Wis. Admin. Code DHS § DHS 105.24

Current through November 25, 2024

Section DHS 105.24 - Mental health day treatment or day hospital service providers

(1) REQUIREMENTS. For MA certification, a day treatment or day hospital service provider shall:

(a) Be a medical program certified under s. DHS 61.75; and

(b) Meet the following personnel and staffing requirements:

1. A registered nurse and a registered occupational therapist shall be available to participate in program planning, program implementation and daily program coordination;

2. The day treatment program shall be planned for and directed by designated members of an interdisciplinary team that includes a social worker, a psychologist, an occupational therapist and a registered nurse or a physician, physician's assistant or another appropriate health care professional;

3. A written patient evaluation involving an assessment of the patient's progress by each member of the multidisciplinary team shall be made at least every 60 days; and

4. For the purposes of daily program performance, coordination guidance and evaluation:

a. One qualified professional staff member such as an OTR, masters degree social worker, registered nurse, licensed psychologist or masters degree psychologist for each group, or one certified occupational therapy assistant and one other paraprofessional staff person for each group; and

b. Other appropriate staff, including volunteer staff.

(2) BILLING AND REIMBURSEMENT.

(a) Reimbursement for medical day treatment or day hospital services shall be at a rate established and approved by the department.

(b) Reimbursement payable under par. (a) shall be subject to reductions for third party recoupments.

Wis. Admin. Code Department of Health Services DHS 105.24

Cr. Register, February, 1986, No. 362, eff. 3-1-86; r. and recr. (1) (a), am. (2) (b), r. (2) (c), Register, September, 1991, No. 429, eff. 10-1-91; correction in (1) (a) made under s. 13.92(4) (b) 7, Stats., Register December 2008 No. 636.

Amended by, CR 22-043: am. (1) (b) 1. Register May 2023 No. 809, eff. 6/1/2023

For covered day treatment and day hospital services, see s. DHS 107.13 (4).