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Continuing Care and Concurrent Service Resources

Beginning December 1, 2025, ForwardHealth expanded the availability of continuing care and concurrent service options to providers administering mental health and substance abuse treatment, per Wis. Admin. Code § DHS 75.

Continuing Care

The Wisconsin Department of Health Services (DHS) defines “continuing care” as treatment for such members who plan to continue contact with their provider, either at agreed-upon intervals or on an unplanned basis based on unexpected needs, without completing a new clinical assessment, intake or treatment plan.

Some members who have been discharged following the completion of a course of outpatient SUD or integrated treatment may be eligible for continuing care, which is a new utilization flexibility.

This flexibility is available to agency providers certified under Wis. Admin. Code §§ DHS 75.49 and 75.50 within the outpatient substance abuse benefit and select procedure codes within the outpatient mental health benefit. 

Online Handbook Topics

Title ForwardHealth Resource Description of Content

Continuing Care, #23943

Online Handbook Topic

Continuing care defined as a “utilization flexibility”

Procedure Codes, #5807

Online Handbook Topic

Outpatient substance abuse treatment procedure codes

Procedure Codes, #6123

Online Handbook Topic

Outpatient mental health procedure codes, including the new continuing care billing modifier

Modifiers, #6218

Online Handbook Topic

Outpatient mental health modifiers

Covered Services, #5800

Online Handbook Topic

Continuing care definition and assessment requirements

Concurrent Services

Allowed Concurrent Outpatient Mental Health and Substance Use Disorder Services

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.

Eligibility Criteria

Substance use services or co-occurring substance use and mental health services may be provided concurrently when they are considered medically necessary, non-duplicative, and appropriate. Providers of concurrent services must demonstrate that both services are diagnostically appropriate for the member and coordinate with each other on the member's treatment and ongoing needs.

Prior Authorization

Providers aren’t required to get PA for a member to receive concurrent behavioral health services. However, if one or more of the services typically require PA, providers must request PA for the service according to the policy for that service.

Coverage Policy

The concurrent service policy also impacts:

  • Point-of-care drug testing for members in IOPs.
  • Members who are enrolled in comprehensive community services (CCS) and a residential SUD treatment program seeking some limited services.

Online Handbook Topics

Title ForwardHealth Resource Description of Content

Concurrent Services, #23944

Online Handbook Topic

Concurrent services mental health and substance use treatment service definition and criteria

Concurrent Adult Mental Health Day Treatment Services, #5917

Online Handbook Topic

Program requirements for adult mental health day treatment services concurrent with other mental health and substance abuse services

Concurrent Mental Health Prior Authorizations, #6497

Online Handbook Topic

PA requirements for concurrent mental health

Expectations and Documentation Requirements for Collaborating Providers, #21337

Online Handbook Topic

Provider documentation requirements for the provision of concurrent services

Coverage of Outpatient Mental Health Services Concurrent With Other Mental Health or Substance Abuse Services, #6097

Online Handbook Topic

Program requirements for outpatient mental health services concurrent with other mental health and substance abuse services, including residential SUD program

Concurrent Behavioral Treatment and Behavioral Health Services, #19019

Online Handbook Topic

Provider responsibilities for delivery concurrent behavioral treatment and behavioral health services

Point-of-Care Drug Testing, #22937

Online Handbook Topic

Point-of-care drug testing for SUD treatment

Coordination Between Comprehensive Community Services and Residential Substance Use Disorder Treatment, #22997

Online Handbook Topic

Coverage requirements and exceptions for the concurrent use of CCS and residential SUD programs

Procedure Codes, #23741

Online Handbook Topic

IOP and point-of-care drug testing procedure codes

 
 
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