reglab/statecodes huggingface dataset:
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.28 - Definitions

Current through June 24, 2024
In this subchapter:
(1) "Ambulatory means the ability to walk without difficulty or
				  help.
(2) "Non-ambulatory means a
				  person who is unable to walk, but who may be mobile with the help of a
				  wheelchair or other mobility devices.
(3)
				   "Semi-ambulatory means a person who is able to walk with
				  difficulty or only with the assistance of an aid such as crutches, cane, or
				  walker.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.29 - Application for initial certification

Current through June 24, 2024
(1) In order to
				  meet the requirements in ss. DHS 75.30 to 75.46, an application for initial
				  licensure as a residential service shall be on a form provided by the
				  department, and shall be accompanied by all of the following:
(a) A floor plan specifying dimensions of the
				  facility, exits, and planned room usage.
(b) An explanation of the 24-hour staffing
				  pattern for the service.
(c) A
				  statement indicating whether the service will provide treatment services for
				  patients that are non-ambulatory or semi-ambulatory. If a service provides
				  treatment services for patients that are non-ambulatory or semi-ambulatory, the
				  floor plan shall include ramped exits to grade.
(d) Municipal zoning approval or occupancy
				  permit.
(e) The results of an
				  approved fire inspection completed within the last 12 months.
(f) Fireplace and chimney inspections
				  completed within the last 12 months, if applicable.
(g) The results of furnace inspection
				  completed within the last 12 months.
(h) The results of smoke and heat detector
				  inspection completed within the last 12 months.
(i) The results of sprinkler inspection
				  completed within the last 12 months.
(j) Well water test results completed within
				  the last 12 months, if applicable.
(k) Building emergency evacuation plan.
(l) A disaster recovery plan in the
				  case of flood, gas leak, electrical outage, or other emergency.
(m) Service policies and
				  procedures.
(n) All required
				  fees.
(o) Evidence that the
				  applicant has 60 days of projected operating funds in reserve.
(p) Any additional information requested by
				  the department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.30 - Fit and qualified standards

Current through June 24, 2024
(1)
ELIGIBILITY.
An applicant may not be certified unless the
				  department determines the applicant is fit and qualified to operate a
				  service.
(2)
STANDARDS.
In determining whether an applicant is fit and
				  qualified, the department shall consider all of the following:
(a)
Compliance
				  history.
The applicant's history of compliance with Wisconsin
				  or any other state's licensing requirements and with any federal certification
				  requirements, including any license or certification revocation or
				  denial.
(b)
Criminal
				  history.
The applicant's arrest history and criminal records,
				  including whether any crime is substantially related to the care of a client,
				  as provided in s.
				  DHS
				  12.06.
(c)
Financial history.
The applicant's financial
				  stability, including outstanding debts or amounts due to the department or
				  other government agencies, including unpaid forfeitures and fines and
				  bankruptcies.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.31 - Services for non-ambulatory or semi-ambulatory patients

Current through June 24, 2024
(1) A residential
				  service that provides treatment services for patients that are non-ambulatory
				  shall meet the requirements under subchs. IX, X, XI of ch. DHS 83 for class A
				  non-ambulatory and class C non-ambulatory facilities.
(2) A residential service that provides
				  treatment services for patients that are semi-ambulatory shall meet the
				  requirements under subchs. IX, X, and XI of ch. DHS 83 for class A
				  semi-ambulatory and class C semi-ambulatory facilities.
(3) A residential service shall not provide
				  treatment services for non-ambulatory or semi-ambulatory patients unless
				  certified by the department under this chapter or under ch. DHS 83 to do so. A
				  residential service shall be understood as serving only ambulatory patients
				  unless specified within the service application and certification.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.32 - General facility requirements

