NON-DOC PROGRAMMING
In compliance with DHS 75.54, Genesis provides the following services to all non-DOC clients:
Medically monitored residential treatment service
In this section, “medically monitored residential treatment service” means a residential substance use treatment service totaling 20 or more hours of treatment services per patient per week, in which substance use and mental health treatment personnel provide assessment and treatment for substance use disorders and co-occurring mental health disorders, under the oversight of a medical director.
Medically monitored residential treatment services may include screening, intake, evaluation and diagnosis, medication management, nursing services, case management, drug testing, counseling, individual therapy, group therapy, family therapy, psychoeducation, vocational services, peer support services, recovery coaching, outreach activities, and recovery support services, to ameliorate symptoms and restore effective functioning.
Medically monitored residential treatment services are delivered in a 24-hour clinical residential setting. This level of care is appropriate for patients who require a 24-hour supportive treatment environment to develop sufficient recovery skills and address functional limitations to prevent imminent relapse or dangerous substance use.
Consistent with the above, the Wisconsin Medicaid program requires the following services for all clients for whom it is the payer. For a comprehensive list and discussion of the Medicaid-required services, please click this link: https://www.forwardhealth.wi.gov/kw/pdf/2020-42.pdf
Assessment and Treatment Planning
This service component includes screening, intake, comprehensive assessment, diagnosis, and treatment planning. Providers must complete assessments using the American Society for Addiction Medicine (ASAM) placement criteria.
The assessment must identify the member’s unique medical conditions; mental health conditions; substance use history; current use, and related symptoms; wellness and nutritional needs; and social and spiritual needs. Throughout the member’s residential treatment, ongoing re-assessment and treatment plan updates must be completed as required by Wis. Admin. Code Chapter DHS 75.
Treatment Services
Treatment services may include the following:
- Individual counseling/therapy
- Group counseling/therapy
- Family counseling/therapy
- Psychoeducation
- Medication management
- Nursing services
- Case management
- Recovery coaching
- Peer support services
To align with ASAM practice standards, high-intensity treatment requires 20 or more hours of treatment services per week for each member.
Clinical Services
These include the following, and they must be delivered by clinical staff within their scope of practice:
- Individual counseling/therapy
- Group counseling/therapy
- Family counseling/therapy
- Psychoeducation
- Medication management
- Nursing services
Clinical staff include the following:
- Psychologists
- Mental health professionals
- Mental health professionals in training
- Substance abuse counselors
- Substance abuse counselors in training
- Physicians
- Physician assistants
- Advance practice nurse prescribers
- Registered nurses and licensed practical nurses
- Other licensed professionals with specialized knowledge and training in mental health and SUDs
Medication-Assisted Treatment
Medication-assisted treatment (MAT) must be available to members who require it. Residential SUD treatment providers must provide MAT medication on site or enable access to the medication off site, and may not deny services to someone receiving MAT. This includes all forms of MAT.
Medical Services
The residential SUD treatment facility must facilitate access to needed medical care that is outside the scope of residential SUD treatment.