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Voluntary and Involuntary Discharge

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The Consumer Discharge Process

Discharging your CRS consumer is an active process. The Department's expectation is that care managers will inform the CRS Team as soon as they are certain that a discharge is to take place in order that the consumer's records may be properly updated. The Department has prepared the guidance below to assist care managers as they navigate the discharge process. Please review this information to determine your responsibility for notifying the Department.

Discharge

Discharge from CRS shall be based on the discharge criteria in the service plan of the consumer unless any one of the following applies:

  1. The consumer no longer wants psychosocial rehabilitation services.
  2. The whereabouts of the consumer are unknown for at least 90 calendar days despite diligent efforts to locate the consumer.
  3. The consumer refuses services from the CRS for at least 90 calendar days despite diligent outreach efforts to engage the consumer.
  4. The consumer enters a long term care facility for medical reasons and is unlikely to return to community living.
  5. The consumer is deceased.
  6. Psychosocial rehabilitation services are no longer needed.

When a consumer is discharged from the CRS program, the consumer shall be given written notice of the discharge. The notice shall include all of the following:

  1. A copy of the discharge summary (as developed under "Discharge Summary" below).
  2. Written procedures on how to reapply for CRS services.
  3. If a consumer is involuntarily discharged from the CRS benefit and the consumer receives Medical Assistance, the fair hearing procedures prescribed in s. DHS 104.01 (5). For all other consumers, information on how the consumer can submit a written request for a review of the discharge to the Department.

Note: A written request for 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 851, P.O. Box 7851, Madison, WI 53707−7851.

Discharge Summary

The county/tribal Medicaid agency shall develop a written discharge summary for each consumer discharged from psychosocial rehabilitation services. A copy of such summary shall be sent to the attention of the CRS Coordinator, and shall include all of the following:

  1. The reasons for discharge.
  2. The consumer’s status and condition at discharge including the consumer’s progress toward the outcomes specified in the service plan.
  3. Documentation of the circumstances, as determined by the consumer and recovery team, that would suggest a renewed need for psychosocial rehabilitation services.
  4. For a planned discharge, the signature of the consumer, the service facilitator, and mental health professional or substance abuse professional. 

Last Revised: October 20, 2011