Contact Email
Phone
Fax
Narcotic Treatment Service for Opiate Addiction is certified by the Department of Health Services (DHS) under Wisconsin Administrative Code Chapter DHS 75.15.
Type
Description
A narcotic treatment service for opiate addiction provides for the management and rehabilitation of selected narcotic addicts through the use of methadone or other FDA-approved narcotics and a broad range of medical and psychological services, substance abuse counseling and social services. Methadone and other FDA-approved narcotics are used to prevent the onset of withdrawal symptoms for 24 hours or more, reduce or eliminate drug hunger or craving and block the euphoric effects of any illicitly self-administered narcotics while the patient is undergoing rehabilitation.
Duration
One year (Provisional)
Fees
Annual Fee:
| 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
See Wisconsin Administrative Code Chapter DHS 75.15 (2)
Application Process
According to Chapter DHS 75.03 (2)(c) – Determination. Upon receipt of a completed application for certification DHS shall review the application for compliance with this chapter, which may include an on-site survey. Within 45 days after receiving a completed application, DHS shall either approve or deny the application. If the application for certification is denied, DHS shall give the individual or organization applying for certification reasons, in writing, for the denial and shall inform the individual or organization of a right to appeal that decision under par. (i).
The following applications are required for Community Substance Abuse (CSAS) certification for a Narcotic Treatment Service for Opiate Addition:
- F-00538 (Word) - CSAS Narcotic Treatment Service for Opiate Addiction Initial Certification Application – Chapter DHS 75.15
- F-00544 (Word) - CSAS Outpatient Treatment Initial Certification Application – Chapter DHS 75.13
- F-00523 (Word) - CSAS General Requirements Initial Certification Application – Chapter DHS 75.03
- F-62504* - CSAS or Mental Health Clinic Initial Certification Application (contact 608-261-0656 for this application)
- F-00273* (Word) - Behavioral Health Services Initial Certification Application – Chapter DHS 94 – Patient Rights and Resolution of Patient Grievances
*These applications are not required if the service is being added to an existing certificate.
Caregiver Background Check
A caregiver background check (CBC) is required to be completed for all applicants/legal representatives prior to the approval of any new license, certification or registration of a DQA regulated entity.
- Review information for Licensee Applicants/License Holder Background Checks found on the Caregiver Background Check Process web page for the completion of the Background Information Disclosure (BID) form and Appendix. Complete either the Online Caregiver Background Check (CBC) process or the manual application process.
- Also review information on the requirement for Employee Background Checks found on the Caregiver Background Check Process webpage.
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 75.02, Definitions
Chapter DHS 75.03, General Requirements
Chapter DHS 75.13, Outpatient Treatment
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.
