Wis. Admin. Code Department of Health Services DHS 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.;

(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.

(bn) A marriage and family therapist licensed under ss. 457.10, 457.11, and 457.14, Stats., including holding a valid training or temporary license;

(bo) A professional counselor licensed under ss. 457.12 to 457.14, Stats., including holding a valid training or temporary license;

(bp) An advanced practice social worker certified under s. 457.08(2), Stats.;

(bq) An independent social worker certified under s. 457.08(3), Stats.;

(br) A clinical social worker licensed under s. 457.08(4), Stats.;

(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 psychotherapy provider whose practice, as described by individual licensure or clinic certification regulations, allows for the delivery of psychotherapy without clinical supervision. For outpatient psychotherapy services delivered by certified providers who are required, under individual licensure or clinic certification regulations, to practice under a clinical supervisor, reimbursement shall be made to the supervising provider. The supervising provider must be MA certified.

Notes

Wis. Admin. Code Department of Health Services DHS 105.22

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. Amended by, CR 20-039: am. (1) (b), cr. (1) (bn) to (br), am. (3) Register October 2021 No. 790, eff. 11/1/2021

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