048-27 Wyo. Code R. § 27-7

Current through April 27, 2019
Section 27-7 - Covered Services

(a) Providers shall provide services and conduct activities as outlined in 42 C.F.R. § 460, 462, 466, 473, and 476.

  • (i) Services shall be available twenty-four (24) hours a day, seven (7) days a week by a PACE provider approved by CMS.
  • (ii) Services provided by the PACE provider shall include:
    • (A) Primary care, including physician and nursing;
    • (B) Social services;
    • (C) Restorative therapies, including physical therapy and occupational therapy;
    • (D) Personal care and supportive services;
    • (E) Nutritional counseling;
    • (F) Recreational therapy; and
    • (G) Meals.

(b) Each PACE participant shall have an individualized plan of care developed and approved by the PACE IDT.

  • (i) Each plan of care shall encompass the following services:
    • (A) Adult day health services;
    • (B) Acute, long-term care, if needed;
    • (C) Pharmacy;
    • (D) Transportation; and
    • (E) Home care.
  • (ii) Additional services may be deemed necessary by the PACE IDT and included in a participant's individualized plan of care.

048-27 Wyo. Code R. § 27-7

Adopted, Eff. 7/12/2016.