reglab/statecodes huggingface dataset:
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.395 - Community EMS

Current through June 24, 2024
(1) In addition to the responsibilities under
				  s.
				  DHS
				  110.34, an emergency medical services provider or
				  other organization licensed to provide CEMS shall obtain department approval
				  before using licensed EMS practitioners to provide CEMS. To obtain department
				  approval, the EMS provider or other organization shall submit all of the
				  following to the department:
(a) Name of the
				  EMS provider or other organization requesting approval.
(b) Contact information for the service
				  director of the CEMS program, including how to contact the EMS provider or
				  other organization.
(c) Name,
				  address, phone number and e-mail address for the each medical director or
				  member of the medical advisory committee who will oversee the CEMS
				  program.
(d) The type of CEMS
				  service that will be provided and at what licensure level.
(e) The staffing configurations for providing
				  CEMS service.
(f) An explanation of
				  how medical direction or consultation will be contacted at the patient
				  location, if indicated.
(g) Patient
				  care protocols and guidelines for providing CEMS services.
(h) An explanation of how the CEMS provider
				  will be notified and requested for CEMS services.
(i) An explanation of how the CEMS provider
				  will notify and integrate with the 9-1-1 system, should the patient require an
				  ambulance.
(j) Identification of the
				  ambulance service provider(s) that will respond to a 9-1-1 call initiated by
				  the CEMS provider.
(k) Copies of
				  each agreement or contract for providing community emergency medical services.
Note:
When submitting copies of agreements or
					 contracts, the submitter may redact any compensation information.
(l) Written acknowledgement that
				  community emergency medical services will not interfere with the emergency
				  medical services provider's responsibility to provide 9-1-1 emergency response
				  within its primary service area, if the ambulance service provider or
				  non-transporting emergency medical practitioner service provider is also
				  licensed as a 9-1-1 provider.
(m)
				  Other information as determined by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.40 - Intercept service

Current through June 24, 2024
In addition to the responsibilities under s.
					 DHS
					 110.34, and ambulance service provider or
					 non-transporting emergency medical service that provides intercept services is
					 subject to all of the following requirements:
(1) The emergency medical service provider
				  shall be licensed as a 9-1-1 emergency medical service provider.
(2) The emergency medical service provider
				  intercept services shall not interfere with its responsibility to provide 9-1-1
				  emergency response within its primary service area.
(4) The intercept service shall identify a
				  schedule for availability of intercept services, if the service does not
				  provide 24 hour-a-day, 7 day-a-week coverage.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.41 - Air medical services

Current through June 24, 2024
(1) In order to provide air medical service
				  in Wisconsin, an ambulance service provider, including an ambulance service
				  provider licensed in another state that makes more than 10 patient transports a
				  year that originate and terminate in Wisconsin, shall be licensed under s.
				  DHS
				  110.35, to provide air medical services and shall be
				  nationally accredited for air medical transports by an entity approved by the
				  department as follows:
(a) An ambulance
				  service provider that was licensed by the department as an air medical service
				  provider before July 1, 2010 shall obtain national accreditation for air
				  medical transports by an entity approved by the department no later than July
				  1, 2015.
(b) Effective July 1,
				  2010, only ambulance service providers licensed at the paramedic level may be
				  licensed as air medical services providers.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.42 - Tactical emergency medical services

Current through June 24, 2024
An ambulance service provider or other agency shall obtain
					 departmental approval before using licensed EMS professionals to provide
					 tactical emergency medical services as follows:
(1) AMBULANCE SERVICES PROVIDERS. To obtain
				  department approval to provide tactical emergency medical services, an
				  ambulance service provider shall submit an application and operational plan as
				  provided under s.
				  DHS
				  110.35(2).
(2) TACTICAL TEAMS. To obtain department
				  approval, an agency shall do all of the following:
(a) Apply on a form obtained from the
				  department.
(b) Submit patient care
				  protocols for the emergency medical care the agency intends to
				  provide.
(c) Submit an explanation
				  of how the agency will interact with an ambulance service provider and maintain
				  the initial level of patient care.
(d) Submit proof of medical liability
				  insurance.
(e) Submit a written
				  quality assurance and training plan for the EMS professionals that operate on
				  the team.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.43 - Special units

