[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6550781,"mediaKeyId","5381915-40b43a171c4f839e3e128bf5d1bb4a98","parentId",5381915,"title","Training clarifies CCS provider qualifications, telehealth rules and no‑show policy in Ashland/Bayfield","audioSeconds",1609,"startMs",9110400,"endMs",10719950,"viewUrl","/Search/View?dp=1&key=5381915-40b43a171c4f839e3e128bf5d1bb4a98&start=9110&end=10719","thumbnailUrl","https://assets.pipeline.soar.com/5381915-40b43a171c4f839e3e128bf5d1bb4a98/thumbnail_9110400.jpg","articleUrl","/articles/6550781/Ashland-County/Wisconsin/Training-clarifies-CCS-provider-qualifications-telehealth-rules-and-noshow-policy-in-AshlandBayfield","mediaUrl","https://secure.pipeline.soar.com/6550781-e230af53a9dca0b1452b9635ea6bbd62/orig.mp4?Expires=1770921456&Signature=TUu1SCO~NPJVYKoaMgVMt8hGRlGkGPwvApEB1vjPMHaBZCxZU3xdJbBdrZN79VQyzYDkwUFfUrFC2AHdaJkPTtJRwiAUAIFM7y2~TZtuxzVuoZrQqlRimT8LnWSbWdRkRXrL~028eYWQF1B8mlILGLFqOTJE6Z-My6Y-YwRbEOHvop1UAgF~24~TeVRtKBxF18Jg3~0RZv9Ic9-32IqjEkSULD5Fj~25cCtT9CnJ4p59vrquWpQtdiwheroiSa38sgv~t1kntODx5qZT1tijWDwTmhzvGgNA3EN8LPDxPzG3XlkrKAkt8B9Td7I0nNrAWpIXTMmFTHpU5qzNsMiK4Q__&Key-Pair-Id=KUT5TJCACFTXG","author","Ashland County, WI ","date","2025-07-14T13:34:58Z","article","A recorded training for CCS providers in Ashland and Bayfield counties covered the qualifications, training hours, supervision expectations and key operational policies providers must follow to participate in county CCS programs.

Julie Winter summarized who must complete what training and how supervision is calculated. New providers who have six months or more of prior experience working with people with mental health or substance‑use needs must document 20 hours of initial CCS‑relevant training; providers with less experience must document 40 hours. Rehab‑level providers and peer specialists must also show an additional 30 hours within the last two years, meaning some peer or rehab roles will document 50 or 70 hours at onboarding, depending on experience. Winter noted that the UW–Green Bay online training is required and that licensed providers may be eligible to use a condensed training track.

Supervision and ongoing training: Winter said all providers must complete at least eight hours of relevant training per year. Supervision frequency depends on qualification and annual service hours: bachelor's‑level providers generally require one hour of supervision per 30 service hours, while licensed/master's/doctoral providers require one hour of clinical collaboration per 120 service hours; licensed clinicians must provide or document appropriate supervisors or collaborators.

Telehealth and privacy: The training stressed telehealth must be delivered using HIPAA‑compliant platforms; FaceTime and standard Zoom are not sufficient absent a HIPAA arrangement. Participants cannot be required to accept telehealth under DHS 36; telehealth must be “functionally equivalent” to in‑person care for the authorized support. Winter said providers must document the telehealth setting and who was present when notes are entered.

Travel policy and differences: Winter warned providers of a policy difference between counties: Bayfield County may permit billable support while the provider and participant travel together in the provider’s vehicle (in certain contexts), while Ashland County does not permit that practice. She advised providers to check the local travel policy before billing travel time that includes participant transport.

No‑show policy and administrative discharge: The counties require providers to document no‑shows (non‑bill notes are the recommended method) so service facilitators can follow a 30/60/75‑day contact timeline. Winters explained that after formal reminders and attempts to reengage, supports can be ended for lack of medical necessity and a participant may be administratively discharged; discharged participants may reapply if still eligible. Winter emphasized documentation is necessary to support any administrative action.

