Chapter DHS 145

DHS 145.13(1)(f) (f) Visits to collect initial diagnostic sputum specimens, either freely coughed or induced, and follow-up specimens to monitor successful treatment, up to a total of 3 initial and 6 follow-up specimens.

DHS 145.13(1)(g) (g) Sputum induction for collection of up to 3 specimens for initial diagnosis and 3 for documentation of sputum conversion.

DHS 145.13(1)(h) (h) Case management visits and visits to provide directly observed therapy to persons with tuberculosis disease up to a maximum of 66 visits.

DHS 145.13(2) (2) Reimbursement rate.

DHS 145.13(2)(a) (a) The department shall reimburse public health dispensaries on a quarterly basis for services provided under sub. (1) to clients who are not recipients of medical assistance until the biennial appropriation under s. 20.435 (1) (e), Stats., is totally expended. Reimbursement shall be at least at the medical assistance program rate in effect at the time of the delivery of the service.

DHS 145.13(2)(b) (b) Public health dispensaries may claim reimbursement from the medical assistance program under ss. 49.43 to 49.497, Stats., and chs. DHS 101 to 108 for services under sub. (1) provided to persons eligible for medical assistance under s. 49.46 (1) (a) 15., Stats.

DHS 145.13 History History: Cr. Register, March, 2000, No. 531, eff. 4-1-00; CR 01-105: Cr. Register March 2002 No. 555, eff. 4-1-02; correction in (2) (b) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; correction in (2) (a) made under s. 13.92 (4) (b) 7., Stats., Register July 2011 No. 667.

subch. III of ch. DHS 145 Subchapter III — Sexually Transmitted Disease

DHS 145.14 DHS 145.14 Definitions. In this subchapter:

DHS 145.14(1) (1) “Commitment” means the process by which a court of record orders the confinement of a person to a place providing treatment.

DHS 145.14(2) (2) “Contact” means a person who had physical contact with a case that involved the genitalia of one of them during a period of time which covers both the maximum incubation period for the disease and the time during which the case showed symptoms of the disease, or could have either infected the case or been infected by the case.

DHS 145.14(3) (3) “Minor” means a person under the age of 18.

DHS 145.14(4) (4) “Sexually transmitted diseases” means syphilis, gonorrhea, chancroid, genital herpes infection, chlamydia trachomatis, and sexually transmitted pelvic inflammatory disease.

DHS 145.14(5) (5) “Source” means the person epidemiologic evidence indicates is the origin of an infection.

DHS 145.14(6) (6) “Suspect” means a person who meets the criteria in s. DHS 145.18.

DHS 145.14 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. and am. from HFS 145.12, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.15 DHS 145.15 Case reporting. Any administrator of a health care facility, state correctional institution or local facility subject to ch. DOC 350, who has knowledge of a case of a sexually transmitted disease shall report the case by name and address to the local health officer. If the services of an attending physician are available in an institution or health care facility, the physician or a designee shall report as described in s. DHS 145.04 (1) (a). The administrator shall ensure that this reporting requirement is fulfilled.

DHS 145.15 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; correction made under s. 13.93 (2m) (b) 7., Stats., Register, October, 1991, No. 430; renum. and am. from HFS 145.13, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.16 DHS 145.16 Reporting of cases delinquent in treatment. Whenever any person with a sexually transmitted disease fails to return within the time directed to the physician or advanced practice nurse prescriber who has treated that person, the physician or advanced practice nurse prescriber or a designee shall report the person, by name and address, to the local health officer and the department as delinquent in treatment.

DHS 145.16 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. and am. from HFS 145.14, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.17 DHS 145.17 Determination of sources and contacts. Physicians accepting cases for treatment shall determine the probable source of infection and any other contacts, and shall attempt to diagnose and treat those persons, or shall request that the local health officer or the department do so.

DHS 145.17 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. from HFS 145.15, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.18 DHS 145.18 Criteria for determination of suspects. Any person falling into one or more of the following categories is designated as a suspect:

DHS 145.18(1) (1) Persons identified as sexual contacts of a sexually transmitted disease case;

DHS 145.18(2) (2) Persons having positive laboratory or clinical findings of sexually transmitted disease; and

DHS 145.18(3) (3) Persons in whom epidemiologic evidence indicates a sexually transmitted disease may exist.

DHS 145.18 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. from HFS 145.16, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.19 DHS 145.19 Examination of suspects. Local health officers shall require the examination of suspects. The examination shall include a physical examination and appropriate laboratory and clinical tests.

DHS 145.19 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. from HFS 145.17, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.20 DHS 145.20 Commitment of suspects. If, following the order of a local health officer or the department, a suspect refuses or neglects examination or treatment, a local health officer or the department shall file a petition with a court to have the person committed to a health care facility for examination, treatment or observation.

DHS 145.20 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. from HFS 145.18, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.21 DHS 145.21 Treatment of minors. A physician or advanced practice nurse prescriber may treat a minor with a sexually transmitted disease or examine and diagnose a minor for the presence of the disease without obtaining the consent of the minor’s parents or guardian. The physician or advanced practice nurse prescriber shall incur no civil liability solely by reason of the lack of consent of the minor’s parents or guardian, as stated in s. 252.11 (1m), Stats.

DHS 145.21 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. and am. from HFS 145.19, Register, March, 2000, No. 531, eff. 4-1-00.

DHS 145.22 DHS 145.22 Treatment guidelines. The official statements of the Centers for Disease Control and Prevention shall be considered in the treatment of sexually transmitted diseases unless otherwise specified by the state epidemiologist. Specific medical treatment shall be prescribed by a physician or advanced practice nurse prescriber.

DHS 145.22 Note Note: The official statements of the Centers for Disease Control and Prevention entitled “Sexually Transmitted Diseases Treatment Guidelines, 2015,” is on file in the Department’s Division of Public Health and the Legislative Reference Bureau, and may be found in the Morbidity and Mortality Weekly Report, June 5, 2015, vol. 64, RR-3.

DHS 145.22 History History: Cr. Register, April, 1984, No. 340, eff. 5-1-84; renum. and am. from HFS 145.20, Register, March, 2000, No. 531, eff. 4-1-00; CR 07-090: am. Register February 2008 No. 626, eff. 3-1-08; CR 17-014: am., Register June 2018 No. 750 eff. 7-1-18.