048-24 Wyo. Code R. § 24-2

Current through April 27, 2019
Section 24-2 - Definitions

(a) As used within the rules:

  • (i) "Aggrieved Party" means any provider, purchaser or third-party payor including but not limited to any hospital, physician, allied health professional, health care provider or other person furnishing goods or services to or in competition with hospitals, insurers, hospital service corporations, medical service corporations, preferred provider organizations, health maintenance organizations or any employer or association that directly or indirectly provides health care benefits to its employees or members.
  • (ii) "Anniversary Month" means the month a health care cooperative arrangement is approved.
  • (iii) "Arrangement Already in Effect" means all substantiating elements included in the health care cooperative arrangement application have been working together in the State of Wyoming as proposed in the application for one (1) year prior to the filing of the application.
  • (iv) "Certified Mail" means uninsured first class mail whose delivery is recorded by having the addressee sign for it.
  • (v) "Comment" means a written document offering explanation, illustration, criticism, or personal opinion.
  • (vi) "Contested Case" means a proceeding including but not restricted to the review of applications for health care cooperative arrangements and the administration of approved applications for health care cooperative arrangements in accordance with WSS § 16-3-101.
  • (vii) "Days" means consecutive calendar days.
  • (viii) "Department" means the Wyoming Department of Health.
  • (ix) "Director" means the Director of the Wyoming Department of Health.
  • (x) "Objection" means a written document offered by an aggrieved party in opposition to a health care cooperative arrangement which states the reason, grounds, or cause for expressing opposition.
  • (xi) "Persons on Record" means persons submitting written documentation to the Director, by certified mail, stating objections, comments, or requests for notification of a specific health care cooperative arrangement. Persons on record status must be renewed by written request, sent by certified mail to the Director, prior to December 31 of each calendar year.
  • (xii) "Revenue" means income received during the preceding fiscal year under the cash basis of accounting.
  • (xiii) "Trade Secret Information" means proprietary data including a formula, pattern, compilation, program, device, method, technique or process that:
    • A. Is supplied by the affected individual or organization to the State;
    • B. Is the subject of efforts by the individual or organization that are reasonable under the circumstances to maintain secrecy; and
    • C. Derives independent economic value, actual or potential, from not being generally known and not being readily ascertainable by proper means by other persons who can obtain economic value from its disclosure or use.

048-24 Wyo. Code R. § 24-2