Mental Health, Emergency Mental Health Service Programs (DHS 34): Renewal

Scam targeting U.S. Bank customers

DHS is aware of an organized impersonation scam that targets U.S. Bank customers. Impersonators are contacting customers by phone, posing as representatives from the U.S. Bank Fraud Department. They may claim issues with recently initiated wire transfers. The DHS DQA Provider Portal uses U.S. Bank for the payment of fees. Please be aware of this impersonation scam if you are paying fees through the DHS DQA Provider Portal.

Type

Renewal

Description

An emergency mental health service program means a coordinated system of mental health services, which provides an immediate response to assist a person experiencing a mental health crisis. Outpatient emergencies include socio-emotional crises, attempted suicides, family crises, and if needed, transportation to an emergency room of a general hospital for medical treatment.

Duration

Up to two years with an annual fee.

Fees

Fees are paid annually.

Services/ProgramsAmount
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 (DQA) 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 DQA Behavioral Health Certification Section.

The following applications are required for an emergency mental health service program recertification:

Wisconsin statute

Wisconsin Stat. ch. 51, State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act

Wisconsin 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 34, Emergency Mental Health Service Programs

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.

Glossary

 
Last revised August 15, 2025