Human Services • Providers • Client Data

Client Data

Providers

Client Data Collection and Reporting

Monthly Reporting - AODA

Monthly Client Services Report

A new Monthly Client Service Report has been developed for outside vendors to use and is now available for download Microsoft Excel workbook format. This new form is similar to the previous version except with added functionality to streamline the data processing of the form. All outside vendors will be required to use this form for their January 2012 reporting month (due Febuary 10, 2012). Any previous forms will be returned to the vendor and will delay processing of such form. If you have any questions, please contact your Dane County Data Entry Staff.

Monthly Client Services Report - AODA (610 Form) Microsoft Excel workbook format
Monthly Client Services Report Instruction Manual PDF format

If required by their contract, AODA service providers must use the AODA Monthly Client Report to collect unit of service information on consumers receiving alcohol and other drug abuse services.

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

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

In addition to the monthly client services report, AODA providers must submit an AODA Episode report for each client at the onset of client AODA services.

AODA Episode (Supplemental) Form

State of Wisconsin HSRS AODA Data Collection Manual PDF formatExternal link
For a complete listing of the options and codes to use when filling out the AODA episode form, please see the HSRS AODA Manual, especially pages 9-21.
AODA Episode Form PDF format

If an AODA service provider is required to submit monthly AODA Client Service reports (610 reports), they must also submit AODA Episode reports. These reports are used to capture qualitative information required by the State on persons receiving publicly funded AODA services.

Data is collected at the time the client is first served. The forms may be mailed or faxed to the Department by the 10th of the following month. If mailed, please send them to:

AODA Data Entry Contact
Department of Human Services
1202 Northport Drive
Madison WI 53704

Or please fax them to your data entry contact at 608-242-6288.

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

01/10/2012

Department of Human Services | Dane County