(a) Covered services shall be: - (i) Furnished to a client or collateral contact for the direct and exclusive benefit of the client;
- (ii) Furnished pursuant to a treatment plan, updated and signed by a clinical professional at least every ninety (90) days. Unless the service is an initial clinical assessment, the treatment plan shall list the type, frequency, and duration of each service provided.
- (iii) Documented by providing a legible progress note in the client's medical record. Each progress note shall contain a hand-written or electronic signature and credentials of the provider and shall specify:
- (A) Service type and setting (if outside of the office);
- (B) Begin and end times (Military or Standard Time); and
- (C) Client progress towards goals identified in their current treatment plan; and
- (iv) Rehabilitative and medically necessary.
(b) The following are covered services when furnished by a certified center: - (i) Clinical assessments;
- (ii) Office-based individual and family therapy;
- (iii) Community-based individual and family therapy;
- (iv) Psychosocial rehabilitation (day treatment);
- (v) Intensive outpatient program (IOP);
- (vii) Comprehensive medication services;
- (viii) Individual rehabilitative services (IRS);
- (ix) Certified peer specialist services;
- (x) Targeted case management provided to clients twenty-one (21) years of age and older; and
- (xi) Ongoing case management provided to clients under twenty-one (21) years of age.
(c) The following are covered services when furnished by a licensed psychologist, licensed APRN, or licensed mental health professional: - (ii) Office-based individual and family therapy services;
- (iii) Community-based individual and family therapy;
- (v) Ongoing case management services provided to clients under twenty-one (21) years of age; and
- (vi) Additional services as specified in Medicaid policy manuals and provider bulletins. These services provided by licensed psychologists or licensed APRNs may include psychological testing, psychotherapy, and evaluation and management services.
(d) The following are covered services when furnished by a licensed and board certified behavior analyst: - (i) Behavior identification assessments,
- (ii) Observational behavioral follow-up assessments,
- (iii) Adaptive behavior treatments, and
- (iv) Family adaptive behavior treatment guidance.
(e) Adaptive behavior treatment is a covered service when furnished by a board certified assistant behavior analyst or a registered behavior technician.
048-13 Wyo. Code R. § 13-6
Amended, Eff. 12/17/2015.