DHS 40.03(51m)(a)(a) “Telehealth” means the use of telecommunications technology by a certified provider to deliver services allowable under this chapter, s. DHS 107.02 (5), and ss. 49.45 (61) and 49.46 (2) (b) 21. to 23., Stats., including assessment, diagnosis, consultation, treatment, or transfer of medically relevant data in a functionally equivalent manner as that of an in-person contact. DHS 40.03(51m)(b)(b) “Telehealth” may include real-time interactive audio-only communication. DHS 40.03(51m)(c)(c) “Telehealth” does not include communication between a certified provider and a recipient that consists solely of an electronic mail, text, or facsimile transmission. DHS 40.03(52)(52) “Therapeutic milieu” means the combination of physical and interpersonal environments established and maintained in the mental health day treatment program to provide safety, trust, and consistency of care, and to model, teach, and reinforce positive and supportive behaviors and interactions among youth and staff. DHS 40.03(53)(53) “Therapeutic specialists” means experiential therapists, art therapists, and music therapists who have complied with the appropriate certification procedures for their profession as required by state statute or administrative rule or the governing body regulating their profession. DHS 40.03(54)(54) “Transition services” means services provided to a youth to ensure continuity of care and management of the youth’s needs to ensure gradual reintegration back into school and the community as appropriate. DHS 40.03(56)(56) “Trauma” means significant distress or impairment in a person’s social, coping, or other important areas of functioning, resulting from experiences or events. DHS 40.03(57)(57) “Trauma-informed service” means a service that is attentive to the role that trauma plays in the lives of youth and family members, including recognition of the traumatic effect of misdiagnosis, coercive treatment, and inadvertent re-traumatization. DHS 40.03(58)(58) “Variance” means a modification to a requirement of this chapter. DHS 40.03(59)(59) “Voluntary time out” means an intervention intended to accomplish any of the following: DHS 40.03(59)(a)(a) Encourage youth to voluntarily use a calming or safe place that does not physically confine the youth, and that permits program staff members to visually monitor the youth when they are experiencing agitation or anxiety. DHS 40.03(59)(b)(b) Protect a client from another client who is posing a risk of harm or serious disruption. DHS 40.03(60)(60) “Waiver” means an exemption from a specific requirement of this chapter. DHS 40.03 HistoryHistory: CR 19-018: cr. Register June 2020 No. 774, eff. 7-1-20; correction in (5), (21) (c), (23), (27), (31), (35), (41), (42), (43) (b), (49), (51) made under s. 35.17, Stats., and correction in (39) made under s. 13.92 (4) (b) 7., Stats., Register June 2020 No. 774; CR 23-053: cr. (18m), (49m), (51m) Register September 2023 No. 813, eff. 10-1-23. DHS 40.04(1)(a)(a) General. A program that provides mental health day treatment services may not be established without certification from the department. DHS 40.04 NoteNote: Application materials may be obtained from the Behavioral Health Certification Section, Division of Quality Assurance, PO Box 2969, Madison, WI 53701-2969 or online at DHSDQAMentalHealthAODA@wisconsin.gov. Completed application materials may be submitted by mail to the Behavioral Health Certification Section, Division of Quality Assurance, PO Box 2969, Madison, WI 53701-2969. DHS 40.04(1)(b)2.2. A program may apply for certification by submitting the following application materials to the department: