Contact Email
Phone
Fax
Mailing Address
Type
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 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 certification of a Mental Health, Children and Adolescent Inpatient Program recertification:
- Mental Health Inpatient Initial Certification Application - DHS 61.71 and 61.79, F-00547
- Behavioral Health Services Recertification Application - DHS 94 Patients Rights and Resolution of Patient Grievances DHS 92 Confidentiality of Treatment Records, F-00276*
* These 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 61, Community Mental Health and Developmental Disabilities
Wisconsin Admin. Code § 61.78, Additional Requirements for Programs Serving Children and Adolescents - Introduction and Personnel
Wisconsin Admin. Code § 61.79, Children and Adolescent Inpatient Program
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.
