DMHSAS Numbered Memo 2010-10
DLTC / DMHSAS Numbered Memo Series index page
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.
Background
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 http://www.dhs.wisconsin.gov/mh_bcmh/crs/index.htm.
You can also contact Mike Jones at: MichaelB.Jones@Wisconsin.gov
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:
Morgan Groves
Division of Mental Health and Substance Abuse Services
1 West Wilson Street, Room 951
P.O. Box 7851
Madison, Wisconsin 53707-7851
Telephone: (608) 261-9312 or FAX: (608) 267-4865
E-mail address: morgan.groves@wisconsin.gov
Regional Office Contact:
Area Administrators
Memo Website:
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Last Revised: October 25, 2010
