| Description: |
Initial certification for a program that provides inpatient treatment only if the child or adolescent requires treatment of a comprehensive and intensive nature and is likely to benefit from the program the inpatient facility has to offer or outpatient alternatives for treatment are not available.
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| License Type: |
Original
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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 as one location; $200 additional fee per branch office.
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| Prerequisites: |
Contact the Division of Quality Assurance at (608) 261-0658 or e-mailSee the requirements for becoming an approved hospital.
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| Additional Information: |
Certification is required prior to an entity receiving reimbursement under Chapter 51, Wisconsin Statutes; 3rd party reimbursement; and/or reimbursement for participants in the Medicaid program. See our website for more information.
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| Application Form(s): |
Contact the Division of Quality Assurance at (608) 261-0658 or e-mail
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| Wisconsin Statutes: |
51.45, State Alcohol, Drug Abuse, Develomental Disabilities, and Mental Health Act.
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| Administrative Rules/Codes: |
Wisconsin Administrative Codes: HFS 61.79 Community Mental Health Programs and HFS 12,Caregiver Background Checks including Appendix 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 adolescent 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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Download Acrobat Reader from Adobe
to be able to read PDF files.
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For additional assistance with business-related license, permit and registration information please email the Department of Commerce's Business Development Assistance Center or phone them at 1-800-HELP-BUS(iness) (1-800-435-7287).
In addition, you may also find business start-up information at Build Your Business.
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