Section 2-10 - Application for Home and Community Based Waiver Services (a) The applicant's emergency case manager shall schedule a psychological or neuropsychological assessment within two (2) business days of approval of the emergency funding for the applicant, informing the psychologist that this is an emergency situation. - (i) If the psychological or neuropsychological cannot be completed within thirty (30) calendar days, including the written report submitted to the case manager, the emergency case manager shall contact the Division for assistance in identifying a psychologist who can complete the assessment within that time frame.
(b) The Division shall work with the emergency case manager to arrange for an emergency Inventory for Client and Agency Planning to be completed within the 30-day period.
(c) Upon completion of the assessments clinical eligibility for one (1) of the home and community based waivers shall be determined pursuant to Chapter 41, Chapter 42, or Chapter 43. - (i) If the applicant is determined to be clinically eligible for a waiver, the applicant is classified as an emergency referral, and funding for the waiver shall be determined pursuant to Section 14 of Chapter 41, Chapter 42, or Chapter 43.
- (A) The Division shall continue to fund the emergency services pursuant to this Chapter until the Extraordinary Care Committee (ECC) meets to determine the status of funding for the person and an individual plan of care has been approved by the Division.
- (ii) If the applicant is determined to not meet clinical eligibility requirements for a waiver, the applicant and provider shall be notified by certified mail.
- (A) The Division shall fund the emergency services for 30 calendar days after the determination of ineligibility is completed.
- (B) Immediately upon notification from the Division that the applicant is not eligible for a waiver, the emergency case manager shall begin implementing the contingency plan and work with other appropriate agencies and resources to assist the person in transitioning out of services.
048-2 Wyo. Code R. § 2-10