Chapter DHS 72

Chapter DHS 72

OVERDOSE TREATMENT PROVIDER CERTIFICATION
AND COVERED SERVICES

Subchapter I — General Provisions

DHS 72.01   Authority and purpose.

DHS 72.02   Applicability.

DHS 72.03   Definitions.

Subchapter II — Peer Recovery Support Services Standards

DHS 72.04   Peer recovery support services.

DHS 72.05   Training, orientation, and continuing education requirements.

DHS 72.06   Supervision of peer recovery coaches.

DHS 72.07   Documentation.

Subchapter III — Substance Use Overdose Treatment Program

DHS 72.08   Exemption.

DHS 72.085   Application requirements and policies.

DHS 72.09   Program statement.

DHS 72.10   Required policies and procedures.

DHS 72.11   General qualifications.

DHS 72.12   Orientation, training, and continuing education.

DHS 72.13   Participant rights.

DHS 72.14   Participant service records.

DHS 72.15   Discharge summary.

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subch. I of ch. DHS 72 Subchapter I — General Provisions

DHS 72.01 DHS 72.01 Authority and purpose. This chapter is promulgated under ss. 46.482 (2) and (3), 49.45 (10) and (30j) (b), 49.471 (12), 51.04, 51.61, and 227.11 (2) (a), Stats., to establish certification criteria for reimbursement under the medical assistance program for all of the following:

DHS 72.01(1) (1) Peer recovery support services.

DHS 72.01(2) (2) Treatment programs for coordination and continuation of care following an overdose.

DHS 72.01 History History: CR 24-081: cr. Register September 2025 No. 837, eff. 10-1-25; correction in (intro.) made under s. 35.17, Stats., Register September 2025 No. 837.

DHS 72.02 DHS 72.02 Applicability. This chapter shall apply to all of the following seeking reimbursement under the medical assistance program for recovery support services:

DHS 72.02(1) (1) A publicly or privately operated facility, clinic, or organization providing peer recovery support services, coordination and continuation of care for individuals at high risk for overdose, or both, in response to or following a substance use overdose.

DHS 72.02(2) (2) A county department or tribal nation providing peer recovery support services, coordination of care in substance use overdose, mental health, or substance use treatment services.

DHS 72.02(3) (3) A publicly or privately operated service that requests certification by the department.

DHS 72.02 History History: CR 24-081: cr. Register September 2025 No. 837, eff. 10-1-25; (intro.) to (3) renum. from (1) (intro.) to (c) under s. 13.92 (4) (b) 1., Register September 2025 No. 837.

DHS 72.03 DHS 72.03 Definitions. In this chapter:

DHS 72.03(1) (1) “Behavioral health” means the spectrum encompassing mental health and substance use disorders occurring either independently or simultaneously.

DHS 72.03(2) (2) “Certification” means the approval of the service by the department’s division of quality assurance.

DHS 72.03(3) (3) “Co-supervision” means a shared model of supervision where a peer recovery coach is supervised by both a competent mental health professional and a peer recovery coach supervisor, either individually or in groups, to ensure that all aspects of peer recovery coaching can be modeled and supervised.

DHS 72.03(4) (4) 

DHS 72.03(4)(a) (a) “Competent mental health professional” means any of the following:

DHS 72.03(4)(a)1. 1. A physician who has completed a residence in psychiatry or is certified in addiction medicine.

DHS 72.03(4)(a)2. 2. A psychologist or a private practice school psychologist licensed under ch. 455, Stats.

DHS 72.03(4)(a)3. 3. A marriage and family therapist licensed under s. 457.10 or 457.11, Stats.

DHS 72.03(4)(a)4. 4. A professional counselor licensed under s. 457.12 or 457.13, Stats.

DHS 72.03(4)(a)5. 5. An advanced practice social worker granted a certificate under s. 457.08 (2), Stats.

DHS 72.03(4)(a)6. 6. An independent social worker granted a certificate under s. 457.08 (3), Stats.

DHS 72.03(4)(a)7. 7. A clinical social worker licensed under s. 457.08 (4), Stats.

DHS 72.03(4)(a)8. 8. A clinical substance abuse counselor or independent clinical supervisor certified under s. 440.88, Stats.

DHS 72.03(4)(a)9. 9. Any of the individuals under subds. 1. to 8. who are practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457, Stats.

DHS 72.03(4)(b) (b) “Competent mental health professional” does not include an individual whose license or certificate is suspended, revoked, or voluntarily surrendered, or whose license or certificate is limited or restricted, when practicing in areas prohibited by the limitation or restriction.

DHS 72.03(5) (5) “Continuum of behavioral health and peer recovery support services” means an integrated system of care that includes a comprehensive array of behavioral health services spanning all levels of intensity of care including prevention, early intervention, harm reduction, treatment, psychosocial rehabilitation services, continuing care, and recovery services.

DHS 72.03(6) (6) “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.

DHS 72.03(7) (7) “Department” means the Wisconsin department of health services.

DHS 72.03(8) (8) “DSM” means the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), published by the American psychiatric association.

DHS 72.03(9) (9) “Medical assistance” means the assistance program under 42 USC 1396 and ss. 49.43 to 49.475 and 49.49 to 49.497, Stats.

DHS 72.03(10) (10) “Mental illness” means a diagnosis meeting the criteria in the DSM.

DHS 72.03(11) (11) “Overdose” means the ingestion or application of a drug or other substance in a quantity greater than is recommended that results in serious negative health effects or death.

DHS 72.03(12) (12) “Overdose treatment provider” means an entity, including an emergency department of a hospital, that offers treatment or other services to individuals in response to or following a substance use overdose or an individual at high risk for a substance use overdose.

DHS 72.03(13) (13) “Peer recovery coach” means an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness, a substance use disorder, or both.

DHS 72.03(14) (14) “Peer recovery coach supervisor” means a person who can co-supervise peer recovery coaches with a competent mental health professional if the peer recovery coach supervisor meets all the qualifications of a peer recovery coach in this chapter, has one year experience providing peer recovery coaching, and training in providing peer supervision.