Current through June 24, 2024
(1)
HOURS OF
				  OPERATION.
A residential service shall operate 24 hours per day, 7 days
				  per week.
(2)
GENERAL.
The facility of the residential service shall be constructed and maintained so
				  that it is functional for assessment and treatment and for the delivery of
				  health services appropriate to the needs of the community and with due regard
				  for protecting the health and safety of the patients.
(3)
CAPACITY.
No residential
				  service shall have more residents at any given time than the maximum capacity
				  indicated on the department-approved certification.
(4)
PHYSICAL SEPARATION.
A
				  residential service facility shall be physically separated from other entities,
				  programs, and services. A residential service facility's living areas shall be
				  separate and secure from non-resident entry and use.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.33 - Residential personnel requirements

Current through June 24, 2024
(1)
STAFF
				  ORIENTATION
and training. A residential service shall meet the staff
				  training and orientation requirements in ss.
				  DHS
				  83.19 to 83.21 and 83.23 to 83.25. A service shall
				  maintain documentation of required training in each staff member's personnel
				  record.
(2)
STAFFING.
A residential service shall meet the staffing requirements under s.
				  DHS
				  83.36.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.34 - Residential service records

Current through June 24, 2024
A residential service shall meet the requirements for
					 general records under s.
					 DHS
					 83.13.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.35 - Residential services for minors

Current through June 24, 2024
(1) A residential
				  service that provides services to minors shall maintain physically separate and
				  secure living areas for minors and adults, unless there is a documented
				  clinical need for an exception to this age requirement for transitional age
				  youth, and this exception is approved by the service director.
(2) A residential service that provides
				  services to minors shall have a written policy and procedure for addressing the
				  educational needs of each participating minor.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.36 - Residential services for parents with residing minors

Current through June 24, 2024
A residential service that allows for minors to reside at
					 the facility while their parent or guardian receives treatment services at the
					 facility, shall ensure the following:
(1) The service shall have written policies
				  and procedures that address the safety of residing minors, supervision of
				  residing minors, family services and supports, and behavioral expectations and
				  interventions for residing minors.
(2) A residing family shall not share a
				  bedroom with other residents of the service.
(3) A service with residing minors shall have
				  a written policy and procedure for addressing the educational needs of each
				  residing minor.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.37 - Emergency medical care for residents

Current through June 24, 2024
(1) A residential
				  service shall have written policies and procedures for training staff members
				  in life-sustaining techniques, which may include cardiopulmonary resuscitation,
				  use of an automated external defibrillator, and emergency first aid.
(2) A residential service shall have a
				  written plan for the provision of emergency medical care for
				  patients.
(3) A residential service
				  shall have a written plan for the provision of emergency transportation for
				  patients needing emergency medical services.
(4) Residential service staff shall be
				  trained to implement the plan for emergency medical care and emergency
				  transportation within 14 days of hire and annually thereafter.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.38 - Seclusion and restraints

Current through June 24, 2024
(1) A service under
				  this chapter is prohibited from the use of seclusion or restraints, unless the
				  service meets all requirements outlined in s.
				  51.61(1)
				  (i), Stats.
(2) A service under this chapter is
				  prohibited from the use of seclusion or restraint as part of a treatment
				  program, except in emergency situations as provided in s.
				  51.61(1)
				  (i), Stats.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.39 - Medications

Current through June 24, 2024
A residential service shall meet the requirements for
					 medications under s. DHS 75.24(19) or 83.37, whichever standard is higher. The
					 medication storage area shall be clean, and shall be separated by a wall from
					 any restroom, cleaning products, or any food-preparation or storage
					 area.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.40 - Infection control program

Current through June 24, 2024
A residential service shall meet the requirements for an
					 infection control program under s.
					 DHS
					 83.39.
Note: This section is created eff. 10-1-22 by CR
						20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.41 - Food service

Current through June 24, 2024
A residential service shall meet the requirements for food
					 service under s.
					 DHS
					 83.41.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.42 - Physical environment

