Register October 2015 No. 718
Chapter DHS 75
COMMUNITY SUBSTANCE ABUSE SERVICE STANDARDS
DHS 75.01   Authority, purpose and applicability.
DHS 75.02   Definitions.
DHS 75.03   General requirements.
DHS 75.04   Prevention service.
DHS 75.05   Emergency outpatient service.
DHS 75.06   Medically managed inpatient detoxification service.
DHS 75.07   Medically monitored residential detoxification service.
DHS 75.08   Ambulatory detoxification service.
DHS 75.09   Residential intoxication monitoring service.
DHS 75.10   Medically managed inpatient treatment service.
DHS 75.11   Medically monitored treatment service.
DHS 75.12   Day treatment service.
DHS 75.13   Outpatient treatment service.
DHS 75.14   Transitional residential treatment service.
DHS 75.15   Narcotic treatment service for opiate addiction.
DHS 75.16   Intervention service.
Ch. DHS 75 Note Note: Chapter HFS 75 was renumbered to chapter DHS 75 under s. 13.92 (4) (b) 1., Stats., and corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635. Chapter DHS 75 was reprinted Register December 2010 No. 660 to reflect a Note revision in s. DHS 75.03 (24).
DHS 75.01 DHS 75.01Authority, purpose and applicability.
DHS 75.01(1)(1)Authority and purpose.
DHS 75.01(1)(a)(a) This chapter is promulgated under the authority of ss. 46.973 (2) (c), 51.42 (7) (b) and 51.45 (8) and (9), Stats., to establish standards for community substance abuse prevention and treatment services under ss. 51.42 and 51.45, Stats. Sections 51.42 (1) and 51.45 (1) and (7), Stats., provide that a full continuum of substance abuse services be available to Wisconsin citizens from county departments of community programs, either directly or through written agreements or contracts that document the availability of services. This chapter provides that service recommendations for initial placement, continued stay, level of care transfer and discharge of a patient be made through the use of Wisconsin uniform placement criteria (WI-UPC), American society of addiction medicine (ASAM) placement criteria or similar placement criteria that may be approved by the department.
DHS 75.01(1)(b) (b) Use of approved placement criteria serves as a contributor to the process of obtaining prior authorization from the treatment service funding source. It does not establish funding eligibility regardless of the funding source. The results yielded by application of these criteria serve as a starting point for further consultations among the provider, patient and payer as to an initial recommendation for the type and amount of services that may be medically necessary and appropriate in the particular case. Use of WI-UPC or any other department-approved placement criteria does not replace the need to do a complete assessment and diagnosis of a patient in accordance with DSM-IV.
DHS 75.01 Note Note: See s. DHS 75.03 (12) on required assessment procedures.
DHS 75.01(2) (2)Applicability. This chapter applies to each substance abuse service that receives funds under ch. 51, Stats., is approved by the state methadone authority, is funded through the department as the federally designated single state agency for substance abuse services, receives substance abuse prevention and treatment funding or other funding specifically designated for providing services under ss. DHS 75.04 to 75.16 or is a service operated by a private agency that requests certification.
DHS 75.01 Note Note: In this chapter, a certified service-providing entity is called a “service" rather than a “program," as in s. 51.42, Stats., or a “facility," as in s. 51.45, Stats.
DHS 75.01 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; CR 06-035: am. (2), Register November 2006 No. 611, eff. 12-1-06.
DHS 75.02 DHS 75.02Definitions. In this chapter:
DHS 75.02(1) (1) “Aftercare" has the meaning prescribed for “continuing care" in this chapter.
DHS 75.02(1m) (1m) “Alternative education" means a course of traffic safety instruction that is designed to meet the goals of a group dynamic traffic safety program or a multiple offender traffic safety program for clients that cannot be accommodated by a group dynamic traffic safety program or a multiple offender traffic safety program.
DHS 75.02(2) (2) “Ambulatory detoxification service" means a medically managed or monitored and structured detoxification service, delivered on an outpatient basis, provided by a physician or other service personnel acting under the supervision of a physician.
DHS 75.02(3) (3) “Applicant" means, unless otherwise indicated, a person who has initiated but not completed the intake process.
DHS 75.02(4) (4) “Approved placement criteria" means WI-UPC, ASAM or similar placement criteria that may be approved by the department.
DHS 75.02(5) (5) “ASAM placement criteria" means a set of placement criteria for substance abuse patients published by the American Society of Addiction Medicine.
