County agencies can request authorization for reimbursement from DHS for emergency detention services they provide to non-Wisconsin residents when:
This form must be completed:
REQUEST FOR STATE PUBLIC FUNDING FOR
NON-RESIDENTS P-20572 (MS Word)
See DDES Memo Series 2002-19, dated November 14, 2002, for a detailed explanation of the reimbursement requirements and use of this form.
The contact person for questions about this process is:
Rod Miller, Ph.D.
Mental Health/Substance Abuse Services
Division of Mental Health and
Substance Abuse Services
Department of Health Services
P.O. Box 7851
1 West Wilson Street
Madison, WI 53707-7851
Phone: (608) 266-2715
E-mail:
Rodney.Miller@wisconsin.gov
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Last Updated: October 02, 2009