral Location CMHL CMHLFCCReferral Location CMHL CMHLFAMGUIDANCEReferral Location CMHL CMHLHOPEWELLReferral Location CMHL CMHLMTWAINReferral Location CMHL CMHLOZARKCTRReferral Location CMHL CMHLOZARKMEDCTRReferral Location CMHL CMHLPATHWAYS8BReferral Location CMHL CMHLPATHWAYS7Referral Location CMHL CMHLPATHWAYS11Referral Location CMHL CMHLPATHWAYS17AReferral Location CMHL CMHLREDISCOVERReferral Location CMHL CMHLSWOPEReferral Location CMHL CMHLTRICOUNTYReferral Location CMHL CMHLTRUMANReferral Location CMHL CMHLNCTRLReferral Location ERE EREMTReferral Location ERE EREB12Referral Location ERE ERERReferral Location ERE EREFCCReferral Location ERE EREB10Referral Location ERE EREADAPTReferral Location ERE EREBJC

Referral Location ERE ERECOMTREAReferral Location ERE ERECRIDERReferral Location ERE EREPATHWAYSReferral Location ERE EREHOPEWELLReferral Location ERE EREICReferral Location ERE EREPLACESReferral Office - 22 011Referral Office - 22 012Referral Office - 22 013Referral Office - 22 014Referral Office - 22 015Referral Office - 22 016Referral Office - 22 017Referral Office - 22 018Referral Office - 22 019Referral Office - 22 023Referral Office - 22 029Referral Office - 24 007Referral Office - 24 025Referral Office - 24 024Referral Office - 24 633Referral Office - 24 022Referral Office - 24 006Referral Office - 400 1Referral Office - 400 2Referral Office - 400 3Referral Office - 400 4Referral Office - 400 5Referral Office - 400 6Referral Office - 400 9Referral Office - 400 10Referral Office - 400 11Referral Office - 400 12Referral Office - 400 13Referral Office - 400 14Referral Office - 400 15Referral Office - 400 16Referral Office - 400 17Referral Office - 400 18Referral Office - 400 19Referral Office - 400 20Referral Office - 400 21Referral Office - 400 22Referral Office - 400 23Referral Office - 400 24Referral Office - 400 25Referral Office - 400 26Referral Office - 400 27Referral Office - 400 28Referral Office - 400 29

Referral Office - 400 30Referral Office - 400 31Referral Office - 400 32Referral Office - 400 33Referral Office - 400 34Referral Office - 400 35Referral Office - 400 36Referral Office - 400 37Referral Office - 400 38Referral Office - 400 39Referral Office - 400 49Referral Office - 400 58Referral Office - 400 10RReferral Office - 400 10SatReferral Office - 400 11ASatReferral Office - 400 12CSCReferral Office - 400 14ASatReferral Office - 400 14BSatReferral Office - 400 18ASatReferral Office - 400 18BSatReferral Office - 400 1CSCReferral Office - 400 21S Referral Office - 400 21SatReferral Office - 400 22SatReferral Office - 400 23CSCReferral Office - 400 25CSCReferral Office - 400 26CSCReferral Office - 400 29SatReferral Office - 400 2SatReferral Office - 400 38SatReferral Office - 400 3CSCReferral Office - 400 40SatReferral Office - 400 49CRCReferral Office - 400 4AReferral Office - 400 4BReferral Office - 400 4CReferral Office - 400 4RReferral Office - 400 4WReferral Office - 400 5SReferral Office - 400 7BReferral Office - 400 7CReferral Office - 400 7SReferral Office - 400 8CReferral Office - 400 8EReferral Office - 400 8NReferral Office - 400 8SReferral Office - 400 COReferral Office - 400 ECReferral Office - 400 EPReferral Office - 400 ERA

Referral Office - 400 KCCSCReferral Office - 400 SLCRCReferral Office - 94 AlgoaReferral Office - 94 BoonvilleReferral Office - 94 ChillicotheReferral Office - 94 CrossroadsReferral Office - 94 EasternReferral Office - 94 FarmingtonReferral Office - 94 FultonReferral Office - 94 JeffersonReferral Office - 94 MaryvilleReferral Office - 94 MoberlyReferral Office - 94 MoEasternReferral Office - 94 NortheastReferral Office - 94 OzarkReferral Office - 94 PotosiReferral Office - 94 SouthReferral Office - 94 SoutheastReferral Office - 94 TiptonReferral Office - 94 WesternReferral Office - 94 WesternMo

Referral Office - 94 WomensReferral Source 1Referral Source 2Referral Source 3Referral Source 4Referral Source 5Referral Source 6Referral Source 7Referral Source 8Referral Source 9Referral Source 10Referral Source 11Referral Source 12Referral Source 19Referral Source 20Referral Source 21Referral Source 22Referral Source 23Referral Source 24Referral Source 30Referral Source 39

Referral Source 40Referral Source 41Referral Source 50Referral Source 51Referral Source 52Referral Source 53

Referral Source 54Referral Source 55Referral Source 56Referral Source 57Referral Source 58Referral Source 60Referral Source 70Referral Source 71Referral Source 72Referral Source 73Referral Source 74Referral Source 75Referral Source 76Referral Source 77Referral Source 80Referral Source 81Referral Source 82Referral Source 84Referral Source 85Referral Source 86Referral Source 87Referral Source 88Referral Source 89Referral Source 90Referral Source 91Referral Source 94Referral Source 95Referral Source 96Referral Source 97Referral Source 400Referral Source AReferral Source ADADOCMATReferral Source ACIReferral Source BReferral Source CMHLReferral Source COURTReferral Source DOCSCReferral Source DOCPRPLReferral Source DMReferral Source DSSCDReferral Source DSSDYSReferral Source EREReferral Source GuardianReferral Source JOReferral Source KCATCReferral Source LAWENFReferral Source LEADReferral Source MBHOReferral Source MCReferral Source MCHP