DHS 75.02 Note Note: The publication, Patient Placement Criteria for the Treatment of Substance-Related Disorders, published by the American Society of Addiction Medicine (ASAM), may be consulted at the department's bureau of prevention, treatment and recovery or at the Secretary of State's office or the Legislative Reference Bureau. Send inquires about the ASAM placement criteria to American Society of Addiction Medicine, 4601 N. Park Ave., Suite 101 Upper Arcade, Chevy Chase, MD 20815, or check ASAM's internet site at www.asam.org.
DHS 75.02(7) (7) “Case management" means an organized process for bringing services, agencies, resources and people together within a planned framework for linking, advocating for and monitoring the provision of appropriate educational, intervention, treatment, or support services to a client with alcohol or other drug abuse problems in a coordinated, efficient and effective manner.
DHS 75.02(8) (8) “Certification" means approval of a service by the department.
DHS 75.02(9) (9) “Certification specialist" means a department employee responsible for certifying a service under this chapter.
DHS 75.02(9m) (9m) “Clinical supervision" has the meaning given in s. SPS 160.02 (6).
DHS 75.02(11) (11) “Clinical supervisor" means any of the following:
DHS 75.02(11)(a) (a) An individual who meets the qualifications established in s. SPS 160.02 (7).
DHS 75.02(11)(b) (b) A physician knowledgeable in addiction treatment.
DHS 75.02(11)(c) (c) A psychologist knowledgeable in psychopharmacology and addiction treatment.
DHS 75.02(12) (12) “Clinical supervision" means intermittent face-to-face contact provided on or off the site of a service between a clinical supervisor and treatment staff to ensure that each patient has an individualized treatment plan and is receiving quality care. “Clinical supervision" includes auditing of patient files, review and discussion of active cases and direct observation of treatment, and means also exercising supervisory responsibility over substance abuse counselors in regard to at least the following: counselor development, counselor skill assessment and performance evaluation, staff management and administration, and professional responsibility.
DHS 75.02(13) (13) “Consultation" means discussing the aspects of the individual patient's circumstance with other professionals to assure comprehensive and quality care for the patient, consistent with the objectives in the patient's treatment plan or for purposes of making adjustments to the patient's treatment plan.
DHS 75.02(14) (14) “Continuing care" means the stage of treatment in which the patient no longer requires counseling at the intensity described in ss. DHS 75.10 to 75.12. Continuing care is treatment that follows a treatment plan, is designed to support and sustain the process of recovery and is provided on an outpatient basis and at a frequency agreed upon between the patient and the provider.
DHS 75.02(15) (15) “Counseling" means the application of recognized theories, principles, techniques and strategies to manage and facilitate the progress of diverse patients toward mutually determined treatment goals and objectives using culturally sensitive modalities as described in s. SPS 166.01 (3) or s. MPSW 2.01 (10).
DHS 75.02(16) (16) “Crisis intervention" means services that respond to a substance abuser's needs during acute episodes that may involve physical distress.
DHS 75.02(17) (17) “Day treatment service" means a medically monitored and structured non-residential treatment service consisting of regularly scheduled sessions of various modalities such as counseling, case management, group or individual therapy, medical services and mental health services, as indicated, by interdisciplinary providers for a scheduled number of sessions per day and week.
DHS 75.02(18) (18) “Department" means the Wisconsin department of health services.
DHS 75.02(19) (19) “Detoxification plan" means a planned procedure based on clinical findings for managing or monitoring withdrawal from alcohol or other drugs.
DHS 75.02(20) (20) “Detoxification service" means any of the services under ss. DHS 75.06 to 75.09.
DHS 75.02(21) (21) “Discharge planning" means planning and coordination of treatment and social services associated with the patient's discharge from treatment, including the preparation of a discharge summary as required under s. DHS 75.03 (17).
DHS 75.02(21m) (21m) “DSPS" means the Wisconsin department of safety and professional services.
DHS 75.02(22) (22) “DSM-IV" means the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, published by the American Psychiatric Association.
DHS 75.02(23) (23) “Drug detoxification treatment" means the dispensing of a narcotic drug in decreasing doses to a patient to alleviate adverse physiological or psychological effects incidental to the patient's withdrawal from continuous or sustained use of a narcotic drug and as a method of bringing the individual to a narcotic drug-free state.
DHS 75.02(24) (24) “Dually diagnosed" means a patient diagnosed as having a substance use disorder listed in the DSM-IV that is accompanied by dependency, trauma or dementia and a diagnosed mental disorder.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.