reglab/housing_qa huggingface dataset:
WY Stat § 42-9-102 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-102 - Definitions.

42-9-102. Definitions.| (a) As used in this chapter:  (i) "Account" means the private hospital assessment account created by W.S. 42-9-103;  (ii) "Department" means the department of health;  (iii) "Fiscal year" means the twelve (12) month period beginning October 1 and ending September 30;  (iv) "Medicaid" means the medical assistance program established by title XIX of the federal Social Security Act and administered in this state by the department pursuant to the Wyoming Medical Assistance and Services Act;  (v) "Medicare cost report" means the annual hospital cost report as determined by the centers for medicare and medicaid services and as reported to the health care cost report information system;  (vi) "Net hospital patient revenue" means gross hospital revenue as reported on the most recently filed medicare cost report, excluding estimated nonhospital ancillary revenue, multiplied by the hospital s ratio of total net to gross revenue. The department shall establish a procedure to reconcile filed cost report information with information from the settled cost report. If a hospital does not file a medicaid cost report, the department shall establish a procedure to determine what the hospital would have reported as net patient hospital revenue if the hospital had filed a medicaid cost report;  (vii) "Private hospital" means those institutions licensed by the department as hospitals which are not owned or operated by the state or any city, town, county, special district or other political subdivision of the state or local government;  (viii) "Quarterly adjustment payment" means the payment made to private hospitals pursuant to W.S. 42-9-106;  (ix) "Upper payment limit" means the applicable limitation established pursuant to 42 C.F.R. 447.272, 42 C.F.R. 447.321 or as otherwise established by the centers for medicare and medicaid services;  (x) "Upper payment limit gap" means the amount calculated annually by the department constituting the difference between the applicable upper payment limit and medicaid payments made subject to that limit in a fiscal year, excluding any quarterly adjustment payments authorized by this chapter.
WY Stat § 42-9-103 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-103 - Private Hospital Assessment Account.

42-9-103. Private hospital assessment account.| (a) The private hospital assessment account is created.  (b) The state treasurer shall invest amounts deposited within the account in accordance with law and all investment earnings shall be credited back to the account. Funds in the account are continuously appropriated to the department for the purposes specified in this section.  (c) The account shall consist of:  (i) Amounts collected or received by the department from private hospital assessments under this chapter;  (ii) All federal matching funds received by the department as a result of expenditures made by the department pursuant to this chapter.  (d) The account shall be used exclusively for the following purposes:  (i) To pay administrative expenses incurred by the department or its agent in performing the activities authorized by this chapter, provided that these expenses shall not exceed a total of one percent (1%) of the aggregate assessment funds collected in the fiscal year;  (ii) To secure federal matching funds available through the state medicaid plan as approved pursuant to W.S. 42-9-108, which shall be used to make quarterly adjustment payments as provided by this chapter;  (iii) To repay to the federal government any excess payments received or made to private hospitals if the state plan, after approval by the centers for medicare and medicaid services, is subsequently disapproved for any reason and after the state has exhausted all appeals. Private hospitals shall refund any excess payments to the assessment account. If a private hospital is unable to refund payments as provided in this paragraph, the department shall develop a payment plan to recoup deficient payments and accordingly deduct amounts from future medicaid payments. The department shall refund the federal government for the federal portion of those overpayments;  (iv) To refund assessments paid by private hospitals for quarterly adjustment payments which were earned but not paid by the department, but only after the payments authorized by paragraphs (i) and (iii) of this section have been made.
WY Stat § 42-9-104 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-104 - Assessments.

