048-36 Wyo. Code R. § 36-9

Current through April 27, 2019

Section 36-9 - Prior authorization

(a) Prior authorization of administrative transportation shall be governed by the prior authorization requirements of Chapter 3.

(b) All administrative transportation requires prior authorization.

• (i) In deciding whether to authorize administrative transportation, the Department shall consider the:
  • (A) Cost of the transportation;
  • (B) Potential for over-utilization of the transportation;
  • (C) Availability of lower cost alternatives; and
  • (D) Excess payments owed by the client.

• (ii) The failure to obtain prior authorization shall result in denial of Medicaid reimbursement.

048-36 Wyo. Code R. § 36-9

Amended, Eff. 6/14/2017.