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County says CCS outcomes are improving but warns providers to tighten documentation ahead of audits
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Summary
County CCS supervisors reported improvements in client outcomes and a roughly 76% successful completion rate, but flagged multiple recent oversight reviews (DCTS, DQA, OIG) and urged providers to bolster progress notes, training logs and credentialing to avoid recoupments and citations.
Ryan Ross, one of La Crosse County’s CCS supervisors, reviewed last year’s program scale and outcomes and urged providers to prioritize documentation and credentialing ahead of anticipated oversight work. Ross said the consortium served just shy of 700 people last year across three counties, with about 170 new enrollments and 94 contracted agencies supporting more than 1,000 staff on record, though only about 550 staff billed during the year.
Ross highlighted program results: an average time in CCS near four years for youth, about five years for adults, and a roughly 76 percent successful completion rate across the program. He said the program is showing reductions in hospitalization risk, legal contact, and other high‑risk outcomes at discharge.
County staff also described increased oversight activity. Ross and Heather Lind said the consortium had multiple visits from state Division of Care and Treatment Services (DCTS), the Division of Quality Assurance (DQA), and three federal Office of Inspector General (OIG) reviews tied to billing and service justification; those reviews have led to some repayments where services were found to be inappropriately billed.
Ellen Dawber, a CCS supervisor, urged vendors to ensure progress notes and service plans clearly justify billed time and clinical need. "If services are not followed as authorized in the service plan, they can be denied or there can be a request for recoupment," Dawber said. County staff recommended that vendors work closely with clinical supervisors and the MHP on plan updates before increasing units or services.
Ross linked an increase in adults entering the program to the county’s Pathways Home work addressing homelessness and asked providers interested in that target group to reach out. The county said it will continue outreach to encampment sites and warming centers to connect eligible adults to CCS services.