42-9-104. Assessments.| (a) Each private hospital shall pay a private hospital assessment to the department in accordance with this section. Hospitals owned or operated by the state or any city, town, county, special district or other political subdivision of the state or local government shall not be required to pay the assessment required by this section.  (b) The assessment due under this section shall be imposed each fiscal year in an amount calculated as a uniform percentage of each hospital's net patient revenue. The assessment rate shall be determined by the department on a prospective basis and shall be based on the percentage of net hospital patient revenue needed to generate an amount not to exceed the nonfederal portion of the upper payment limit gap plus the fee authorized by W.S. 42-9-103(d)(i). In no event shall the assessment rate:  (i) Exceed the indirect guarantee threshold amount established by 42 C.F.R. 433.68(f)(3)(i) or other federal law;  (ii) Exceed two percent (2%) of a hospital's net patient revenue for the first fiscal year in which the hospital is assessed;  (iii) Increase by more than one-half of one percent (.5%) of a hospital's net patient revenue for each fiscal year following the first fiscal year in which the hospital is assessed without further approval by the legislature.  (c) Unless otherwise determined by the department, the department shall collect and each private hospital shall pay the assessment required by this section on a quarterly basis, each payment constituting twenty-five percent (25%) of the annual assessment determined by the department. The initial payment shall be due not later than forty-five (45) days after the state plan has been approved by the centers for medicare and medicaid services unless a later date is set by the department. Subsequent payments are due not later than forty-five (45) days after the end of each calendar quarter unless a later date is set by the department.  (d) If a private hospital ceases to operate as a hospital or for any reason ceases to be subject to the assessment imposed under this chapter, the assessment for the fiscal year in which the cessation occurs shall be adjusted by multiplying the annual assessment by a fraction, the numerator of which is the number of days in the year during which the hospital is subject to the assessment and the denominator of which is three hundred sixty-five (365). Immediately upon ceasing to operate as a hospital, or otherwise ceasing to be subject to this chapter, the hospital shall pay the assessment for each quarter as adjusted, to the extent not previously paid.
WY Stat § 42-9-105 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-105 - Penalties for Failure to Pay Assessment.

42-9-105. Penalties for failure to pay assessment.| (a) If a private hospital fails to pay an assessment due under this chapter, there shall be added to the assessment a penalty equal to five percent (5%) of the amount of the assessment that was not paid when due. The penalty under this section may be waived by the department for good cause. Any payments made after a penalty is assessed under this section shall be credited first to unpaid assessment amounts rather than to penalty amounts, beginning with the most delinquent installment.  (b) In addition to the penalty under subsection (a) of this section, the department may implement any of the following remedies for failure of a private hospital to pay its assessment when due under this chapter:  (i) Withhold any medicaid payments, including any quarterly adjustment payments, until the assessment is paid; or  (ii) Develop a plan that requires the private hospital to pay any delinquent assessment in installments.
WY Stat § 42-9-106 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-106 - Quarterly Adjustment Payments.

42-9-106. Quarterly adjustment payments.| (a) To preserve the quality and improve access to hospital services for private hospital inpatient and outpatient services rendered on or after July 1, 2016, the department shall make quarterly adjustment payments as set forth in this section.  (b) Each private hospital that pays assessments under this chapter and is eligible to receive medicaid payments shall be eligible to receive quarterly adjustment payments as provided in this section. The department shall distribute quarterly adjustment payments in an amount up to but not to exceed the applicable upper payment limit gap. The department shall establish a uniform methodology by which to distribute quarterly adjustment payments in compliance with applicable federal and state medicaid laws and regulations.  (c) Quarterly adjustment payments shall not be used to offset any other payment by medicaid for hospital inpatient or outpatient services to medicaid beneficiaries, including without limitation any fee-for-service, per diem, private hospital inpatient adjustment or cost settlement payment.  (d) No private hospital shall be guaranteed, expressly or otherwise, that any quarterly adjustment payment will equal or exceed the amount of the private hospital assessments due under this chapter.  (e) Monies made available by this chapter shall not be used to replace other general revenues appropriated and funded by the legislature or other revenues used to support medicaid.
WY Stat § 42-9-107 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-107 - Discontinuation of the Assessment and Quarterly Adjustment Payments.

42-9-107. Discontinuation of the assessment and quarterly adjustment payments.| (a) The assessment imposed by this chapter shall be discontinued if:  (i) The state plan amendment reflecting the quarterly adjustment payments authorized by this chapter is not approved by the centers for medicare and medicaid services. The department may modify the quarterly adjustment payment provisions as necessary to obtain the centers for medicare and medicaid services approval if the changes do not exceed the authority and purposes of this chapter;  (ii) Federal financial participation to match assessments under this chapter becomes unavailable under federal law. In this event, the department shall terminate the imposition of assessments beginning on the date the federal statutory, regulatory or interpretive change takes effect.  (b) If collection of the assessment is discontinued as provided in this section, quarterly adjustment payments shall be discontinued and, after payment of all amounts under W.S. 42-9-103(d)(i) and (iii), any assessments remaining in the account shall be returned to the private hospitals from which the assessments were collected on the same basis as they were collected.
WY Stat § 42-9-108 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-108 - Approval of State Plan; Rulemaking.

