Mental Health, Outpatient Mental Health Clinics (DHS 35): 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 Outpatient Mental Health Clinic is a nonresidential program for persons with problems relating to mental illness to ameliorate or remove the disability and restore more effective functioning and to prevent regression from present level of functioning with services including, but not limited to, evaluation, diagnosis, medical services and psychotherapy.

Duration

Up to 2 years with an annual fee.

Fees

Annual Fees:

Services/Programs Amount Branch
Office
Amount
1 $550.00 Tier 1 $200.00
2 $800.00 Tier 2 $500.00
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 Outpatient Mental Health Clinic 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 35, Outpatient Mental Health Clinics

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