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2.3. Use of Nationally Recognized SUD-Specific Program Standards to Set Provider Qualifications for Residential Treatment Facilities

Wisconsin Medicaid establishes provider qualifications in Administrative Code ch. DHS 75, “Community Substance Abuse Service Standards”. DHS is currently drafting language to revise ch. DHS 75, including updated references to evidence-based guidelines.

Milestone Criteria Current State Future State Summary of Actions Needed Implementation of Wisconsin establishes | The Wisconsin (The revisions to residential treatment residential treatment Division of Care and _jadministrative code provider qualifications | provider qualifications | Treatment Services jwere authorized by in licensure in Wisconsin (DCTS) has begun /Wisconsin’s governor requirements, policy Administrative Code. work to update state in July 2018. The new manuals, managed care | State standards administrative code to regulations will follow contracts, or other currently describe the further align provider e state’s rulemaking guidance. Qualification | types of services, hours | qualifications with ‘ocess. should meet program of clinical care, and nationally recognized standards in the ASAM | credentials of staff for | standards. istening sessions were Criteria or other transitional residential eld on 5/21/19, nationally recognized, | treatment programs and 5/23/19, 6/17/19, SUD-specific program | medically monitored /20/19, 6/27/19, and standards regarding, in | treatment programs. /16/19. The input particular, the types of ollected through these services, hours of Wisconsin Medicaid ssions is incorporated clinical care, and intends to use these tule drafting. A rule credentials of staff for | provider qualifications ft will then be residential treatment | to determine provider shared with an settings eligibility to deliver dvisory Committee residential treatment ‘or discussion and aligned with ASAM omment. This phase Level of Care 3. f rulemaking will

ontinue through 2019.

ollowing revisions

ublished for public ‘omment and analysis f economic impact in 020.

legislature is anticipated yy early 2021, but may cur sooner if ommients on the draft

e limited.

Wisconsin BadgerCare Reform Demonstration

Approval Period: October 29, 2024 through December 31, 2029 Page 46