DHS 105.25 DHS 105.25Alcohol and other drug abuse (AODA) day treatment providers.
DHS 105.25(1)(1)Types of providers. For MA certification, an alcohol and other drug abuse (AODA) day treatment provider shall be certified under ss. DHS 75.12 and 105.23.
DHS 105.25(2) (2) Staffing requirements.
DHS 105.25(2)(a)(a) An alcohol and drug counselor certified as provided in ss. DHS 75.02 (84) and 75.03 (4) (d) shall be on duty during all hours in which services are provided to participate in treatment planning and implementation and daily program coordination.
DHS 105.25(2)(b) (b) A treatment plan for each participating recipient shall be developed, directed and monitored by designated members of an interdisciplinary treatment team which includes an alcohol and drug counselor II or III, certified as provided in ss. DHS 75.02 (84) and 75.03 (4) (d), a physician or licensed psychologist, and other health care professionals. The treatment team shall maintain a written record of each recipient's treatment and progress toward meeting the goals described in the recipient's plan of care.
DHS 105.25(2)(c) (c) All treatment shall be coordinated and provided by at least one qualified professional staff member who has demonstrated experience in delivering direct treatment to persons with alcohol and other drug abuse problems. Other staff members, such as an AODA counselor I who has filed for certification with the Wisconsin alcoholism and drug counselor certification board, inc., may assist in treatment under the supervision of a qualified professional staff member.
DHS 105.25 History History: Emerg. cr. eff. 3-9-89; cr. Register, December, 1989, No. 408, eff. 1-1-90; corrections in (1), (2) (a) and (b) made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554; corrections made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.
DHS 105.255 DHS 105.255Community support programs.
DHS 105.255(1)(1)General requirements. For MA certification, a community support program (CSP) service provider shall meet the requirements under ss. DHS 63.06 to 63.17 and this section. The department may waive a requirement in ss. DHS 63.06 to 63.17 under the conditions specified in s. DHS 63.05 if requested by a provider. Certified providers under this section may provide services directly or may contract with other qualified providers to provide all or some of the services described in s. DHS 107.13 (6).
DHS 105.255(2) (2) Mental health technician.
DHS 105.255(2)(a)(a) In this subsection, “mental health technician" means a paraprofessional employee of the CSP who is limited to performing the services set out in s. DHS 63.11 (3) (c) and (4).
DHS 105.255(2)(b) (b) Except as provided in par. (c), a mental health technician shall have at least 1,000 hours of supervised work experience with long-term mentally ill persons and meet at least one of the following conditions:
DHS 105.255(2)(b)1. 1. Has satisfactorily completed the educational curriculum developed by the department;
DHS 105.255(2)(b)2. 2. Is certified by the American occupational therapy association as an occupational therapy assistant;
DHS 105.255(2)(b)3. 3. Is a practical nurse (LPN) licensed under s. 441.10, Stats.;
DHS 105.255(2)(b)4. 4. Has satisfied the training requirements under s. DHS 133.17 (4) for a home health aide;
DHS 105.255(2)(b)5. 5. Is included in the registry of persons under ch. DHS 129 who have completed a nurse's assistant training and testing program or only a testing program; or
DHS 105.255(2)(b)6. 6. Has satisfied the requirements under s. DHS 105.17 (3) (a) 1. to provide personal care services and has completed an additional 1000 hours of supervised work experience with long-term mentally ill persons.
DHS 105.255(2)(c) (c) A mental health technician providing CSP services who does not meet the requirements of par. (b) shall meet the requirements of s. DHS 63.06 (4) (a) 9. and shall in addition meet the requirements of par. (b) within one year following the effective date of the provider's MA certification or the technician's date of employment by the CSP, whichever is later.
DHS 105.255(3) (3) Documentation of employee qualifications. Providers shall maintain current written documentation of employee qualifications required under s. DHS 63.06 (4) and this section.
DHS 105.255 History History: Cr. Register, September, 1990, No. 417, eff. 10-1-90; corrections in (1), (2) (c) and (3) made under s. 13.93 (2m) (b) 7., Stats., Register, April, 1999, No. 520; correction in (2) (b) 5. made under s. 13.93 (2m) (b) 7., Stats., October, 2000, No. 538; corrections made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.
DHS 105.257 DHS 105.257Community-based psychosocial service programs. For MA certification as a community-based psychosocial service program under s. 49.45 (30e), Stats., a provider shall be certified as a comprehensive community services program under ch. DHS 36. The department may waive a requirement in ss. DHS 36.04 to 36.12 under the conditions specified in s. DHS 36.065 if requested by a provider. Certified providers under this section may provide services directly or may contract with other qualified providers to provide all or some of the services described in s. DHS 107.13 (7).
