Psychosocial rehabilitation services shall be available to individuals who are determined to require more than outpatient counseling but less than the services provided by a community support program under s. 51.421, Stats., and ch. DHS 63, as indicated by the results of a department-approved functional screen, which must be administered initially and annually, and meet all of the following criteria:

1. (1) Has a diagnosis of a mental disorder or a substance use disorder.

2. (2) Has a functional impairment that interferes with or limits one or more major life activities and results in needs for services that are described as ongoing, comprehensive and either high-intensity or low-intensity. Determination of a qualifying functional impairment is dependent upon whether the applicant meets one of the following descriptions:

   1. (a) ‘Group 1’. Persons in this group include children and adults in need of ongoing, high-intensity, comprehensive services who have diagnoses of a major mental disorder or substance use disorder, and substantial needs for psychiatric, substance abuse, or addiction treatment.

   2. (b) ‘Group 2’. Persons in this group include children and adults in need of ongoing, low-intensity comprehensive services who have a diagnosed mental or substance-use disorder. These individuals generally function in a fairly independent and stable manner but may occasionally experience acute psychiatric crises.

      Note: Appropriate identification of mental health or substance-use related problems for this group is critical, especially because they are often first seen in non-mental health or substance-use treatment settings, e.g., primary care sector, school system, law enforcement, child welfare, aging services, domestic violence shelters, etc.

3. (3)

   1. (a) If the department-approved functional screen cannot be completed at the time of the consumer’s application, the CCS shall conduct an assessment of the applicant’s needs pursuant to s. DHS 36.16 (3) and (4). An assessment conducted under s. DHS 36.16 (3) and (4) may be abbreviated if any one of the conditions under s. DHS 36.16 (5) applies.

   2. (b) If an applicant is determined to not need psychosocial rehabilitation services, no additional psychosocial rehabilitation services may be provided to the applicant by the CCS program. The applicant shall be given written notice of the determination and referred to a non-CCS program. The applicant may submit a written request for a review of the determination to the department.

      Note: A written request for a review of the determination of need for psychosocial rehabilitation services should be addressed to the Bureau of Prevention, Treatment and Recovery, 1 W. Wilson Street, Room 433, PO Box 7851, Madison, WI 53707-7851.

   3. (c) If an applicant is determined to need psychosocial rehabilitation services, a comprehensive assessment shall be conducted under s. DHS 36.16 (3) and (4) unless the following conditions are present:

      1. 1. A comprehensive assessment was conducted and completed under par. (a).
      2. 2. The consumer qualifies for an abbreviated assessment under s. DHS 36.16 (5).

History

History: CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04; correction in (intro.) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; CR 25-055: am. (intro.), (2) (a) February 2026 No. 842, eff. 3-1-26.