Referral Source MHCReferral Source RCFReferral Source SPOEReferral Source SUDSelf Help Frequency 0Self Help Frequency 01Self Help Frequency 02Self Help Frequency 03Self Help Frequency 04Self Help Frequency 05Self Help Frequency 06Self Help Frequency 07Self Help Frequency 08Self Help Frequency 09Self Help Frequency 10Self Help Frequency 11Self Help Frequency 12Self Help Frequency 13Self Help Frequency 14Self Help Frequency 15Self Help Frequency 16Self Help Frequency 17Self Help Frequency 18Self Help Frequency 19Self Help Frequency 20Self Help Frequency 21Self Help Frequency 22Self Help Frequency 23Self Help Frequency 24Self Help Frequency 25Self Help Frequency 26Self Help Frequency 27Self Help Frequency 28Self Help Frequency 29Self Help Frequency 30

Self Help Frequency 97Severity CatastrophicSeverity ExtremeSeverity IndeterminateSeverity MildSeverity ModerateSeverity NoneSeverity SevereSpecial Education 10Special Education 11Special Education 12Special Education 13

Special Education 14Special Education 15Special Education 16Special Education 17Special Education 18Special Education 19Special Education 20Special Education 21Special Education 98Special Education 999State AKState ALState ARState AZState CAState COState CTState DCState DEState FLState GAState HIState IAState IDState ILState INState KSState KYState LAState MAState MDState MEState MIState MNState MOState MSState MTState NCState NDState NEState NHState NJState NMState NonState NVState NYState OHState OKState ORState PA

State RIState SCState SDState TNState TXState UnspecifiedState UTState VAState VTState WAState WIState WVState WYStressor Category 1Stressor Category 2Stressor Category 3Stressor Category 4Stressor Category 5Stressor Category 6

Stressor Category 7Stressor Category 8Stressor Category 9Substance Abuse Frequency 0Substance Abuse Frequency 01Substance Abuse Frequency 02Substance Abuse Frequency 03Substance Abuse Frequency 04Substance Abuse Frequency 05Substance Abuse Frequency 06Substance Abuse Frequency 07Substance Abuse Frequency 08Substance Abuse Frequency 09Substance Abuse Frequency 10Substance Abuse Frequency 11Substance Abuse Frequency 12Substance Abuse Frequency 13Substance Abuse Frequency 14Substance Abuse Frequency 15Substance Abuse Frequency 16Substance Abuse Frequency 17Substance Abuse Frequency 18Substance Abuse Frequency 19Substance Abuse Frequency 20Substance Abuse Frequency 21Substance Abuse Frequency 22Substance Abuse Frequency 23Substance Abuse Frequency 24Substance Abuse Frequency 25Substance Abuse Frequency 26

Substance Abuse Frequency 27Substance Abuse Frequency 28Substance Abuse Frequency 29Substance Abuse Frequency 30Substance Abuse Frequency NA

Substance Abuse Frequency UnknownSubstance Abuse Route of Administrati 0Substance Abuse Route of Administrati 1Substance Abuse Route of Administrati 2Substance Abuse Route of Administrati 3Substance Abuse Route of Administrati 4Substance Abuse Route of Administrati 5Substance Abuse Route of Administrati 6Substance Abuse Route of Administrati 9Substance Abuse Route of AdministratiNASubstance Abused ADADMSubstance Abused 1701Substance Abused 0201Substance Abused 1301Substance Abused 1101Substance Abused 1705Substance Abused 1515Substance Abused 1402Substance Abused 1302Substance Abused 1609Substance Abused 1303Substance Abused 0701Substance Abused 0301Substance Abused 0702Substance Abused 1304Substance Abused 1801Substance Abused 0505Substance Abused 2001Substance Abused 1311Substance Abused 1601Substance Abused 0504Substance Abused 1606Substance Abused 1305Substance Abused 1607Substance Abused 1602Substance Abused 0502Substance Abused 0501Substance Abused 0708Substance Abused 0705Substance Abused 1608Substance Abused 1306Substance Abused 0901Substance Abused 0401

Substance Abused 0704Substance Abused 1504Substance Abused 1401Substance Abused 1001Substance Abused 1603Substance Abused 1103Substance Abused 1102Substance Abused 0503Substance Abused 1702Substance Abused 0601Substance Abused 1109Substance Abused 1509Substance Abused 1308Substance Abused 0302Substance Abused 2002Substance Abused 0902Substance Abused 1703Substance Abused 0706Substance Abused 1604Substance Abused 1605Substance Abused 1201Substance Abused 1403Substance Abused 1718Substance Abused 0703Substance Abused 3001Substance Abused 0801Substance Abused 1505Substance Abused 0707Substance Abused 1501Substance Abused 1503Substance Abused 1502Substance Abused 1704Substance Abused 2003Substance Abused 0709Substance Abused 1307Substance Abused 9996

Substance Abused 9997Suffix DDSSuffix IISuffix IIISuffix IVSuffix JDSuffix JrSuffix MDSuffix MEDSuffix PhDSuffix RNSuffix Sr

Suffix VType of Follow Up 1Type of Follow Up 2Type of Follow Up 3Type of Follow Up 4Type of Follow Up 5Type of Follow Up 6Type of Follow Up 7Type of Follow Up 8Type of Follow Up 9Type of Follow Up 10Type of Follow Up 11Type of Follow Up 12Type of Follow Up 13Type of Follow Up 14Type of Follow Up 15Type of Follow Up 16Type of Follow Up 17Type of Follow Up 18Type of Follow Up 19Type of Follow Up 20Type of Follow Up 21Type of Follow Up 22Type of Follow Up 23Type of Follow Up 24Type of Follow Up RSWeekly Income Code 049Weekly Income Code 099Weekly Income Code 149Weekly Income Code 199Weekly Income Code 299Weekly Income Code 499Weekly Income Code NoneWeekly Income Code Over