Current through June 24, 2024
If a licensed ambulance service owns, operates, and
					 maintains special transport vehicles including, but not limited to, boats,
					 ATV's, or snowmobiles, the licensed ambulance service shall identify them in
					 its application and operational plan as required under s.
					 DHS
					 110.35(2).
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.45 - Department decisions on applications

Current through June 24, 2024
(1) Except as
				  provided in sub. (2), the department shall review and make a determination on
				  an application that has been completed in accordance with all of the
				  department's instructions for completion within 60 business days of receiving
				  the application. If the department approves the application, the department
				  will notify the applicant and issue a license. If the department denies the
				  application, the department will notify the applicant of the reason for the
				  denial and any appeal rights.
(2)
				  The department shall either approve the application and issue a license or deny
				  the application within 90 business days after receiving a complete application
				  for an emergency medical service provider license that requires department
				  review of algorithm protocols, including an application for a change or update
				  of any algorithm protocol. If the application for a license or algorithm
				  protocol approval is denied, the department shall give the applicant reasons,
				  in writing, for the denial and shall inform the applicant of the right to
				  appeal that decision.
(3) The
				  department's failure to deny an application within the time period established
				  under sub. (1) or (2) does not constitute department approval of the license
				  application. An applicant may not provide emergency medical services until the
				  department has issued the applicant a license.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.46 - License duration and application for renewal license

Current through June 24, 2024
(1) A license issued
				  by the department to an emergency medical service provider is valid for the
				  duration of the triennium as long as the provider remains in continuous
				  compliance with EMS-related federal and state statutes, this chapter, and the
				  operational plan approved by the department, or until the provider notifies the
				  department in writing that it intends to cease providing emergency medical
				  services or the department suspends or revokes the license.
(2) Notwithstanding sub. (1), an emergency
				  medical service provider shall renew its license by June 30 of the third year
				  of the triennium by submitting to the department an updated application that
				  includes documentation acceptable to the department showing proof of
				  eligibility. The application and documentation shall be submitted to the
				  department in the manner or method specified by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.47 - Required personnel and responsibilities

Current through June 24, 2024
An emergency medical service provider shall have all of
					 the following personnel:
(1) A service
				  director qualified under s.
				  DHS
				  110.49.
(2) A service medical director qualified
				  under s.
				  DHS
				  110.50.
(3)
				  An infection control designee who is responsible for maintaining the infection
				  control program and meeting Occupational Safety and Health Administration
				  standards for blood borne pathogens and safety.
(4) A quality assurance designee who is
				  responsible for managing patient-based quality improvement processes in
				  collaboration with the service medical director.
(5) A training designee who is responsible
				  for assisting the service medical director in assuring continued competency and
				  facilitating the continuing education of the provider's EMS
				  professionals.
(6) A data contact
				  designee who is responsible for assuring that patient care report data is
				  submitted to the department as required in this chapter.
(7) EMS professionals sufficient to meet the
				  staffing requirements under s.
				  DHS
				  110.51.
These personnel do not have to be separate people. One
						person may hold several of these
						positions.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.48 - Service director

Current through June 24, 2024
An emergency medical service provider shall have a service
					 director who shall:
(1) Serve as the
				  primary contact between the emergency medical service provider and the
				  department.
(2) Assure that all
				  elements of the operational plan are kept current.
(3) Assure that EMS professionals are
				  properly licensed and credentialed.
(4) Provide day-to-day supervision of the
				  ambulance service provider's operations.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.49 - Service medical director

Current through June 24, 2024
An emergency medical service provider shall have a service
					 medical director who meets all of the qualifications under sub. (1) and has all
					 the responsibilities under sub. (2):
(1) QUALIFICATIONS. The service medical
				  director shall meet all the following within 180 days from the date of his or
				  her appointment:
(a) Licensure as a
				  physician.
(b) Current
				  certification in CPR for health care professionals and, if the medical director
				  provides medical direction for an EMT-intermediate, Advanced Emergency Medical
				  Technician or paramedic emergency medical services provider, current
				  certification in ACLS and PALS unless the physician is certified by the
				  American Board of Emergency Medicine or the American Osteopathic Board of
				  Emergency Medicine.
(c) Education,
				  training and experience in emergency medicine.
(d) Familiarity with the design and operation
				  of pre-hospital EMS systems.
(e)
				  Experience or training in the EMS quality improvement process.
(f) Successful completion of the department's
				  service medical director course or equivalent as determined by the department
				  for any service medical director who is not board certified as specified in
				  par. (b).
(g) Any additional
				  requirements prescribed by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.495 - Community emergency medical services medical director

