Alcohol and Other Drug Abuse (AODA) Outpatient Treatment Service - Renewal

Contact Email

Phone

608-261-0656

Fax

608-261-0655
DHS/Division of Quality Assurance
Behavior Health Certification Section
PO Box 2969
Madison, WI 53701-2969

Outpatient Treatment Service is certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 75.13.

Type

Renewal

Description

An outpatient treatment service is a non-residential treatment service totaling less than 12 hours of counseling per patient per week, which provides a variety of evaluation, diagnostic, crisis and treatment services relating to substance abuse to ameliorate negative symptoms and restore effective functioning. Services include individual counseling and intervention and may include group therapy and referral to non-substance abuse services that may occur over an extended period.

Duration

Up to two years with an annual fee.

Fees

Annual Fees:

Services/Programs Amount Branch
Office
Amount
1 $550.00 Tier 1 $200.00
2 $800.00 Tier 2 $500.00
3 $1,000.00    
4 $1,175.00    
5 $1,350.00    
Each additional $100.00    
Telehealth (per certificate) $200.00    

Prerequisites

Already certified as a AODA Outpatient Treatment Service.

Instructions

Renewal information is sent by the Division of Quality Assurance at least 60 days prior to expiration. These materials are to be returned within 30 days of expiration. If you require duplicate information, contact the Division of Quality Assurance, Behavioral Health Certification Section at the number or email above.  

The following applications are required for Community Substance Abuse Services (CSAS) recertification for an Outpatient Treatment Service:

  • F-00302 (Word, 88 KB) – CSAS Outpatient Treatment Recertification Application – Chapter DHS 75.13
  • F-00027* (Word, 290 KB) – CSAS Standards Recertification Application – DHS 75.03 General Requirements
  • F- 00276* (Word, 131 KB) – *Behavioral Health Services Renewal Certification Application DHS 94 – Patient Rights and Resolution of Patient Grievances & Chapter 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 75 including Appendix A, Appendix B and Appendix C
Chapter DHS 75.03, General Requirements
Chapter DHS 75.13, Outpatient Treatment Service
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.

Last Revised: December 10, 2015