048-27 Wyo. Code R. §§ 27-7 - Covered Services

(a) Providers shall provide services and conduct activities as outlined in 42 C.F.R. § 460, 462, 466, 473, and 476.

(i) Services shall be available twenty-four (24) hours a day, seven (7) days a week by a PACE provider approved by CMS.

(ii) Services provided by the PACE provider shall include:

(A) Primary care, including physician and nursing;

(B) Social services;

(C) Restorative therapies, including physical therapy and occupational therapy;

(D) Personal care and supportive services;

(E) Nutritional counseling;

(F) Recreational therapy; and

(G) Meals.

(b) Each PACE participant shall have an individualized plan of care developed and approved by the PACE IDT.

(i) Each plan of care shall encompass the following services:

(A) Adult day health services;

(B) Acute, long-term care, if needed;

(C) Pharmacy;

(D) Transportation; and

(E) Home care.

(ii) Additional services may be deemed necessary by the PACE IDT and included in a participant's individualized plan of care.

Notes

048-27 Wyo. Code R. §§ 27-7

Adopted, Eff. 7/12/2016.