This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-00519?
A: Form F-00519 is the Community Substance Abuse Service (CSAS) Medically Managed Residential Detoxification Service Initial Certification Application.
Q: What is the purpose of the application?
A: The purpose of the application is to apply for initial certification for a medically managed residential detoxification service under the Community Substance Abuse Service (CSAS) program in Wisconsin.
Q: What is a medically managed residential detoxification service?
A: A medically managed residential detoxification service is a program that provides care and treatment for individuals undergoing detoxification from substance abuse in a residential setting with medical supervision.
Q: Who should use this application?
A: This application should be used by organizations or facilities seeking to obtain initial certification for a medically managed residential detoxification service in Wisconsin.
Q: What information is required in the application?
A: The application requires detailed information about the organization or facility, its staffing and services, policies and procedures, and other relevant documentation.
Q: Are there any fees associated with the application?
A: Yes, there may be fees associated with the application. The specific fees are outlined in the application instructions.
Q: What is the process after submitting the application?
A: After submitting the application, it will be reviewed by the Wisconsin Department of Health Services. They may request additional information or conduct an on-site inspection before making a determination on the certification.
Q: How long does it take to get certified?
A: The time frame for certification can vary depending on the completeness of the application and the review process. It is recommended to submit the application well in advance of the planned start date for the program.
Q: Can an organization or facility appeal if the application is denied?
A: Yes, if the application is denied, the organization or facility has the right to appeal the decision. The appeals process is outlined in the application instructions.
Form Details:
Download a printable version of Form F-00519 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.