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Wisconsin Department of Health Services

CRS Individual Service Plan Guidance: Quality Review Form

Return to the 1915(i) Community Recovery Services (CRS) Home page.

The Division of Mental Health and Substance Abuse Services (DMHSAS) has created form F-00260 to document their quality review of CRS individual service plan packets submitted by counties or tribes. This form will serve as evidence of the state’s review of each service plan packet and document discovery and remediation activities. It can also be a resource to county / tribe agency staff as they prepare packets for submittal.

Questions regarding the form content or preparation of CRS individual service plan packets should be addressed to:

Langeston Hughes
CRS Quality Service Specialist
Supporting the Wisconsin Department of Health Services
Division of Mental Health and Substance Abuse Services
1 West Wilson Street, Room 851
Madison, WI 53703

Telephone: (608) 261- 7652
Email: langeston.hughes@wisconsin.gov

Important Note: DHS Form F-00260 is provided as courtesy only to assist counties and tribes as they prepare their Consumer applications. Please do not submit this form as part of your consumer application.

Last Revised: December 20, 2011