Department of Health Services Logo

 

Wisconsin Department of Health Services

 

 

 HSRS HANDBOOK CHANGES  2007

BIRTH TO THREE UPDATED 03/22/2007

ALCOHOL AND OTHER DRUG ABUSE

New DDE-458 HSRS Alcohol and Drug Abuse Module form (revised 10-2006)

REFERRAL SOURCE (Field 12)
    Added code 15 Drug court
    Added code 16 OWI court

NUMBER OF ARRESTS 30 DAYS PRIOR TO  ADMISSION (Field 15)
    Added two new data fields: 
    Numeric value between 00 and 96

LIVING ARRANGEMENT AT ADMISSION (Field 16)
   
01 Street, shelter, no fixed address, homeless
   
02 Private residence or household; living alone or   
         with others
   
03 Supported or semi-supervised residence
   
04 Specialized facility with on site supervision
   
05 Other institution
   
06 Jail or correctional facility
   
07 Child under age 18 living with parents
    

EMPLOYMENT STATUS (Field 18)
    Wording change for code 5 to Not in the labor
    force–homemaker
    Added code 6 Not in the labor force – student
    Added code 7 Not in the labor force – retired
    Added code 8 Not in the labor force – disabled
    Added code 9 Not in the labor force – inmate of jail,
    prison, or other institution

CLOSING STATUS (Field 35)
    E = Employment
    Wording changed for code 5 to Not in the labor
    force – homemaker
    Added code 6 Not in the labor force – student
    Added code 7 Not in the labor force – retired
    Added code 8 Not in the labor force – disabled
    Added code 9 Not in the labor force – inmate of jail,
    prison, or other institution
    AR = Arrests
    Added new category AR = Arrests – number of
    arrests 30 days prior to discharge, or since admission
    if less than 30 days

LONG TERM SUPPORT

CLIENT CHARACTERISTICS (Field 8)
   Wording change for code 57 to Abused/neglected 
   adults/elder
   Added code 93 Chapter 54/55 adults/elder

SPECIAL PROJECT STATUS (Field 14)
  Removed code F = Family Care participant moves to a
  non family care county

FUNDING SOURCE (Field 27)
  Wording change for code RO to Conditional release
  Removed code OA = Other approved match source 
  – must be  prearranged with BDDS
  Removed LTS code 7 from code FT = Family care
  transfer (only allowed with LTS codes 2,4)
  Added code ND = Nursing home diversion

COSTS (Field 33)
  Notes added: LTS codes 2, 3, and N will accept up to 
  $99,999.99 per month for SPCs 112/56 and 112/57 
  Costs not allowed for SPCs 503, 896, 897, 898,
  and 899

APPENDIX A – HSRS OUTPUT REPORTS

  New reports added:
  LONG TERM SUPPORT
    
A010  CIP1A Waiver Slot Creation Date
    
010P  CIP1A Waiver Slot Creation Date – Previous
     Year
    
A008 LTS Waiver Mandate Report

APPENDIX C – AGENCY ID CODES

    Added new code 4045 Ozaukee Co HSD
    Added new code 4057 Sawyer Co HSD

APPENDIX G – FILE TRANSFER SYSTEM

    Added new AODA record layout

APPENDIX H – APPLICATION MENU

    Added on-demand reports for the following: 
    AODA Costs Reports
    AODA Treatment Outcome Reports
    LTS Cost Report
    LTS SPC Reports
    ICF-MR In-Facilty Report 

HSRS SOS Desk
DHSSOSHelp@wisconsin.gov
(608)266-9198

Last Revised:  October 24, 2008