42-9-108. Approval of state plan; rulemaking.| (a) The department shall seek necessary federal approval in the form of state plan amendments in order to continue to implement the provisions of this chapter.  (b) The department shall adopt rules and regulations necessary to implement the provisions of this chapter and to obtain approval of the state plan amendments.
WY Stat § 42-9-109 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 9 - Private Hospital Assessment Act|Section 42-9-109 - Multiple Facilities.

42-9-109. Multiple facilities.| If a person conducts, operates or maintains more than one (1) private hospital licensed by the department, the person shall pay the assessment for each private hospital separately.
WY Stat § 42-10-101 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-101 - Definitions.

42-10-101. Definitions.| (a) As used in this chapter:  (i) "Identity information" includes the name, alias, date of birth, address, social security number and other related information of an applicant for or recipient of a public welfare benefit;  (ii) "Public welfare benefit" means as provided in W.S. 42-2-102(a)(vii).
WY Stat § 42-10-102 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-102 - Enhanced Identity Authentication Process.

42-10-102. Enhanced identity authentication process.| Prior to awarding any public welfare benefit the department may require an applicant to complete an identity authentication process that confirms the applicant owns the identity presented in the application. The identity authentication process under this section shall consist of financial or personal questions related to the applicant. The authentication process shall be available for applicant interviews in person or by telephone.
WY Stat § 42-10-104 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-104 - Case Review Process.

42-10-104. Case review process.| (a) If the department finds a discrepancy or change in circumstances as a result of the activities required by W.S. 42-10-102 or 42-10-103, the department shall review the case using the following procedures:  (i) If the discrepancy or change in circumstances does not affect eligibility, the department shall take no further action;  (ii) If the discrepancy or change in circumstances may affect eligibility, the department shall:  (A) Promptly make a determination of the effect of the discrepancy or change in circumstances on the eligibility of the applicant or recipient; and  (B) Provide written notice to the applicant or recipient describing in detail the circumstances of the discrepancy or change in circumstances, the manner in which the applicant or recipient may respond and the consequences of failing to take any action. The department shall give the applicant or recipient an opportunity to explain the discrepancy or change in circumstances.  (iii) The applicant or recipient shall respond within ten (10) business days from the date of the written notice of the discrepancy or change in circumstances;  (iv) If an applicant or recipient does not respond to a notice of a discrepancy or change in circumstances as provided in paragraph (ii) of this subsection and the department determines that the discrepancy or change in circumstances affects eligibility for a public welfare benefit, the department shall provide a written decision of the intent to deny, reduce the benefit or close the benefit case;  (v) If an applicant or recipient responds to a notice of a discrepancy or change in circumstances as provided in paragraph (ii) of this subsection, the department shall investigate and make a determination of whether or not the discrepancy or change in circumstances has been resolved and determine the applicant's or recipient's eligibility for public welfare benefits. The decision of the department shall be provided to the applicant or recipient in writing;  (vi) A written decision of the department under this section shall constitute a final decision of the department subject to judicial review as provided in W.S. 16-3-114.
WY Stat § 42-10-105 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-105 - Referral of Cases for Investigation.

42-10-105. Referral of cases for investigation.| (a) After review of a discrepancy or change in circumstances under W.S. 42-10-104, if the department finds that there is inadequate documentation or upon reasonable suspicion that there is fraud, misrepresentation, identity theft or another violation of law the department shall:  (i) Refer the case to the fraud and recovery unit for investigation, recovery of improper payments and collection of civil penalties, if applicable and, if appropriate, referral to prosecuting authorities for criminal prosecution;  (ii) Refer the information to other agencies, divisions or departments as appropriate for review of eligibility in public programs.  (b) To the extent the department encounters an individual enrolled in Medicaid who the department has reason to believe is not eligible for Medicaid, the department shall inform the individual and the Wyoming Medicaid program of the reason the department does not believe the individual is eligible.
WY Stat § 42-10-106 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-106 - Report.

42-10-106. Report.| Not later than November 30 of 2017, 2018 and 2020 the department shall report to the governor and the joint labor, health and social services interim committee on the effectiveness of the eligibility verification system and the number of cases referred under W.S. 42-10-105 including information on the outcome of the cases, if available, and on the cost to the department of the system.
WY Stat § 42-10-107 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 10 - Welfare Fraud Prevention Act|Section 42-10-107 - Rulemaking Authority.

