Covered and Noncovered Services : Covered Services and Requirements

Concurrent Services

Wisconsin DHS defines "concurrent services" as treatment by two distinct and appropriately credentialed providers for a member who has multiple substance use needs or co-occurring substance use and mental health needs. Providers must document the reason for using two different providers instead of a single, dually credentialled provider in the member's record.

All ForwardHealth services must be non-duplicative and medically necessary, as required by Wis. Admin. Code § DHS 101.03(96m).

PA is not required for a member to receive concurrent behavioral health services. However, if one or more of the services typically requires PA, providers must request PA for the service according to the policy for that service.