DHS 107.13(6)(6)Community support program (CSP) services.
DHS 107.13(6)(a)(a) Covered services. Community support program (CSP) services shall be covered services when prescribed by a physician and provided by a provider certified under s. DHS 105.255 for recipients who can benefit from the services. These non-institutional services make medical treatment and related care and rehabilitative services available to enable a recipient to better manage the symptoms of his or her illness, to increase the likelihood of the recipient’s independent, effective functioning in the community and to reduce the incidence and duration of institutional treatment otherwise brought about by mental illness. Services covered are as follows:
DHS 107.13(6)(a)1.1. Initial assessment. At the time of admission, the recipient, upon a psychiatrist’s order, shall receive an initial assessment conducted by a psychiatrist and appropriate professional personnel to determine the need for CSP care;
DHS 107.13(6)(a)2.2. In-depth assessment. Within one month following the recipient’s admission to a CSP, a psychiatrist and a treatment team shall perform an in-depth assessment to include all of the following areas:
DHS 107.13(6)(a)2.a.a. Evaluation of psychiatric symptomology and mental status;
DHS 107.13(6)(a)2.b.b. Use of drugs and alcohol;
DHS 107.13(6)(a)2.c.c. Evaluation of vocational, educational and social functioning;
DHS 107.13(6)(a)2.d.d. Ability to live independently;
DHS 107.13(6)(a)2.e.e. Evaluation of physical health, including dental health;
DHS 107.13(6)(a)2.f.f. Assessment of family relationships; and
DHS 107.13(6)(a)2.g.g. Identification of other specific problems or needs;
DHS 107.13(6)(a)3.3. Treatment plan. A comprehensive written treatment plan shall be developed for each recipient and approved by a psychiatrist. The plan shall be developed by the treatment team with the participation of the recipient or recipient’s guardian and, as appropriate, the recipient’s family. Based on the initial and in-depth assessments, the treatment plan shall specify short-term and long-term treatment and restorative goals, the services required to meet these goals and the CSP staff or other agencies providing treatment and psychosocial rehabilitation services. The treatment plan shall be reviewed by the psychiatrist and the treatment team at least every 30 days to monitor the recipient’s progress and status;
DHS 107.13(6)(a)4.4. Treatment services, as follows:
DHS 107.13(6)(a)4.a.a. Family, individual and group psychotherapy;
DHS 107.13(6)(a)4.b.b. Symptom management or supportive psychotherapy;
DHS 107.13(6)(a)4.c.c. Medication prescription, administration and monitoring;
DHS 107.13(6)(a)4.d.d. Crisis intervention on a 24-hour basis, including short-term emergency care at home or elsewhere in the community; and
DHS 107.13(6)(a)4.e.e. Psychiatric and psychological evaluations;
DHS 107.13(6)(a)5.5. Psychological rehabilitation services as follows;
DHS 107.13(6)(a)5.a.a. Employment-related services. These services consist of counseling the recipient to identify behaviors which interfere with seeking and maintaining employment; development of interventions to alleviate problem behaviors; and supportive services to assist the recipient with grooming, personal hygiene, acquiring appropriate work clothing, daily preparation for work, on-the-job support and crisis assistance;
DHS 107.13(6)(a)5.b.b. Social and recreational skill training. This training consists of group or individual counseling and other activities to facilitate appropriate behaviors, and assistance given the recipient to modify behaviors which interfere with family relationships and making friends;
DHS 107.13(6)(a)5.c.c. Assistance with and supervision of activities of daily living. These services consist of aiding the recipient in solving everyday problems; assisting the recipient in performing household tasks such as cleaning, cooking, grocery shopping and laundry; assisting the recipient to develop and improve money management skills; and assisting the recipient in using available transportation;
DHS 107.13(6)(a)5.d.d. Other support services. These services consist of helping the recipient obtain necessary medical, dental, legal and financial services and living accommodations; providing direct assistance to ensure that the recipient obtains necessary government entitlements and services, and counseling the recipient in appropriately relating to neighbors, landlords, medical personnel and other personal contacts; and
DHS 107.13(6)(a)6.6. Case management in the form of ongoing monitoring and service coordination activities described in s. DHS 107.32 (1) (d).
DHS 107.13(6)(b)(b) Other limitations.
DHS 107.13(6)(b)1.1. Mental health services under s. DHS 107.13 (2) and (4) are not reimbursable for recipients receiving CSP services.
DHS 107.13(6)(b)2.2. An initial assessment shall be reimbursed only when the recipient is first admitted to the CSP and following discharge from a hospital after a short-term stay.
DHS 107.13(6)(b)3.3. Group therapy is limited to no more than 10 persons in a group. No more than 2 professionals shall be reimbursed for a single session of group therapy. Mental health technicians shall not be reimbursed for group therapy.
DHS 107.13(6)(b)4.4. Reimbursement is not available for a person participating in the program under this subsection if the person is also participating in the program under sub. (7).