048-12 Wyo. Code R. § 12-9
Residents in an assisted living facility may receive services from an outside entity for care beyond that provided for or specified in the Assisted Living Program Administration Rules. These services must be arranged by the appropriate professional and be incorporated into the resident's assistance plan. The resident's choice of providers must be honored.
(a) Components of the outside service(s) contract:
(b) Life Safety Code Responsibilities for Outside Contractual Services.
A contract between the resident, the ALF, and all outside service providers in the ALF must be in place prior to the time of service delivery. This contract must identify the clear delineation of services.
- (i) The contract must specifically articulate the responsibilities of the resident, the ALF, and all service providers to comply with the Evacuation Capability, Emergency Procedures and Fire Safety requirements in these rules.
- (ii) All residents regardless of the type of service must be able to evacuate, or be evacuated, in accordance with the Life Safety Code.
(c) Additional Contractual Services Provided Outside the Assisted Living Authority.
In addition, services that must be provided outside the Assisted Living Facility Authority include, but are not limited to:
- (i) LTC/HCBS Waiver services;
- (ii) Hospice care;
- (iii) Medicare/Medicaid certified home health care; and
- (v) Private duty care.
(d) Long Term Care Home and Community Based Waiver
Individuals residing in assisted living facilities may be served on the long term care home and community-based waiver (LTC/HCBS) under the following conditions:
- (i) When the resident requires a service that can be provided by both the long term care and the home and community based services waiver provider and the assisted living facility, but the resident cannot afford to pay the assisted living facility for the service, the case manager will ensure that the required service is provided.
- (ii) Form LT101 shall be used to determine medical necessity for long term care;
- (iii) Financial eligibility for HCBS has been determined by the local Department of Family Services;
- (iv) A Plan of Care has been approved by the Program Administration Division or their designee; and
- (v) Managers of assisted living facility shall maintain a list of the rooms being occupied by residents who are receiving LTC/HCBS waiver services. This list shall be provided to the Program Division upon request.
048-12 Wyo. Code R. § 12-9