Statutes, codes, and regulations
Wyoming Administrative Code
Agency 048 - Health, Department ofSubagency 0037 - Medicaid
Chapter 46 - MEDICAID SUPPORTS AND COMPREHENSIVE WAIVERS
Section 46-11 - Wait List Process

048-46 Wyo. Code R. § 46-11

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Current through April 27, 2019
Section 46-11 - Wait List Process

(a) The Division shall maintain a wait list for waiver services to add additional participants as funding is appropriated and as approved by CMS.

(b) The Division shall prioritize eligible individuals on the wait lists on a first come, first serve basis. Funding opportunities shall be given to the person who spent the longest time waiting for services starting from the date that the individual was determined eligible.

(c) Before being added to a waiver wait list, the individual shall be determined eligible as specified in Section 5 of this Chapter.

(d) For people with the same date of eligibility on the wait list, the Division shall use the date that the "Selection of Case Manager" form was received by the Division to determine which individual shall receive the next funding opportunity.

(e) The Level of Service score and individual budget amount shall be determined for each individual on the wait list. An eligible individual who needs services in excess of the Supports Waiver and has a Level of Service score of four (4) or higher may request placement on the Comprehensive Waiver and may also be placed on the Comprehensive Waiver wait list, if funding or slots are not available.

(f) The Comprehensive Waiver shall reserve capacity each year for individuals who have resided in a Wyoming institution, such as an ICF/ID, nursing home, Psychiatric Residential Treatment Facility, BOCES, prison, jail, or an inpatient psychiatric hospital and who have been:

  • (i) In residence at the institution for at least two (2) years;
  • (ii) On a Division wait list for at least two (2) years; or
  • (iii) Previously on a Division waiver a minimum of two (2) years prior to being institutionalized.
  • (iv) Other individuals transitioning out of institutional services may request access to reserve capacity slots based on availability.

(g) The Comprehensive and Supports Waivers shall reserve capacity each year for qualifying dependents of active military service members who have been assigned to serve in Wyoming, or who are retiring or separating from active duty military service and intend to reside in Wyoming within eighteen (18) months.

048-46 Wyo. Code R. § 46-11

Adopted, Eff. 6/21/2017.

Amended, Eff. 7/26/2018.