DHS 105.257 History History: Emerg. cr. eff. 7-1-04; CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04; corrections made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.
DHS 105.26 DHS 105.26Chiropractors. For MA certification, chiropractors shall be licensed pursuant to s. 446.02, Stats.
DHS 105.26 Note Note: For covered chiropractic services, see s. DHS 107.15.
DHS 105.26 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.265 DHS 105.265Podiatrists. For MA certification, podiatrists shall be licensed under s. 448.63, Stats., and ch. Pod 1 and registered under s. 448.07, Stats., and ch. Pod 4.
DHS 105.265 History History: Cr. Register, January, 1991, No. 421, eff. 2-1-91; corrections made under s. 13.93 (2m) (b) 7., Stats., Register, December, 1999, No. 528.
DHS 105.27 DHS 105.27Physical therapists and assistants.
DHS 105.27(1)(1)Physical therapists. For MA certification, physical therapists shall be licensed pursuant to ss. 448.05 and 448.07, Stats., and ch. PT 1.
DHS 105.27(2) (2) Physical therapist assistants. For MA certification, physical therapist assistants shall have graduated from a 2-year college-level program approved by the American physical therapy association, and shall provide their services under the direct, immediate, on-premises supervision of a physical therapist certified pursuant to sub. (1). Physical therapist assistants may not bill or be reimbursed directly for their services.
DHS 105.27 Note Note: For covered physical therapy services, see s. DHS 107.16.
DHS 105.27 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86; correction in (1) made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554.
DHS 105.28 DHS 105.28Occupational therapists and assistants.
DHS 105.28(1)(1)Occupational therapists. For MA certification, an occupational therapist shall:
DHS 105.28(1)(a) (a) Be certified by the American occupational therapy association as an occupational therapist, registered; or
DHS 105.28(1)(b) (b) Have graduated from a program in occupational therapy accredited by the council on medical education of the American medical association and the American occupational therapy association, have completed the required field work experience, and have made application to the American occupational therapy association for the certification examination for occupational therapist, registered. Certification under this paragraph shall be valid until 8 weeks after the examination is taken. On passing the examination, the therapist shall obtain certification by the American occupational therapy association in the calendar year in which the examination is taken. An individual certified under this paragraph for medical assistance who fails the examination may be recertified for medical assistance only under the conditions of par. (a).
DHS 105.28(2) (2) Occupational therapy assistants. For MA certification, occupational therapy assistants shall be certified by the American occupational therapy association. Occupational therapy assistants may not bill or be reimbursed directly for their services. Occupational therapy assistants shall provide services under the direct, immediate on-premises supervision of an occupational therapist certified under sub. (1), except that they may provide services under the general supervision of an occupational therapist certified under sub. (1) under the following circumstances:
DHS 105.28(2)(a) (a) The occupational therapy assistant is performing services which are for the purpose of providing activities of daily living skills;
DHS 105.28(2)(b) (b) The occupational therapy assistant's supervisor visits the recipient on a bi-weekly basis or after every 5 visits by the occupational therapy assistant to the recipient, whichever is greater; and
DHS 105.28(2)(c) (c) The occupational therapy assistant and his or her supervisor meet to discuss treatment of the recipient after every 5 contacts between the occupational therapy assistant and the recipient.
DHS 105.28 Note Note: For covered occupational therapy services, see s. DHS 107.17.
DHS 105.28 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.29 DHS 105.29Speech and hearing clinics. For MA certification, speech and hearing clinics shall be currently accredited by the American speech and hearing association (ASHA) pursuant to the guidelines for “accreditation of professional services programs in speech pathology and audiology" published by ASHA.
DHS 105.29 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.30 DHS 105.30Speech pathologists. For MA certification, speech pathologists shall:
DHS 105.30(1) (1)Possess a current certification of clinical competence from the American speech and hearing association;
DHS 105.30(2) (2)Have completed the educational requirements and work experience necessary for such a certificate; or
DHS 105.30(3) (3)Have completed the educational requirements and be in the process of accumulating the work experience required to qualify for the certificate of clinical competence under sub. (1).
DHS 105.30 Note Note: For covered speech pathology services, see. s. DHS 107.18.
