048-2 Wyo. Code R. §§ 2-8 - Covered Services
The services listed in this section are covered services if they are functionally necessary and part of a current emergency service plan approved by the Division. The Division shall establish rates for covered services.
(a) Emergency Case
Management Services.
(i) Due to the critical
nature of emergency situations, completion of the following emergency case
management services shall occur as quickly as possible to alleviate the
emergency and to quickly identify resources, services, and supports that the
applicant can access:
(A) Gathering and
compiling medical, educational, social, and other information.
(B) Coordinating completion of applications
for Title XIX services, Medicare, social security, mental health services,
vocational rehabilitation, and any other pertinent services.
(C) Applying for a temporary Medicaid number
for the applicant, so that the psychological or neuropsychological assessment
and Inventory for Client and Agency Planning can be completed to determine
eligibility for a home and community based waiver, pursuant to Section 10 of
this Chapter.
(D) Developing and
submitting the emergency service plan to the Division.
(E) Providing on-going oversight of the
services provided to the applicant to assure health and safety needs are
met.
(b) Room
and Board.
(i) Compensation for room and
board until the applicant, if eligible, is funded on one of the home and
community based waivers, or until the applicant receives social security income
or other means to pay room and board, whichever comes first.
(c) Skilled Nursing
Services.
(d) Supervision and
Safety Services.
(i) Supervision and Safety
services for the purposes of this Chapter shall include 24-hour services that
may be provided in a residential, day program, community based setting, and/or
the person's home.
(e)
The Division may pre-approve, in writing, other unusual or specialized needs
necessary for the applicant's health and safety or eligibility determination on
a case-by-case basis.
Notes
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