Section DHS 75.23 - Service levels of care(1)SERVICE LEVELS OF CARE. (a) Services delivered under this chapter shall adhere to standardized levels of care as defined in this chapter. A service shall apply the ASAM criteria or other department-approved placement criteria to determine the appropriate level of care, and services shall be delivered consistent with that level of care.(b) A service shall not deliver or purport to deliver a service for which they do not possess certification by the department under this chapter.(2)USE OF ASAM OR OTHER DEPARTMENT-APPROVED PLACEMENT CRITERIA.(a) A service shall utilize ASAM placement criteria or other department-approved placement criteria to determine the level of care that is matched to a patient's needs and risk level.(b) In order to be approved by the department, other placement criteria must include all of the following: 1. A multi-dimensional assessment tool that captures behavioral health, physical health, readiness for change, social risk levels and directly correlates risk level to service levels of care based on frequency and intensity of the service.2. Proof that the criteria is accepted and utilized within professional organizations in the field of healthcare and allows for consistency of interpretation across settings and providers. Note: Copies of the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (published October 24, 2013) are on file in the department's division of care and treatment services and the legislative reference bureau, and may be obtained from ASAM at 11400 Rockville Pike, Suite 200, Rockville, MD 20852, or https://www.asam.org/asam-crite-ria/text.
(3)LEVEL OF CARE TRANSFER. A service that offers more than one level of care under this chapter shall identify in the clinical record which level of care the patient is receiving based on the clinical assessment. When a level of care transfer is completed as indicated by assessment or treatment plan review, the service shall document the level of care transfer in the record and shall thereafter meet the service requirements for the indicated level of care.(4)CONCURRENT SERVICES.(a) If a patient is receiving services in more than one level of care at a given time, the service shall adhere to all applicable standards for each level of care, and to the level of care standard with the highest requirement when more than one apply.(b) If a patient is receiving services in more than one level of care at a given time, the patient shall be listed on a roster or patient list for each level of care in which they receive services.Wis. Admin. Code Department of Health Services DHS 75.23
Adopted by, CR 20-047: cr. Register October 2021 No. 790, eff. 10/1/2022This section is created eff. 10-1-22 by CR 20-047.