048-24 Wyo. Code R. § 24-18

Current through April 27, 2019
Section 24-18 - Ongoing Supervision and Renewal of Health Care Cooperative Arrangements

(a) The decision to approve an application shall specify a time schedule for the submission of data required to supervise, monitor, and regulate the arrangement.

  • (i) Requested data shall be in the following format:
    • (A) The pages shall be numbered and printed on paper measuring 8 1/2 by 11 inches. The margins shall not be less than one (1) inch on all sides. Unless otherwise required, all data shall be printed on white paper.
    • (B) The required data shall be in courier type at ten (10) characters per inch and double spaced.
    • (C) Footnotes shall be in the same size type and format as the text.
    • (D) Trade secret information shall be designated and printed on goldenrod colored paper to assist in identifying material exempt from Wyomings Public Record Act.
    • (E) The Department shall develop procedures to protect trade secret information.
  • (ii) The Director may, at any time, require the submission of additional data or alter the time schedule for submission of information.
    • (A) The applicant shall be notified, by certified mail, of any requirement for the submission of additional information or any alteration of the time for submission of materials.

(b) The Director shall notify the applicant of any nonconformity by certified mail.

  • (i) The Directors notice of nonconformity shall state with particularity any deficiency.
  • (ii) The applicant shall respond, by certified mail, within thirty (30) days from the date of the notice of nonconformity, with a written response supported by additional data which either negates the nonconformity or provides a proposal to correct any nonconformity.
  • (iii) Within forty (40) days of the date from the notice of nonconformity, the Director and the applicant shall meet informally for the purpose of resolving any nonconformity by agreement.
  • (iv) If any nonconformity cannot be resolved informally, a contested hearing shall be conducted.
    • (A) The hearing shall be conducted in accord with W.S. § 35-24-110.
    • (B) A decision shall be made by the Director within thirty (30) days after written recommendations are received from the hearing officer.
    • (C) A copy of the final written decision shall be sent, by certified mail, to the persons of the contested hearing.
    • (D) A final decision from the Director is subject to judicial review in accord with W.S. § 16-3-114.

(c) On a yearly basis, the applicant shall submit a renewal fee in accord with W.S. § 35-24-104(d) and provide the Director with supporting documentation in accord with W.S. § 35-24-112(d).

  • (i) The applicant shall submit notice of intent to renew accompanied by the renewal fee and supporting documentation to the Director no later than thirty (30) days prior to the anniversary month.
  • (ii) The Director shall evaluate whether the existing arrangement promotes the quality and access to health care for all citizens and whether it promotes the development of a comprehensive health care system.
  • (iii) If the Director determines the arrangement promotes the quality and access to health care for all citizens and promotes the development of a comprehensive health care system, a renewal shall be granted.

(d) Public comments regarding the impact of existing arrangements.

  • (i) Two (2) years after the date the initial application is approved, and at two year intervals thereafter, the Director shall solicit public comment. The purpose of such comments is to evaluate the arrangements impact on the cost, access, and quality of health care.
    • (A) The notice is to be published for a minimum of seven (7) days in a Wyoming newspaper of general circulation in the area.
    • (B) Any comments will be incorporated in files relating to the application.
    • (C) The applicant shall review public comments and provide a written response to the Director. The applicant shall send the person(s) making the comment(s) a copy of any response.

048-24 Wyo. Code R. § 24-18