048-45 Wyo. Code R. § 45-38

Current through April 27, 2019
Section 45-38 - Provider Participation

(a) Payments only to providers. No person or entity that furnishes covered services to a participant shall receive Medicaid funds unless the person or entity has signed a provider agreement, is enrolled, and is certified by the Division as a provider at the time of service delivery.

(b) Compliance with Chapter 3, Provider Participation, of the Wyoming Medicaid Rules. A provider that wishes to receive Medicaid reimbursement for services furnished to a participant shall meet the provider participation requirements of Chapter 3, Provider Participation, of the Wyoming Medicaid Rules, Sections 4 through 6, which are incorporated by this reference.

(c) Compliance with Chapter 45, Provider Certification and Sanctions, of the Wyoming Medicaid Rules. A provider that wishes to provide Waiver services shall also meet the applicable criteria for Division certification set forth in Chapter 45, which is incorporated by this reference.

(d) A caregiver that is not a parent, guardian, or spouse of a participant and who wishes to receive Medicaid reimbursement for furnishing covered services to a participant shall enroll with the Division as a provider, except for personal care services pursuant to Chapter 43.

048-45 Wyo. Code R. § 45-38