DHS 63.10(1)(d)(d) The in-depth assessment shall include evaluation of the client’s:

DHS 63.10(1)(d)1.1. Psychiatric symptomatology and mental status, by a psychiatrist and by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c). Utilizing information derived from the evaluation required under this subdivision, a psychiatrist or a clinical psychologist shall make a psychiatric diagnosis;

DHS 63.10(1)(d)2.2. Use of drugs or alcohol, or both, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c);

DHS 63.10(1)(d)3.3. Vocational and educational functioning, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c);

DHS 63.10(1)(d)4.4. Social functioning, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c);

DHS 63.10(1)(d)5.5. Self-care and independent living capacity, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c);

DHS 63.10(1)(d)6.6. Relationship with his or her family, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c);

DHS 63.10(1)(d)7.7. Medical health, by a psychiatrist or physician. A registered nurse may collect health-related information and history and perform partial examinations under supervision of a physician;

DHS 63.10(1)(d)8.8. Dental health information and history may be collected by a psychiatrist, a physician or a CSP professional under the supervision of a physician; and

DHS 63.10(1)(d)9.9. Other specified problems and needs, by a CSP professional supervised by the clinical coordinator or a designated staff member meeting qualifications under s. DHS 63.06 (2) (c).

DHS 63.10(1)(e)(e) Evidence that a service is medically necessary shall be indicated through the signature of a psychiatrist on the client’s treatment record following the psychiatrist’s review and approval of the service.

DHS 63.10(2)(2) Treatment planning.

DHS 63.10(2)(a)(a) The case manager assigned to a client under s. DHS 63.12 (1) shall ensure that an initial written treatment plan is developed at the time of the client’s admission to the CSP and that a comprehensive treatment plan is developed and written within one month after admission and is reviewed and updated in writing at least once every 6 months.

DHS 63.10(2)(b)1.1. Be based on the initial assessment required under sub. (1) (a) and, when appropriate, on the in-depth assessment required under sub. (1) (a) and (d);

DHS 63.10(2)(b)2.2. Be developed in collaboration with other CSP professional and paraprofessional staff, service provider staff, the client or guardian, if any, and, when feasible, the client’s family. The client’s participation in the development of treatment or service goals shall be documented;

DHS 63.10(2)(b)3.3. Specify treatment goals along with the treatment, rehabilitation and service actions necessary to accomplish the goals. The goals shall be developed with both short-range and long-range expectations and shall be written in measurable terms;

DHS 63.10(2)(b)4.4. Identify the expected outcomes and the staff or agencies responsible for providing the client’s treatment, rehabilitation and support services;

DHS 63.10(2)(b)5.5. Describe criteria for termination of treatment, rehabilitation and support services; and

DHS 63.10(2)(b)6.6. Be reviewed, approved and signed by the CSP’s psychiatrist and clinical coordinator and be included in the client’s treatment record.

DHS 63.10(2)(c)(c) Treatment or provision of services may begin before the treatment plans are completed.

DHS 63.10(2)(d)(d) The client’s progress and current status in meeting the goals set forth in the plan shall be reviewed by the staff working with the client at regularly scheduled case conferences at least every 6 months and shall be recorded in the client’s treatment record as follows:

DHS 63.10(2)(d)1.1. The date and results of the review and any changes in the plan shall be recorded; and

DHS 63.10(2)(d)2.2. The names of participants in the case conference shall be recorded.

DHS 63.10(2)(e)(e) The case manager shall discuss the results of the review required under par. (d) with the client or guardian, if any, and, if appropriate, the client’s parent and shall record the client’s or guardian’s acknowledgement of any changes in the plan.

DHS 63.10(3)(3) Place of treatment. Each CSP shall set a goal of providing over 50% of service contacts in the community, in non-office based or non-facility based settings. For a period of 2 years following the effective date of this chapter, a CSP shall submit to the department records of the places where treatment and services are provided to each client. The records shall cover time periods specified by the department.

DHS 63.11(1)(1) Services. A CSP shall provide or make arrangements for the provision of the services specified in this section.