5-Quick Reference Service Type List General 5.19.2025.xlsx
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- Milwaukee County, Mattoon Village, Wisconsin
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The document is a detailed service type reference list for Milwaukee County Behavioral Health Services (BHS) Comprehensive Community Services (CCS) program, specifically outlining numerous ancillary service types for youth and adult participants. The BHS CCS is issuing an Expression of Interest (EOI) to expand its network of community providers for 2026, seeking new and expanded service providers across multiple specialized service categories. These services include art therapy, dance and movement therapy, equine-assisted learning, fitness education, housing support, individual placement and support, meditation and mindfulness training, nutrition counseling, parent coaching, peer support, psychotherapy, social skills training, substance abuse treatment, therapeutic arts, wellness management, and yoga, among others.
The EOI targets community agencies, organizations, and interested parties willing to provide specialized behavioral health support services, with specific guidelines for each service type. Current providers seeking to continue existing services are not required to use this EOI process, while new providers and current providers wanting to expand their service offerings are encouraged to participate. Each service type has detailed descriptions, service outcomes, limitations, and specific implementation guidelines. The document emphasizes time-limited services focused on developing independent skills, promoting recovery, and connecting participants to community-based resources. Services are designed to support individuals with mental health conditions, substance abuse challenges, and other behavioral health needs, with a strong focus on empowerment, skill development, and sustainable personal growth.
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Other files
| File | Type | Posted |
|---|---|---|
| 10-Submission Instructions - DHHS-BHS-EOI-CCS Ancillary.docx | DOCX document | |
| 11-Preliminary QA CCS Ancillary EOI 080325.pdf | ||
| 12-Final QA CCS Ancillary EOI 080725.pdf | ||
| 6-Item TBE Targeted Business Enterprise Certification rev042525.docx | DOCX document | |
| 4-Item DCPI Designation of Confidential and Proprietary Information rev051724.docx | DOCX document | |
| 7-Item EOI Open Enrollment Questionnaire.docx | DOCX document | |
| 2-Item 26 Provider Service Site Information rev0051724.docx | DOCX document | |
| 8-Expression of Interest Open Enrollment CCS Ancillary.docx | DOCX document | |
| 9-Item 1 Cover Letter EOI rev070124.docx | DOCX document | |
| 1-Item 16 Additional Disclosures rev051724.docx | DOCX document | |
| 3-ITEM 26a Agency Site Info Rev 1.xlsx | XLSX spreadsheet |
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Sheet1
| Service Type | Code | Service Description | Service Outcomes | Service Limitations |
| Art Therapy (licensed provider with ATR) | H2017TART or H2017TARTGRP | Art Therapy is a tool used to help patients interpret, express, and resolve their emotions and thoughts. Individuals work with an art therapist to explore their emotions, understand conflicts or feelings that are causing them distress, and use art to help them find resolutions to those issues. | 1) Improve healthy self-expression and communication |
2 Enhance emotional regulation and coping skills
3) Increase self-awareness and insight
4) Improve cognitive function and problem-solving skills
5) Reduce stress and anxiety
| 6) Support healing from trauma and loss | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |||
| Art Therapy (unlicensed provider with ATR) | H2017ARTW or H2017ARTWGRP | Art Therapy is a tool used to help patients interpret, express, and resolve their emotions and thoughts. Individuals work with an art therapist to explore their emotions, understand conflicts or feelings that are causing them distress, and use art to help them find resolutions to those issues. | 1) Improve healthy self-expression and communication |
2 Enhance emotional regulation and coping skills
3) Increase self-awareness and insight
4) Improve cognitive function and problem-solving skills
5) Reduce stress and anxiety
| 6) Support healing from trauma and loss | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | ||||
| Benefits Education and Beneftis System Navigation | H2017SBENED | Benefits Education and Benefits System Navigation is a service intended to support individuals in learning how navigate and self advocate within complex benefits systems like Social Security, Medicaid, and FoodShare. The intention of this service type is to support individual with increasing their knowledge related to the benefits they may qualify for, learning how to apply for those benefits and what needs to be done to manage and sustain those benefits. Under this service type there are three different tracks that can be offered: 1) Benefits Education and Benefits System Navigation-General 2) SOAR (see description below) and 3) Work Incentive Planning (see descriptions below) SOAR- An evidenced based practice that supports applying for Social Security Income. SOAR specialists are highly trained an certified to deliver this service. https://soarworks.samhsa.gov/ Work Incentives Planning- Requires specialized training to perform. Supports individuals in understanding how employment may impact their benefits. Strongly encouraged in IPS. https://www.ssa.gov/work/WIPA.html | Training is intended to foster confidence and building of independence to perform tasks necessary to access and maintain benefits. | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. | |
| Budgeting and Financial Literacy | H2017SFINAN or H2017SFINANGRP | Financial literacy is the foundation for making informed decisions about managing money, investing, saving, and planning for the future. It equips individuals with the knowledge and skills needed to navigate the financial challenges of life, avoid debt, build wealth, and achieve financial independence to support sustained recovery. | |||
