Contact Email
Phone
Fax
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Type
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:
- Outpatient Mental Health Clinic Recertification Application - DHS 35, F-00785
- Behavioral Health Services Recertification Application - DHS 94 Patients Rights and Resolution of Patient Grievances DHS 92 Confidentiality of Treatment Records, F-00276*
* 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.
