Contact Email
Phone
Fax
Ambulatory Detoxification Service is certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 75.08.
Type
Description
An ambulatory detoxification service is a medically managed or monitored structured detoxification service on an outpatient basis, delivered by a physician or other service personnel acting under the supervision of a physician. Annual renewal of all services and programs are required for certification. If you chose to end this service please notify us in writing to the address above with the specific end date.
Duration
Up to 2 years with an annual fee.
Fees
Annual Fees:
| Services/Programs | Amount |
|---|---|
| 1 | $550.00 |
| 2 | $800.00 |
| 3 | $1,000.00 |
| 4 | $1,175.00 |
| 5 | $1,350.00 |
| Each additional | $100.00 |
Prerequisites
Already certified as an ambulatory detoxification service.
Instructions
The Division of Quality Assurance sends Desk or Site renewal information at least 60 days prior to expiration. These materials are to be returned within 30 days of expiration. Annual renewal of all services and programs are required for certification. If you chose to end this service, please notify the Behavioral Health Certification in writing.
The following applications are required for Community Substance Abuse Services (CSAS) recertification for Ambulatory Detoxification Service:
- F-00466 (Word) – CSAS Ambulatory Detoxification Service Recertification Application – Chapter DHS 75.08
- F-00027* (Word) – CSAS Standards Recertification Application – Chapter DHS 75.03 General Requirements
- F- 00276* (Word) – Behavioral Health Services Renewal Certification Application Chapter DHS 94 – Patient Rights and Resolution of Patient Grievances & DHS 92 – Confidentiality of Treatment Records
*These should be completed once per certificate annually.
WI Statutes
Chapter 51, State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act
Chapter 51.45, Prevention and Control of Alcoholism
WI Administrative Code
Chapter DHS 12, Caregiver Background Checks
Chapter DHS 13, Reporting and Investigation of Caregiver Misconduct
Chapter DHS 75 including Appendix A, Appendix B and Appendix C
Chapter DHS 75.03, General Requirements
Chapter DHS 75.08, Ambulatory Detoxification
Chapter DHS 92, Confidentiality of Treatment of Records
Chapter DHS 94, Patient Rights and Resolution of Patient Grievances
Additional Information
Visit the Alcohol and Other Drug Abuse (AODA) Treatment Programs website for more information.