Weekly Income Code Unknown

REVISED 09/18/2014 - CPS Status Report, Ending Program Levels are highlighted REVISED 09/11/2014 - Substane Abused - ADADM - ADA Disease ManagementREVISED 10/29/2014 - Present On Admission - ICD 10 Note: ICD10 will be activated 10-1-2015REVISED 04/06/2015 - Substance Abused - 1605, ended Other Sedatives

REVISED 09/24/2015 - Program - ADA MAT - PDOA and Program Level MAT

REVISED 12/10/2015 - Program - CPS Youth Assertive Community TreatmentREVISED 03/08/2016 - Program Level ADA GEN TREAT - Outpatient, CollateralDepend

REVISED 09/15/2016 - Living Arrangement - Added a new code (Available on 9-1-2016 )REVISED 10/19/2016 - Referral Source - Add/End several codes (End date 11/17/2016 - Available date for new 11/18/2016)

Pre-Encounter Transaction Code List

Value012345678910111213141516171819202122232425262728293031

Discontinued Date

3233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081

828384858687888990919293949596

UnknownNot Applicable012345678910

Unknown012345678910111213141516

17181920

Unknown012345 or moreCriteria metCourt OrderedCommitmentCourt Ordered & CommitmentPPSAlcohol DrugAdult Mental HealthYouth Mental HealthPredominately Acute (duration less than 6 months)

UnknownVoluntary. Also - TCM Non ForensicVoluntary - TCM ForensicVoluntary - TCM Screening and WaitingVoluntary - Adult - SelfVoluntary - Adult - GuardianVoluntary - Minor - GuardianVoluntary - Minor - SelfVoluntary - Minor - ParentVoluntary - Minor - Legal CustodianVoluntary - Adult - Ret Cond RelVoluntary - Adult - DPAInvoluntary Civil - Adult Ct OrderInvoluntary Civil - Adult Ct Order (JT)Involuntary Civil - Adult Ct Order (MHC)Involuntary Civil - Adult Ct Order (OP)Involuntary Civil - Minor Ct OrderInvoluntary Civil - Minor Ct Order (MHC)Involuntary Civil - Adult Ct Order (CSP)Involuntary Civil - Adult Ct Order (DMHP-JT)Involuntary Civil - Adult Ct Order (DMHP-IM)Involuntary Civil - Minor Ct Order (DMHP-IM)Involuntary Civil - (Qual ADA Couns-IM)Involuntary Civil - Adult Ct Order (PO-JT)Involuntary Civil - Adult Ct Order (PO-IM)Involuntary Civil - Minor Ct Order (PO-IM)

Predominately Enduring Circumstances (duration greater than 6 months)

Involuntary Criminal - Pre-Trial EvalInvoluntary Criminal - Incompetent To Proceed with TrialInvoluntary Criminal - NGRIInvoluntary Criminal - Mo St Corr Trans 12/7/2009Involuntary Criminal - Other (Circuit Ct)Involuntary Criminal - CPS Dept of CorrInvoluntary Criminal - Sexual Violent PredatorInvoluntary Criminal - SVP Pending Probable CauseInvoluntary Criminal - SVP Probable Cause OrderInvoluntary Criminal - SVP CommittedInvoluntary Criminal - SVP From Reversal/RemandInvoluntary Juvenile - EvalInvoluntary Juvenile - C&T (Term Juris)Involuntary Juvenile - C&T (Retain Juris)Involuntary Juvenile - Adm Tran (DYS)ANDORRAUNITED ARAB EMIRATESAFGHANISTANANTIGUA AND BARBUDAANGUILLAALBANIAARMENIANETHERLANDS ANTILLESANGOLAANTARCTICAARGENTINAAMERICAN SAMOAAUSTRIAAUSTRALIAARUBAAZERBAIJANBOSNIA AND HERZEGOWINABARBADOSBANGLADESHBELGIUMBURKINA FASOBULGARIABAHRAINBURUNDIBENINBERMUDABRUNEI DARUSSALAMBOLIVIABRAZILBAHAMASBHUTANBOUVET ISLANDBOTSWANABELARUSBELIZE

CANADACOCOS (KEELING) ISLANDSCENTRAL AFRICAN REPUBLICCONGOSWITZERLANDCOTE D'IVOIRECOOK ISLANDSCHILECAMEROONCHINACOLOMBIACOSTA RICACUBACAPE VERDECHRISTMAS ISLANDCYPRUSCZECH REPUBLICGERMANYDJIBOUTIDENMARKDOMINICADOMINICAN REPUBLICALGERIAECUADOREGYPTWESTERN SAHARAERITREASPAINETHIOPIAFINLANDFIJIFALKLAND ISLANDS (MALVINAS)MICRONESIA, FEDERATED STATES OFFAROE ISLANDSFRANCEFRANCE, METROPOLITANGABONUNITED KINGDOMGRENADAGEORGIAFRENCH GUIANAGHANAGIBRALTARGREENLANDGAMBIAGUINEAGUADELOUPEEQUATORIAL GUINEAGREECEGUATEMALA

GUAMGUINEA-BISSAUGUYANAHONG KONGHEARD AND MC DONALD ISLANDSHONDURASCROATIA (local name: Hrvatska)HAITIHUNGARYINDONESIAIRELANDISRAELINDIABRITISH INDIAN OCEAN TERRITORYIRAQIRAN (ISLAMIC REPUBLIC OF)ICELANDITALYJAMAICAJORDANJAPANKENYAKYRGYZSTANCAMBODIAKIRIBATICOMOROSSAINT KITTS AND NEVISKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITCAYMAN ISLANDSKAZAKHSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLEBANONSAINT LUCIALIECHTENSTEINSRI LANKALIBERIALESOTHOLITHUANIALUXEMBOURGLATVIALIBYAN ARAB JAMAHIRIYAMOROCCOMONACOMOLDOVA, REPUBLIC OFMADAGASCARMARSHALL ISLANDSMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OFMALI

