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
forcehomemaker
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 |