| 1)Empower the individual to take control of financial lives, make informed decisions, avoid financial pitfalls (excessive debt, poor investment choices) 2) Increase economic stability by promoting responsible financial behavior 3) Reduce poverty 4)Increase financial well-being, essential for setting and achieving financial goals (buying a home, saving for retirement, funding education and other personal goals important for sustained recovery) | Payeeship services can be offered in CCS, but MUST emphasize the development of financial literacy skills and movement toward independence (CCS doesn't reimburse for time spent cutting checks and independently managing finances without the individual present) | ||||
| Complex Systems Navigation | H2017SYSNAV | Attempting to independently navigate complex systems can be challenging. Complex Systems navigation aims to enhance the knowledge and skill sets of CCS participants when interfacing with various complex systems like Social Welfare, Legal, Educational systems, etc. | 1) To enhance the individual's understanding of different complex systems of care of how they operate; 2) To increase understanding of the individual's rights and responsibilities when navigating complex systems of care; 3) Learning strategies and techniques to best support individuals in obtaining desired outcomes as it pertains to involvement in complex systems 4) Increase the individual's ability to access needed resources and supports to navigate complex systems of care independent of formal CCS supports 5) Increase the individual's ability to self advocate while engaging with complex systems | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. | |
| Daily Living Skills Assessment | H2017DOT | A full assessment, facilitated by a licensed Occupational Therapist, that determines one's ability to take care of their daily living needs. Areas an OT assesses may include: Personal Care & Self Help – hygiene, toileting, meals, chores and other home tasks |
Socialization – leisure or play skills, interpersonal relationships (interactions with peers, siblings, and family members), conversation, non-verbal cues Communication – requesting, commenting, explaining Community & Safety – crossing the street, appropriate with others, purchasing
| Self-Direction – goal setting, self-management, problem solving, choice making Sensory Processing- identifies areas where sensory input may not be processed efficiently from one's environment (auditory, tactile sensitivities, etc.) | 1) Attain a comprehensive picture of an individual's functional capacity and/or occupational performance 2) Identify existing barriers that may impact occupational performance 3) Recommend strategies and interventions to address identified needs and barriers | Assessment can only be facilitated by a licensed Occupational Therapist. Depending on the needs of the individual, this service may be a one time service and resolved on the plan once completed or ongoing if repeat assessments need to occur | |||
| Daily Living Skills Training | H2017SDSKIL or H2017SDKILGRP | Training in a variety of skill areas that build functional independence in a specific task of daily living. May include: transportation training, dressing, bathing, grooming, grocery shopping, cooking, household management/cleaning, laundry, utilization of a phone/technology to support the meeting of basic needs, engagement and connection to resources, etc. Services are intended to be time limited and move toward independent application of learned skills. | To empower individuals with the practical skills and abilities needed to manage their daily lives independently, fostering self-sufficiency, confidence, and overall well-being | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. | |
| Dance and Movement Therapy (unlicensed provider with DMT) | H2017WDANC or H2017WDANCGRP | A form of therapy that uses movement, both creative and functional, as well as words, to help people with behavioral health issues to regain a sense of wholeness by experiencing the fundamental unity of body, mind, and spirit. Dance and Movement Therapy uses movement and nonverbal communication in addition to talk therapy to manage psychological and behavioral concerns that words alone do always address. | 1) Improve emotional state, i.e. a better recognition of emotions, a focus on emotions, emotional release, and the development of kinesthetic empathy (to feel in one’s own body the movement of the other) 2) Increase body awareness and mind body reconnection 3) Enhance feelings of hope, resiliency and empowerment 4) Improve relationships 5) Increase social connectedness 6) Decrease psychiatric symptoms 7) Improve one's ability to cope with triggers and stressors | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |
| Dance and Movement Therapy (licensed provider with DMT) | H2017TDANC or H2017TDANCGRP | A form of therapy that uses movement, both creative and functional, as well as words, to help people with behavioral health issues to regain a sense of wholeness by experiencing the fundamental unity of body, mind, and spirit. Dance and Movement Therapy uses movement and nonverbal communication in addition to talk therapy to manage psychological and behavioral concerns that words alone do always address. | 1) Improve emotional state, i.e. a better recognition of emotions, a focus on emotions, emotional release, and the development of kinesthetic empathy (to feel in one’s own body the movement of the other) 2) Increase body awareness and mind body reconnection 3) Enhance feelings of hope, resiliency and empowerment 4) Improve relationships 5) Increase social connectedness 6) Decrease psychiatric symptoms 7) Improve one's ability to cope with triggers and stressors | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |
| Diagnostic Evaluation | H2017D | Diagnostic evaluations include specialized evaluations needed by the participant including, but not limited to neuropsychological, geropsychiatric, specialized trauma, and eating disorder evaluations. For minors, diagnostic evaluations can also include functional behavioral evaluations and adolescent alcohol/drug assessment intervention programs. | To clarify a diagnosis or identify a co-occurring issue to ensure the individual receives the best treatment for their condition(s) | The CCS program does not cover evaluations for autism, developmental disabilities, or learning disabilities. | |