MYANMARMONGOLIAMACAUNORTHERN MARIANA ISLANDSMARTINIQUEMAURITANIAMONTSERRATMALTAMAURITIUSMALDIVESMALAWIMEXICOMALAYSIAMOZAMBIQUENAMIBIANEW CALEDONIANIGERNORFOLK ISLANDNIGERIANICARAGUANETHERLANDSNORWAYNEPALNAURUNIUENEW ZEALANDOMANPANAMAPERUFRENCH POLYNESIAPAPUA NEW GUINEAPHILIPPINESPAKISTANPOLANDST. PIERRE AND MIQUELONPITCAIRNPUERTO RICOPORTUGALPALAUPARAGUAYQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAUDI ARABIASOLOMON ISLANDSSEYCHELLESSUDANSWEDEN

SINGAPOREST. HELENASLOVENIASVALBARD AND JAN MAYEN ISLANDSSLOVAKIA (Slovak Republic)SIERRA LEONESAN MARINOSENEGALSOMALIASURINAMESAO TOME AND PRINCIPEEL SALVADORSYRIAN ARAB REPUBLICSWAZILANDTURKS AND CAICOS ISLANDSCHADFRENCH SOUTHERN TERRITORIESTOGOTHAILANDTAJIKISTANTOKELAUTURKMENISTANTUNISIATONGAEAST TIMORTURKEYTRINIDAD AND TOBAGOTUVALUTAIWAN, PROVINCE OF CHINATANZANIA, UNITED REPUBLIC OFUKRAINEUGANDAUNITED STATES MINOR OUTLYING ISLANDSUNITED STATESURUGUAYUZBEKISTANVATICAN CITY STATE (HOLY SEE)SAINT VINCENT AND THE GRENADINESVENEZUELAVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)VIET NAMVANUATUWALLIS AND FUTUNA ISLANDSSAMOAYEMENMAYOTTEYUGOSLAVIASOUTH AFRICAZAMBIA

ZAIREZIMBABWEADAIRANDREWATCHISONAUDRAINBARRYBARTONBATESBENTONBOLLINGERBOONEBUCHANANBUTLERCALDWELLCALLAWAYCAMDENCAPE GIRARDEAUCARROLLCARTERCASSCEDARCHARITONCHRISTIANCLARKCLAYCLINTONCOLECOOPERCRAWFORDDADEDALLASDAVIESSDEKALBDENTDOUGLASDUNKLINFRANKLINGASCONADEGENTRYGREENEGRUNDYHARRISONHENRYHICKORYHOLTHOWARDHOWELLIRONJACKSON

JASPERJEFFERSONJOHNSONKNOXLACLEDELAFAYETTELAWRENCELEWISLINCOLNLINNLIVINGSTONMCDONALDMACONMADISONMARIESMARIONMERCERMILLERMISSISSIPPIMONITEAUMONROEMONTGOMERYMORGANNEW MADRIDNEWTONNODAWAYOREGONOSAGEOZARKPEMISCOTPERRYPETTISPHELPSPIKEPLATTEPOLKPULASKIPUTNAMRALLSRANDOLPHRAYREYNOLDSRIPLEYST CHARLESST CLAIRST FRANCOISST LOUIS COUNTYSTE GENEVIEVESALINESCHUYLER

SCOTLANDSCOTTSHANNONSHELBYSTODDARDSTONESULLIVANTANEYTEXASVERNONWARRENWASHINGTONWAYNEWEBSTERWORTHWRIGHTST LOUIS CITYNON-RESIDENTAdmissionAnnual/ReviewDischargeYes-In Last 3 monthsNo-Not In Last 3 monthsPreschool Under 3 yearsAdultUnknownNo SchoolingNursery/PreschoolKindergartenGrade-1stGrade-2ndGrade-3rdGrade-4thGrade-5thGrade-6thGrade-7thGrade-8thGrade-9thGrade-10thGrade-11thGrade-12thSelf-Contained Special EdVocational SchoolCollege-FreshmanCollege-SophomoreCollege-JuniorCollege-SeniorGraduate or Professional SchoolUnknownFull-Time Employment(35 hours or more)

Part-Time EmploymentSupported Employment

Unemployed; actively looking/laid off in past 30 d

Homemaker

Student

RetiredMedical DisabilityBehavioral DisabilityOther DisabilityHospital Patient or Institution ResidentVolunteerShelter/Non-competitive EmploymentNot in Labor force-unlistedUnknownHomelessFoster HomeResidential CareCrisis ResidenceNursing HomeHospital InpatientJail/Correctional FacilityPrivate Residence-Independent LivingPrivate Residence-Adult Dependent LivingPrivate Resident-YouthOther Residential StatusUnknownCPADCDDSDODSWEDDJDLCSWMDMSWPHDUnknownYesNoRefused to answerAdmissionCause of DeathCurrent (Working)DischargeEntered In Error

Ended / No longer applicableConsumer diedConsumer dropped outConsumer moved awayDid not meet criteria Did not meet assessment criteriaNo longer eligible for serviceTransferred consumerTreatment viewed as ineffective by the consumerTreatment viewed as ineffective by the TherapistConsumer Completed TreatmentMedical ReasonsNo Longer Requires HospitalizationAgainst Medical AdviceAdditional Services Advised, Referral MadeConsumer Incarcerated 12/17/2007Incarcerated-offense during treatment / satisfactory progress

