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DMHSAS Numbered Memo 2010-10

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State of Wisconsin
Department of Health Services
Division of Mental Health and Substance Abuse Services

Date: October 21, 2010

DMHSAS Numbered Memo 2010-10

Index Title: Change in Functional Need Criteria for Community Recovery Services

To:     DMHSAS Listserv

For:   Area Administrators / Human Service Area Coordinators
Bureau Directors / Section Chiefs
County Departments of Community Programs Directors
County Departments of Developmental Disabilities
Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
County Mental Health Coordinators
Tribal Chairpersons / Human Services Facilitators

From: John Easterday, Ph.D., Administrator, Division of Mental Health and Substance Abuse Services

Subject:  Change in functional need criteria for Community Recovery Services

Document Summary

This memo describes changes to the functional need criteria for the Community Recovery Services (CRS) Benefit.


The Affordable Care Act (ACA) enacted March 23, 2010 made changes to the requirements of section 1915(i) of the Social Security Act that affects the Community Recovery Services (CRS), approved as a 1915(i) MA State Plan Amendment, in Wisconsin. Under the ACA, States may continue to specify needs-based eligibility criteria, but they are no longer permitted to limit the number of eligible individuals who can receive 1915(i) services or establish a wait list for services. Additionally, States may not limit the availability of 1915(i) services to specific geographic areas.

These issues were discussed with counties at a meeting/Video conference on May 25, 2010 and with the Wisconsin County Human Service Association Behavioral Health Policy Advisory Committee on June 25, 2010. We welcome applications from counties in addition to those already participating. Extensive information regarding certification for providing CRS services and submitting individual service plans can be found at You can also contact Mike Jones at:  or (608) 267-9864 for more information.

Functional Need Criteria

Prior to October 1, 2010, individuals were found functionally eligible for CRS using the same functional screen criteria as Comprehensive Community Services (CCS). Effective October 1, 2010, the functional need eligibility criteria was changed to be consistent with the functional need criteria currently used for eligibility for COP funds for persons with mental illness and substance use disorders. In addition, individuals must have a diagnosis of a mood disorder or schizophrenia or other psychotic disorder. Changes to the automated functional eligibility logic have been completed and are operational.

Central Office Contact:

Ronald Bonlender
Division of Mental Health and Substance Abuse Services
1 West Wilson Street, Room 851
P.O. Box 7851
Madison, Wisconsin 53707-7851
Telephone: (608) 267-9864
E-mail address:

Regional Office Contact:

Area Administrators

Memo Website:

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Last Revised:  March 28, 2014