Current through June 24, 2024
A CEMS provider shall have a minimum of one medical
					 director who meets all of the qualifications under sub. (1) and has all the
					 responsibilities under sub. (2).
(1)
				  QUALIFICATIONS. Except as provided by sub. (3), a community emergency medical
				  services medical director shall have all of the following:
(a) Current licensure as a
				  physician.
(b) Familiarity or
				  experience with emergency medical services and practitioners.
(c) Any additional requirements as prescribed
				  by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.51 - Preceptors

Current through June 24, 2024
(1) The service medical director shall
				  designate those individuals who may serve as preceptors based on the director's
				  determination that the individuals are qualified to act as preceptors for
				  supervised field training. Only individuals who are designated by the service
				  medical director may serve as preceptors for supervised field training. The
				  service medical director shall withdraw an individual's designation if the
				  director determines that the individual is no longer qualified or at the
				  request of the department, the training center, or the individual.
(2) In order to serve as a preceptor for
				  field training, an individual shall have all of the following qualifications:
(a) The individual shall be licensed as an
				  emergency medical services practitioner at or above the skill level of the
				  training provided and shall have the knowledge and experience in using the
				  skills, equipment and medications that are required by the scope of practice
				  for the certification or licensure for which training is provided. A physician,
				  registered nurse or physician assistant with training and experience in the
				  pre-hospital emergency care of patients is deemed trained to the paramedic
				  level.
(b) A preceptor shall have a
				  minimum of two years pre-hospital patient care experience as a licensed,
				  practicing emergency medical services practitioner at or above the level of the
				  training provided, or as a physician, registered nurse or physician
				  assistant.
(c) A preceptor shall
				  oversee and mentor students during supervised field training and shall complete
				  the records required to document the field training.
(d) The ambulance service provider shall keep
				  résumé and other documentation of the qualifications of those
				  individuals designated as preceptors on file and shall make this documentation
				  immediately available for review by the certified training center or the
				  department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.525 - Field training requirements

Current through June 24, 2024
(1) An ambulance
				  service provider may provide supervised field training of EMS professionals
				  through its licensed staff who have been designated as preceptors by the
				  provider's service medical director under s.
				  DHS
				  110.51(1).
(2) An ambulance service provider that
				  provides supervised field training of EMS professionals shall have a written
				  agreement with a certified training center that describes who the field
				  training is provided and the responsibilities of the provider and the training
				  center with respect to the field training. This agreement shall be signed by
				  the training center's program director and the ambulance service provider's
				  service director after consultation with both the training center medical
				  director and the service medical director.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.526 - Opioids training

Current through June 24, 2024
(1) An EMS practitioner shall undergo
				  training regarding the safe and proper administration of naloxone or another
				  opioid antagonist to individuals who are undergoing or suspected of undergoing
				  an opioid-related drug overdose consisting of instruction in recognizing
				  opioid-related drug overdose patients, medication preparation and
				  administration, and any other information requested by the
				  department.
(2) An EMS practitioner
				  may fulfill the training requirement under sub. (1) through any of the
				  following:
(a) Initial training in the
				  applicable Wisconsin curriculum that includes administration of naloxone or
				  another opioid antagonist.
(b)
				  Continuing education through a training center that includes administration of
				  naloxone or another opioid antagonist.
(c) Training provided by an emergency medical
				  service provider with which the individual is credentialed that is approved by
				  the service medical director and the department.
(d) Any other training as approved by the
				  department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.53 - Authority to investigate

Current through June 24, 2024
(1) The department
				  may conduct an investigation to determine whether there has been a violation of
				  this chapter or ch. 256, Stats.
(2)
				  An authorized employee or agent of the department, upon presentation of
				  identification, shall be permitted to do all of the following:
(a) Enter the offices of an emergency medical
				  service provider or training center during business hours without advance
				  notice or at any other reasonable prearranged time.
(b) Inspect equipment and vehicles.
(c) Inspect and reproduce records pertinent
				  to the requirements of this chapter and ch. 256, Stats., including but not
				  limited to administrative records, personnel records, ambulance run records,
				  training records and vehicle records, whether the records are maintained in
				  written, electronic or other form.
(d) Interview persons.
(e) Conduct other activities to determine
				  whether a violation has occurred.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.55 - Warning letter

