2025 Q1 DHS Quarterly Report on Consumers Enrolled in CCS

Please submit your enrollment data for the first quarter of 2025 (reporting period of January 1 to March 31) by completing this survey no later than June 1, 2025. A separate survey must be submitted for each Comprehensive Community Services (CCS) program or county within a CCS region. After submitting, you will receive an email confirming the survey was successfully completed; the email will also include a PDF copy of the survey answers for your records. Direct questions to DHSDCTSCCS@dhs.wisconsin.gov. Thank you!

Do not include personally-identifiable information or protected health information in your responses.

1. Select the name of the Tribal nation or county contracting for or directly operating your CCS. *This question is required.

2. Select the formal name of the CCS regional entity that operates your CCS. *This question is required.

3. Enter the name of the person responsible for completing this survey. *This question is required.

4. What is your email address? *This question is required. This question requires a valid email address.

5. Report the number of CCS consumers being served at the end of the last quarter (2024 Quarter 4).

This number should match the number reported on last quarter's survey under "Number being served at the end of this quarter". Please reference the 2024 Quarter 4 report in the Enrollment Reports section here: Quarterly Enrollment Report.

Note: We are testing a new way to access the previous quarterly reports within Alchemer using the link above, please let us know if you have any issues accessing this file. Email: thomas.leffler@dhs.wisconsin.gov. *This question is required. This question requires a valid number format.

6. If for any reason the number you reported above does not match the number served at the end of last quarter (as reported last quarter under "the number served at the end of this quarter"), provide an explanation for the discrepancy, including how you plan to address the issue in the future.

7. Report the number of CCS consumers admitted during this quarter. *This question is required. This question requires a valid number format.

8. Report the number of CCS consumers discharged during this quarter. *This question is required. This question requires a valid number format.

9. Report the number of CCS consumers being served at the end of this quarter.

This value should equal the number served at the beginning of this quarter/end of last quarter plus the net value of consumers admitted and consumers discharged during this quarter. For example, if:

Five consumers were being served at the beginning of this quarter/end of last quarter
Three were admitted during this quarter
Two were discharged during this quarter
Six consumers should be reported as being served at the end of this quarter (5+3-2= 6).

*This question is required. This question requires a valid number format.