Current through June 24, 2024
(1) A residential
				  service shall meet the requirements for physical environment under ss.
				  DHS
				  83.43 to 83.46.
(2) A residential service that provides
				  physical examinations or medical services shall have a patient examination or
				  medical room. The patient examination or medical room shall contain all of the
				  following:
(a) A wall that physically
				  separates the patient examination or medical room from other bedrooms, living
				  areas, staff areas, or facility common areas.
(b) A curtain for privacy.
(c) A functioning sink that is equipped with
				  appropriate equipment and supplies for infection prevention.
(d) A medical examination table.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.43 - Safety

Current through June 24, 2024
(1) A residential
				  service shall meet the requirements for safety under ss.
				  DHS
				  83.47 to 83.51.
(2) A residential service shall have written
				  policies and procedures for ensuring that the facility and staffing
				  arrangements are adequate for the needs of the population to be served.
				  Policies and procedures shall include:
(a)
				  Safety of facility entrances and exits.
(b) Facility design such as ligature risk
				  prevention, tamper-resistant electrical outlets, control of sharps, impact
				  resistant glass, and anchoring of furniture.
(c) Search of patients and
				  property.
(d) Levels of staff
				  observation required to address patient needs.
(e) Co-mingled populations.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.44 - Guests and visitors

Current through June 24, 2024
A residential service shall have written policies and
					 procedures regarding guests and visitors. Policies and procedures shall
					 include:
(1) Areas prohibited from
				  guest and visitor access.
(2)
				  Procedures to ensure confidentiality for service patients.
(3) Management of risks such as the delivery
				  of drugs or alcohol by guests and visitors, the possession or delivery of
				  weapons or other contraband by guests and visitors, or potential violent
				  behavior of guests or visitors.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.45 - Building design

Current through June 24, 2024
A residential service shall meet the requirements for
					 building design under ss.
					 DHS
					 83.52 to 83.61.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter V - Residential Service Facility Requirements › Section DHS 75.46 - Requirements for new construction, remodeling, additions, or newly-certified existing structures

Current through June 24, 2024
A residential service shall meet the requirements for
					 building design under ss.
					 DHS
					 83.62 to 83.64.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.47 - Applicability of other requirements

