Wisconsin Code § 51.448

Addiction medicine consultation program
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(1)
In this section, “participating clinicians” includes physicians,
nurse practitioners, and physician assistants.
(2) Beginning July 1, 2017, the department shall create and
administer an addiction medicine consultation program to assist
participating clinicians in providing enhanced care to patients
with substance use addiction and to provide referral support for
patients with a substance abuse disorder, and to provide additional services described in this section. The addiction medicine
consultation program created under this section is not an emergency referral service.
(3) The department shall review proposals submitted by organizations seeking to provide consultation services through the addiction medicine consultation program under this section and
shall designate sites, in a number determined by the department,
based on the submitted proposals. The department shall select
and provide moneys to organizations to provide consultation services through the addiction medicine consultation program in a
manner that maximizes medically appropriate access and services as described under sub. (4).
(4) The department shall select qualified organizations to
provide addiction medicine consultation program services
through the sites designated in sub. (3). Each site shall make
available its own qualified provider or consortium of providers.
To be a qualified provider in the addiction medicine consultation
program under this section, an organization shall successfully
demonstrate it meets all of the following criteria:
(a) The organization has the required infrastructure to be located within the geographic service area of the proposed site.
(b) Any individual who would be providing consulting services through the addiction medicine consultation program is located in this state.
(c) The organization enters into a contract with the department agreeing to satisfy all of the following criteria as a condition
of providing services through the addiction medicine consultation program:
1. The organization has at the time of participation in the addiction medicine consultation program a physician who is boardcertified in addiction psychiatry or addiction medicine.
2. The organization operates during the normal business

hours of Monday to Friday between 8 a.m. and 5 p.m., excluding
holidays.
3. The organization shall be able to provide consultation services as promptly as is practicable.
4. The organization shall provide all of the following
services:
a. Support for participating clinicians to assist in the management of addiction or substance abuse and to provide referral
support for patients with a substance use addiction.
b. A triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to
other mental health professionals.
c. When medically appropriate, diagnostic and therapeutic
feedback.
d. Recruitment of other practices in the site’s service territory to the provider’s services.
5. The organization shall have the capability to provide consultation services by telephone, at a minimum.
(5) (a) An organization that provides consultation services
through the addiction medicine consultation program under this
section may provide services by teleconference, video conference, voice over Internet protocol, electronic mail, pager, or inperson conference.
(b) The organization that provides consultation services
through the addiction medicine consultation program under this
section may provide any of the following services, which are eligible for funding from the department:
1. Second opinion diagnostic and medication management
evaluations conducted either by a physician who is board-certified in addiction psychiatry or addiction medicine or a physician
with extensive and documented experience in treating substance
use disorders, either by in-person conference or by teleconference, video conference, or voice over Internet protocol.
2. In-person or Internet site-based educational seminars and
refresher courses provided to any participating clinician who uses
the addiction medicine consultation program on a medically appropriate topic within addiction medicine.
(6) An organization that provides consultation services
through the addiction medicine consultation program under this
section shall report to the department any information as requested by the department.
(7) An organization that provides consultation services
through the addiction medicine consultation program under this
section shall do all of the following:
(a) Conduct annual surveys of participating clinicians who
use the addiction medicine consultation program under this section to assess the amount of addiction medicine consultation provided, self-perceived levels of confidence in providing addiction
medicine services, and the satisfaction with the consultations and
the educational opportunities provided.
(b) Immediately after a clinical practice group begins using
the addiction medicine consultation program under this section
and again 6 to 12 months later, conduct an interview of participating clinicians from that practice group to assess the barriers to
and benefits of participation to make future improvements and to
determine the participating clinician’s treatment abilities, confidence, and awareness of relevant resources before and after using
the addiction medicine consultation program.
(c) Annually, submit to the department survey results under
par. (a), summaries of interviews under par. (b), and a description
of the impact of the program under this section.

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