048-52 Wyo. Code R. §§ 52-7 - Excluded Services

(a) Services billed under the SBS program are subject to the limitations and coverage restrictions that exist for other Wyoming Medicaid services pursuant to Wyoming Medicaid Rules Chapter 26 and the applicable Medicaid Provider Manuals. Wyoming Medicaid shall not cover the following services:

(i) Services classified as educational, such as services or activities involving academic assessment, student instruction or curriculum, and supervision of students;

(ii) Services billed by a practitioner outside his or her area of expertise;

(iii) Vocational training that is related solely to specific employment opportunities, work skills, or work settings;

(iv) Services not identified in the client's IEP or IFSP;

(v) Evaluations that do not result in an IEP or IFSP;

(vi) Transportation services;

(vii) Communication and consultation with parents, other providers, and educators.

(A) Attendance at meetings;

(B) Instructional assistant contact;

(C) Parental contact;

(D) Parental consultation;

(E) Preparation and distribution of correspondence to parents or other professionals;

(F) Professional consultation; and

(G) Teacher contact.

(viii) Free care services.

Notes

048-52 Wyo. Code R. §§ 52-7

Amended, Eff. 10/12/2022.