Providers

Client Data Collection and Reporting

Monthly Reporting – Other Services

Monthly Client Services Report

Effective , all service authorizations reported on the Monthly Client Service Reports (610) with a start date on or later will need to use the ICD-10 diagnosis codes. Services authorizations that started prior to will use the ICD-9 diagnosis codes.

This is in response to the Centers for Medicare and Medicaid Services (CMS) mandate to implement the International Classification of Diseases, 10th Revision codes sets for diagnosis and procedure codes beginning on .

More information on the ICD-10 diagnosis codes may be found on the ForwardHealth web site at: www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/html/ICD10/ICD10Home.htm.spage

If you have any questions, please contact your DCDHS Contract Manager.

Monthly Client Services Report – Other Services (610 Form) version 4.4.9, revised 2016-10-19 (version 4.4.8 with no active code, uploaded 2015-01-08)
Monthly Client Services Report Instruction Manual

If required by their contract, service providers must use the Monthly Client Services Report (610 Form) to collect unit of service and opening and closing reason information on clients receiving publicly funded services. (For alcohol and other drug abuse programs, please refer to the AODA Monthly Client Report.)

Monthly reports are due on the tenth (10th) of the following month. Instructions for submitting the reports are included on page 18 of the Instruction Manual.

If you have questions about this report, please call your designated data entry contact.