Register May 2019 No. 761
Chapter DHS 63
COMMUNITY SUPPORT PROGRAMS FOR CHRONICALLY MENTALLY ILL PERSONS
Termination, suspension or denial of certification.
Outreach and screening.
Criteria for admission.
Assessment and treatment planning.
Required program components.
Ch. DHS 63 Note
Chapter HSS 63 was renumbered chapter HFS 63 under s. 13.93 (2m) (b) 1., Stats., and corrections made under s. 13.93 (2m) (b) 6. and 7., Stats., Register, July, 1997, No. 499
. Chapter HFS 63 was renumbered to chapter DHS 63 under s. 13.92 (4) (b) 1., Stats., and corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
Authority and purpose.
This chapter is promulgated under authority set out in ss. 51.42 (7) (b)
, 51.421 (3) (a)
, and 227.11 (2) (a)
, Stats., to establish standards for community support programs under s. 51.421
, Stats. These programs are for chronically mentally ill persons living in the community. The purpose of a community support program is to provide effective and easily accessible treatment, rehabilitation and support services in the community where persons with chronic mental illness live and work.
(2) To whom this chapter applies.
This chapter applies to any county establishing a community support program under s. 51.421
, Stats., which wishes to receive reimbursement under the Wisconsin medical assistance program for community support program services, if medical assistance reimbursement is available for those services.
DHS 63.01 History
Cr. Register, April, 1989, No. 400
, eff. 5-1-89.
In this chapter:
“Alcoholic" has the meaning prescribed in s. 51.01 (1)
, Stats., namely, a person who is suffering from alcoholism.
“Alcoholism" has the meaning prescribed in s. 51.01 (1m)
, Stats., namely, a disease which is characterized by the dependency of a person on the drug alcohol, to the extent that the person's health is substantially impaired or endangered or his or her social or economic functioning is substantially disrupted.
“Applicant" means a person who has begun, but not completed, the admissions process under s. DHS 63.09
“Assessment" means the process used to evaluate a client's presenting problems with an accompanying description of the reported or observed conditions which led to the classification or diagnosis of the client's chronic mental illness.
“Case management" means an organized process for providing a full range of appropriate treatment, rehabilitation and support services to a client in a planned, coordinated, efficient and effective manner.
“Certification" means the approval of a community support program by the department.
“Chronic mental illness" means a mental illness which is severe in degree and persistent in duration, which causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, which may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support and which may be of lifelong duration.“Chronic mental illness" includes schizophrenia as well as a wide spectrum of psychotic and other severely disabling psychiatric diagnostic categories, but does not include organic mental disorders or a primary diagnosis of intellectual disability or of alcohol or drug dependence.
“Client" means an individual who has completed the admissions process under s. DHS 63.09
and is receiving treatment or services for mental illness.
“Community support program" or “CSP" means a coordinated care and treatment program which provides a range of treatment, rehabilitation and support services through an identified treatment program and staff to ensure ongoing therapeutic involvement, individualized treatment, rehabilitation and support services in the community for persons with chronic mental illness.
“County department" means a county department of community programs established under s. 51.42
“Department" means the Wisconsin department of health services.
“Developmental disability" has the meaning prescribed in s. 51.01 (5) (a)
, Stats., namely, a disability attributable to brain injury, cerebral palsy, epilepsy, autism, an intellectual disability, or another neurological condition closely related to an intellectual disability or requiring treatment similar to that required for an intellectual disability, which has continued or can be expected to continue indefinitely and constitutes a substantial handicap to the afflicted individual. “Developmental disability" does not include senility which is primarily caused by the process of aging or the infirmities of aging.
“Drug dependence" has the meaning prescribed in s. 46.973 (1) (c)
, Stats., namely, a condition arising from the periodic or continuous use of a drug which may result in psychic or physical dependence which would affect or potentially affect the public health, safety or welfare.
“Mental illness" means mental disorder to such an extent that an afflicted person requires care and treatment for his or her own welfare or the welfare of others or of the community. For purposes of involuntary commitment, “mental illness" means a substantial disorder of thought, mood, perception, orientation or memory which grossly impairs judgment, behavior, capacity to recognize reality or ability to meet the ordinary demands of life, but does not include organic mental disorder or a primary diagnosis of intellectual disability, or of alcohol or drug dependence.
“Organic mental disorder" means a disorder which has as its essential feature psychological or behavioral abnormalities, or both, associated with transient or permanent dysfunction of the brain that prevents a person from adequately providing for his or her own care.
“Outreach" means procedures for identifying and contacting chronically mentally ill persons who are in need of CSP treatment and services, including referral agreements with psychiatric inpatient units, outpatient treatment clinics, and other community treatment and service providers.
“Service provider" means a county department or a private agency that provides one or more services under this chapter.
“Supervision" means intermittent face-to-face contact between a supervisor and a staff member to review the work of the staff member.
DHS 63.02 History
Cr. Register, April, 1989, No. 400
, eff. 5-1-89; correction in (11) made under s. 13.92 (4) (b) 6.
, Stats., Register November 2008 No. 635
; 2019 Wis. Act 1: am. (7), (12), (14) Register May 2019 No. 761, eff. 6-1-19
A county department shall submit written application to the department to initiate the CSP certification process.
DHS 63.03 Note
Note: The format for the written application can be obtained from the CSP Unit, Bureau of Community Mental Health, Division of Disability and Elder Services, P.O. Box 7851, Madison, WI 53707.
The department shall review the application submitted under sub. (1)
to determine whether the requirements for certification set forth in this chapter have been met.
A CSP shall make available for the department's review all documentation necessary to establish the CSP's compliance with this chapter.
Within 60 days after receiving a complete application for certification under sub. (1)
, the department shall either certify the CSP if all requirements for certification have been met or deny certification if requirements for certification have not been met. If the application for certification is denied, the department shall give the applicant reasons, in writing, for the denial. The denial notice shall specify the requirements under this chapter which the CSP has not met, shall specify the CSP's right to request a hearing in accordance with s. DHS 63.04 (3)
, and shall require the CSP to submit a plan to correct program deficiencies in accordance with par. (b)
Within 10 days after receiving a notice of denial under par. (a)
, a CSP shall inform the department of a plan to correct program deficiencies and the date by which the corrections will be made.
Within 60 days after the planned date for correcting the deficiencies noted under par. (a)
, the department shall conduct an on-site inspection of the CSP to determine whether the deficiencies have been corrected.
(4) Content of certification.
Certification shall be issued only for the location and program named and may not be transferred or assigned to another program. A CSP shall notify the department of a change of administration, ownership, location, program name or any other program change that may affect compliance with this chapter no later than the effective date of the change.