Incarcerated-offense during treatment / unsatisfactory progressIncarcerated-charge pre-treatment / satisfactory progressIncarcerated-charge pre-treatment / unsatisfactory progressNo ReferralConditional Release - CivilConditional Release - ForensicReferral GivenNo Longer Needs ServiceConsumer No Longer Requests ServicesConsumer would not comply with rulesSVP-released by court, commitment criteria not metSVP-released by court, probably cause criteria not metSVP-released by court, conditional releaseAdmitted in ErrorADACPSDDKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeG.E.D.1st Year College

2nd Year College3rd Year College4th Year CollegeGraduate College 8/31/20111 Yr GraduateMaster Degree3 Yr GraduateDoctorate DegreeTech Education in lieu of High SchoolTech Education in addn to High SchoolNo AcademicNot Collected 4/1/2010

UnknownNot In Workforce-HomemakerUnemployed - sought last 30 or on layoffEmployed - Part Time(<35 hrs/wk)Supported EmploymentEmployed - Full Time(35+hrs/wk)Not in Workforce-Student(acad. or vocational)Not In Workforce-PreschoolNot In Workforce-RetiredNot In Workforce-DisabledNot In Workforce-Inmate of Institution (invol)Not In Workforce-OtherUnemployed - LayoffSheltered WorkshopSeasonal EmploymentSeeking EmploymentReceiving Support to Seek Employment

Unknown (invalid for ADA prog assign)Entered treatment and delivered shortly thereafterRelapseTested positive for drug with long half-lifeUnknownNot KnownMaleFemaleMale and FemaleMale from FemaleFemale from MaleNot SpecifiedA/A+A-B+BB-

C+CC-D+DD-FNot Applicable

Unknown (only valid at closure)NormalHard of HearingDeafUnknownHIV PositiveAIDS/ARC DiagnosisHIV NegativeHIV Status UnknownIllegalEmploymentDisabilityRetirementUnemploymentPublic Assistance - StateFamily / FriendsOtherNoneSSDISSISSAVAChild SupportCivil Service RetirementRRUEIAlimonyMilitarySelf EmploymentWork Comp

UnknownDoes Not ApplyAwaiting DispositionOn ProbationOn ParoleIncarcerated

Unknown (invalid for program assignment)<18 with Both Parents<18 with Single Parents<18 with Other Relatives<18 with Foster Home<18 with Private Care Facility<18 with Public Care Facility<18 with Independent Living<18 with Other18 & > with Alone<18 with Parent / Step Parent18 & > with Family18 & > with Unrelated Person18 & > with Adult Foster Care18 & > with Nursing Home18 & > with Transitional18 & > with Other Public / Private18 & > with Parent or Siblings18 & > with Other18 & > with Homeless18 & > with Spouse Only18 & > Homeless Shelter18 & > Jail / Correctional Facility<18 with HomelessAll ages with Oxford HouseAll ages with CSTAR Supported HousingAll ages with CSTAR ResidentialAll ages with Refused to Answer

UnknownResidential Care Facility (RCF)Never MarriedMarriedWidowedDivorcedSeparatedRemarriedCommon LawLiving as marriedLiving TogetherUnknown (not valid for ADA)NoneMethadoneLaamPropoxyphene - NNaloxoneCyclazocine

DisulfiramOther AntagonistNaltrexoneTranquilizers (Valium, Librium, etc.)Anti-DepressantsOthersBuprenirphineAcamprosate calcium (Campral)VivitrolSuboxoneUnknown (not valid for Asmt) 4/1/2010Professional 11/20/2011Farmer & Farm Mgr 11/20/2011Managers, Officials, Proprietors 11/20/2011Clerical Workers 11/20/2011Sales Workers 11/20/2011Craftsmen 11/20/2011Operatives (Mech Indus) 11/20/2011Serv and Houshld 11/20/2011Farm Labors 11/20/2011Laborers, Non-Farm 11/20/2011

Unknown (Invalid for ADA)Military Service 11/20/2011Not applicableOther (not valid for DD)ManagementBusiness and Financial OperationsComputer and MathematicalArchitecture and EngineeringLife, Physical, and Social ScienceCommunity and Social ServiceLegalEducation, Training, and LibraryArts, Design, Entertainment, Sports, and MediaHealthcare Practitioners and TechnicalHealthcare SupportProtective ServiceFood Preparation and Serving RelatedBuilding & Grounds Cleaning & MaintenancePersonal Care and ServiceSales and RelatedOffice and Administrative SupportFarming, Fishing, and ForestryConstruction and ExtractionInstallation, Maintenance, and RepairProductionTransportation and Material MovingMilitary Specific

American Sign Language (ASL)Native American Languages, (including Inuit)PortugueseGreekEastern European (Specify if known)Northern European/Scandinavian (Specify if known)RussianOther Slavic Languages (Specify if known)ArabicHebrewFarsi (Persian)LebaneseChineseTurkishKoreanJapaneseCambodian (Khmer)LaotianVietnameseEast Indian/Pakistani Language (Specify if known)PhilippinesOther Asian/Pacific Rim Languages_ (Specify if known)Burundi (Kirundi)EthiopianSomaliRwandanSwahiliOther African Languages (Specify if known)Other (Specify Language Description-Required)Unknown or Unable to DetermineEnglishSpanish (Mexico, Central/South America, Spain)FrenchGermanItalianHindiContact Signing Variety of ASL (CSV)Deaf - does not use ASL, SEE, PSE or CSV

Pidgin Signed English (PSE)Signed Exact English (SEE)DrEsqHonMissMrMrsMsRevSister

Blue Cross/Blue ShieldHealth Maintenance Organization (HMO)Other Private InsuranceMedicareMedicaidOther (e.g. TRICARE, CHAMPUS)NoneSelf PayBlue Cross / Blue ShieldMedicareMedicaidOther GovWokers CompOther InsuranceNo ChargeOtherADA Compulsive Gambling

