048-52 Wyo. Code R. §§ 52-6 - Covered Services
(a) School health
services will be covered for Medicaid enrolled clients under the age of 21.
Services shall be medically necessary as defined by Wyoming Medicaid Rules
Chapter 1, and rendered as part of the student client's IEP or IFSP.
(b) School health services shall be provided
in accordance with the client's individual needs and shall not be subject to
limitations as to scope, amount, or duration.
(c) School health services may be performed
in the school, at the client's home, or at another appropriate site in the
community.
(d) The following
service categories and providers are covered services under the SBS Program as
further defined in the Department's School-Based Services Program Manual:
(i) Speech and audiology services
(A) Speech-Language Pathologist;
and
(B) Speech-Language Pathology
Aide/Assistant.
(ii)
Psychological, counseling, and social work services
(A) School Psychologist;
(B) School Social Worker;
(C) School Counselor;
(D) Psychologist;
(E) Marriage and Family Therapist;
and
(F) Certified Mental Health
Worker (CMHC).
(iii)
Nursing and health services
(A) Registered
Nurse (RN);
(B) Advanced Practice
Registered Nurse (APRN);
(C)
Licensed Practical Nurse (LPN); and
(D) Certified Nurse Assistant
(CNA).
(iv) Occupational
therapy services
(A) Occupational Therapist;
and
(B) Occupational Therapy
Assistant.
(v) Physical
therapy services
(A) Physical Therapist;
and
(B) Physical Therapy
Aide/Assistant.
(e) Evaluations and reevaluations are
reimbursable only when they result in an IEP or IFSP in the specific service(s)
being evaluated.
Notes
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