048-29 Wyo. Code R. §§ 29-5 - Client Lock-in

(a) The Department may lock-in a client if:
(i) The Department determines the client has engaged in fraud, theft, or abuse of services pursuant to Chapter 16 of the Medicaid Rules; or
(ii) The Department receives a referral from another Medicaid program which demonstrates that the client has previously engaged in fraud, theft, or abuse of services.
(iii) The client is receiving high-cost services.
(b) If the Department decides to lock-in a client pursuant to this Section, the Department shall comply with the sanction procedures under Chapter 16, Section 10 of the Medicaid Rules.

Notes

048-29 Wyo. Code R. §§ 29-5
Amended, Eff. 8/13/2020.

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