Wis. Admin. Code Department of Health Services DHS 105.21 - Hospital IMDS

(1) REQUIREMENTS. For MA certification, a hospital which is an institution for mental disease (IMD) shall:

(a) Meet the requirements of s. DHS 105.07, and;

1. Maintain clinical records on all patients, including records sufficient to permit determination of the degree and intensity of treatment furnished to MA recipients, as specified in 42 CFR 482.61; and

2. Maintain adequate numbers of qualified professional and supportive staff to evaluate patients, formulate written, individualized comprehensive treatment plans, provide active treatment measures and engage in discharge planning, as specified in 42 CFR 482.62;

(b) Have a utilization review plan that meets the requirements of 42 CFR 405.1035, 405.1037 and 405.1038;

(c) If participating in the PRO review program, meet the requirements of that program and any other requirements established under the state contract with the PROs;

(d) If providing outpatient psychotherapy, comply with s. DHS 105.22;

(e) If providing outpatient alcohol and other drug abuse services, comply with s. DHS 105.23; and

(f) If providing day treatment services, comply with s. DHS 105.24.

(2) WAIVERS AND VARIANCES. The department shall consider applications for waivers or variances of the requirements in sub. (1) if the requirements and procedures stated in s. DHS 106.11 are followed.

Notes

Wis. Admin. Code Department of Health Services DHS 105.21

Cr. Register, February, 1986, No. 362, eff. 3-1-86; correction in (1) (a) made under s. 13.93(2m) (b) 7, Stats., Register, June, 1990, No. 414; correction in (2) made under s. 13.92(4) (b) 7, Stats., Register December 2008 No. 636.

For covered mental health services, see s. DHS 107.13.