Current through June 24, 2024
The department may issue a warning letter to a licensee,
					 permit holder, or certificate holder if the department finds that the person
					 has committed a minor, first-time violation of a requirement of this chapter or
					 ch. 256, Stats., or a minor, first-time violation identified in s.
					 DHS
					 110.54. The department shall retain a copy of the
					 warning letter in the person's file and may consider it in determining what
					 enforcement action is appropriate if the person commits subsequent violations.
					 The department shall post a copy or a summary of the warning letter, which does
					 not identify the recipient of the letter, on the department's EMS website. The
					 department's issuance of a warning letter is a final decision of the department
					 and is not subject to an administrative hearing.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.56 - Reprimand

Current through June 24, 2024
The department may reprimand a licensee, permit holder, or
					 certificate holder if the department finds that the person has violated a
					 requirement of this chapter or ch. 256, Stats., or engaged in conduct described
					 in s.
					 DHS
					 110.54. A reprimand documents the department's finding
					 that the permittee, certificate holder or licensee has violated a requirement
					 of this chapter or ch. 256, Stats., or has engaged in conduct described in s.
					 DHS
					 110.54. A reprimand may be in the form of a letter
					 issued to the person who is the subject of the reprimand or a written
					 stipulation between the person and the department. Before issuing a reprimand,
					 the department shall give the person an opportunity to submit information
					 relevant to the conduct the department believes constitutes a violation. The
					 department shall retain a copy of the reprimand in the person's file and may
					 consider the reprimand in determining what enforcement action is appropriate if
					 the person commits subsequent violations. The department shall post the
					 reprimand, identifying the violator and describing the violation, on the
					 department's EMS website. The department's issuance of a reprimand is a final
					 decision of the department and is not subject to an administrative
					 hearing.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.57 - Summary suspension of a license, permit or certification

Current through June 24, 2024
(1) The department
				  may summarily suspend a license, permit, or certification if the department has
				  probable cause to believe that the licensee, permit holder, or certificate
				  holder has violated a provision of this chapter or ch. 256, Stats., has engaged
				  in conduct described in s.
				  DHS
				  110.54, or has engaged in or is likely to engage in
				  other conduct, such that public health, safety or welfare imperatively requires
				  emergency action. A summary suspension order is effective upon issuance,
				  requires the immediate cessation of all activity authorized by the license,
				  certification, or permit, and continues through the date of a final decision
				  and order issued in an enforcement action based on the violation, unless the
				  license, permit or certification is restored under sub. (4) (d).
(2) An order for summary suspension may be
				  issued orally or in writing. If the order is issued orally, the department
				  shall send written notice of the order to the person who is subject to the
				  order within 48 hours after the issuance of the order. The department may serve
				  a written order or notice of order by e-mail to the person's e-mail address on
				  file with the department, or by regular mail, certified mail or personal
				  service delivered to the person's address on file with the department. Receipt
				  of an order or notice sent by e-mail is presumed at the time of transmission.
				  Receipt of an order or notice sent by regular mail is presumed within 5 days of
				  the date the notice was mailed.
(3)
				  The summary suspension order shall include all of the following:
(a) A finding that public health, safety or
				  welfare imperatively requires emergency suspension of the license, permit, or
				  certification.
(b) A statement that
				  the suspension order is in effect and continues until the effective date of a
				  final order and decision in an enforcement action against the person who is the
				  subject of the order.
(c)
				  Notification of the right under sub. (4) to request a hearing to show cause why
				  the summary suspension order should not be continued.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.58 - Denial, refusal to renew, conditional issuance, issuance with limitation, suspension, revocation

