048-31 Wyo. Code R. §§ 31-9 - Reimbursement to non-contracting providers

(a) Medicaid reimbursement for specialty services furnished by non-contracting providers shall be limited to reimbursement for services provided in response to an emergency.

(b) The Medicaid reimbursement rate for specialty services furnished by a non-contracting provider to a recipient, in response to an emergency, shall be the average Medicaid rate paid to contracting providers for such services.

(c) Retroactive eligibility. Specialty services furnished by a non-contracting provider to an individual that becomes eligible for Medicaid after the date of admission, shall be reimbursed at the average Medicaid rate paid to a contracting provider for the same or similar services.

Notes

048-31 Wyo. Code R. §§ 31-9

Amended, Eff. 9/23/2019.