ADA Corrections Primary Recovery Plus 8/22/2008ADA CSTAR AdolescentADA CSTAR Detox ProgramADA CSTAR General AdultADA CSTAR General Adult EnhancedADA CSTAR OpioidADA CSTAR Women and ChildrenADA CSTAR Women and Children EnhancedADA CSTAR Women and Children Alt CareADA DOC Case ManagementADA DOC Community Partnership for Restoration 9/30/2008ADA DOC Free and Clean 9/30/2008ADA DOC Free and Clean PlusADA DOC Outpatient 9/30/2008ADA DOC Partnership for Community RestorationADA DOC STL EducationADA Early Intervention Services

ADA Enhanced Primary Recovery Plus 7/24/2006ADA General TreatmentADA MAT - PDOAADA Mental Health Crisis Prevention Project

ADA Primary Recovery Plus 7/24/2006ADA Primary Recovery Plus (Non-ATR)ADA Recovery Supports Pilot 7/24/2006ADA SATOP Adult Clinical Intervention (CIP)ADA SATOP Serious & Repeat Offenders (SROP)ADA SATOP Youth Clinical Intervention(YCIP)ADA SATOP Weekend Intervention (WIP)

ADA Secure MMI DetoxCPS Assertive Community TreatmentCPS DOC MH4 Pre-ReleaseCPS Adult CMHC SCLCPS Adult Community ServicesCPS Adult Community Psychiatric RehabilitationCPS Adult Supported Community LivingCPS Adult Targeted Case ManagementCPS DOC Second ChanceCPS Families of Veterans 6/30/2011CPS DOC MH3CPS Mental Health Crisis Prevention ProjectCPS School Based ServicesCPS Youth Assertive Community TreatmentCPS Youth Community Psychiatric RehabilitationCPS Youth Community ServicesCPS Youth Juvenile Justice ProgramCPS Youth System of Care 6/30/2011CPS Youth Supported Community LivingCPS Youth Show Me Kids 6/30/2009CPS Youth Targeted Case ManagementCPS Youth Transitions: System of Care 6/30/20091 Basic2 Basic2 Authorized 3/18/2014Assessment 11/13/2008Collateral Dependent 1 BasicCollateral Dependent 2 BasicCollateral Dependent 2 Authorized 5/30/2014Collateral DependentCollateral Dependent Authorized 3/18/2014Phase 1Phase 1 Authorized 3/18/2014Phase 2Phase 2 Authorized 3/18/2014Phase 3Phase 3 Authorized 3/18/2014Collateral DependentCollateral Dependent Authorized 3/18/2014Phase 1Phase 1 Authorized 3/18/2014Phase 2Phase 2 Authorized 3/18/2014Phase 3Phase 3 Authorized 3/18/2014OutpatientCollateral DependentWaiver EligibleMMI Detox1 Basic

2 Authorized 3/18/20142 Basic3 Authorized 3/18/20143 Basic4 Follow-Up 6/30/2014AssessmentCollateral Dependent Authorized 3/18/2014Collateral DependentDetox BasicDetox Authorized 3/18/2014Secure MMI DetoxSecure MMI Detox Authorized 3/18/2014Phase 1Phase 1 Authorized 3/18/2014Phase 1 Extended 4/1/2010Phase 2Phase 2 Authorized 3/18/2014Phase 2 Extended 4/1/2010Phase 3Phase 3 Authorized 3/18/2014Phase 3 Extended 4/1/2010Phase 4 7/31/2009Phase 4 Extended 4/1/2010Intensive (not valid on Adult CPR)RehabilitationMaintenanceWaiver Eligible1 Basic1 Authorized 3/18/20141R Basic 3/18/20141R Authorized 3/18/20142 Basic2 Authorized 3/18/20143 Basic3 Authorized 3/18/20144 Follow Up (not valid for Opioid) 6/30/2014Collateral DependentCollateral Dependent Authorized 3/18/2014

5/30/2014MM DetoxMM Detox Authorized 3/18/2014SS DetoxSS Detox Authorized 3/18/20141 Basic1 Authorized 3/18/20142 Basic2 Authorized 3/18/20143 Basic3 Authorized 3/18/2014

Collateral Dependent 1R (only valid for Women&Children and Women & Children Enhanced)

4 Follow Up (not valid for Opioid) 6/30/2014Collateral Dependent1 Basic1 Authorized 3/18/20141R Basic (not valid for Women & Children Alt Care) 3/18/20141R Authorized (not valid for Women & Children Alt Care) 3/18/20142 Basic2 Authorized 3/18/20143 Basic3 Authorized 3/18/20144 Follow Up (not valid for Opioid) 6/30/2014

5/30/2014Collateral DependentMATAssignedCompletedNoncompliantOn LeaveWithdrawnElopedAdministrative DischargeTransferredIncorrectly AssignedDeceasedTo Jail or DOCNoneTemporary Assistance To Needy FamiliesFood StampsGeneral ReliefMedicaidSupplemental Security IncomeLow-Income Home Energy AssistanceLegal Services For The PoorIn-Home Supportive ServicesGrants To Assist Victims Of Domestic ViolenceRefugee AssistanceSubstance Abuse Treatment AssistancePsychiatric ServicesMental Retardation and Development DisabilitiesSchool Lunch AssistanceSection 8 Housing PaymentsSection 8 Housing VouchersPublic HousingOther Subsidized HousingHigher Education GrantsHigher Education LoansCollege Work/Study PaymentsHead StartTrade Adjustment Assistance

Collateral Dependent 1R (only valid for Women&Children and Women & Children Enhanced)

