"Comprehensive community services program" or "CCS" has the same meaning as "community-based psychosocial service program" under s. 49.45 (30e)
, Stats., namely a county-wide or tribal community-based psychosocial rehabilitation program that is operated by a county department or tribe to provide or arrange for the provision of psychosocial rehabilitation services.
"Coordination committee" means a group of individuals appointed by the county department or tribal government to advise and assist the county department or tribal government in the development and quality improvement of psychosocial rehabilitation services.
"Consumer" means an individual who has been determined to need psychosocial rehabilitation services.
DHS 36.03 Note
Note: Family members of the consumer or the consumer's primary caregivers also are considered to be consumers, and therefore, may receive services related to the consumer's disorder.
"Co-occurring disorder" means any combination of a substance-use disorder and a mental disorder identified in the Diagnostic and Statistical Manual of Mental Disorder — Fourth Edition — Text Revision (DSM-IV-TR) published by the American Psychiatric Association.
"County department" means a county department of human services under s. 46.23
, Stats., or a county department of community programs established under s. 51.42
, Stats., to administer community mental health and alcohol and drug abuse programs on a single-county or multi-county basis.
"Department" means the Wisconsin department of health services.
"Elder" means a person who is age 60 or older or who is subject to the infirmities of aging.
"Family member," means a parent, legal custodian, sibling, spouse, child, or primary caregiver of a consumer.
"Infirmities of aging" has the meaning given in s. 55.01 (3)
"Legal custodian" means an individual to whom legal custody of a minor has been granted by a court in an action under ch. 48
"Legal representative" means any of the following:
"Mental disorder" means a diagnosis meeting the criteria in the Diagnostic and Statistical Manual of Mental Disorders — Fourth Edition — Text Revision (DSM-IV-TR) excluding the categories of dementia, substance-related disorders, and developmental disability as defined in 42 CFR 435.1009
DHS 36.03 Note
DSM-IV-TR is published by the American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000. DSM-IV-TR may be ordered through http://www.appi.org/book.cfm?id=2024
or other sources.
"Minor" means an individual under the age of 18 years.
"Natural supports" means a friend, or other person available in the community who may assist consumers seeking stability and independence.
"Outreach" means identifying and contacting individuals with mental disorders or substance-use disorders to directly engage and link with individuals who need psychosocial rehabilitation services or other mental health or substance-use disorder services, and making referral agreements with psychiatric inpatient units, residential treatment facilities, outpatient treatment clinics and other community treatment and service providers as appropriate.
"Parent" means a biological parent; an adoptive parent; a husband who has consented to the artificial insemination of his wife under s. 891.40
, Stats.; a male who is presumed to be the father under s. 891.41
, Stats.; or a male who has been adjudicated the child's father either under s. 767.89
, Stats., or by final order or judgment of a court of competent jurisdiction in another state. "Parent" does not include individuals whose parental rights have been terminated.
"Primary care giver" means an individual who provides a majority of a consumer's day-to-day support, shelter, sustenance or nurturing.
"Psychosocial rehabilitation services" has the same meaning as "psychosocial services" under s. 49.45 (30e)
, Stats., namely the medical and remedial services and supportive activities provided to or arranged for a consumer by a comprehensive community services program authorized by a mental health professional to assist individuals with mental disorders or substance-use disorders to achieve the individual's highest possible level of independent functioning, stability and independence and to facilitate recovery.
"Recovery" means the process of a person's growth and improvement, despite a history of mental or substance use disorder in attitudes, values, feelings, goals, skills and behavior and is measured by a decrease in dysfunctional symptoms and an increase in maintaining the person's highest level of health, wellness, stability, self-determination and self-sufficiency.
"Recovery team" means the group of individuals who are identified to participate in an assessment of the needs of the consumer, service planning and delivery, and evaluation of desired outcomes.
"Service facilitation" means any activity that ensures the consumer receives assessment services, service planning, service delivery and supportive activities in an appropriate and timely manner.
"Service facilitator" means a staff member who is qualified under s. DHS 36.10 (2) (g) 1.
and who has the overall responsibility for service facilitation.
"Service plan" means a written plan of psychosocial services to be provided or arranged for a consumer that is based on an individualized assessment of the consumer.
"Service provider" means an agency or individual that provides one or more mental health or substance-use treatment or services.
"Staff member" means a person employed by a county department, tribe, or contracted agency.
"Substance abuse professional" means a person who meets the requirements of s. DHS 75.02 (84)
, a physician knowledgeable in addiction treatment, or a psychologist knowledgeable in psychopharmacology and addiction treatment.
"Substance-use disorder" means a condition related to the use of alcohol or a drug of abuse listed in the DSM IV-TR.
"Supportive activities" means actions and events that help address the needs and recovery goals of a consumer.
"Tribe" means a federally recognized American Indian tribe or band.
