053-10 Wyo. Code R. §§ 10-4 - Biofeedback
Biofeedback services shall be paid according to Chapter 9, Section 2 of these rules The following conditions apply:
(a) Individual meets the definition of
"injury" under W.S. §
27-14-102(a)(xi); and,
(b) The services must be prescribed by the
primary treating health care provider.
(c) Administration of biofeedback treatment
is limited to those practitioners who are certified by the Biofeedback
Certification Institute of America;
(d) Practitioners must submit a current copy
of their biofeedback certification to the Division of Workers'
Compensation;
(e) Treatment can be
authorized when the following is presented to the Division:
(i) An evaluation report documenting:
(A) The basis for the injured worker's
condition;
(B) The condition's
relationship to the work injury;
(C) An evaluation of the injured worker's
functional measurable modalities (e.g., range of motion, uptime, walking
tolerance, medication intake, etc.);
(D) An outline of the proposed treatment
program; and,
(E) An outline of the
expected restoration goals.
(ii) The injured worker's progress must be
documented in the medical records to include continued medical necessity,
expected number of sessions, and ability to facilitate any further functional
gains.
Notes
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