Section 75.01. Authority, purpose and applicability.

 

(1)   Authority and purpose.

(a) This chapter is promulgated under the authority of ss. 46.973 (2) (c) , 51.42 (7) (b) and 51.45 (8) and (9) , Stats., to establish standards for community substance abuse prevention and treatment services under ss. 51.42 and 51.45 , Stats. Sections 51.42 (1) and 51.45 (1) and (7) , Stats., provide that a full continuum of substance abuse services be available to Wisconsin citizens from county departments of community programs, either directly or through written agreements or contracts that document the availability of services. This chapter provides that service recommendations for initial placement, continued stay, level of care transfer and discharge of a patient be made through the use of Wisconsin uniform placement criteria (WI-UPC), American society of addiction medicine (ASAM) placement criteria or similar placement criteria that may be approved by the department.

(b) Use of approved placement criteria serves as a contributor to the process of obtaining prior authorization from the treatment service funding source. It does not establish funding eligibility regardless of the funding source. The results yielded by application of these criteria serve as a starting point for further consultations among the provider, patient and payer as to an initial recommendation for the type and amount of services that may be medically necessary and appropriate in the particular case. Use of WI-UPC or any other department-approved placement criteria does not replace the need to do a complete assessment and diagnosis of a patient in accordance with DSM-IV.

(2)   Applicability. This chapter applies to each substance abuse service that receives funds under ch. 51 , Stats. , is approved by the state methadone authority, is funded through the department as the federally designated single state agency for substance abuse services, receives substance abuse prevention and treatment funding or other funding specifically designated for providing services under ss. DHS 75.04 to 75.16 or is a service operated by a private agency that requests certification.