Section 4-3 - Eligibility and Application Process for Services (a) An applicant for residential services in the Visions Program shall first make application to the Division for services per the Wyoming Medicaid Rules for Acquired Brain Injury Waiver. An applicant already determined eligible for this waiver service 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 acquired brain injuries in the state of Wyoming.
(c) Eligibility under this Chapter is limited to persons who have completed the Division application process or who meet the following requirements: - (i) Medical determination. In order to meet the medical determination criteria for admission, an applicant shall meet the acquired brain injury criteria as determined by the medical team.
- (ii) Neuropsychological or other evaluations confirmation. The neuropsychological or other evaluations confirm that the applicant meets the following criteria by attaining:
- (A) A score of forty-two (42) or more on the Mayo Portland Adaptability Inventory;
- (B) A score of forty (40) or less on the California Verbal Learning Test II Trials 1-5 T;
- (C) A score of four (4) or more on the Supervision Rating Scale; or
- (D) An Inventory for Client and Agency Planning services scores equal to or less than seventy (70).
(d) If the applicant is clinically eligible for Acquired Brain Injury Waiver services, the applicant may: - (i) Be funded for services for a home and community based waiver;
- (ii) Pursue admission to the Center;
- (iii) Pursue emergency services through Medicaid Rules for Acquired Brain Injury, Home and Community Based Waiver; or
- (iv) Be placed on the Division's waiting list for services.