Non-Wisconsin Residents Who Are Emergency Detained

County agencies can request authorization for reimbursement from DHFS for emergency detention services they provide to non-Wisconsin residents when:

• they are "emergency detained" by local law enforcement authorities

• and require inpatient mental health or substance abuse services.

This form must be completed: DDE-0572, "Request For State Public Funding For Non-Residents" (PDF, 53 KB).

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 and Family Services
P.O. Box 7851
1 West Wilson Street
Madison, WI 53707-7851
Phone: (608) 266-2715
E-mail: Millerk@dhfs.state.wi.us

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Last Updated: October 19, 2007

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin