048-30 Wyo. Code R. § 30-19
(a) Direct medical education costs shall be reimbursed based on a hospital specific per discharge payment determined for each level of care pursuant to this section.
(b) Determination of direct medical education payment.
(c) If a facility had direct medical education costs in the base year no longer incurs such costs, the facility must notify the Department, in writing, within thirty days of the termination of a medical education program. The Department shall adjust the hospitals level of care payment rates to eliminate reimbursement for direct medical education. Such an adjustment shall be effective beginning with the month after the termination of the medical education program.
(d) If a facility which had no direct medical education costs in the base year subsequently incurs such costs, the Department will determine a payment rate pursuant to this Section. The hospital must submit a written request for such payments to the Department within thirty days after the start of the hospitals medical education program. The payment will be determined based on the hospitals actual costs incurred for direct medical education during the hospitals first cost reporting period in which such expenses were incurred in the first month of the cost reporting period. Payments for direct medical education will be effective on the first month after the end of the cost reporting period used to determine the hospitals direct medical education rate.
048-30 Wyo. Code R. § 30-19