Mental Health, Emergency Mental Health Service Programs (Chapter DHS 34) - Renewal

Contact Email




DHS/Division of Quality Assurance
Behavioral Health Certification Section
PO Box 2969
Madison, WI 53701-2969

Emergency Mental Health Service Programs are certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 34.




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.


Up to 2 years with an annual fee.


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


Already certified as an Emergency Mental Health Service program.


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:

  • F-00571 (Word) – Emergency Mental Health Service Recertification Application – Chapter DHS 34
  • 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

*This application should be completed once per certificate annually.

WI Statutes

Chapter 51, State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act

WI Administrative Code

Chapter DHS 12, Caregiver Background Checks
Chapter DHS 13, Reporting and Investigation of Caregiver Misconduct
Chapter DHS 34, Emergency Mental Health Service Programs
Chapter DHS 92, Confidentiality of Treatment of Records
Chapter DHS 94, Patient Rights and Resolution of Patient Grievances

Additional Information

Visit the Mental Health Treatment Programs website for more information.

Last Revised: November 25, 2019