HIPAA compliant, BAA available

Measurement-Based Care for Wisconsin Mental Health Teams

Wisconsin's recovery-focused public programs define assessment as checking progress toward the outcomes a person wants. HiBoop gives county programs, CCS teams, clinics and private practices from Milwaukee to Superior a simple way to do that between visits: validated scales sent by email or QR code, scored as they come in and charted for each client. Data for US accounts is hosted in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
US-based hosting
SOC 2 Type II
Progress toward recovery goals
100+
validated assessments
BAA
for covered entities under HIPAA
US
regions where US data is hosted
$25
per month

Wisconsin Builds Care Around Progress Toward Goals

  • Wisconsin delivers much of its public mental health and substance use care through counties and Tribal nations. The clearest example is Comprehensive Community Services (CCS), a program for people of all ages whose mental health or substance use needs could otherwise lead to hospitalization. A county or Tribal CCS provider completes the screening, and each person works with a team to choose the services, from psychotherapy and peer support to substance use treatment, that will help them reach their own goals.

    The rule behind CCS, Wisconsin Administrative Code chapter DHS 36, defines assessment as the process used to identify a person's strengths, needs and desired outcomes and to evaluate progress toward those outcomes. The Department of Health Services' Division of Care and Treatment Services says it gathers and reviews CCS program data and outcomes. We found no statewide rule requiring outpatient clinics to report symptom scores, so how progress is measured is largely left to each program.

    That is where a repeated, validated scale helps. A PHQ-9 or ASSIST completed at intake and again at each review gives a CCS team or outpatient clinic a number to set beside the person's own account of how things are going. HiBoop scores each one on submission and charts it, and leaves the reporting to your county or agency.

  • Run by Counties and Tribal Nations

    CCS screening is completed by a county or Tribal CCS provider

  • Assessment Means Measuring Progress

    DHS 36 defines assessment as evaluating progress toward a person's desired outcomes

  • 988 Answered in Wisconsin

    The 988 Wisconsin Lifeline answers calls, texts and chats under a DHS contract

All regions

What HiBoop Brings to Wisconsin Programs

  • Wisconsin pairs county-run public programs with strict rules on treatment records and on parental consent for young clients. HiBoop handles sending and scoring the scales; how to read them is your team's decision.

  • Scores for Every Recovery Review

    Send the same scales before each CCS or treatment plan review. The person's goals stay in their own words; the scores give the team a consistent way to see whether symptoms are moving alongside them.

  • A Chart the Client Can Follow

    Each completed scale is scored and plotted on the client's chart, which makes progress, or the lack of it, easy to talk through together. The trend informs clinical judgement rather than replacing it.

  • Exports for County and Agency Reporting

    Download score histories as CSV for program outcome reviews or as PDF for the record, and export the whole account at any time.

  • Youth Scales, With Families Involved

    Wisconsin generally needs a parent's consent for a minor's outpatient mental health treatment, so families are often part of care. HiBoop offers the PHQ-A, the SCARED and the CRAFFT-2.1 for adolescent caseloads.

  • Substance Use Measured the Same Way

    CCS covers substance use as well as mental health. The ASSIST and TAPS sit beside the depression and anxiety scales, so co-occurring needs are tracked on one chart.

  • Built for Multi-Program Agencies

    County departments and agencies running several programs can bring every clinician onto Team or Network, with role-based permissions keeping each caseload visible only to the staff who need it.

Mental health in Wisconsin

Research data

  • Each figure below links to the source it comes from.

  • 24.6%

    of Wisconsin adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 20.1%

    of Wisconsinites aged 18 to 25 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 18.8%

    of Wisconsinites aged 12 and older had a substance use disorder in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Wisconsin

  • Repeated perinatal depression screening

    Among 899 low-income women in Wisconsin receiving home visiting services, screened with the Edinburgh Postnatal Depression Scale at least three times from the first trimester to six months postpartum, 78.2% followed a low, stable trajectory, while 10.6% stayed high, 7.1% decreased and 4.1% increased.