Current through June 24, 2024
(1)
RELATIONSHIP TO treatment service general requirements.
The
				  requirements for a treatment service provided in subch. IV apply to this
				  subchapter as the minimum standards for any service in this subchapter. If a
				  requirement in any section of this subchapter is inconsistent with, or poses a
				  more restrictive standard than a similar provision in subch. IV, the
				  requirement is this subchapter shall control.
(2)
RELATIONSHIP TO RESIDENTIAL
				  SERVICE FACILITY REQUIREMENTS.
The requirements for a residential
				  treatment service provided in subch. V apply to this subchapter as the minimum
				  standards for residential services under this subchapter. If a requirement
				  regarding any residential services in this subchapter is inconsistent with, or
				  poses a more restrictive standard than a similar provision in subch. V, the
				  requirement is this subchapter shall control.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.49 - Outpatient substance use treatment service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION.
In this section, ooutpatient substance use treatment
				  service means a non-residential treatment service totaling less than 9 hours of
				  treatment services per patient per week for adults and less than 6 hours of
				  treatment services per patient per week for minors, in which substance use
				  treatment personnel provide screening, assessment, and treatment for substance
				  use disorders. Outpatient substance use treatment services may include intake,
				  evaluation and diagnosis, medication management, nursing services, case
				  management, drug testing, counseling, individual therapy, group therapy, family
				  therapy, psychoeducation, vocational services, peer support services, recovery
				  coaching, outreach activities, and recovery support services to ameliorate
				  symptoms and restore effective functioning.
(2)
LOCATION OF SERVICE DELIVERY.
(a) An outpatient substance use
				  treatment service may provide services at one or more offices. If a service
				  provides outpatient substance use treatment services at more than one office,
				  all of the following shall apply:
1. The
				  service shall designate one office as its main office.
2. All notices under this chapter will be
				  sent to the main office.
3. Each
				  office providing the service shall comply with the applicable requirements of
				  this chapter.
4. The service shall
				  adopt written policies and procedures to ensure that the service director is
				  able to carry out the oversight and other responsibilities specified under s.
				  DHS 75.18(1) with respect to all other offices.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.50 - Outpatient integrated behavioral health treatment service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION.
In this section, ooutpatient integrated behavioral health
				  treatment service means a non-residential treatment service totaling less than
				  9 hours of treatment services per patient per week for adults, and less than 6
				  hours of treatment services per patient per week for minors, in which substance
				  use and mental health treatment personnel provide screening, assessment and
				  treatment for substance use and mental health disorders. Patients in this
				  setting may receive treatment services for a substance use disorder, a mental
				  health disorder, or both. Outpatient integrated behavioral health treatment
				  services may include intake, evaluation and diagnosis, medication management,
				  nursing services, case management, drug testing, counseling, individual
				  therapy, group therapy, family therapy, psychoeducation, vocational services,
				  peer support services, recovery coaching, outreach activities, and recovery
				  support services to ameliorate symptoms and restore effective functioning.
(2)
COMBINED
				  CERTIFICATION.
Certification for this level of care shall not be located
				  with s. DHS 75.49 outpatient substance use treatment service or with a ch. DHS
				  35 community mental health treatment service at the same service
				  location.
(3)
LOCATION OF
				  SERVICE DELIVERY.
(a) An outpatient
				  integrated behavioral health treatment service may provide services at one or
				  more offices. If a service provides outpatient substance use treatment services
				  at more than one office, all of the following shall apply:
1. The service shall designate one office as
				  its main office.
2. All notices
				  under this chapter will be sent to the main office.
3. Each office providing the service shall
				  comply with the applicable requirements of this chapter.
4. The service shall adopt written policies
				  and procedures to ensure that the service director is able to carry out the
				  oversight and other responsibilities specified under s. DHS 75.18(1) with
				  respect to all other offices.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.51 - Intensive outpatient treatment service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION.
In this section, ointensive outpatient treatment service
				  means a non-residential treatment service totaling at least 9 hours of
				  treatment services per patient per week for adults and at least 6 hours of
				  treatment services per patient per week for minors, in which substance use
				  treatment personnel provide assessment and treatment for substance use
				  disorders under the oversight of a medical director. Intensive outpatient
				  treatment services may include screening, intake, evaluation and diagnosis,
				  medication management, nursing services, case management, drug testing,
				  counseling, individual therapy, group therapy, family therapy, psychoeducation,
				  vocational services, peer support services, recovery coaching, outreach
				  activities, and recovery support services to ameliorate symptoms and restore
				  effective functioning. Intensive outpatient treatment services address patient
				  needs for mental health, psychiatric, or medical services through integrated
				  co-occurring treatment or through coordinated services, consultation, and
				  referrals.
(2)
LOCATION OF
				  SERVICE DELIVERY.
(a) An intensive
				  outpatient treatment service may provide case management and outreach services
				  in the community or other locations, provided all requirements of this chapter
				  are able to be met in that setting.
(b) A service that provides intensive
				  outpatient case management and outreach services in the community shall have
				  written policies and procedures for community-based service delivery.
(c) A service that provides intensive
				  outpatient case management and outreach services in the community shall provide
				  annual training for all staff that deliver services in the community regarding
				  in-home and community safety and avoiding sexual or other exploitative
				  relationships with patients. A record of each training shall be available to
				  the department upon request.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.52 - Day treatment or partial hospitalization treatment service