| Education Systems Navigation | H2017SEDUNAV | Education navigation services aim to support the individual and their family in developing the skills necessary to ensure a youth receives appropriate education related interventions and supports to promote positive integration and interaction within the school enviroment. Skills to be developed may include include, accessing and navigating IEP/504 planning, behavioral management planning, navigating disciplinary processes, etc. The major goal associated with this service is to teach youth and their families how to advocate for their rights and needs, regardless of setting. | Education Systems Navigation services may include any off the following: Advocacy: 1) Supporting access to and navigation of IEP/504 Plan Development: Assisting in the creation and review of Individualized Education Programs (IEPs) and Section 504 plans, which outline a student's specific needs and accommodations. (Explaining process from referral to IEP Development) 2) Dispute Resolution: Helping youth and families learn how to navigate disagreements with the school district regarding a student's education. (Meditation, Facilitated IEP meeting and Due Process) 3) Information and Education: Educating youth and families about their rights and responsibilities under special education regulations. 4) Assisting youth and families with developing and advocation for appropriate accommodations and modifications to support students' learning (for home and school) 5) Resource Referral: Connecting families with relevant resources, including support groups, therapists, and other professionals. 6) Transition Planning: Assisting families in preparing for transitions, such as moving from elementary to middle school or from high school to post-secondary education and employment and alternative placement options. | 1) Education Navigators do not provide legal advice or make desisions for the individual or family. 2) Providers cannot guarantee eligibility or specific outcomes. 3) Education Systems Navigation services can only be provided as the result of a primary behavioral health condition. Individuals seeking services due to a primary medical, developmental or physical disability cannot access this service via CCS. 4) Education Navigations do not provide educational diagnoses, but can connect you to resources that may support the need. | |
| Equine Assisted Learning | H2017SEAL | Service delivery is limited to no more than 12 months. EQUINE-ASSISTED LEARNING (EAL) is the broad area of learning incorporating equines (horses). Specially trained or certified professionals may offer three distinct nontherapy, EAL services: equine-assisted learning in education, equine-assisted learning in organizations, and equine-assisted learning in personal development. Whether as individuals or in teams, qualified professionals possess appropriate training, experience, and skill to facilitate EAL activities that provide an environment integrating equine-human interaction, supported by a planned learning experience, to meet identified goals for the participant. EAL participants are exposed to activities that can promote the discovery of critical life skills such as healthy decision making and problem solving, creative and critical thinking, self-awareness and empathy, communication and interpersonal skills, and coping with emotions and stress. Experiential learning activities may incorporate mounted equine interactions and a broader equine environment to optimize a learner’s experience. A certified therapeutic riding instructor must be present during mounted activities. For group activities a second facilitator may be required. | 1) Improve verbal and non-verbal communication skills. |
2) Develop a greater sense of self and empathy.
3) improve problem solving and decision-making skills.
4) Improve stress management abilities
5) Increase confidence and self-esteem.
| 6) Build social skills and learn to work in team 7) Leadership skills, life skills, problem solving, decision making, creative and critical thinking, communication. | Riding is not a part of the EAL program. | |
| Equine Assisted Psychotherapy | H2017TEQU | |
| Service delivery is limited to no more than 12 months. Equine Assisted Psychotherapy (EAP) is an experiential therapy approach combining a mental health professional’s expertise with a certified equine specialist’s knowledge of horses, and the intuitive, non-judgmental presence of the horse(s) to create a dynamic therapeutic environment to address specific treatment goals. Working together with horses and clients as equal partners in an experiential process that empowers life-changing outcomes. EAP offers a distinctive kind of feedback that is exclusive to this approach and gives the client a more holistic treatment experience. Horses are incredibly perceptive animals, capable of responding to subtle cues and emotions in humans. Their natural behavior and herd dynamics provide rich metaphors for clients to explore their life experiences. The presence of horses in therapy sessions offers several unique benefits: Clients often work with horses as they are loose in the arena, or a pasture, exploring the effects of their body language on the horses. All EAP therapies are done on the ground with the horse(s) present. Communicating with the horse(s) creates a safe space for the client to explore difficult thoughts and feelings and a chance to reflect inwardly without fear of judgement. Horses require a sense of awareness from humans, and exercising this sense of awareness can aid clients in rebuilding neuroplasticity, attentiveness, and thought processes | 1) Enhanced ability to manage and regulate emotions in a safe and supportive environment. |
2) Increased feelings of trust toward self and others
3) Increased confidence and self-esteem
4) Improved communication and social skills
5) Stress and anxiety reduction, manage depression
6) Horses mirror human emotions and behaviors without judgment, allowing clients to gain insight into their feelings and actions.
