Section 105.22. Psychotherapy providers.

 

(1)   Types of psychotherapy providers. For MA certification, a psychotherapy provider shall be one of the following:

(a) A physician meeting the requirements of s. DHS 105.05 (1) who has completed a residency in psychiatry. Proof of residency shall be provided to the department. Proof of residency shall either be board-certification from the American board of psychiatry and neurology or a letter from the hospital in which the residency was completed;

(b) A psychologist licensed under ch. 455 , Stats. , who is listed or eligible to be listed in the national register of health service providers in psychology;

(bm) An advanced practice nurse prescriber who is certified under s. 441.16 (2) , Stats., and holds current certification in a psychiatric specialty from the American Nurses Credentialing Center.

(c) An outpatient clinic certified under ch. DHS 35 ; or

(d) A hospital outpatient mental health clinic located on the hospital's physical premises.

(2)   Staffing of outpatient facilities. To provide psychotherapy reimbursable by MA, personnel employed by an outpatient clinic under sub. (1) (c) shall meet applicable requirements under ch. DHS 35 . Persons employed by a hospital outpatient mental health clinic under sub. (1) (d) need not be individually certified as providers but may provide psychotherapy services upon the department's issuance of certification to the mental health clinic by which they are employed. A hospital outpatient mental health clinic shall maintain a list of the names of persons employed by the clinic who are performing psychotherapy services for which reimbursement may be claimed under MA. This listing shall document the credentials possessed by the named persons which would qualify them for certification under the standards specified in this subsection and shall include the dates that the named persons began employment.

(3)   Reimbursement for outpatient psychotherapy services. Reimbursement shall be made to any certified outpatient mental health clinic meeting the requirement under sub. (1) (c) for services rendered by any provider who meets the applicable requirements under ch. DHS 35 and working for that clinic, except that a provider certified under sub. (1) (a) , (b) , or (bm) may be reimbursed directly.

History: Cr. Register, February, 1986, No. 362 , eff. 3-1-86; r. and recr. Register, September, 1991, No. 429 , eff. 10-1-91; corrections in (1) (c), (d) and (2) (b) made under s. 13.92 (4) (b) 7. , Stats., Register December 2008 No. 636 ; CR 06-080 : cr. (1) (bm), am. (1) (c), (2) (a) and (3), r. and recr. (1) (d), r. (2) (b) Register May 2009 No. 641 , eff. 6-1-09; correction in (2) made under s. 13.92 (4) (b) 1. , Stats., Register May 2009 No. 641 .

Note

For covered mental health services, see s. DHS 107.13 . Microsoft Windows NT 6.1.7601 Service Pack 1