Current through June 24, 2024
In this section, "day treatment service or opartial
					 hospitalization service" means a medically-monitored and non-residential
					 substance use treatment service totaling 15 or more hours of treatment services
					 per patient per week for adults and 12 or more hours of treatment services per
					 patient per week for minors, in which substance use and mental health treatment
					 personnel provide assessment and treatment for substance use and co-occurring
					 mental health disorders under the oversight of a medical director. Day
					 treatment or partial hospitalization services may include screening, intake,
					 evaluation and diagnosis, medication management, nursing services, case
					 management, drug testing, counseling, individual therapy, group therapy, family
					 therapy, psychoeducation, vocational services, peer support services, recovery
					 coaching, outreach activities, and recovery support services, to ameliorate
					 symptoms and restore effective functioning.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.53 - Transitional residential treatment service

Current through June 24, 2024
In this section, "transitional residential treatment
					 service" means a residential substance use treatment service totaling 6 or more
					 hours of treatment services per patient per week, in which substance use
					 treatment personnel provide assessment and treatment for substance use
					 disorders in a structured and recovery-supportive 24-hour residential setting,
					 under the oversight of a physician or a prescriber knowledgeable in addiction,
					 providing medical supervision and clinical consultation. Transitional
					 residential treatment services may include screening, intake, evaluation and
					 diagnosis, medication management, nursing services, case management, drug
					 testing, counseling, individual therapy, group therapy, family therapy,
					 psychoeducation, vocational services, peer support services, recovery coaching,
					 outreach activities, and recovery support services, to ameliorate symptoms and
					 restore effective functioning.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.54 - Medically monitored residential treatment service

Current through June 24, 2024
In this section, "medically monitored residential treatment
					 service" means a residential substance use treatment service totaling 20 or
					 more hours of treatment services per patient per week, in which substance use
					 and mental health treatment personnel provide assessment and treatment for
					 substance use disorders and co-occurring mental health disorders, under the
					 oversight of a medical director. Medically monitored residential treatment
					 services may include screening, intake, evaluation and diagnosis, medication
					 management, nursing services, case management, drug testing, counseling,
					 individual therapy, group therapy, family therapy, psychoeducation, vocational
					 services, peer support services, recovery coaching, outreach activities, and
					 recovery support services, to ameliorate symptoms and restore effective
					 functioning. Medically monitored residential treatment services are delivered
					 in a 24-hour clinical residential setting. This level of care is appropriate
					 for patients who require a 24-hour supportive treatment environment to develop
					 sufficient recovery skills and address functional limitations to prevent
					 imminent relapse or dangerous substance use.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.55 - Medically managed inpatient treatment