42-10-107. Rulemaking authority.| The department shall promulgate rules necessary to implement this chapter.
WY Stat § 42-11-101 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 11 - Private Ground Ambulance Service Provider Assessment Act|Section 42-11-101 - Short Title.

42-11-101. Short title.| This chapter shall be known and may be cited as the "Wyoming Private Ground Ambulance Service Provider Assessment Act."
WY Stat § 42-11-102 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 11 - Private Ground Ambulance Service Provider Assessment Act|Section 42-11-102 - Definitions.

42-11-102. Definitions.| (a) As used in this chapter:  (i) "Account" means the private ground ambulance service provider assessment account created by W.S. 42-11-103;  (ii) "Ambulance" has the same meaning as defined in W.S. 33-36-102(a)(i)(A) and (B);  (iii) "Department" means the department of health;  (iv) "Fiscal year" means the twelve (12) month period beginning October 1 and ending September 30;  (v) "Private ground ambulance service provider" means any person operating a licensed ambulance service designed to operate on the ground, which is not owned or operated by the state or any city, town, county, special district or other political subdivision of the state or local government;  (vi) "License" and "licensed" means an ambulance business license issued under W.S. 33-36-104 that is not expired and has not been revoked or suspended;  (vii) "Medicaid" means the medical assistance program established by title XIX of the federal Social Security Act and administered in this state by the department pursuant to the Wyoming Medical Assistance and Services Act;  (viii) "Net patient revenue" means all amounts received by a private ground ambulance service provider licensed under W.S. 33-36-104 for the provision of licensed, ground ambulance services in the state of Wyoming. The department shall establish a procedure for determining net patient revenue for purposes of the assessment provided under W.S. 42-11-104;  (ix) "Quarterly adjustment payment" means the quarterly payments made to private ground ambulance service providers that the department may establish and distribute pursuant to W.S. 42-11-106;  (x) "Rate enhancement" means Medicaid reimbursement rate increases to private ground ambulance service providers, as determined by the department and approved by the Centers for Medicare and Medicaid Services;  (xi) "Upper payment limit" means a limitation on aggregate Medicaid payments to private ground ambulance service providers, or another applicable class of Medicaid payees, as established by the Centers for Medicare and Medicaid Services;  (xii) "Upper payment limit gap" means the amount calculated annually by the department constituting the difference between the applicable upper payment limit and Medicaid payments made subject to that limit in a fiscal year, excluding any payments authorized by this chapter.
WY Stat § 42-11-103 (2021)
2021 Wyoming Statutes|Title 42 - Welfare|Chapter 11 - Private Ground Ambulance Service Provider Assessment Act|Section 42-11-103 - Private Ground Ambulance Service Provider Assessment Account.

42-11-103. Private ground ambulance service provider assessment account.| (a) The private ground ambulance service provider assessment account is created.  (b) The state treasurer shall invest amounts deposited in the account in accordance with law and all investment earnings shall be credited back to the account. Funds in the account are continuously appropriated to the department for the purposes specified in this section.  (c) The account shall consist of:  (i) Amounts collected or received by the department from private ground ambulance service provider assessments under this chapter;  (ii) All federal matching funds received by the department as a result of expenditures made by the department pursuant to this chapter.  (d) The account shall be used exclusively for the following purposes:  (i) To pay administrative expenses incurred by the department or its agent in performing the activities authorized by this chapter, provided that these expenses shall not exceed a total of three percent (3%) of the aggregate assessment funds collected in the fiscal year;  (ii) To secure federal matching funds available through the state Medicaid plan as approved pursuant to W.S. 42-11-108, which shall be used to make quarterly adjustment payments or to provide rate enhancements to private ground ambulance service providers as provided by this chapter;  (iii) To repay to the federal government any excess payments received or made to private ground ambulance service providers if the state plan, after approval by the Centers for Medicare and Medicaid Services, is subsequently disapproved for any reason and after the state has exhausted all appeals. Private ground ambulance service providers shall refund any excess payments to the assessment account. If a private ground ambulance service provider is unable to refund payments as provided in this paragraph, the department shall develop a payment plan to recoup deficient payments and accordingly deduct amounts from future Medicaid payments. The department shall refund the federal government for the federal portion of those overpayments;  (iv) To refund assessments paid by private ground ambulance service providers for payments which were earned but not paid by the department, but only after the payments authorized by paragraphs (i) and (iii) of this subsection have been made.