Section 29-9 - Recipient lock-in (a) The Department may require lock-in under the following circumstances; - (i) Pursuant to Chapter 16, Section 16; or
- (ii) Pursuant to a referral from another states Medicaid program which indicates that a recipient has engaged in a prior utilization pattern involving fraud or abuse of that states Medicaid program.
(b) Procedures. - (i) The procedure for requiring lock-in pursuant to (a)(i) are set forth in Chapter 16, Section 16.
- (ii) If the Department determines pursuant to (a)(ii) to lock-in a recipient, it shall notify the recipient that covered services provided after the date specified in the notice, and until further notice, shall not be Medicaid reimbursable unless furnished by the provider(s) specified in the notice.
(c) Freedom of choice waivers. This Chapter and the other rules of the Department may be superseded by freedom of choice waivers granted by HCFA pursuant to applicable provisions of the Social Security Act and HCFA regulations.
048-29 Wyo. Code R. § 29-9