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REMINDER: Mental Health Programs Claim Form

Wednesday, March 27, 2019

Dear District Administrators,

Note: Your business offices should have already received the notice, below. Please consider this email as a reminder.

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Online Claim Form Now Available

2017 Wisconsin Act 59 created s. 115.364, Stats., to provide aid for school mental health programs. Claim forms must be submitted by all eligible entities to the Department by March 29, 2019, to receive reimbursement for eligible expenditures made in the 2017-18 school year. The claim form asks for eligible entity directory information, dollar amounts of eligible expenditures in 2016-17 and 2017-18, check box to indicate verification of licenses or certificates in social work for all social workers included in this program, and district administrator electronic signature.

The claim form is found here: https://dpi.wi.gov/sspw/mental-health/aid-school-mental-health-programs

Program Information

Eligible school districts, private schools, and independent charter schools may receive partial reimbursement for salary and fringe benefits paid to employ, hire, or retain social workers or the costs to contract for the services of a social worker when the eligible entity increased in its expenditures in the 17-18 school year over the 16-17 school year.

“Eligible Expenditures” means the salary and fringe benefits an entity pays to employ, hire, or retain a licensed or certified social worker or the costs to contract for the services of a licensed or certified social worker. “Social worker” means an individual licensed or certified as a school social worker by the Department of Public Instruction under s. PI 34.062 or an individual licensed or certified as a social worker by the Marriage and Family Therapy, Professional Counseling, and Social Work Examining Board under s. 457.08 (2) to (4), Stats.

Submitting this form to the Department of Public Instruction satisfies the reporting requirement per Wis. Admin. Code sec. PI 31.04 related to Aid for School Mental Health Programs.

See: Aid for School Mental Health Programs Wis. Stat. § 115.364, Aid for School Mental Health Programs Administrative Code sec. PI 31.”