DHS 105.30 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.31 DHS 105.31Audiologists. For MA certification, audiologists shall:
DHS 105.31(1) (1)Possess a certificate of clinical competence from the American speech and hearing association (ASHA);
DHS 105.31(2) (2)Have completed the educational requirements and work experience necessary for the certificate; or
DHS 105.31(3) (3)Have completed the educational requirements and be in the process of accumulating the work experience required to qualify for the certificate under sub. (1).
DHS 105.31 Note Note: For covered audiology services, see s. DHS 107.19.
DHS 105.31 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86; am. (1) and (3), Register, May, 1990, No. 413, eff. 6-1-90.
DHS 105.32 DHS 105.32Optometrists. For MA certification, optometrists shall be licensed and registered pursuant to ss. 449.04 and 449.06, Stats.
DHS 105.32 Note Note: For covered vision care services, see s. DHS 107.20.
DHS 105.32 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.33 DHS 105.33Opticians. For MA certification, opticians shall practice as described in s. 449.01 (2), Stats.
DHS 105.33 Note Note: For covered vision care services, see s. DHS 107.20.
DHS 105.33 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.34 DHS 105.34Rehabilitation agencies. For MA certification on or after January 1, 1988, a rehabilitation agency providing outpatient physical therapy, or speech and language pathology form, or occupational therapy shall be certified to participate in medicare as an outpatient rehabilitation agency under 42 CFR 405.1702 to 405.1726.
DHS 105.34 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86; am. Register, February, 1988, No. 386, eff. 3-1-88.
DHS 105.35 DHS 105.35Rural health clinics. For MA certification, a rural health clinic shall be:
DHS 105.35(1) (1)Certified to participate in medicare;
DHS 105.35(2) (2)Licensed as required under all other local and state laws; and
DHS 105.35(3) (3)Staffed with persons who are licensed, certified form or registered in accordance with appropriate state laws.
DHS 105.35 Note Note: For covered rural health clinic services, see s. DHS 107.29.
DHS 105.35 History History: Cr. Register, February, 1986, No. 362, eff. 3-1-86.
DHS 105.36 DHS 105.36Family planning clinics or agencies. For MA certification, family planning clinics or agencies shall meet the following conditions:
DHS 105.36(1) (1) General. In order to qualify for MA reimbursement, family planning clinics shall certify to the department that:
DHS 105.36(1)(a) (a) An MA card has been shown before services are provided;
DHS 105.36(1)(b) (b) Services are prescribed by a physician or are provided by a nurse midwife as provided under s. 441.15, Stats.; and
DHS 105.36(1)(c) (c) No sterilization procedures are available to persons who are mentally incompetent, institutionalized or under the age of 21.
DHS 105.36(2) (2) Principles of operation.
DHS 105.36(2)(a)(a) Family planning services shall be made available:
DHS 105.36(2)(a)1. 1. Upon referral from any source or upon the patient's own application;
DHS 105.36(2)(a)2. 2. Without regard to race, nationality, religion, family size, martial status, maternity, paternity, handicap or age, in conformity with the spirit and intent of the civil rights act of 1964, as amended, and the rehabilitation act of 1973, as amended;
DHS 105.36(2)(a)3. 3. With respect for the dignity of the individual; and
DHS 105.36(2)(a)4. 4. With efficient administrative procedures for registration and delivery of services, avoiding prolonged waiting and multiple visits for registration. Patients shall be seen on an appointment basis whenever possible.
DHS 105.36(2)(b) (b) Acceptance of family planning service shall be voluntary, and individuals shall not be subjected to coercion either to receive services or to employ or not to employ any particular method of family planning. Acceptance or nonacceptance of family planning services shall not be a prerequisite to eligibility for or receipt of any other service funded by local, state, or federal tax revenue.
DHS 105.36(2)(c) (c) A variety of medically approved methods of family planning, including the natural family planning method, shall be available to persons to whom family planning services are offered and provided.
DHS 105.36(2)(d) (d) The clinic shall not provide abortion as a method of family planning.
DHS 105.36(2)(e) (e) Efforts shall be made to obtain third party payments when available for services provided.
DHS 105.36(2)(f) (f) All personal information obtained shall be treated as privileged communication, shall be held confidential, and shall be divulged only upon the recipient's written consent except when necessary to provide services to the individual or to seek reimbursement for the services. The agency director shall ensure that all participating agencies preserve the confidentiality of patient records. Information may be disclosed in summary, statistical or other form which does not identify specific recipients.
DHS 105.36(3) (3) Administration.
DHS 105.36(3)(a)(a) The family planning clinic shall have a governing body which is responsible for the conduct of the staff and the operation of the clinic.
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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.