048-7 Wyo. Code R. §§ 7-13 - Rate Period

(a) Effective date. A provider's per diem shall become effective on the rate effective date, which is July 1 of each year, with quarterly acuity case mix adjustments. Per diem rates are established prospectively and shall remain in effect from the rate effective date until re-determined pursuant to this rule.

(b) Effective period of rate. A facility shall be bound by the per diem rate until a new rate is computed pursuant to this rule, unless the rate is changed as the result of a desk review, field audit, or legislative budget change.

(c) Applicable cost report data. The data used in establishing the rate calculation effective each July 1 is the cost reports that ended two (2) calendar years ago (for example, cost reports ending during the period from January 1, 2013 to December 31, 2013, will be used to set rates effective July 1, 2015).

(d) Rates will be adjusted quarterly to reflect case mix acuity adjustments.

(e) Notice of rate. The Department shall notify providers of the per diem rate by certified mail, return receipt requested.

(f) If there is a need to issue an interim rate, the rate will be issued as interim and the rate will later be revised and issued as final. Any amounts paid pursuant to the interim rate which exceed the final rate shall be overpayments and shall be recovered pursuant to Section 31 of this Chapter. If the interim rate is less than the final rate, the Department shall pay the difference to the provider within sixty (60) days.

Notes

048-7 Wyo. Code R. §§ 7-13

Amended, Eff. 6/14/2017. Amended, Eff. 4/26/2019.