    Choi et al., Journal of Affective Disorders, 2022 PMID 34995707

  • Depression screening in home visiting

    In focus groups with 11 home visitors, 5 supervisors and 9 clients from rural and urban Wisconsin, a trusting relationship helped depression screening and referral, while arranging mental health evaluation where access was limited was a common challenge.

    Doering et al., Infant Mental Health Journal, 2017 PMID 28618008

  • PHQ-9 in a primary care trial

    In a cluster randomized trial in 10 primary care practices across Minnesota and Wisconsin, with 301 adults whose mean PHQ-9 was 15, a decision aid for choosing antidepressants improved decisional comfort, knowledge and involvement, but did not change adherence or depression outcomes.

    LeBlanc et al., JAMA Internal Medicine, 2015 PMID 26414670

  • PHQ-4 screening in a specialty clinic

    In a Milwaukee adult congenital heart disease program, 213 of 778 encounters (27.4%) had a positive PHQ-4 screen over one year; of 157 with a recorded follow-up, 55 had no existing mental health provider, and 3 referred appointments were completed.

    Zhang et al., International Journal of Cardiology Congenital Heart Disease, 2025 PMID 41208909

Wisconsin Programs and Rules Behind the Work

  • HiBoop is independent of the Department of Health Services, counties and Tribal nations, and does not connect to state systems. This is the context Wisconsin program managers will already know.

  • Comprehensive Community Services

    County and Tribal

    CCS serves people of all ages with mental health and substance use needs that could lead to hospitalization if left unaddressed. Services can include screening and assessment, psychotherapy, peer support, medication management, psychoeducation and substance use treatment, chosen with the person to reach their goals.

    All agesRecovery goalsMental health and substance use

  • Wisconsin Administrative Code, DHS 36

    CCS rule

    The chapter that governs CCS defines assessment as identifying a person's strengths, needs and desired outcomes and evaluating progress toward them. The Division of Care and Treatment Services provides technical assistance and gathers and reviews program data and outcomes.

    AssessmentDesired outcomesDCTS

  • BadgerCare Plus

    Medicaid

    Wisconsin's full-coverage Medicaid program for people aged 0 to 64 with low incomes. Its covered services include mental health care, and people can apply at any time.

    Ages 0 to 64Mental health coveredYear-round enrolment

  • 988 Wisconsin Lifeline

    Crisis line

    Calls, texts and chats to 988 from Wisconsin are answered by the 988 Wisconsin Lifeline, a service of Family Services of Northeast Wisconsin under contract with the Department of Health Services. Contacts it cannot answer are routed to a backup centre.

    Call, text or chatFamily Services of Northeast WisconsinDHS contract

Wisconsin Programs Statewide

  • HiBoop runs in any web browser, so the same check-ins work for a Milwaukee agency, a county program in the Driftless Area and a telehealth caseload up north.

  • Milwaukee

    The Medical College of Wisconsin's adult congenital heart disease program in Milwaukee began routine PHQ-4 mental health screening in 2021.

  • Madison and Dane County

    The Department of Health Services, which oversees CCS and contracts the 988 Wisconsin Lifeline, is based in the state capital.

  • Green Bay and the Northeast

    Family Services of Northeast Wisconsin runs the 988 Wisconsin Lifeline under its contract with the state.

  • La Crosse and the Driftless Area

    Primary care practices in Wisconsin and Minnesota took part in a trial of a shared decision aid for choosing antidepressants, with the PHQ-9 among its measures.

  • Northwoods

    In a large, rural region, scales sent by email between visits keep progress visible without extra trips to the clinic.

  • Superior and the North

    Telehealth clients near Lake Superior can complete a scale on their phone before a video session, so the score is ready when it starts.