Ending: Winter directed providers to the vendor/provider resources page and to the training log and addendum templates on the counties’ resource pages for step‑by‑step documentation of training, supervision, and credentialing requirements.","mediaType","Video","parentTitle","CCS Note & Policy Training for Providers June 3rd, 2025","oneSentenceSummary","The counties’ training reviewed initial and ongoing training hours, supervision requirements, telehealth rules, travel differences between the two counties, and no‑show procedures that can lead to administrative discharge.","taxTitle","Ashland County, Wisconsin","taxId",72843,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6550788,"CCS training details strict progress‑note, billing and ECCO approval workflow",510,3809550,4320360,"/Search/View?dp=1&key=5381915-40b43a171c4f839e3e128bf5d1bb4a98&start=3809&end=4320","https://assets.pipeline.soar.com/5381915-40b43a171c4f839e3e128bf5d1bb4a98/thumbnail_3809550.jpg","/articles/6550788/Ashland-County/Wisconsin/CCS-training-details-strict-progressnote-billing-and-ECCO-approval-workflow","https://secure.pipeline.soar.com/6550788-4c059d872aac89c04469df235a8de6de/orig.mp4?Expires=1770921456&Signature=bUUmzMdia211vUko9zCVUV7j4odInqy-jNg~Km7nis92W91q-kjoMQrZxQqHn1D4-y5u4Ihv~zkUGAQ1tYvhnYB0zqC0CLYYagllOd-NQkI213KJ52bC3QNAzbKHZTyUCG2vzYyZUBUlHvUUbil3kX7e-berxDYJomWC37Ywdq~FAUeGqc1ZfRcw08TZw8EGRv00TrS1bGcFLHF27brGCSKyhBQBREG6MQjL4yociSY9WcfkMYpCKjN5RxIGbL5F6gxypVGfWbr6Vbzi53EJlUWHiRLM6jT4byXltcBs26LDQr~xhDpcA29v47FeXVdM-UJEq82-gTe627up2Ku7SA__&Key-Pair-Id=KUT5TJCACFTXG","Ashland and Bayfield County staff used a recorded training to explain the counties’ expectations for progress notes, billing and the ECCO electronic health record workflow and why those procedures are important for Medicaid reimbursement.

Julie Winter, the counties’ quality control and improvement coordinator, told providers that ForwardHealth and DHS 36 require progress notes to document treatment goals and measurable progress. “If it doesn't include this, then it doesn't meet the requirements for reimbursing,” Winter said, noting that Medicaid can decline reimbursement when notes omit required clinical detail.

Nut graf: Providers must document the reason for meeting, objective observations, participant reactions and a concrete plan; notes are subject to county review and ForwardHealth/Medicaid audits. The counties route notes through ECCO (the counties’ EHR) and require service facilitators to review notes before a provider signs them.

What the note must include: Winter summarized the training program’s rubric. Every billable progress note must include: the reason for the meeting tied to the service authorization, at least two observations of the participant’s presentation (not opinion), progress gained or lost during the encounter, specific next steps (date/time and tasks), and selection of at least one relevant life‑area code. For telehealth encounters, the note must also describe the telehealth setting and identify who else was present.

Time, rounding and billing: The counties separate documentation time from direct service and travel time because Medicaid requires rounded billing units. Winter explained the county’s approach: documentation time is recorded as the actual minutes spent writing the note (not rounded); direct service time equals participant‑facing time plus documentation time and is then rounded to the nearest 15 minutes for billing; travel time is recorded and rounded separately. Winter walked through multiple examples showing how to total duration (direct service rounded + travel rounded = billed duration).

ECCO workflow and approvals: Providers complete a note in ECCO and save it, but must wait for an ECCO message from the service facilitator saying the note is approved “to sign.” Once the provider signs the note it is finalized and may be used for billing. Winter warned that finalized notes are locked and reopening them is possible only in limited circumstances and requires written notification to the service facilitator and the county mental health professional. She said reopening a note after submission to Medicaid may be impossible and could trigger an audit and potential recoupment; the training states contracted providers may be financially responsible if Medicaid seeks repayment.

Examples and redacted templates: The counties’ resource page contains redacted sample notes and a progress‑note rubric Winter encouraged providers to reuse while learning the workflow.