Missouri Crime Victim CompensationJob Opportunities and Basic Skills TrainingVeteran CompensationMedicareSocial Security Retirement BenefitsSocial Security Disability BenefitsSocial Security Survivors' BenefitsBlack Lung Disease BenefitsUnemployment CompensationRailroad Retirement BenefitsWorker's CompensationVeterans' PensionsGovernment PensionsOtherUnknown (not valid for Asmt) 4/1/2010CMHL-BJC FarmingtonCMHL-BJC St Louis CityCMHL-BJC St Louis CountyCMHL-BJC BHRCMHL-BootheelCMHL-Burrell SA10CMHL-Burrell SA12CMHL-Community Counseling CenterCMHL-Clark Mental HealthCMHL-Comprehensive Mental HealthCMHL-Community TreatmentCMHL-Compass CriderCMHL-East CentralCMHL-Family Counseling CenterCMHL-Family GuidanceCMHL-HopewellCMHL-Mark TwainCMHL-Ozark CenterCMHL-Ozark Medical CenterCMHL-Compass Pathways SA8BCMHL-Compass Pathways SA7CMHL-Compass Pathways SA11CMHL-Compass Pathways SA17ACMHL-RediscoverCMHL-SwopeCMHL-Tri County Mental HealthCMHL-TrumanCMHL-North CentralERE-Mark TwainERE-Burrell SA12ERE-ReDiscoverERE-Family Counseling CenterERE-Burrell SA10ERE-AdaptERE-BJC

ERE-Community TreatmentERE-Compass Health CriderERE-Compass Health PathwaysERE-HopewellERE-Independence CenterERE-Places for PeopleAlbany Regional CenterKirksville Regional CenterHannibal Regional CenterKansas City Regional CenterJoplin Regional CenterSpringfield Regional CenterRolla Regional CenterPoplar Bluff Regional CenterSikeston Regional CenterSt Louis Regional CenterCentral Missouri Regional CenterBellefontaine Habilitation CenterSt Louis Developmental Disabilities Treatment CenterNevada Habilitation CenterSoutheast Missouri Residential ServicesHigginsville Habilitation CenterMarshall Habilitation Center1-St. Joseph2-Chillicothe 9/1/20083-Hannibal4-Kansas City - Prospect St5-Warrensburg6-Columbia9-Joplin10-Springfield11-Rolla12-Farmington13-West Plains14-Sikeston15-Hillsboro16-Union17-St. Charles18-Moberly19-Liberty20-Camdenton21-Branson22-Cape Girardeau23-Kennett24-Independence25-Popular Bluff26-Fulton27-Jefferson City28-Belton29-Sedalia

30-Nevada31-Caruthersville32-Lexington33-Neosho34-Lake Ozark35-Lebanon36-Potosi37-Dexter38-Troy39-Trenton49-Kansas City Comm Rel Ctr 8/31/20082-Cameron10RSpringfield-SWR21S-Aurora11S-SteelvilleDist 12-Farmington CSC41-Charleston14S-New Madrid18S-Macon18S-KirksvilleDist 1-St Joseph CSC21S-NixaOzark 9/1/200822S-PerryvilleDist 23-Kennett CSCDist 25-Popular Bluff CSCDist 26-Fulton CSC32S-Marshall39S-Brookfield38S-WarrentonDist 3-Hannibal CSC40-MaryvilleKCCRC-Kansas City Comm Rel CtrKansas City - Oak Street 9/1/20084B-Kansas City Pre-Trial - Locust Street4C-Kansas City Central - Swope Pkwy4R-Kansas City Regional - 20th St4W-Kansas City West - Brushcreek5S-Clinton7B-St. Louis City Probation7C-St. Louis City Central7S-St. Louis City South8C-St. Louis County Central8E-Florissant (St. Louis County East)8N-Jennings (St. Louis County North)8S-St. Louis County SouthJC-Central Office 7/1/2009EC-Eastern Reg-Comm CorrectionEP-Eastern Reg-PrimaryERA-Eastern Reg-Adminstration

Kansas City Correction - CSCSLCRC-St Louis Correctional CRCAlgoa Correctional CenterBoonville Correctional CenterChillicothe Correctional CenterCrossroads Correctional CenterEastern Reception, Diagnostic & Correctional CenterFarmington Correctional CenterFulton Reception & Diagnosic CenterJefferson City Correctional CenterMaryville Tretment CenterMoberly Correctional CenterMissouri Eastern Correctional CenterNortheast Correctional CenterOzark Correctional CenterPotosi Correctional CenterSouth Central Correctional CenterSoutheast Correctional CenterTipton Correctional CenterWestern Reception, Diagnostic & Correctional CenterWestern Missouri Correctional Center

Women's Eastern Reception, Diagnostic & Correctional CenterInpatient - Physician referralInpatient - Clinic referralInpatient - HMO referralInpatient - Transfer from a HospitalInpatient - Transfer from a SNFInpatient - Transfer from another health care facilityInpatient - Emergency RoomInpatient - Court / Law EnforcementInpatient - Information not availableFamily, RelativesFriendsFormer Client 11/17/2016SelfPublic Mental HospitalVeterans AdministrationDMH Regional CenterDMH Child ResidentialDMH Habilitation Center 11/17/2016Other MH FacilityNursing Home

Medical FacilityNon-Psychiatric PhysicianSocial or Comm AgencyDepartment of Social Services 11/17/2016Head StartOff Econ Opportunity 11/17/2016

United Cerebral PalsyARCSheltered WorkshopFreestanding ADA 11/17/2016CMHCPrivate Practice MH ProfSchool SystemState School for MRKatrinaMS 11/17/2016KatrinaFL 11/17/2016KatrinaLS 11/17/2016KatrinaAL 11/17/2016RitaLS 11/17/2016RitaTX 11/17/2016Court, Law Enforcement, Corrections 4/27/2012Fed, St, Cnty Probation 4/27/2012Fed, St, Cnty Parole 4/27/2012Other Non-Vol 11/17/2016Drug CourtAttorney / Legal Counsel 11/17/2016Help Line 11/17/2016Self Help (AA)SATOP ScreeningOther (Unspecified)Clergy 11/17/2016DOC Institutional Treatment ProgramDOC-Transitional Housing 4/27/2012DOC-Prison Treatment Program 8/31/2008DOC-Other 4/27/2012District Probation and ParoleInpatient - Transfer from a CAHADA DOC MAT ServicesACI HotlineInpatient - Transfer from a HHACMHL-Comm MH LiaisonCourt(non-treatment)DOC Second Chance 11/17/2016Precision PlacementDisease ManagementChildren's DivisionDYSERE-ER EnhancementGuardianJuvenile OfficeKC - ATCLaw Enforcement CodeLEAD InstituteManaged Behavioral Health OrganizationManaged Care Managed Care Health Plan 11/17/2016

