Section 29-5 - Facility reporting requirements (a) ICR reporting requirements. A facility must submit an ICR to the Division by 5:00 p.m. on Friday of each week. If Friday is not a working day, the ICR must be submitted by the close of business on the preceding working day.
(b) Extended stay reporting requirements. - (i) Time of submission. A facility must submit a extended stay report to the Division by 5:00 p.m. of the fifth working day after the recipient is admitted as an inpatient.
- (ii) Supplemental reports. A facility must submit supplemental extended stay reports to the Division within one working day after the facility receives a request for such a report from the Division. Supplemental reports shall be in the form and contain the information specified by the Division.
(c) Method of submission. Unless otherwise agreed by the Division, reports required by this Section must be submitted by facsimile transmission.
(d) Exceptions. This Section shall not apply to individuals that are determined eligible for Medicaid after their discharge from the facility.
(e) Failure to timely report. - (i) If a recipient is not reported on an ICR or a extended stay report as required by this Section, but is reported before the recipients discharge, the Medicaid allowable payment to the facility for all covered services furnished to such recipient shall be reduced by twenty-five percent.
- (ii) If a recipient is not listed on an ICR or a extended stay report until after the recipients discharge, the facility shall not receive Medicaid reimbursement for any services furnished to the recipient.
- (iii) If Medicaid payment has already been made, payments which exceed the limitations established by this Section may be recouped as excess payments pursuant to Chapter 3.
048-29 Wyo. Code R. § 29-5