Mental Health, Children and Adolescent Inpatient Program (DHS 61.79) – Renewal

Contact Email

Phone

608-261-0656

Fax

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

Mental Health, Children and Adolescent Inpatient Programs are certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 61.79.

Type

Renewal

Description

A Mental Health, Children and Adolescent Inpatient Program means a county operated inpatient unit, general hospital psychiatric unit, or private psychiatric hospital whose primary objective is to provide care and intensive treatment for the mentally ill.

Duration

Up to two years with 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
Telehealth (per certificate) $200.00

Prerequisites

Already certified as a Mental Health, Children and Adolescent Inpatient Program.

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 certification of a Mental Health, Children and Adolescent Inpatient Program recertification:

  • The recertification application for Mental Health, Children and Adolescent Inpatient Program is only available by contacting the Behavioral Health Certification Section at the phone number or email above.
  • F-00276* (Word) – Behavioral Health Services Renewal Certification Application, Chapter 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
 

WI Administrative Code

Chapter DHS 12, Caregiver Background Checks
Chapter DHS 13, Reporting and Investigation of Caregiver Misconduct
Chapter DHS 61, Community Mental Health and Development Disabilities
Chapter DHS 61.78, Additional Requirements for Programs Serving Children and Adolescents
Chapter DHS 61.79, Children and Adolescent Inpatient Program
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: December 13, 2017