048-3 Wyo. Code R. § 3-4

Current through April 27, 2019
Section 3-4 - Eligibility and Application Process for Services

(a) An applicant for residential service in the Canyons program shall first make application to the Division for services per Wyoming Medicaid Rules for the Adult Developmental Disabilities Home and Community Based Waiver or the Children's Developmental Disabilities Home and Community Based Waiver. An applicant who has already qualified for one of these two waiver services shall present documentation of qualification.

(b) The Division shall provide applicants and their families or legally authorized representatives a written resource guide regarding services for individuals with developmental disabilities in the State of Wyoming.

(b) Eligibility under this Chapter is limited to persons who complete the application process and who meet the following requirements:

  • (i) A diagnosis of developmental disability, as determined by a psychologist and as defined in federal law, 42 U.S.C. 15002(8), a severe, chronic disability of an individual that:
    • (A) Is attributable to a mental or physical impairment or combination of mental and physical impairments;
    • (B) Is manifested before the individual attains the age of twenty-two (22) years;
    • (C) Is likely to continue indefinitely;
    • (D) Results in substantial functional limitations in three (3) or more of the following areas of major life activity:
      • (I) Self-care;
      • (II) Receptive and expressive language;
      • (III) Learning;
      • (IV) Mobility;
      • (V) Self-direction;
      • (VI) Capacity for independent living; and
      • (VII) Economic self-sufficiency.
    • (E) Reflects the individual's need for a combination and sequence of special, interdisciplinary, or generic services, individualized supports, or other forms of assistance that are of lifelong or extended duration and are individually planned and coordinated.
  • (ii) A diagnosis of a related condition, as determined by a physician and functional limitations verified by a psychologist;
  • (iii) An Inventory for Client and Agency Planning services score equal to or less than seventy (70); or
  • (iv) When the Inventory for Client and Agency Planning score is more than seventy (70), the applicant must also have a deficit in three (3) or more of the six (6) domains noted in this section.

(c) If the applicant is eligible for Division services the applicant:

  • (i) Will be funded for services for a home and community based waiver;
  • (ii) May pursue admission to the Center;
  • (iii) May pursue emergency services through Medicaid Rules on home and community based waivers;
  • (iv) Will be placed on the waiting list for services; or
  • (v) May pursue temporary services at the Center.

048-3 Wyo. Code R. § 3-4