| Description: |
Recertification to provide mental health inpatient services.
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| License Type: |
Renewal
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| Duration: |
One year.
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| Fees: |
In combination with other CSAS or Mental Health programs, $350 for one program, $500 for two, $600 for three, $675 for four, $750 for five or more programs at one location; $200 additional fee per branch office.
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| Prerequisites: |
Already certified to provide inpatient mental health services.
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| Additional Information: |
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| Application Form(s): |
Renewal information is sent by the certifying agency 60 days prior to expiration. If you require duplicate information, contact the Division of Quality Assurance at (608) 261-0658 or via e-mail.
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| Wisconsin Statutes: |
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| Administrative Rules/Codes: |
Wisconsin Administrative Codes HFS 61.70 and 61.79, Community Mental Health Programs andHFS 12, Caregiver Background Check includingAppendix A, Offenses Affecting Caregiver Eligibility.
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| Other Agencies Involved: |
Apply for Wisconsin Medicaid (Title 19) once you are certified to provide mental health inpatient services.
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Contact Information
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| Contact:
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Division of Quality Assurance, Behavior Health Certification Section
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Home Page: |
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| E-mail : |
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| Hours
of Operation: |
7:45 am - 4:30 pm, Monday through Friday
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| Phone: |
(608)261-0658
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| Fax: |
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| TTY/TDD: |
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| Mail
Address: |
PO Box 2969,
Madison,
WI
53701-2969
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| Street Address: |
1 West Wilson Street,
Madison,
WI
53703
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| Agency Web Site: |
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