Jus 11.05(10) (10) Probate award. The department may apportion an award for a victim’s economic loss in a manner which the department determines to be just or in the best interest of the applicant.

Jus 11.05(11) (11) Periodic awards. In the case of the death of the victim or in the case of a protracted loss of earnings, the department may make periodic awards. The department shall periodically verify whether the claimant is entitled to continue to receive such payments.

Jus 11.05 History History: Cr. Register, February, 1992, No. 434, eff. 3-1-92; CR 15-058: am. (4) (a) (intro.), (7) Register May 2016 No. 725, eff. 6-1-16; correction in (6) made under s. 13.92 (4) (b) 7., Stats., Register May 2016 No. 725; CR 19-136: am. (1) (c), (2), cons. and renum. (3) (intro.) and (a) to (3) and am., r. (3) (b), am. (4) (a) 4. Register September 2021 No. 789, eff. 10-1-21.

Jus 11.06 Jus 11.06 Mental health treatment.

Jus 11.06(1) (1) Eligible providers. Eligible providers of mental health treatment under this subchapter include a qualified treatment trainee under clinical supervision as defined by s. DHS 35.03 (17m) or any of the following individuals licensed by the state in which he or she practices:

Jus 11.06(1)(a) (a) A physician who has completed a residency in psychiatry.

Jus 11.06(1)(e) (e) A psychologist.

Jus 11.06(1)(f) (f) A marriage and family therapist.

Jus 11.06(1)(g) (g) A professional counselor.

Jus 11.06(1)(h) (h) A clinical social worker.

Jus 11.06(2) (2) Eligible services. Eligible types of mental health treatment under this subchapter include:

Jus 11.06(2)(a) (a) Inpatient psychiatric services provided within the psychiatric unit of a general hospital or a psychiatric facility.

Jus 11.06(2)(b) (b) Outpatient psychotherapy services.

Jus 11.06(2)(d) (d) Complementary mental health services may be considered for payment by the department if administered in conjunction with any of the above-listed treatments, prescribed by an eligible provider, and administered by an accredited practitioner.

Jus 11.06(3) (3) Limitations on eligible services. Limitations on eligible services include:

Jus 11.06(3)(a) (a) Collateral interviews are limited to the non-offending family members.

Jus 11.06(3)(b) (b) Group psychotherapy sessions are limited to those in which not more than 10 individuals receive psychotherapy services together from an eligible provider.

Jus 11.06(3)(c) (c) Court appearances or evaluations are not eligible services.

Jus 11.06(4) (4) Authorization process. The department shall require eligible providers of services to submit an authorization request which may include the following information:

Jus 11.06(4)(a) (a) The name, address, and medical assistance or identification number of the provider conducting the diagnostic examination and performing the psychotherapy services.

Jus 11.06(4)(b) (b) A detailed summary of the problems for which the victim or claimant is seeking mental health treatment.

Jus 11.06(4)(c) (c) A detailed summary of the diagnostic examination, including the severity of the victim’s or claimant’s mental illness, medically significant emotional or social dysfunctions, the medical necessity for treatment and the suggested outcome of treatment.

Jus 11.06(4)(d) (d) A statement of the estimated frequency of treatment sessions and the estimated cost of treatment.

Jus 11.06(4)(e) (e) A statement of the relationship between the crime and the need for treatment, and to what extent the treatment is directly related to the crime.

Jus 11.06(4)(f) (f) A statement of the victim’s or claimant’s psychological condition prior to the crime.

Jus 11.06(5) (5) Review process.

Jus 11.06(5)(a) (a) Department claims specialists shall review authorization requests for mental health claims. The department may appoint persons who meet the same minimum requirements that providers are expected to meet to review authorization requests.

Jus 11.06(5)(b) (b) The department shall review the progress of the treatment periodically as the department determines it is reasonable to do so. Progress reports shall describe the victim’s current symptoms, problem changes in symptoms since the last report, progress made toward each treatment goal, a list of impediments to progress, and a plan to address impediments.

Jus 11.06 History History: Cr. Register, February, 1992, No. 434, eff. 3-1-92; CR 15-058: am. (1) (intro.), (2) (intro.) Register May 2016 No. 725, eff. 6-1-16; CR 19-136: am. (1) (intro.), (a), r. (1) (b) to (d), cr. (1) (e) to (h), am. (2) (a), (b), r. (2) (c), cr. (2) (d), am. (4) (intro.), (b), (c), (e), (f) Register September 2021 No. 789, eff. 10-1-21.