1. (1) Types of providers. For MA certification, an outpatient alcohol and other drug abuse (AODA) treatment provider shall be:

   1. (a) An outpatient facility operated by a board and certified under ss. DHS 75.49, 75.50, and 75.51;
   2. (b) An outpatient facility or hospital outpatient AODA facility certified under ss. DHS 75.49, 75.50, and 75.51; or
   3. (c) A provider certified under s. DHS 105.05 (1), 105.22 (1) (b), 105.22 (1) (bn), 105.22 (1) (bo), or 105.22 (1) (br). Providers that hold a training or temporary license under s. DHS 105.22 (1) (bn) or (bo) are excluded.

2. (2) Staffing requirements.

   1. (a) To provide AODA services reimbursable under MA, personnel employed by an outpatient facility under sub. (1) (a) or (b) shall:

      1. 1. Meet the requirements in s. DHS 105.22 (1) (b) or 105.05 (1); or

      2. 2. Be an AODA counselor certified by the Wisconsin alcoholism and drug abuse counselor certification board and work under the supervision of a provider who is a licensed physician or licensed psychologist and employed by the same facility.

         Note: Certification standards of the Wisconsin Alcoholism and Drug Abuse Counselor Certification Board may be obtained by writing the Wisconsin Alcoholism and Drug Abuse Counselor Certification Board, Inc., 416 East Main Street, Waukesha, WI 53186.

   2. (b) The facility shall provide the department with a list of persons employed by the facility who perform AODA services for which reimbursement may be claimed under MA. The listing shall identify the credentials possessed by the named persons which would qualify them for certification under the standards specified in par. (a). A facility, once certified, shall promptly advise the department in writing of the employment or termination of employees who will be or have been providing AODA services under MA.

3. (3) Reimbursement for AODA services. Reimbursement for outpatient AODA treatment services shall be as follows:

   1. (a) For the services of any provider employed by or under contract to a certified AODA facility, reimbursement shall be made to the facility; and

   2. (b) For the services of any provider who is a physician or licensed psychologist defined under sub. (1) (c) in private practice, reimbursement shall be to the physician or psychologist.

      Note: For covered alcohol and other drug abuse treatment services, see s. DHS 107.13 (3).

History

History: Cr. Register, February, 1986, No. 362, eff. 3-1-86; am. (1) (b) and(c) and (2) (a) 1., Register, September, 1991, No. 429, eff. 10-1-91; corrections in (1) (a) and (b) made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554; corrections in (1) (a) and (b) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636; CR 20-039: am. (1) (c) Register October 2021 No. 790, eff. 11-1-21; correction in (1) (c) made under s. 35.17, Stats., Register October 2021 No. 790; correction in (1) (a), (b) made under s. 13.92 (4) (b) 7., Stats., Register September 2022 No. 801.