Current through June 24, 2024
(1) The department may deny, refuse to renew,
				  limit, condition, suspend or revoke a license, permit, or certification, for
				  any reason under s.
				  DHS
				  110.54, if the department gives written notice of the
				  reasons for the proposed action and the right to a hearing to appeal the action
				  under s.
				  DHS
				  110.59.
(2) The department may limit the actions a
				  person would otherwise be authorized to perform under a certification, permit
				  or license by issuing an order to an emergency medical services provider or to
				  an individual emergency medical services professional and to the emergency
				  medical service provider with whom the individual is credentialed. An order
				  limiting a certification or license takes effect immediately upon
				  issuance.
(3) The department may
				  condition the issuance or continuance of a certification, permit, or license
				  upon the satisfactory compliance by the person holding the certificate, permit
				  or license of specified requirements. A conditional permit, certification or
				  license is effective upon issuance.
(4) The department's denial of an application
				  for an initial permit, certification or license is effective upon
				  issuance.
(5) A refusal to renew in
				  response to a timely and sufficient application for renewal, a suspension or a
				  revocation of a permit, certification, or license is effective 30 days after
				  issuance of the department's order, unless the department summarily suspends
				  the permit, certification or license, or the permittee, certificate holder, or
				  licensee files a timely appeal of the department's action. If the department
				  does not issue a summary suspension order and a timely appeal is filed, the
				  department's action is not effective unless and until a final administrative
				  decision authorizing the action is issued.
(6) A revocation shall be for a minimum of
				  two years.
(7) If the department
				  denies an application, the person may not apply again for one year.
(8) The department may enter into an
				  agreement with the person who is the subject of an enforcement action that
				  stipulates the terms and conditions of the enforcement action.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter V - Enforcement › Section DHS 110.59 - Appeals

Current through June 24, 2024
(1) RIGHT TO APPEAL. An enforcement action
				  taken by the department under s.
				  DHS
				  110.57 or 110.58 is subject to review under ch. 227,
				  Stats. To request a hearing under ch. 227, Stats., an aggrieved person shall
				  submit a written request to the department of administration's division of
				  hearings and appeals within 30 calendar days after the date of the department's
				  action.
(2) APPEAL PROCESS.
(a)
Filing date.
A request
				  for hearing that is mailed to the division of hearings and appeals shall be
				  considered filed with the division on the date of the postmark. A request for a
				  hearing that is hand-delivered to the division of hearings and appeals shall be
				  considered filed on the date the request is received by the division of
				  hearings and appeals. A request for a hearing that is transmitted by facsimile
				  to the division of hearings and appeals shall be considered filed on the date
				  and at the time imprinted by the division's facsimile machine on the
				  transaction report that accompanies the document. Documents received by
				  facsimile after midnight local time shall be deemed filed on the first
				  following business day.
(b)
Content of appeal
. Appeals shall contain the following
				  information:
1. The name and address of the
				  person requesting the hearing.
2. A
				  description of the action that is being contested and a copy of the
				  department's order or notice of action.
3. A concise statement of the reasons for
				  objecting to the action.
4. The type
				  of relief requested.
5. A request
				  for hearing.
(c)
Service on department.
The person requesting a hearing shall
				  submit a copy of the hearing request to the department the same day the request
				  is filed with the division of hearings and appeals.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.01 - Authority and purpose

Current through June 24, 2024
This chapter is promulgated under the authority of ss.
				  253.13
				  and
				  227.11(2),
				  Stats., to specify the congenital disorders for which each newborn is screened
				  and tested.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.02 - Applicability

Current through June 24, 2024
This chapter applies to the attending physician licensed
				  under ch. 448, Stats., nurse-midwife certified under s.
				  441.15,
				  Stats., or other attendant at the birth of an infant born in Wisconsin, to the
				  infant and the infant's parents or guardian, and to the state
				  laboratory.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.03 - Definitions

Current through June 24, 2024
In this chapter:
(1) "Congenital disorder" means a disorder
				present at birth, either inherited or due to an influence occurring during
				gestation up to birth.
(2)
				"Department" means the Wisconsin department of health services.
(3) "ICD-10-CM" means the
International Classification of Diseases
,
10
th
Revision, Clinical Modification
.
(4) "Medical consultant" means a physician
				licensed to practice medicine or osteopathy under ch. 448, Stats., who has
				expertise in treatment of one or more of the conditions listed under s.
				DHS
				115.04.
(5) "Metabolic disorder" means a disorder of
				the chemical processes that take place in the body.
(6) "Screening" means checking each member of
				a population to identify presumptive medical conditions that indicate that
				diagnostic testing for congenital or metabolic disorders is needed.
(7) "State laboratory" means the state
				laboratory of hygiene under s.
				36.25(11),
				Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.04 - Congenital disorders

