Section DHS 35.16 - Admission(1) The clinic shall establish written selection criteria for use when screening a consumer for possible admission. The criteria may include any of the following limitations as applicable: (a) Sources from which referrals may be accepted by the clinic.(b) Restrictions on acceptable sources of payment for services, or the ability of a consumer or a consumer's family to pay.(c) The age range of consumers whom the clinic will serve based on the expertise of the clinic staff members.(d) Diagnostic or behavioral requirements that the clinic will apply in deciding whether or not to admit a consumer for treatment.(e) Any consumer characteristics for which the clinic has been specifically designed, including the nature or severity of disorders that can be managed on an outpatient basis by the clinic, and the expected length of time that services may be necessary.(2) A clinic shall refer any consumer not meeting the clinic's selection criteria for admission to appropriate services.(3) If a clinic establishes priorities for consumers to be served, a waiting list for consumers to be admitted, or a waiting list for consumers who have been admitted but resources to provide services to these consumers are not yet available, the priorities or the procedures for the operation of the waiting list shall be maintained in writing and applied fairly and uniformly.(4) Only a licensed treatment professional, or a recognized psychotherapy practitioner, may diagnose a mental illness of a consumer on behalf of a clinic. The licensed treatment professional, or recognized psychotherapy practitioner shall document, in the consumer file, the recommendation for psychotherapy specifying the diagnosis; the date of the recommendation for psychotherapy; the length of time of the recommendation; the services that are expected to be needed; and the name and signature of the person issuing the recommendation for psychotherapy.(5) If a clinic provides substance use services to a consumer, the clinic shall use a department approved placement criteria tool to determine if a consumer who has a co-occurring substance use disorder requires substance abuse treatment services. If the consumer is determined to need a level of substance use services that are above the level of substance use services that can be provided by the clinic, the consumer shall be referred to an appropriate department certified provider.Wis. Admin. Code Department of Health Services § DHS 35.16
CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09.Amended by, CR 14-066: renum. (4) (a) to (4), r. (4) (b) Register August 2015 No. 716, eff.9/1/2015