048-28 Wyo. Code R. §§ 28-15 - Medicaid Allowable Payment for Medicaid Program Services

(a) The Medicaid allowable payment for Medicaid program services furnished to a client receiving swing-bed services shall be determined pursuant to the rules and policies of the Department.

(b) The Medicaid allowable payment for Medicaid program services furnished to an extraordinary care client shall be determined pursuant to the rules and policies of the Department, except:

(i) Inpatient hospital services shall not be reimbursable unless the client is discharged from the swing-bed and admitted to a hospital as an inpatient; and

(ii) As otherwise agreed to by the Department and the hospital pursuant to Sections 12 or 13.

(c) Claims for Medicaid program services shall be submitted pursuant to the rules and policies of the Department.

Notes

048-28 Wyo. Code R. §§ 28-15

Amended, Eff. 6/14/2017. Amended, Eff. 4/26/2019.