Section 36-10 - Allowable Medicaid reimbursement (a) Medicaid reimbursement for administrative transportation shall be as follows: - (i) Reimbursement to a client shall be by one of the following methods:
- (A) Prospective reimbursement. The client may be reimbursed for projected administrative transportation expenses.
- (B) Retroactive reimbursement. The client may be reimbursed for actual administrative transportation expenses.
- (ii) Reimbursement to a provider shall be the lesser of the provider's billed charge and Wyoming Medicaid's allowed amount per the published Wyoming Medicaid Fee Schedule.
(b) Private automobile. Medicaid reimbursement for administrative transportation furnished in a private automobile shall: - (i) Be based on mileage as determined by the Wyoming State Auditor, or if not so determined, on map mileage using major highways as determined by the Department;
- (ii) Be limited to the maximum amount recommended by the State Auditor in order to avoid any requirement for reporting mileage income to the Internal Revenue Service; and
- (iii) Not be paid for fractions of a mile.
(c) Per diem expenses. Medicaid reimbursement for per diem expenses is limited to $25.00 per person, per day, to be used for meals and commercial lodging. Lesser amounts will be reimbursed for additional clients transported together.
(d) Retroactive reimbursement. Reimbursement for administrative transportation that is already completed is reimbursable to clients or providers if: - (i) Requested within thirty days after the date the travel was completed; and
- (ii) The request contains the information and documentation required by the Department, including a valid receipt for travel expenses.
048-36 Wyo. Code R. § 36-10