Data sovereignty

Why Wisconsin clinics choose HiBoop

  • Why Wisconsin Programs Pick HiBoop

    • Wisconsin client records for US accounts sit in Google Cloud US regions, encrypted whether stored or sent
    • SOC 2 Type II certification and a BAA available to HIPAA covered entities
    • An access log entry for every view and export, with permissions set by role
    • Individual clinicians start on Care at $25/month, paid monthly, without entering a card
    • Clients can respond from a phone, tablet or computer, through an emailed link or a QR code

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, paid monthly
    $25
    USD/month
    Team
    Starting price, as many clinicians as you need
    $200
    USD/month
    Network
    County departments and multi-site agencies
    Custom
    Enterprise pricing

100+ validated scales for Wisconsin clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Mood and Anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • DASS-21 (Depression, Anxiety and Stress)

  • Youth

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Adolescent Substance Use)

  • Substance Use and Trauma

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • PCL-5 (PTSD)
Browse all assessments

Wisconsin Treatment Records and Consent

  • Wisconsin's mental health statute, chapter 51, has its own rules for treatment records and for treating minors, and they sit alongside HIPAA. The obligations rest with your organization, and no software certifies them; HiBoop gives you the tools to meet them.

  • What Wisconsin law requires

    • Keep treatment records confidential; they are privileged to the person and released only as chapter 51 allows or with their informed written consent (Wis. Stat. 51.30(4))
    • Use a written consent that names the recipient and the person, the purpose, the specific information, how long it is effective, the date signed and a signature (Wis. Stat. 51.30(2))
    • Obtain a parent or guardian's consent for a minor's outpatient mental health treatment, except for limited emergency treatment of up to 30 days; a minor aged 14 or older can ask a county mental health review officer to review a parent's refusal (Wis. Stat. 51.14 and 51.138)
    • Apply HIPAA alongside chapter 51, including breach notification and a signed business associate agreement with any vendor storing client records

  • What HiBoop provides for you

    • A BAA for covered entities, signed before client information goes in
    • Hosting in Google Cloud US regions for US accounts, encrypted at rest and as it travels
    • Permissions by role and a log showing every view and export
    • SOC 2 Type II certified; the trust page lists the controls an auditor checked

  • Reviewing HiBoop for your county or agency?

    See our hosting, encryption, access controls and SOC 2 Type II certification on the trust page, and contact us for a BAA or security questionnaire.

    Read the trust centre

Grants & funding for Wisconsin mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Wisconsin practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and reading change at each review

  • Substance useASSIST Guide

    Risk levels for each substance and how to repeat the screen over time

  • AdolescentsCRAFFT-2.1 Guide

    The adolescent substance use screen and its follow-up questions

  • LibraryThe Assessment Library

    Every HiBoop scale, with how it is scored and where it was validated

Wisconsin Program, Privacy and Consent Sources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Wisconsin require measurement-based care?

    We found no Wisconsin rule that requires outpatient clinics to collect or report symptom scales. The CCS rule, DHS 36, defines assessment as evaluating progress toward a person's desired outcomes, and the Department of Health Services reviews CCS program data and outcomes, but it leaves the method to each program. Your county or contract may set its own expectations.

  • Will HiBoop report to DHS or our county for us?

    No. HiBoop does not connect to state or county systems. It sends, scores and charts the scales, and your team exports score histories as PDF or CSV for whatever reviews or reports it prepares.

  • Can a 15-year-old in Wisconsin get counselling without a parent's consent?

    For mental health, generally not. Wisconsin requires a parent or guardian's consent for a minor's outpatient mental health treatment, with a short exception of up to 30 days in an emergency or where time and distance prevent getting written consent. A minor aged 14 or older can ask a county mental health review officer to review a parent's refusal. For alcohol and other drug abuse services, a minor aged 12 or older may consent without a parent. Confirm the details with your counsel.

  • What must a Wisconsin records consent include?

    Under Wis. Stat. 51.30(2), a consent to disclose treatment records must be in writing and name the recipient and the person, state the purpose, the specific information, how long it is effective and the date signed, and be signed. HiBoop is HIPAA compliant and signs a BAA; whether a disclosure is allowed is for your organization and its counsel.

Official sources for Wisconsin

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.