Current through June 24, 2024
Pursuant to s.
				  253.13(1),
				  Stats., blood samples taken from each newborn shall be tested for all of the
				  following conditions:
(1)
(a) Phenylketonuria (PKU),
				ICD-10-CM-E70.0.
(b)
				Hyperphenylalaninemia, ICD-10-CM-E70.1.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.05 - Laboratory tests

Current through June 24, 2024
(1) PROCEDURES. The state laboratory shall
				establish procedures, with the approval of the department, for obtaining blood
				specimens for the testing required under s.
				253.13(1),
				Stats., and this chapter, performing tests and reporting results of tests
				performed to the infant's physician and the department as required under s.
				253.13(4),
				Stats.
(2) ADDITIONAL TESTS FOR
				RESEARCH AND EVALUATION PURPOSES. The department may direct the state
				laboratory to perform other tests on specimens for research and evaluation
				purposes related to congenital and metabolic disorders or laboratory
				procedures. In directing that additional testing be performed, the department
				shall ensure that all applicable laws relating to protection of human subjects
				of research are observed.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.055 - Fees

Current through June 24, 2024
The newborn screening sample collection card fee for testing
				  a newborn under s.
				  253.13(1),
				  Stats., and this chapter shall be $109 to cover the costs of testing and to
				  fund follow-up services and other activities under s.
				  253.13(2),
				  Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 115 - Screening Of Newborns For Congenital Disorders › Section DHS 115.06 - Criteria for adding or deleting conditions

Current through June 24, 2024
In determining which disorders are to be added or deleted
				  from s.
				  DHS
				  115.04, the department shall seek the advice and
				  guidance of medical consultants, staff of the state laboratory and other
				  persons who have expertise and experience in dealing with congenital and
				  metabolic disorders. Criteria to be considered in adding or deleting disorders
				  shall include all of the following:
(1) Characteristics of the specific disorder,
				including disease incidence, morbidity and mortality.
(2) The availability of effective therapy and
				potential for successful treatment.
(3) Characteristics of the test, including
				sensitivity, specificity, feasibility for mass screening and cost.
(4) The availability of mechanisms for
				determining the effectiveness of test procedures.
(5) Characteristics of the screening program,
				including the ability to collect and analyze specimens reliably and promptly,
				the ability to report test results quickly and accurately and the existence of
				adequate follow-up and management programs.
(6) The expected benefits to children and
				society in relation to the risks and costs associated with testing for the
				specific condition.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Section DHS 116.01 - Authority and purpose

Current through June 24, 2024
This chapter is promulgated under the authority of ss.
				  227.11(2)
				  and
				  253.12(3)
				  (a), Stats., to implement the Wisconsin birth
				  defect prevention and surveillance system established by s.
				  253.12,
				  Stats. The purpose of the program is to provide for:
(1) Reporting to the department of
				information about birth defects in infants and children from birth to age
				2.
(2) Analysis by the department
				of that information.
(3)
				Dissemination by the department of that information in a collective,
				non-identifying form for public policy formulation and epidemiological research
				uses.
(4) Release by the department
				of that information in certain circumstances in a form that specifically
				identifies a child only with informed written consent of the parent or guardian
				to selected persons and agencies.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Section DHS 116.02 - Applicability

Current through June 24, 2024
This chapter applies to all of the following:
(1) The department.
(2) A physician who diagnoses a birth defect
				in a child or treats a child with a reportable condition.
(3) A pediatric specialty clinic that
				diagnoses a birth defect in a child or treats a child with a reportable
				condition.
(4) A hospital that
				diagnoses a birth defect in a child or treats a child with a reportable
				condition.
(5) Local health
				officers, local birth to 3 programs, and agencies under contract with the
				department to administer the children with special health care needs
				program.
(6) Any other agency that
				requests reportable information from the department.
(7) A child about whom the department
				collects, maintains and discloses reportable information.
(8) The parent or guardian of the child about
				whom the department collects, maintains and discloses reportable
				information.
(9) Researchers who
				request reportable information from the department.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Section DHS 116.03 - Definitions

