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).
DHS 107.13(6)(c)(c) Non-covered services. The following CSP services are not covered services:
DHS 107.13(6)(c)1.1. Case management services provided under s. DHS 107.32 by a provider not certified under s. DHS 105.255 to provide CSP services;
DHS 107.13(6)(c)2.2. Services provided to a resident of an intermediate care facility, skilled nursing facility or an institution for mental diseases, or to a hospital patient unless the services are performed to prepare the recipient for discharge from the facility to reside in the community;
DHS 107.13(6)(c)3.3. Services related to specific job-seeking, job placement and work activities;
DHS 107.13(6)(c)4.4. Services performed by volunteers;
DHS 107.13(6)(c)5.5. Services which are primarily recreation-oriented; and
DHS 107.13(6)(c)6.6. Legal advocacy performed by an attorney or paralegal.
DHS 107.13(7)(7)Psychosocial services provided through a community-based psychosocial service program.
DHS 107.13(7)(a)(a) Covered services. Psychosocial services provided through a community-based psychosocial service program shall be covered services when authorized by a mental health professional under s. DHS 36.15 for recipients determined to have a need for the services under s. DHS 36.14. These non-institutional services must fall within the definition of “rehabilitative services” under 42 CFR 440.130 (d) and must be described in a service plan under s. DHS 36.17. Covered services include assessment under s. DHS 36.16 and service planning and review under s. DHS 36.17.
DHS 107.13(7)(b)(b) Other limitations.
DHS 107.13(7)(b)1.1. Mental health services under s. DHS 107.13 (2) and (4) are not reimbursable for recipients receiving services under this subsection.
DHS 107.13(7)(b)2.2. Group psychotherapy 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 psychotherapy. Mental health technicians shall not be reimbursed for group psychotherapy.
DHS 107.13(7)(b)3.3. 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. (6).
DHS 107.13(7)(c)(c) Non-covered services. The following are not covered services under this subsection:
DHS 107.13(7)(c)1.1. Case management services provided under s. DHS 107.32 by a provider not certified under s. DHS 105.257 to provide services under this section.
DHS 107.13(7)(c)2.2. Services provided to a resident of an intermediate care facility, skilled nursing facility or an institution for mental diseases, or to a hospital patient unless the services are performed to prepare the recipient for discharge from the facility to reside in the community.
DHS 107.13(7)(c)3.3. Services performed by volunteers, except that out-of-pocket expenses incurred by volunteers in performing services may be covered.