048-34 Wyo. Code R. § 34-9

Current through April 27, 2019

Section 34-9 - HCBS waiver services

(a) Plan of care. Except as otherwise specified in the applicable waiver, HCBS waiver services must be provided pursuant to a plan of care.

(b) Medicaid reimbursable services. The services that are Medicaid reimbursable pursuant to this Chapter shall be only those services designated as Medicaid reimbursable in a waiver or waivers, notice of which has been disseminated by the Division through Provider Manuals or Bulletins.

(c) Non-covered services. Those HCBS waiver services for which there is an applicant's/ recipients failure to:

• (i) Meet the medical necessity of the level of institutional care of each applicable waiver;

• (ii) Meet all the required eligibility factors of each applicable waiver;

• (iii) Comply substantially with the established Plan of Care developed under each applicable waiver.

048-34 Wyo. Code R. § 34-9