Although Riding and horsemanship is not a part of the EAP program, it provides an opportunity for the client’s life stories to unfold metaphorically. As with all therapy-based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need
| Fitness Education | H2017HFIT or H2017HFITGRP | Service delivery is limited to no more than 12 months. Fitness education is a service that utilizes movement and exercise to support individuals in establishing healthy routines that support the decrease of mental health symptoms, alleviate stress, improve energy and sleep, enhance motivation and boost overall mood. The provider educates and motivates the individual to help them to safely and effectively set health and fitness specific goals. Services are intended to be time limited and move toward independent application of learned skills with connection to community based resources to support continuation of fitness activities. | 1) To support the development of a healthy routine based on the individual's needs and abilities. 2) To establish personal health and fitness goals to improve overall wellbeing. 3)To identify and build on natural and community based supports to promote the maintenance of healthy routines beyond service delivery | The provider will develop and re-evaluate a plan at determined intervals. Due to CCS being a behavioral health management program, goals and case note documentation should focus on building sustainable plans and healthy routines that promote movement toward independent work and accessing community based resources. We should not see physical health (pain reduction, ROM, etc.) or weight loss goals. A specific goal to reduce pain or loose weight would not be a CCS goal, but the reason why someone wants to reduce pain or loose weight could be linked to a behavioral health need. |
| Housing | H2017SHOUS | A housing specialist works collaboratively with the individual to learn the skills necessary to: independently navigate complex housing benefits/systems, locate safe and affordable housing, complete applications, communicate and self-advocate with landlords, understand landlord/tenant rights and learn skills and resource access to support the maintenance of a healthy recovery environment. | To empower individuals with the practical skills and abilities needed to manage their housing needs independently, fostering self-sufficiency, confidence, and overall stable recovery environment. | A housing specialist should rarely work independently (without the individual) during service delivery. A housing specialist should not be put on the plan with the intention for them to independently find housing for a individual |
| Individual and Family Psychoeducation | H2017PE or H2017PEGRP | Psychoeducation services include: Assisting the individual, their family members and/or other identified natural supports to better understand the individual's behavioral health condition(s) (symptomology, origin, triggers, etc.) for the purpose of developing skills to best support the individual in their recovery process. | 1) Enhance the individual and/or their natural support system's understanding of their behavioral health condition(s) (symptoms, causes and treatment options) 2) Increase the individual and/or their natural support system's skills and abilities to better support the individual in their recovery process 3) Enhance the individual and/or their natural support system's ability to recognize early warning signs and implement preventative measures 4) Expand an individual and/or their natural support system's support network | Psychoeducation is its' own service category. Other services and supports that fall outside of this service description should NOT be provided under Psychoeducation. When a therapist is seeing someone for Psychotherapy, psychoeducation should be done within the context of Psychotherapy and NOT as an additional service, unless the therapist is working separately with family members and/or natural supports within the scope of psychoeducation. For YOUTH participants: Psychoeducation can be delivered to family members with the intention to enhance their understanding of the youth's condition and support them in building parenting skills to better support the youth. Other services i.e. resource connection to support the family in meeting their basic needs CANNOT be provided by CCS ancillary providers. Family needs related to housing, food, medical benefits, mental/medical health intervention for other family members, etc. needs be facilitated by the CCS Service Facilitator via connection to resources outside of CCS. *Individual service provision is limited to 90 mins/week. |
| Individual Placement and Support (IPS) | H2017E | Individual Placement and Support (IPS) is a proven supported employment model that helps people with mental health and substance use disorders find and keep jobs of their choosing. The IPS model is based on the philosophy that employment is treatment and leads to improved recovery outcomes. Service providers will follow the 8 principles to deliver services that are laid out and supported by the IPS Employment Center (www.ipsworks.org) IPS is based on 8 principles. |
•Competitive Employment - Jobs anyone can apply for, pay at least minimum wage/same pay as coworkers with similar duties, and have no artificial time limits imposed by the social service agency.
