048-31 Wyo. Code R. § 31-11
Current through April 27, 2019
(a) Medicaid reimbursement for specialty services furnished by non-contracting providers shall be limited to reimbursement for services provided in response to an emergency.
(b) The Medicaid reimbursement rate for specialty services furnished by a non-contracting provider in response to an emergency shall be the average Medicaid rate paid to contracting providers for such services.
(c) Retroactive eligibility. Specialty services furnished by a non-contracting provider to an individual that becomes eligible for Medicaid after the date of admission shall be reimbursed at the average Medicaid rate paid to a contracting provider for the same or similar services.
048-31 Wyo. Code R. § 31-11