048-26 Wyo. Code R. §§ 26-3 - Definitions
Except as otherwise specified in Chapter 1, or as specified herein, the terminology used in this Chapter is the standard terminology and has the standard meaning as used in health care, Medicaid and Medicare.
(a) "Applied Behavior Analysis (ABA)
Treatment." Services provided to children between the ages of 0-20 years of age
with a diagnosis of autism spectrum disorder in order to improve social,
communication, and learning skills.
(b) "Ambulatory Surgical Center (ASC)
Facility." A health care facility that specializes in providing surgery, pain
management, and certain diagnostic services in an outpatient setting.
ASC-qualified procedures are typically more complex than those done in a
doctor's office but not so complex as to require an overnight stay.
(c) "Ambulatory Surgical Center (ASC)
Services." Surgical procedures or other services offered by an ASC facility
that do not require inpatient hospital care.
(d) "Dental Services." Professional services
and dental appliances furnished by a dentist within the scope of their
practice.
(e) "Developmental
Center." An agency which:
(i) Provides
developmental services to developmentally disabled children under the age of
six; and
(ii) Is certified to
provide services to clients under age twenty-one by the Developmental
Disabilities Section of the Health Care Financing Division.
(f) "Developmental Center
Services." Services provided to developmentally disabled clients under age
twenty-one as part of an individualized education plan or as part of an
individualized family services plan.
(g) "Diagnostic Assessment and Evaluation." A
comprehensive, multidisciplinary evaluation of a child five years of age or
under, that:
(i) Is performed after a written
referral from a physician, nurse practitioner or physician's assistant licensed
in Wyoming;
(ii) Is performed using
standardized assessment tools or, if no standardized assessment tools are
available based on the child's chronological age or suspected developmental
age, using criterion-based assessments; and
(iii) Includes an assessment of the
following:
(A) Physical development, including
fine and gross motor skills;
(B)
Cognitive development;
(C) Speech
development; and
(D) Social and
emotional development.
(h) "Early and Periodic Screening, Diagnosis
and Treatment (EPSDT) Services. Services as described in 42 U/S/C/1396 (d)(r)
and 42 C.F.R. Part 441, Subpart B.
(i) "Emergency Hospital Services." Emergency
hospital services, as defined by
42 C.F.R. §
440.170(e).
(j) "End Stage Renal Dialysis (ESRD)
Services." Services for outpatient dialysis and other treatment for persons
with end-stage renal disease.
(k)
"Family Planning Clinic Services. "Services for medically indicated diagnosis,
treatment, counseling, contraceptive supplies or devices, which are prescribed
or furnished to individuals of child-bearing age for purposes of enabling such
individuals to determine the number and spacing of their children.
(l) "Habilitative Services." Services that
help patients keep, learn, or improve skills and functioning for daily
living.
(m) "Hospice Services." A
program of care delivered in a person's home or health care facility that
provides reasonable and necessary medical and support services for the
management of a terminal illness.
(n) "Interpretation Services." Services that
assist clients with oral or sign language interpretation.
(o) "Nurse Midwife Services" Nurse midwife
services as defined by 42
C.F.R. §
440.165.
(p) "Optometrist." A person licensed to
practice optometry by the Wyoming State Board of Examiners of Optometry or a
similar agency in another state.
(q) "Physician Services." Professional
services furnished by or under the supervision of a licensed
physician.
(r) "Preventive
Services/Visits." Any routine service or examination which is performed in the
absence of a diagnosed illness, injury, or complaint.
(s) "Public Institution." Public institution,
as defined by 42 C.F.R.
§
435.1010.
(t) "Radiology Services." Professional or
technical services in which radiographic instruments are used for diagnostic or
therapeutic purposes.
(u)
"Rehabilitative Services." Services that help patients keep, get back, or
improve skills and functioning for daily living that have been lost or impaired
because the client was sick, hurt, or suddenly disabled.
(v) "Speech Therapy Services." Outpatient
services provided by or under the direct supervision of a licensed speech
therapist pursuant to written orders of a physician.
(w) "Vision Services." Professional services
and corrective lenses furnished by an Optometrist, optician, or Ophthalmologist
within the scope of his practice.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.