•Systematic Job Development - Employment specialists systematically visit employers, who are selected based on the job seeker’s preferences, to learn about their business needs and hiring preferences •Rapid Job Search - IPS programs use a rapid job search approach to help job seekers obtain jobs rather than assessments, training, & counseling. The first face to face contact with the employer occurs within 30 days •Integrated Services - IPS programs are integrated with mental health treatment teams. Employment specialists attach to 1 or 2 mental health treatment teams at a maximum. A general caseload is 20 consumers, but this can fluctuate based on service demand and levels of engagement.
•Benefits Planning - Employment specialists help people obtain personalized, understandable, and accurate information about their Social Security, Medicaid, and other government entitlements (and how working may impact these benefits) •Zero Exclusion -People are not excluded on the basis of readiness, diagnoses, symptoms, substance use history, psychiatric hospitalizations, homelessness, level of disability, or legal system involvement i.e. if someone wants to work or go to school IPS works with them on these goals regardless of where they are in their recovery process.
•Time-Unlimited Supports -Job supports are individualized and continue for as long as each worker wants and needs the support. Employment Specialist have face to face contact at least monthly.
| •Worker Preferences -IPS program services are based on each job seeker’s preferences and choices rather than the employment specialist’s and supervisor’s judgments. | 1) Find employment: Help people find jobs that match their skills and goals 2) Keep employment: Provide ongoing support to help people maintain their jobs 3) Improve quality of life: Help people feel better about themselves and have a greater sense of purpose Improve recovery outcomes: Help people recover from mental health conditions through employment | Not all job/education ralated supports may be funded by Medicaid. Connection to outside available resources like DVR or grants may be essential to fully support individuals involved in IPS. | |||
| Meal Planning/Meal Prep | H2017SMEAL or H2017SMEALGRP | Teaching participants how to plan and prepare healthy meals that fit their abilities, personalized nutritional needs and food budget. Services may include, but aren't limited to: basic nutrition education, development of a grocery list, learning how to read food labels, portion control strategies, identifying food sales and maximizing alternative resources (Foodshare, food pantries, budget friendly grocery stores, farmers markets); simple meal planning and meal preparation activities, etc. | 1) To develop healthy routines in order to support sustained recovery 2) Learn strategies to save time and reduce stress 3) Increase functional independence with all aspects of meal planning and meal prep activities. 4) To support the attainment of physical and mental wellness related goals. | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. For individuals coping with eating disorders, behavioral health conditions that impact executive functioning, specific co-occurring significant physical health conditions (i.e. diabetes, neurological conditions, cancer, cardiovascular diseases, and osteoporosis) etc. it is required that a CCS nutritional counselor be added to CTP and consulted with regularly to support the adequate deliver of this service. | |
| Medication Management Non Prescriber | H2017MNONP | Medication management services for non-prescribers include: Supporting the individual in: learning to take his or her medications as prescribed; Increasing the individual's understanding of the benefits of medication and the symptoms their treating. · Monitoring changes in the individual’s symptoms and tolerability of side effects. Support for caregivers. | 1) Build an understanding of one's medications i.e. purpose, side effects, best method of administration, possible food and/or drug interactions, etc.; 2) Develop strategies and techniques associated with maintain an independent medication management routine; 3) Establishing skills and routines to support independent coordination of pharmacy related services; 4) Developing strategies and techniques to support successful participation in prescriber appts. and effective communication with prescribers re: medication related concerns and impact on treated conditions | Medication Management is NOT medication monitoring. Providers should not store medications for individuals, drop off medications, fill medications or pick up medications from a pharmacy without the individual directly participating in these activities. If there's an assessed safety risk associated with the individual storing medications within their home, the provider will work with the individual to explore available safe storage options i.e. (home lock box, medication lock bag from BHS funded vending machines, natural support, etc.) | |
| Meditation and Mindfulness Training | H2017WMIND or H2017WMINDGRP | Service delivery is limited to no more than 12 months. Learning how to utilize and implement meditation and mindfulness principles and techniques can be a very useful tool to support the development of healthy coping strategies, build self-awareness, and promote the management of both stress and emotions resulting in a decrease of mental health symptoms. Mindfulness is a type of meditation in which you focus on being intensely aware of what you're sensing and feeling in the moment, without interpretation or judgment. Practicing mindfulness involves breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. | 1) Reduces symptoms of anxiety and depression 2) Improves sleep and focus 3) Reduces stress 4) Enhances one's ability to self regulate and manage emotions 5) Creates a better sense of compassion: helps individuals better understand themselves, find their best self, and increase positive feelings and actions toward others | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. When offering Meditation and Mindfulness as part of a yoga session, this is considered a Yoga service and NOT Mindfulness and Meditation Training. | |