Current through June 24, 2024
In this section, "medically managed inpatient treatment
					 service" means an inpatient substance use treatment service delivered under the
					 oversight of a medical director in a hospital setting, and includes 24-hour
					 nursing care, physician management, and the availability of sufficient
					 resources to respond to an acute medical or behavioral health emergency. A
					 medically managed inpatient treatment service is appropriate for patients whose
					 acute biomedical, emotional, behavioral, and cognitive problems are so severe
					 that they require primary medical and nursing care. Services delivered in this
					 setting may include screening, assessment, intake, evaluation and diagnosis,
					 medical care, observation and monitoring, physical examination, medication
					 management, nursing services, case management, drug testing, counseling,
					 individual therapy, group therapy, family therapy, psychoeducation, peer
					 support services, recovery coaching, and recovery support services, to
					 ameliorate acute behavioral health symptoms and stabilize functioning.
					 Medically managed inpatient treatment services address patient needs for mental
					 health, psychiatric, or medical services through integrated cooccurring
					 treatment.
This section is created eff. 10-1-22 by CR 20-047.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.56 - Adult residential integrated behavioral health stabilization service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION.
In this section, "adult residential integrated behavioral
				  health stabilization service" means a residential behavioral health treatment
				  service, delivered under the oversight of a medical director, that provides
				  withdrawal management and intoxication monitoring, as well as integrated
				  behavioral health stabilization services, and includes nursing care on-site for
				  medical monitoring available on a 24-hour basis. Patients in this setting may
				  receive treatment services for a substance use disorder, a mental health
				  disorder, or both. Adult residential integrated behavioral health stabilization
				  services are appropriate for adult patients whose acute withdrawal signs and
				  symptoms or behavioral health needs are sufficiently severe to require 24-hour
				  care; however, the full resources of a hospital are not required. Services
				  delivered in this setting may include screening, assessment, intake, evaluation
				  and diagnosis, medical care, observation and monitoring, physical examination,
				  determination of medical stability, medication management, nursing services,
				  case management, drug testing, counseling, individual therapy, group therapy,
				  family therapy, psychoeducation, peer support services, recovery coaching,
				  recovery support services, and crisis intervention services, to ameliorate
				  acute behavioral health symptoms and stabilize functioning.
(2)
STAFF ORIENTATION AND
				  TRAINING.
(a) An adult residential
				  integrated behavioral health stabilization service shall develop and implement
				  an orientation program for all staff and volunteers. The orientation shall be
				  designed to ensure that staff and volunteers know and understand all of the
				  following:
1. The program's general policies
				  and procedures.
2. Applicable parts
				  of chs. 48, 51 and 55, Stats., and any administrative rules related to
				  behavioral health emergency services.
3. Applicable parts of chapter
				  DHS 34 rules concerning emergency
				  mental health service programs.
4.
				  Behavioral health and psychopharmacology concepts applicable to crisis
				  situations.
5. Techniques and
				  procedures for providing non-violent crisis management for patients, including
				  verbal de-escalation, methods for obtaining backup, and acceptable methods for
				  self-protection and protection of the patient and others in emergency
				  situations.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.57 - Residential withdrawal management service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION FOR RESIDENTIAL WITHDRAWAL MANAGEMENT SERVICE.
In this
				  section, "residential withdrawal management service" means a residential
				  substance use treatment service that provides withdrawal management and
				  intoxication monitoring, and includes medically managed 24-hour on-site nursing
				  care, under the supervision of a physician. Residential withdrawal management
				  is appropriate for patients whose acute withdrawal signs and symptoms are
				  sufficiently severe to require 24-hour care; however, the full resources of a
				  hospital are not required. Services delivered in this setting may include
				  screening, assessment, intake, evaluation and diagnosis, medical care,
				  observation and monitoring, physical examination, medication management,
				  nursing services, case management, drug testing, counseling, individual
				  therapy, group therapy, family therapy, psychoeducation, peer support services,
				  recovery coaching, and recovery support services, to ameliorate symptoms of
				  acute intoxication and withdrawal and to stabilize functioning. Services
				  provided in this setting may include community-based withdrawal management and
				  intoxication monitoring services, subject to the requirements listed in this
				  section.
(2)
SERVICE
				  DESCRIPTION FOR COMMUNITY-BASED WITHDRAWAL MANAGEMENT.
Community-based
				  withdrawal management is a medically-managed withdrawal management service
				  delivered on an outpatient basis by a physician, or other service personnel
				  acting under the supervision of a physician.
(3)
ADDITIONAL REQUIREMENTS FOR
				  COMMUNITY-BASED WITHDRAWAL MANAGEMENT.
(a) A service that provides community-based
				  withdrawal management shall meet the requirements in this section, however,
				  services may be provided on an outpatient basis, in the community, or in the
				  patient's home.
(b) Community-based
				  withdrawal management services are delivered by medical and nursing
				  professionals under the supervision of physician.
(c) A service that provides community-based
				  withdrawal management services shall have written policies and procedures for
				  the delivery of community-based withdrawal management services.
(d) Residential living areas under this
				  section shall be physically separated from service areas for community-based
				  withdrawal management patients.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VI - Additional Requirements for Treatment Service Levels of Care › Section DHS 75.58 - Residential intoxication monitoring service

