048-47 Wyo. Code R. §§ 47-18 - Provider Training and Certification Requirements

(a) Any willing and qualified agency or individual can enter into a contract with the CME for the provision of HFWA and respite services.

(b) All HFWA provider requirements are detailed in the Medicaid state plan, Targeted Case Management for Youth with SED/SMI.

(c) All HFWA providers shall comply with Department requirements for obtaining initial credentialing as a HFWA provider and shall recertify their credentials annually.

(d) To be a FCC, the individual shall:

(i) Have a Bachelor's degree in a human service area (or related field), or two years of work or personal experience in providing direct services or linking of services for youth experiencing SED/SMI;

(ii) Be at least twenty-one (21) years of age;

(iii) Complete all Department and CME-required training components;

(iv) Possess a valid driver's license, automobile insurance coverage that complies with the Wyoming Department of Insurance's required liability coverage limits, and car;

(v) Maintain current CPR and First Aid Certification;

(vi) Complete the HFWA credentialing processes as specified by Medicaid;

(vii) Be enrolled as a Wyoming Medicaid provider;

(viii) Be under contract (or have an employment agreement) with the CME; and

(ix) Successfully pass all background screenings as required by Medicaid.

(e) To be a FSP, the individual shall:

(i) Have a high school diploma or GED equivalent;

(ii) Be a parent or caregiver of a youth with behavioral health needs or have two years of experience working closely with youth with serious emotional/behavioral challenges and their families;

(iii) Have a minimum two years of experience in the behavioral health field;

(iv) Complete the credentialing requirements specified by Medicaid;

(v) Be enrolled as a Wyoming Medicaid provider;

(vi) Be under contract (or have an employment agreement) with the CME;

(vii) Be at least twenty-one (21) years of age;

(viii) Successfully pass all background screenings as required by Medicaid; and (ix) Complete all Medicaid-required training components.

(f) To be a YSP, the individual shall:

(i) Have a high school diploma or GED equivalent;

(ii) Be a youth with behavioral health needs or have experience overcoming various systems and obstacles related to mental and behavioral health;

(iii) Successfully pass all background screenings as required by Medicaid;

(iv) Complete the credentialing requirements specified by Medicaid;

(v) Be enrolled as a Wyoming Medicaid provider;

(vi) Be under contract (or have another employment agreement) with the CME;

(vii) Be eighteen (18) to twenty-six (26) years of age; and

(viii) Complete all Medicaid-required training components.

(g) Respite. Any provider of respite care is required to attain and maintain a certification for this service from the CME and shall:

(i) Successfully pass a criminal history background check per Section 17 of this rule;

(ii) Maintain a current CPR and First Aid Certification;

(iii) Be at least twenty-one (21) years of age;

(iv) Have two (2) years of work/personal experience with youth; and

(A) Preference is given to individuals who have worked with a youth with serious emotional disturbance;

(v) Maintain auto insurance as required by state law if transporting enrolled youth.

(h) The CME shall ensure all provider qualifications are met upon initial contracting and annually thereafter.

(i) A respite provider determined to be out of compliance with Department requirements at any point in the year will receive notification from the CME regarding the nature of the non-compliance and a specified timeframe for resolution.

Notes

048-47 Wyo. Code R. §§ 47-18

Adopted, Eff. 9/23/2019.