| Music Therapy (licensed provider with MT-BC, CBMT or WMTR) | H2017TMUS or H2017TMUSGRP | Music Therapy is the clinical & evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an accredited music therapy program. Music therapy interventions can address a variety of healthcare & educational goals including, but not limited to: promotion of wellness, stress management, healthy expression of emotions, and improvement of communication skills. | 1) Reduction of anxiety and improved stress management 2) Sleep improvement 3) Enhancement of memory and cognition 4) Improved self esteem 5) Increased social connectedness 6) Enhanced ability to express oneself in a healthy manner 7) Development of coping strategies | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |
| Music Therapy (unlicensed provider with MT-BC, CBMT or WMTR) | H2017WMUS or H2017WMUSGRP | Music Therapy is the clinical & evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an accredited music therapy program. Music therapy interventions can address a variety of healthcare & educational goals including, but not limited to: promotion of wellness, stress management, healthy expression of emotions, and improvement of communication skills. | 1) Reduction of anxiety and improved stress management 2) Sleep improvement 3) Enhancement of memory and cognition 4) Improved self esteem 5) Increased social connectedness 6) Enhanced ability to express oneself in a healthy manner 7) Development of coping strategies | As with all therapy based services, a therapist should not be delivering interventions or services outside the scope of their practice. If a need is identified during a session that falls outside the scope of the therapy being provided, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |
| Nature-Based Wellness | H2017WNAT or H2017WNATGRP | Service delivery is limited to no more than 12 months. Nature-based wellness services utilize a range of therapeutic experiences to help the CCS participant develop skills and strategies to independently regulate emotions, reduce stress, improve self-esteem and self-expression, increase self-awareness and incorporate nature based wellness into healthy routines. This service strives to support individuals in accessing nature based resources within and beyond Milwaukee's urban environment. Nature as a resource and a strength, promotes a broader sense of awareness, increases the connection to self, others and the environment. | 1)To identify and establish nature based practices that support the overall Improvement of mental health through stress management, mindfulness, emotional regulation and gaining knowledge of how to access and explore nature for independent application. The participant demonstrates the autonomy for use of learned skills and activities after end of service. 2) Connecting to an community resources or natural support so that they can transition from formal service. | This service is not psychotherapy. The provider will help the individual explore and establish ways to utilize the natural environment to cope with external stressors, triggers and symptoms and connect general recovery themes to the natural environment. The provider will discuss and obtain written consent for all activities. | |
| Nutrition Counseling | H2017HNUCO | Service delivery is limited to no more than 12 months. A nutrition counselor provides holistic nutrition care, taking into account key issues in mental health, including: 1) psychotropic medication side effects and nutrient interactions; 2) risk of co-existing physical health conditions, and relevant biochemical measures; 3) behavioral, motivational, social, and financial challenges; concurrent addictions and substance use, disability, or cognitive impairment; risk of malnutrition, disordered food/eating patterns or food insecurity 4) Support lifestyle change using individualized nutrition advice and counseling, including practical strategies such as label reading, food budgeting, meal planning, and using visual aids and demonstrations (such as food or meal portions). Services are intended to be time limited and move toward independent application of learned skills. | 1)To support the development of an understanding of how nutrition can impact both physical and mental health and feelings associated with general wellness. 2) To establish healthy eating habits and routines to support overall health and wellness. 3) To identify and build on natural and community based supports to promote the maintenance of healthy routines beyond service delivery | Service intended to be provided individually and NOT in a group setting. NUCO is not intended to provide food prep or cooking support. Individual and group work in relation to skill development of meal preparation is to be provided under H2017SMEAL or H2017SMEALGRP (Meal Planning and Meal Prep). Service limited to 60 mins one time per week.Due to CCS being a behavioral health management program, goals and case note documentation will focus on building sustainable plans and healthy routines that promote movement toward independent work and accessing community based resources. We should not see physical health or weight loss goals. | |
| Parent Coaching | H2017SPCOACH or H2017SPCOACHGRP | Parent coaching is when the CCS enrolled individual meets with a professional parenting coach to foster goal achievement specific to improving their skills as a parent. Interventions may include, but aren't limited to: psychoeducation about the child’s needs, offering specific parenting strategies and supports, improving communication and coping skills. Parent coaches often connect parents with support groups or resources for long-term assistance | 1)Promotion of stronger parent-child bonds 2) Improved ability to implement effective discipline techniques 3) Improved ability to manage conflicts with children 4) Reduced familial stress and anxiety 5) Increased self-confidence in the parenting role 6) Developing personalized parenting strategies tailored to the needs of the child and the family 7) Improved communication skills | Parent coaching services can only be provided directly to the CCS enrollee if the enrollee is a parent themself. Parents/guardians of a Youth CCS participant cannot be provided Parent Coaching services. Similar types of interventions outlined within Parent Coaching description can be provided to the parents/guardian of a Youth CCS participant under Individual and Family Psychoeducation. Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. | |