Current through June 24, 2024
In this chapter:
(1) "Agency" means an organization that
				assists or uses information about persons with birth defects.
(2) "Birth defect" has the meaning given in
				s. 253.12 (1) (a),
				Stats.
(3) "Child" has the meaning
				given for "infant or child" in s.
				253.12 (1) (c),
				Stats.
(4) "Child-identifiable
				data" means information that would identify a child, including the child's
				name, address or social security number, or the parent's or guardian's name,
				address or social security number.
(5) "Department" means the Wisconsin
				department of health services.
(6)
				"Guardian" has the meaning given in s.
				48.02 (8),
				Stats.
(7) "Local health officer"
				has the meaning given in s.
				250.01 (5),
				Stats.
(8) "Parent" has the meaning
				given in s. 48.02 (13),
				Stats.
(9) "Pediatric specialty
				clinic" has the meaning given in s.
				253.12 (1) (b),
				Stats.
(10) "Physician" has the
				meaning given in s. 448.01 (5),
				Stats.
(11) "Registry" means a
				database required under s.
				253.12 (3) (a)
				1, Stats.
(12) "Reporter" means a physician, pediatric
				specialty clinic or hospital that is required or authorized by s.
				253.12 (2),
				Stats., to convey birth defect information to the department.
(14) "Wisconsin birth defects prevention and
				surveillance system" means the program established by s.
				253.12, Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Section DHS 116.04 - Reporting of birth defects

Current through June 24, 2024
(1) BIRTH DEFECTS
				FOR WHICH REPORTING IS MANDATORY. Reporters shall report to the department a
				birth defect listed in Appendix A for children in whom the condition is
				diagnosed or treated by age 2.
(2)
				RESPONSIBILITIES FOR REPORTING.
(a) Except as
				provided in par. (b), the following persons shall report a birth defect to the
				department:
1. A physician who diagnoses a
				birth defect or treats a child with a birth defect.
2. A pediatric specialty clinic that
				diagnoses a birth defect or treats a child with a birth defect.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Section DHS 116.05 - Confidentiality

Current through June 24, 2024
(1) RELEASE OF INFORMATION. The department
				shall keep Wisconsin birth defects prevention and surveillance system reports
				confidential and may release information from them only in accordance with s.
				253.12(5),
				Stats., and following the procedures in s.
				253.12(2),
				Stats.
(2) ACCESS TO INFORMATION.
(a) The department may release
				child-identifiable data only to persons specified in s.
				253.12,
				Stats., and to the following persons:
1. The
				parent or guardian of a child for whom a report was submitted under s.
				DHS
				116.04(3), and following a written
				request. The department may require verification of the parent's or guardian's
				identity. The department shall send the requested information to the parent or
				guardian within 10 calendar days following receipt of the written request.
Note:
Written requests may be sent to the
				  Wisconsin Children with Special Health Care Needs Program - Attention Birth
				  Defects Registry, 1 West Wilson Street, P.O. Box 2659, Madison, WI 53701-2659.
				  Questions may be directed to the CSHCN Program via telephone at
				  800-441-4576.
2. The local
				health officer, the local birth to 3 program, or an agency under contract with
				the department to administer the children with special health care needs
				program upon receipt of a written request for information and written informed
				consent from the parent or guardian of the child.
3. A reporter specified under s.
				DHS
				116.04(2) for the purpose of
				verifying information included in a report.
4.
a. A
				representative of a federal or state agency, upon written request from the
				federal or state agency, and to the extent the information is necessary to
				perform a legally authorized function of that agency. In its written request,
				the agency shall provide the department with written evidence of its legally
				authorized function.
b. The
				department shall review and approve or disapprove specific requests by an
				agency for child-identifiable data.
c. The department shall notify the parent or
				guardian of a child about whom information is released under this subdivision
				on the same day that the information is being released to the agency and the
				purpose for which it is being released.
5. A person performing research under par.
				(c).
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Appendix A

