048-1 Wyo. Code R. § 1-10

Current through April 27, 2019
Section 1-10 - PDAP allowable payment

(a) In General. The PDAP allowable payment for covered services shall be the lower of the providers usual and customary charges or the payment specified in this Section.

(b) Pharmaceutical services.

  • (i) The PDAP allowable payment for pharmaceutical services shall be determined pursuant to the Medicaid allowable payment provisions of Chapter 10, Pharmaceutical Services of the Wyoming Medicaid Rules, which are incorporated by this reference, except that there shall be no exemptions from copayment, and the term "PDAP" shall be substituted for the term "Medicaid" in that rule.
  • (ii) Copayment. PDAP services shall be subject to a copayment pursuant to Section 5.

048-1 Wyo. Code R. § 1-10