Mental Health CourtResidential Care Facility (RCF)First Steps SPOESUD Provider0123456789101112131415161718192021222324252627282930

UnknownCatastrophicExtremeIndeterminateMildModerateNoneSevereSpecial Education (Unspecified)Trainable Mental Retardation (State Schools for the Retarded)Educable Mental RetardationRemedial Reading

Elementay and Secondary Special EducationSpecial SchoolSpeech TherapyLearning Disabled ClassroomBehavior Disordered ClassroomNo Special EducationResource RoomSpecial Education Testing SuggestedNot CollectedUnknown (not valid for Asmt) 4/1/2010AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNon-USNevadaNew YorkOhioOklahomaOregonPennsylvania

Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUnspecifiedUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingProblems with primary support groupProblems related to the social environmentEducational ProblemsOccupational problemsHousing problemsProblems with access to health care services

Problems related to interactions with the legal system or crimeOther psychosocial and environmental problemsEconomic Problems01234567891011121314151617181920212223242526

27282930Not Applicable

Unknown (Valid only at discharge)Unknown 4/1/2010OralSmokingInhalationIntramuscular 5/1/2008IV InjectionNon IV InjectionSniff 5/1/2008Not ApplicableADA Disease ManagementAerosolsAlcoholAlprazolam (Xanax)AmphetamineAnestheticsBarbiturates 6/29/2006Benzodiazepines 7/29/2006Chlordiazepoxide (Librium)Clonazepam (Clonopin, Rivotril)Clorazepate (Tranzene)CodeineCrackD-Propoxyphene (Darvon)Diazepam (Valium)DiphenhydramineDiphenoxylate (Lomotil)Diphenylhydantion SodiumEstazolam (ProSom)Ethclorvynol (Placidyl)Fentanyl (Duragesic)Flunitrazepam (Rohypnol)Flurazepam (Dalmane)GHB/GBL (Gamma-Hydroxybutyrate, Gamma-Butyrolacton)Glutethimide (Doriden)HeroinHeroin / Morphine 6/30/2008Hydrodone (Vicodin)Hydromorphone (Dilaudid)Ketamine (Special K)Lorazepam (Ativan)LSDMarijuana / Hashish / THC

Meperidine HCI (Demerol)Mephobarbital (Mebaral)Meprobamate (Miltown)Methamphetamine / SpeedMethaqualoneMethylenedioxmethamphetamine (MDMA,Ecstasy)Methylphenidate (Ritalin)Morphine (kadian, Avinza, MS Contin)NitritesNon-prescription MethadoneOther AmphetaminesOther Barbiturate SedativesOther BenzodiazepinesOther CocaineOther DrugsOther HallucinogensOther InhalantsOther Opiates and SyntheticsOther Non-Barbituarate SedativesOther Sedatives 5/17/2015Other StimulantsOther TranquilizersOver-the-counterOxycodone (Oxycontin)Pathalogical Gambling 6/29/2006PCP or PCP CombinationsPenobarbital Na (Nembutal)Pentazocine (Talwin)PhenobarbitalSecobarbital (Seconal)Secobarbital / AmobarbitalSolventsTobacco (Valid only as secondary or tertiary)Tramadol (Ultram)Triazolam (Halcion)None

Unknown (Valid only at discharge)DDSIIIIIIVJDJRMDMEDPhDRNSR

VCase managementCommunity programCommunity self helpHalf-way houseInpatient medical facilityInpatient psychiatric facilityInpatient Substance AbuseMedication Management, PCPMedication Management, PsychiatristOutpatient Clinic ProgramResidential Treatment CenterSheltered Living SituationSheltered Work EnvironmentNoneOtherAgainst Medical Advice (not valid for ADA)Outpatient TreatmentMedical Hospital (not valid for ADA)Nursing HomeSkilled Nursing FacilityResidential Care FacilityCommunity Psychiatric Rehabilitation Ctr 8/31/2008Returned to Penal/Correctional InstAdministrative AgentRecovery Support$1 - $49$50 - $99$100 - $149$150 - $199$200 - $299$300 - $499None$500 and over

Unknown

Note

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

not allowed for ADA

not allowed for ADA

not allowed for ADAnot allowed for ADA

not allowed for ADAnot allowed for ADA

not allowed for ADAnot allowed for ADAnot allowed for ADAnot allowed for ADAnot allowed for ADAnot allowed for ADA

not allowed for ADAnot allowed for ADAnot allowed for ADA

(Not valid for TEDS)

(Not valid for TEDS)

(Not valid for TEDS)(Not valid for TEDS)(Not valid for TEDS)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

Not valid for TEDS

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

ATR cannot be batched because of voucher requirements.

ATR program assignment cannot be batched because of voucher requirements. Added 08/22/2008

ATR program assignment cannot be batched because of voucher requirements.

ATR program assignment cannot be batched because of voucher requirements.

Added 8/10/2015

formerly called "DOC-Probation/Parole"

formerly called "Probation and Parole"

effective 11/18/2016

effective 11/18/2016effective 11/18/2016

effective 11/18/2016

effective 11/18/2016

Added 04/01/2010 TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

formerly 'Intravenous'

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)

formerly ' Other Narcotic Analgesics'

Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.

TEDS – (Only allowed at program closure when Consumer PROGRAM STATUS is not Completed.)