Current through June 24, 2024
(1)
SERVICE
				  DESCRIPTION.
In this section, "residential intoxication monitoring
				  service" means a residential service that provides 24-hour observation to
				  monitor the safe resolution of alcohol or sedative intoxication and to monitor
				  for the development of alcohol withdrawal for intoxicated patients who are not
				  in need of emergency medical or behavioral healthcare. Residential intoxication
				  monitoring services may include screening, assessment, intake, evaluation and
				  diagnosis, observation and monitoring, case management, drug testing,
				  counseling, individual therapy, group therapy, family therapy, psychoeducation,
				  peer support services, recovery coaching, and recovery support
				  services.
(2) OBSERVATION AND
				  MEDICATION REQUIREMENTS.
(a)
Observation.
Trained staff shall observe a
				  patient and record the patient's condition at intervals no greater than every
				  30 minutes during the first 12 hours following admission.
(b)
Medications.
1. A residential intoxication
				  monitoring service shall not administer or dispense medications.
2. When a patient has been admitted with
				  prescribed medication, staff shall consult with the patient's physician or
				  other person licensed to prescribe and administer medications to determine the
				  appropriateness of the patient's continued use of the medication while under
				  the influence of alcohol or sedatives.
3. If approval for continued use of
				  prescribed medication is received from a prescriber, the patient may
				  self-administer the medication under the observation of service
				  staff.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 75 - Community Substance Use Service Standards › Subchapter VII - Opioid Treatment Programs and Office-Based Opioid Treatment › Section DHS 75.60 - Office-based opioid treatment

Current through June 24, 2024
(1)
APPLICABILITY.
This section shall not apply to office-based opioid
				  treatment occurring in any of the following settings:
(a) A treatment service in which all patients
				  receiving medication for addiction are enrolled in a service otherwise
				  certified under this chapter.
(b) A
				  state or local correctional facility.
(c) A hospital as defined under s.
				  50.33(2),
				  Stats., and their affiliates.
(d) A
				  primary care service.
(e) A service
				  providing medication for addiction to less than 30 patients.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 77 - Service Fund For People Who Are Deaf, Deafblind Or Hard Of Hearing › Section DHS 77.01 - Authority and purpose

Current through June 24, 2024
This chapter is promulgated under the authority of s.
				  46.295(6),
				  Stats., for the purpose of implementing s.
				  46.295,
				  Stats., by doing all of the following:
(1) Establishing criteria and procedures for
				providing reimbursement from the appropriations under s.
				20.435(1) (da) and
				(hs), Stats., to communication access
				services providers for deaf, deafblind or hard of hearing persons for the
				provision of communication access services.
(2) Providing prompt payment to communication
				access services providers for services rendered, whether or not an agency that
				requested those services makes final payment for them.
(3) Providing final payment for communication
				access services that are approved by the department and for which no other
				agency is financially responsible.
(4) Maintaining and providing a list of
				certified communication access services providers and verified
				interpreters.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 77 - Service Fund For People Who Are Deaf, Deafblind Or Hard Of Hearing › Section DHS 77.02 - Applicability

Current through June 24, 2024
This chapter applies to deaf, deafblind or hard of hearing
				  persons in need of communication access services, to persons providing those
				  services, and to individuals and city, town, village, county, state, federal
				  and private agencies that request communication access services under s.
				  46.295,
				  Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 77 - Service Fund For People Who Are Deaf, Deafblind Or Hard Of Hearing › Section DHS 77.03 - Definitions

Current through June 24, 2024
In this chapter:
(1)
				"Agency" means any private or public organization.
(2) "Communication access services" means a
				service that ensures individuals who are deaf, deafblind or hard of hearing can
				communicate effectively with others. Communication access services include sign
				language interpretation, tactile communication, and captioning.
(3) "Communication access services provider"
				or "provider" means a trained individual who facilitates communication on
				behalf of individuals who are deaf, deafblind, or hard of hearing.
(4) "Deaf, deafblind or hard of hearing
				person" means a person with some degree of hearing loss who requires
				communication access services to effectively communicate with others.
(5) "Department" means the Wisconsin
				department of health services or its designated administrative
				agency.
(6) "Emergency" means a
				situation in which the life, liberty, health or property of a deaf or hard of
				hearing person or a member of a deaf, deafblind or hard of hearing person's
				family is in immediate danger.
(7)
				"Final payment" means financial compensation by the department to a person or
				communication access services coordination agency providing communication
				access services and which the department will not seek to recover by billing a
				person or agency.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 77 - Service Fund For People Who Are Deaf, Deafblind Or Hard Of Hearing › Section DHS 77.04 - Criteria for reimbursement of communication access services providers

