These rules and regulations are adopted to implement the Divisions authority to deny application or modify, suspend or terminate benefits under any MCH Program for the following reasons:
(a) The applicant/client is not a bona fide resident of the State;
(b) The applicant fails or refuses to provide documentation of residency;
(c) The applicant/client fails or refuses to submit, within a required time frame, a financial status report for the purpose of determining reimbursement obligation/co-pay liability;
(d) The applicant/client fails or refuses to apply for benefits from other payment sources;
(e) The applicant/client submits false statements of fact designed to enhance that person's eligibility status for MCH Program benefits;
(f) The applicant/client fails to meet financial and/or medical eligibility requirements;
(g) The applicant/client refuses to reimburse the Program after being notified of third party benefits or recipient reimbursement obligation;
(h) The applicant/client notifies the Program that MCH benefits are no longer required;
(i) The client is requesting and/or receiving services from a provider who is not enrolled in MCH;
(j) The applicant/client fails to file application in a timely manner;
(k) The applicant/client submits false claims to the MCH Program;
(l) The applicant/client has not complied with the MCH approved medical treatment plan;
(m) The funds allocated for payment on behalf of the client are exhausted;
(n) The CSH client reaches their 19th birthday;
(o) The client dies;
(p) The day an MHR client completes genetic testing; or
(q) The day an MHR/NBIC client is discharged from a tertiary care facility.
048-3 Wyo. Code R. § 3-1