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

Contact Email

Phone

608-261-0656

Fax

608-261-0655
DHS/DQA/Behavior Health Certification Section
PO Box 2969
Madison, WI 53701-2969

Ambulatory Detoxification Service is certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 75.11.

Type

Renewal

Description

A medically monitored treatment service operates as a 24-hour, community-based service providing observation, monitoring and treatment by a multidisciplinary team under supervision of a physician, with a minimum of 12 hours of counseling provided per week for each patient.

Duration

Up to two 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 AODA Medically Monitored 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 a Medically Monitored Treatment Service:

  • F-00469 (Word, 88 KB) – CSAS Medically Monitored Treatment Service Recertification Application – Chapter DHS 75.11
  • F-00027* (Word, 290 KB) – CSAS Standards Recertification Application – Chapter DHS 75.03 General Requirements
  • F- 00276* (Word, 131 KB) – 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 75 including Appendix A, Appendix B and Appendix C
Chapter DHS 75.03, General Requirements
Chapter DHS 75.11, Medically Monitored 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