| Peer Support | H2017P | Peer Specialist and Parent Peer Specialist services are provided by individuals who have similar lived experience navigating recovery or the recovery of a youth. Lived experience gives Peer Specialists a deep level of understanding and insight into a recovering individual’s and/or their family's experiences. Their experience of learning to grow and thrive, while facing similar challenges, puts them in a position to share meaningful lessons learned in a way that participants can view as highly credible. They utilize their own experiences in navigating recovery to offer person centered support and resources to motivate the recovery of others while helping them navigate the behavioral health system. | 1) To support the individual with building a sense of community and belonging 2) Develop supportive relationships outside of the Peer Specialist or Parent Peer Specialist and CCS program 3) Promote hope, self-direction, recovery and wellness, by working with the individual to ensure their Recovery Team and service delivery is designed in a fashion that truly enhances the abilities of the individual to engage in their chosen roles 4) Through the sharing of experiences, improve the individual's ability to manage life with the intention to engage in services and activities that enhance overall functioning and wellness. | Peer and Parent Peer Specialists: 1) Are paid professionals, NOT friends 2) Are NOT available to provide support 24 hours a day (Peer or Parent Peer Specialists will indicate their availability) 3) Cannot run errands and solely provide transportation to individuals without an allowable peer service being delivered 4) Do NOT provide direct skill development, medication management, or physical health services, i.e. locate housing, find employment, access healthcare or any other specific needs that can be addressed by another specialist in the CCS network. Peers can research and connect individuals with recovery focused community based resources or services within the CCS program that may be beneficial to the individual and/or their families' needs and desires as this promotes the development of self-direction and advocacy skills. 5) Do not provide recreational activities or engage in social outings as these aren't reimbursable by Medicaid. All activities done during Peer Support must be related to what is allowable as outlined in the Service Description. | |
| Physical Health Monitoring General | H2017H or H2017HGRP | Physical health monitoring services focus on how the individual’s mental health and/or substance abuse issues impact his or her ability to monitor and manage physical health and health risks. Physical health monitoring services include activities related to the monitoring and management of a individual’s physical health. Services may include assisting and training the individual and their family to identify symptoms of the individual's physical health conditions, connecting to physical health services, improving communication and self advocacy skills with physicians and other healthcare professionals, monitor physical health treatments, and to develop health monitoring and management skills. | 1) Enhance the individual's and/or their natural support systems' understanding of the individual's physical health condition(s). 2) Increase the individual's ability to effectively communicate and advocate for their needs with medical providers 3) Learn strategies to monitor and manage physical health conditions 4) Increase the individual's ability to utilize preventative measures to improve health outcomes 5) Enhance skills and abilities to connect and successfully engage in needed medical supports and services | This service is not intended to solely transport consumers to their medical appointments. Veyo should be utilized for this purpose. If a provider opts to transport an individual to an appointment, but is waiting in the waiting room while the individual attends their appointment the provider cannot bill for the time they waited without delivering a direct service. | |
| Prescriber Services | H2017MPRES | Medication Management services for Prescribers includes: Diagnosing and specifying target symptoms; Prescribing medication to alleviate the identified symptoms; Monitoring changes in the individual’s symptoms and tolerability of side effects; Reviewing data, including other medications, used to make medication decisions. | To assess for and establish an effective medication regime that supports the individual in managing their behavioral health condition with the least amount of side effects possible. | Prescriber Services DO NOT need to be delivered under the CCS program. Prescriber services can be provided by providers outside of the CCS network via an alternative funding source. | |
| Psychotherapy | H2017T or H2017TGRP | Psychotherapy supports individuals in learning about their behavioral health condition(s), moods, feelings, thoughts and behaviors. Psychotherapy helps individuals learn how to take control of your life and respond to challenging situations with healthy coping skills. | Service goals will be individualized based on the provider's assessment and developed service goals (assessment process and service goals should be outlined in case note documentation over the first several sessions and ongoing as needed. | A therapist should not be delivering interventions or services outside the context of traditional psychotherapy. If a need is identified during a session that falls outside the scope of psychotherapy, a therapist can either support the individual in developing a plan to get the need met via utilizing an outside resource or natural support (if immediate) or support the individual in connecting to their care coordinator to explore options for meeting the need. | |