Current through June 24, 2024
Birth Defects and Syndromes for Which Reporting is
				  Mandatory
.
Achondroplasia
Microphthalmia and Anophthalmia
Ambiguous Genitalia
Microtia/Anotia
Amniotic Bands
Multicystic or Dysplastic Kidney
Anencephaly
Noonan Syndrome
Angelman Syndrome
Obstructive Urinary Tract Defect [not posterior
								valves; not urethral stenosis/atresia]
Arthrogryposis Multiplex Congenita
Oculoauriculovertebral Association (including
								Goldenhar Association and Hemifacial Microsomia)
Atrial Septal Defect
Omphalocele
AV Canal/Endocardial Cushion Defect
Osteogenesis Imperfecta
Beckwith-Wiedemann Syndrome
Other Chromosomal Anomaly (not +13, +18, +21, XXY,
								Turner S., 22q-)
Biliary Atresia
Polycystic Kidney Disease, Autosomal Dominant
								Form
Bone Dysplasia/Dwarfism, Other (not
								Achondroplasia)
Polycystic Kidney Disease, Autosomal Recessive
								Form
Cardiac Arrhythmia (Congenital)
Polycystic Kidney Disease, Uncertain Form
Cataract (Congenital or Early)
Porencephaly
CHARGE Association
Posterior Urethral Valves
Choanal Atresia
Prader-Willi Syndrome
Cleft Lip with or without Cleft Palate
Pyloric Stenosis
Cleft Palate
Rectal/Colonic Atresia/Stenosis
Clubfoot (Congenital)
Reduction Deformity, Arm or Hand
Coarctation of the Aorta
Reduction Deformity, Leg or Foot
Coloboma
Renal Agenesis/Hypoplasia
Craniosynostosis
Robin Malformation Sequence (Pierre Robin
								Sequence)
Cystic Fibrosis
Scoliosis or Kyphosis/Hemivertebra
								(Infantile)
De Lange Syndrome (Cornelia De Lange
								Syndrome)
Small Bowel Atresia/Stenosis
Diaphragmatic Hernia
Smith-Lemli-Opitz Syndrome
Down Syndrome
Sotos Syndrome
Encephalocele
Spina Bifida
Epispadias
Spinal Muscular Atrophy (Infantile)
Exstrophy of the Bladder/Cloaca
Stickler Syndrome
Gastroschisis
Tetralogy of Fallot
Glaucoma (Congenital)
Total Anomalous Pulmonary Venous Return
Hemivertebra
Tracheo-Esophageal Fistula/Esophageal
								Atresia
Hemophilia
Transposition of the Great Vessels
Hereditary Spherocytosis
Trisomy 13
Hip Dislocation (Congenital)/Developmental
								Dysplasia of Hip (Congenital)
Trisomy 18
Hirschsprung Disease
Trisomy 21
Holoprosencephaly
Truncus Arteriosus
Hydranencephaly
Turner Syndrome
Hydrocephalus (Congenital or Early)
Urethral Stenosis/Atresia
Hypoplastic Left Heart
Valvular Heart Disease (Congenital)
Hypospadias
VATER Association
Hypothyroidism (Congenital)
Velocardiofacial Syndrome (22q Deletion
								Syndrome)
Klinefelter Syndrome
Ventricular Septal Defect
Marfan Syndrome
Von Willebrand Disease
Microcephaly (Congenital or Early)
Williams Syndrome
Definitions can be found in the Birth Defects Encyclopedia:
					 The Comprehensive, Systematic, Illustrated Reference Source for the Diagnosis,
					 Delineation, Etiology, Biodynamics, Occurrence, Prevention, and Treatment of
					 Human Anomalies of Clinical Relevance, Volumes I and II, Centers for Birth
					 Defects Information Services, Inc. 1990.
Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 116 - Wisconsin Birth Defect Prevention And Surveillance System › Appendix B

Current through June 24, 2024
Core Data Items 1 of the Birth Defects
				  Registry
.
A. General Data
1.
Reporting Source Identifying
				  Information
2. Date of Report
3. Parental Consent Information
4. Referral Information
5. Identifying Information of Person Completing Birth Defects
				  Registry Form
B.
Information About the Child
1. Medical Record Number
2. Name and Address, with parent and guardian written consent
				  as provided in s.
				  DHS 116.04(2)
				  (d).
3. Date of Birth
4. Birth Circumstances
5. Race/Ethnicity
6. Sex
7. Place of Birth
8. Identifying Information of Primary Care Provider
9. Date of Diagnosis
10. Suspected or Confirmed Defects
11. Identifying Information of Physician Making
				  Diagnosis
12. Prenatal Diagnostic Information
13. Child Status Information
C.
Information About the Mother
1. Name
2. Date of Birth
3. Race/Ethnicity
4. Residence Location at Time of Child's Birth
D.
Information About the Father
1. Name
2. Date of Birth
3. Race/Ethnicity
1 The core data items are based on recommendations of the
				  Centers for Disease Control and Prevention's National Center for Health
				  Statistics.