Ending: Winter urged providers to use the counties’ note templates, the note entry and monitoring process document and ECCO messages to assure timely approvals and to avoid audit risk.","County training set out ForwardHealth and DHS‑36 requirements for progress notes, the ECCO (EHR) approval workflow, time rounding for billing, and the risk of audit or recoupment if documentation is incorrect.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6550793,"Ashland, Bayfield counties outline Comprehensive Community Services eligibility and goals",185,170980,356450,"/Search/View?dp=1&key=5381915-40b43a171c4f839e3e128bf5d1bb4a98&start=170&end=356","https://assets.pipeline.soar.com/5381915-40b43a171c4f839e3e128bf5d1bb4a98/thumbnail_170980.jpg","/articles/6550793/Ashland-County/Wisconsin/Ashland-Bayfield-counties-outline-Comprehensive-Community-Services-eligibility-and-goals","https://secure.pipeline.soar.com/6550793-deb855a2ee310edc44cc5bf45008fb06/orig.mp4?Expires=1770921456&Signature=iXQuDJpexakUqwOzImO-xN7Jvrj1ITDMbaI0F4jVAFjrVPRlk5RahrhOAERWuC9QTvkQIK5cGsoFK1vY5YVXf3Hgyogws4PBMWA0jAJAECwnqU0slkQrtNAL6thjXUzdZHpjDXQPKbcZsBQbqL~i454K4a1WL5mS9K7urW4uzW5R8Pvzyh3rKA3lY53veWQGUp6d8rKBSMEMlu-6WzCGRqVtqqV5TAMXZlppC3T8i77jsMBxbhg8Z22o3GU~pOYd2mfJVDeZWuze52d-xt55Fh~XylIQRKNgPaNGuNHmgoFUMeULwwjkey2lbl6tb5V13eeQv~0r8WijIpt6hpVntA__&Key-Pair-Id=KUT5TJCACFTXG","Julie Winter, quality control and improvement coordinator for Ashland and Bayfield County CCS programs, used a provider training recording to review how counties operate Comprehensive Community Services and why the program differs from traditional outpatient care.

CCS is funded by Medicaid and intended as a rehabilitative, person‑centered program to support people with mental health and/or substance‑use barriers in community settings or the participant’s home. “CCS is a rehabilitative person centered program,” Winter said, describing CCS as a service intended to sit between outpatient therapy and inpatient care and to be delivered where participants live and engage in community life.

Why it matters: Medicaid funding and the program’s rehabilitative mandate shape what supports can be provided, how providers are paid and documented, and how participant choice and medical necessity are assessed. Winter said the program’s objective is to teach skills so participants can move toward more independent supports; she added there is no fixed time limit on enrollment because progress is individualized.

How participants enter and receive services: Winter described a four‑step flow used in both counties. A service facilitator leads a service‑planning meeting that captures (1) the participant’s goal in their own words, (2) barriers preventing progress, (3) available natural supports, and (4) supports the CCS team can authorize. The service plan ties each authorized support to the participant’s stated goal; only service facilitators can add or change authorizations. Winter emphasized that choice of provider is required by the administrative code and explained providers supply biographies so facilitators can offer participant choice.

Common supports and limits: The training listed the most frequently authorized supports—individual skill development and enhancement, peer support, family or individual psychoeducation and psychotherapy—and explained who may provide each support under DHS 36. Winter noted some services commonly thought of as “recreational” (for example, yoga or community integration activities) may be reimbursed only when tied to a documented medical necessity and a rehabilitative goal. She also highlighted two supports that Medicaid requires be billed through CCS when the participant is enrolled: outpatient psychotherapy and adult mental health day treatment, as described in ForwardHealth guidance.

Shared services and local differences: The Ashland and Bayfield programs operate a “shared services model” (shared staff supporting both counties). Winter flagged a local policy difference affecting travel and in‑vehicle service: Bayfield County permits billable support while riding with a participant in the provider’s vehicle in some cases; Ashland County does not. She advised providers to confirm which county’s policy applies before scheduling joint travel with a participant.

Ending: Winter pointed providers to the counties’ resource pages, the ForwardHealth online handbook, and the program referral form for additional detail and to the QR code included in the training to submit referrals.","A recorded provider training reviewed the counties' Comprehensive Community Services (CCS) program: Medicaid funding, person‑centered and recovery goals, eligibility, and the shared services model used by Ashland and Bayfield County.","actionData","errors"]

Article not found

Training clarifies CCS provider qualifications, telehealth rules and no‑show policy in Ashland/Bayfield

CCS training details strict progress‑note, billing and ECCO approval workflow

Ashland, Bayfield counties outline Comprehensive Community Services eligibility and goals