| Social/Relationship Skills Training | H2017SREL or H2017SRELGRP | Social Skills Training helps adults, adolescents, and children build confidence in order to be effective in various social situations. Through social skills training, an individual will learn to improve on their 1) instrumental skills as it pertains to the individuals culture (i.e., eye contact, greeting, non-verbal cues, turn taking, or starting a conversation), 2) fund of social knowledge (i.e., unwritten social norms and codes of conduct that requires an ability to imagine the expectations of others), 3) social cognition (i.e., the ability to assess the social context of a situation, observe the verbal and nonverbal behavior of other people, infer their mental states, understand what is expected, and then carry it out). Social cognition is the most complex set of skills. |
| Besides social skills, it is important for individuals to learn how to communicate, develop and maintain relationships effectively. Through relationship skills training, Individuals learn how to strengthen current relationships, find and build new ones, and end hopeless relationships. Assertiveness skills training may be an important piece of relationship skills training inc. learning specific techniques on how to set and maintain personal boundaries without becoming inaccessible, become more genuine and open in relationships without fearing attack, and defend oneself when being criticized or asked to submit to unreasonable requests. | 1) Development of crucial social-emotional competencies, including empathy, emotional regulation, self-awareness, and the ability to understand and navigate social situations effectively 2) Attainment of a stronger sense of self and improved ability to manage emotions and interactions. 3) Development of healthier and more fulfilling relationships with peers, family members, and others 4) Development of a greater sense of belonging, increased self-esteem, reducing symptoms of anxiety and depression 5) Reduction of behavioral issues like aggression, impulsivity, and social withdrawal | Like all CCS services, services are intended to be time limited and move toward independent application of learned skills. Should we include something related to this is not therapy and is not to medicate or work with more than the enrollee. | |||
| Spirituality | H2017WSPRT or H2017WSPRTGRP | Service delivery is limited to no more than 12 months. Spirituality services offer individuals an environment of gentle encouragement, listening, acceptance, healing and safety to+C17 define, explore, and deepen their relationship with their higher power (whether they call that presence God, Allah, love, energy, source, universe, nature, true self, or any other name). Services may result in time spent within forms of prayer and meditation, sacred reading and reflection, worship in indoor or outdoor sacred spaces, connection to spiritual communities, engagement in spiritually-grounded healing and recovery frameworks, journaling or other creative spiritual practices, and other coping strategies. Spirituality services are intended to improve an individual's sense of wellbeing and provide tools that build and sustain an anchoring connection to self and to higher-power. These services will foster trust, hope, strength and build resiliency to face life's challenges; offering comfort and assurance in the face of the uncertainly that often accompanies mental illness, addiction, recovery. | 1) Establish an ongoing deepening relationship with a higher power as defined by the individual. 2) Establish and utilize a spiritual system of practices and rituals that bring meaning and empowerment to the individual's life. 3) Learn to manage the unknown, trust, faith and build resiliency to cope with stressors and/or the uncertainty of life and death. 4) Healing from trauma related to previous religious or faith based relationships. 5) Maintaining a sense of hope in recovery. | Service is intended to be time limited with the intention to work toward independent application and connection to community-based resources and natural supports. | |
| Substance Abuse Treatment | H2017SA or H2017SAGRP | Outpatient substance abuse treatment involves fewer than 9 hours a week for adults and fewer than 6 hours per week for adolescents. |
Regularly scheduled sessions take place at a nonresidential treatment center or a practitioner’s office and are administered by addiction professionals or trained clinicians.
Overall care includes an evaluation, treatment, and recovery follow-up services.
Outpatient treatment typically provides:
group and individual abstinence counseling, relapse prevention programming,
| drug and alcohol education, substance abuse treatment is a form of therapy that helps people overcome addiction by allowing them to maintain a healthy lifestyle | 1) Reducing substance use 2) Improve overall health and well being 3) Enhance coping skills 4) Rebuild relationships 5) Reconnecting to society 6) Achieving sobriety for a specific amount of time 7) Addressing trauma and underlying mental health concerns 8) Finding and connecting to a supportive community | The CCS program does not cover Operating While Intoxicated assessments, urine analysis and drug screening, detoxification services, medically managed inpatient treatment services, or narcotic treatment services (opioid treatment programs). Some of these services may be covered under Medicaid and Badger Care Plus outside the CCS program. | |||
| Therapeutic Arts | H2017WTAS or H2017WTASGRP | Service delivery is limited to no more than 12 months. Therapeutic Arts-Coping skills development via the use of art is a service that utilizes the creative process of artistic expression to help the Individual develop skills and strategies to independently regulate emotions, reduce stress, improve self-esteem and self-expression, increase self-awareness and access community based resources to help with socialization and promote the development of natural support systems to support recovery. | 1) To establish an independent art practice for the purpose of coping and building self esteem. 2) To identify and or build natural supports. | This service is not Art Therapy. TAS do not use art to interpret, identify or resolve underling emotions and thoughts. The TAS will strictly help the individual explore and establish ways to utilize art in their everyday life to cope with external stressors, triggers and symptoms. |
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