Mental Health, Emergency Mental Health Service Programs (DHS 34): Renewal

Contact Email

Phone

608-261-0656

Fax

608-261-0655

Mailing Address

DHS/DQA/Behavioral Health Certification Section
PO Box 2969
Madison, WI 53701-2969

Type

Renewal

Description

An Emergency Mental Health Service program means a coordinated system of mental health services, which provides an immediate response to assist a person experiencing a mental health crisis. Outpatient emergencies include socio-emotional crises, attempted suicides, family crises, and if needed, transportation to an emergency room of a general hospital for medical treatment.

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

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. 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 an Emergency Mental Health Service Program recertification:

* This application should be completed once per certificate annually.

WI Statutes

Wisconsin Stat. ch. 51, State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act

WI Administrative Code

Wisconsin Admin. Code ch. DHS 12, Caregiver Background Checks

Wisconsin Admin. Code ch. DHS 13, Reporting and Investigation of Caregiver Misconduct

Wisconsin Admin. Code ch. DHS 34, Emergency Mental Health Service Programs

Wisconsin Admin. Code ch. DHS 92, Confidentiality of Treatment of Records

Wisconsin Admin. Code ch. DHS 94, Patient Rights and Resolution of Patient Grievances

Program Information

Visit the Mental Health Treatment Programs webpage for more information.

Last Revised: June 15, 2022