Current through June 24, 2024
(1) GENERAL REQUIREMENTS.
(a) The department may use funds from the
				appropriations under s.
				20.435(6) (a) and (1)
				(hs), Stats., to pay for communication access
				services for deaf, deafblind or hard of hearing persons in accordance with the
				requirements of this chapter.
(b)
1. When the department pays for a
				communication access services provider under par. (a), the department shall pay
				the provider without subsequently billing the individual or agency that
				requested the communication access services if any of the following apply:
a. The individual or agency requesting
				communication access services is not required by state or federal law to
				provide those services.
b. No other
				source of funding is applicable.
c.
				The department determines that undue hardship or potential harm to the
				individual or agency is caused by requiring the individual or agency to provide
				reimbursement for communication access services.
2. When the department pays for a
				communication access services provider under par. (a) in circumstances other
				than those specified in subd. 1., the department shall pay the provider and
				shall subsequently bill the agency or individual requesting communication
				access services in accordance with s. DHS 77.08.
(c) Payment for communication access services
				under this chapter is contingent upon the availability, or projected
				availability, of funds in the appropriations under s.
				20.435(6) (a) and (1)
				(hs), Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 77 - Service Fund For People Who Are Deaf, Deafblind Or Hard Of Hearing › Section DHS 77.05 - Requests for payment of communication access services

Current through June 24, 2024
(1) Any individual
				or any city, town, village, county, state, federal or private agency may
				request, in writing, that the department pay a communication access services
				provider to provide communication access services. Except in an emergency, a
				request shall be received by the department at least 2 weeks in advance of the
				time a provider is needed.
Note:
Requests for reimbursement of
				  communication access services shall be made to the Regional Coordinator for
				  Deaf and Hard of Hearing Services. To find out which Regional Coordinator to
				  contact, write or phone the Division of Disability and Elder Services, Office
				  for the Deaf and Hard of Hearing, P.O. Box 7851, Madison, Wisconsin 53707,
				  (608) 266-3118 for both voice and teletext typewriter (TTY). A map of the
				  regions may also be viewed over the internet at:
www.dhs.wisconsin.gov/odhh/Staff/index.htm
.
(2)
(a)
				Within 5 working days after receipt by the department of a request for
				reimbursement of communication access services under sub. (1) and subject to
				the circumstances in s. DHS 77.04 (3) (a) and (b), the department shall grant
				or deny the request.
(b) If the
				request is granted, the department shall provide the individual or agency
				requesting the service with a list of communication access services providers
				so that the individual or agency may arrange for communication access
				services.
(c)
1. If the request is denied, the department
				shall send the requestor within 48 hours after the action takes place a written
				notice of the reasons for denial and the procedure for requesting a hearing
				under ch. 227, Stats. Receipt of the notice is presumed within 5 calendar days
				of the date the department mailed the notice.
2. To request a hearing, an individual or
				agency shall file a written request with the department of administration's
				division of hearings and appeals within 30 calendar days after the date of the
				notice. A request is considered filed when received by the division of hearings
				and appeals. The division of hearings and appeals shall hold the hearing no
				later than 30 calendar days after receiving the request for the hearing unless
				both parties agree to a later date and shall provide at least 10 calendar days
				prior notification of the date, time and place for the hearing. The hearing
				examiner shall issue a proposed or final decision within 10 calendar days after
				the hearing. The denial shall remain in effect until a final decision is
				rendered.