Section 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 on duty 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.

History: 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 .

Note

For covered day treatment and day hospital services, see s. DHS 107.13 (4) . Microsoft Windows NT 6.1.7601 Service Pack 1