DHS 36.03 History
History: CR 04-025
: cr. Register October 2004 No. 586
, eff. 11-1-04; corrections in (10), (13) (a), (20) and (30) made under s. 13.92 (4) (b) 6.
, Stats., Register November 2008 No. 635
Certification requirements. DHS 36.04(1)(a)(a)
A county department or tribe seeking to operate a certified comprehensive community services program shall apply to the department for certification on an application form provided by the department.
DHS 36.04 Note
Note: An application for certification may be obtained by writing to the Behavioral Health Certification Section, Division of Quality Assurance, P.O. Box 2969, Madison, WI 53701-2969.
(2) Application materials.
The application shall be accompanied by all of the following:
A copy of the personnel policies and procedures developed under s. DHS 36.10
and operational policies developed.
A copy of any previously approved waiver or variance and information on the current status.
DHS 36.04 History
History: CR 04-025
: cr. Register October 2004 No. 586
, eff. 11-1-04.
"Deficiency" means the failure to meet a requirement of this chapter.
"Major deficiency" means a determination by the department that an aspect of the CCS program or the conduct of its personnel does any of the following:
The psychosocial rehabilitation services substantially fail to meet the requirements of this chapter.
Creates a risk of harm to a consumer or violates a consumer right created by this chapter or other state or federal statutes or rules, which may include any one of the following of the following:
The health or safety of a consumer is in imminent danger because of a failure of the CCS or a CCS staff member to comply with requirements of this chapter or any other applicable local, state or federal statute or regulation.
The CCS has submitted, or caused to be submitted, one or more statements for purposes of obtaining certification under this chapter which the CCS knew or should have known to be false.
A license, certification or required local, state or federal approval of the CCS has been revoked or suspended or has expired.
A staff member has signed a billing statement or other document that represents the CCS staff member as the provider of service when the staff member did not provide the service.
A staff member impedes or has impeded monitoring of the program by the department.
An action or inaction by a staff member constitutes grounds for involuntary termination or suspension from program participation under s. DHS 106.06
(2) Initial application.
Upon receipt of a complete application for initial certification, the department shall review the application and accompanying materials required under s. DHS 36.04 (2)
. The department's designated representative responding to a request for an initial certification shall review CCS personnel policies and procedures and operational policies, and the community services plan developed under s. DHS 36.07
The department shall send written notice of the expiration of certification and an application for renewal of certification to a certified CCS at least 90 days before expiration of the certification. If the department does not receive a complete application for renewal of certification before the expiration date, the certification shall terminate on the expiration date of the certification. A CCS that wishes to renew an expired certification shall apply as required in s. DHS 36.04
Before applying for renewal of certification, a CCS shall review the continuing appropriateness of its comprehensive community services plan. The CCS shall revise the plan based on feedback of department representatives and consultation with and input received from staff members, consumers, family members, service providers and interested members of the public. The revised plan shall include responses to information derived from the quality improvement activities under s. DHS 36.08
, and the coordination committee under s. DHS 36.09
Upon receipt of a complete application for renewal of certification, the department shall review the application and designate a representative to conduct an on-site survey of the CCS.
The survey conducted under par. (c)
shall be used to determine whether the CCS is in compliance with the standards specified in this chapter.
The CCS shall make available for review by the department's designated representative any documentation requested to determine whether the CCS is in compliance with the standards of this chapter, including all of the following:
Staff member credentials and service records, and supervision records.
Additional information that the CCS believes will help surveyors understand the CCS operations, policies, and procedures.
The results of consumer satisfaction surveys, coordination committee recommendations, and descriptions of any modification of the CCS program shall be made available for review by the department.
Any designated representative of the department who reviews documents or who conducts an interview under this chapter shall preserve the confidentiality of the information reviewed or obtained in compliance with s. 51.30
, Stats., ch. DHS 92
, Health Insurance Portability and Accountability Act (HIPAA), and as applicable, 42 CFR Part 2
(4) Transferability of certification.
Certification may only be issued to the CCS specified in the application. A CCS may not transfer or assign its certification to another entity. An applicant or certified CCS shall notify the department of any change in administration, location, name, offered services or any other change that may affect compliance with this chapter no later than the effective date of the change.
The date of certification shall be the date that the department determines that an applicant is in compliance with this chapter.
The department may change the date of certification if the department has made an error in the certification process. A date of certification that is adjusted under this paragraph may not be earlier than the date the department receives a written application under sub. (2)
(6) Fees for certification.
Fees for certification shall be established by the department.
Action on application.
Within 60 days after receiving a completed application for initial certification or for renewal of certification, the department shall do one of the following:
Approve the CCS if no deficiencies are found and all of the requirements for certification are met.
Issue a provisional certification under sub. (8)
, if the applicant has one or more deficiencies, that do not meet the definition of a major deficiency.
Deny certification under sub. (9)
, if the department finds one or more major deficiencies.