reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-11 - Staff Development

Current through July 13, 2024
(a) Grantees shall ensure that all staff have
				a general orientation completed during the first week of employment and prior
				to direct Client contact.
(i) The orientation
				shall include, but is not limited to, the following areas as related to job
				responsibilities:
(A) Confidentiality,
				including training on state, local and federal legislation related to privacy
				and security;
(B) Emergency
				procedures;
(C) Client rights and
				responsibilities;
(D) Grantee
				rights and responsibilities;
(E)
				Abuse reporting procedures;
(F)
				Communication;
(G) Understanding
				and working with various Client populations, and;
(H) Understanding basic human
				needs.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-11 - Care Coordination

Current through July 13, 2024
All Grantees shall employ an Access Care Coordinator.
(a) Access Care Coordinator Qualifications.
				As of the effective date of this rule all newly hired Access Care Coordinators
				must:
(i) Be at least 21 years of age and
				have a high school diploma, or equivalent, and;
(ii) Meet at least one of the following
				criteria:
(A) Have completed at least
				forty-eight (48) semester hours or seventy-two (72) quarter hours of
				post-secondary education in health care, elderly care, health care management,
				facility management, or other related fields from a college or institution,
				or;
(B) Have at least two (2) years
				of experience in social services working with the elderly or people with
				disabilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-12 - Care Coordination

Current through July 13, 2024
All Grantees shall employ an Access Care Coordinator.
(a) Access Care Coordinator Qualifications.
				As of the effective date of this rule all newly hired Access Care Coordinators
				must:
(i) Be at least 21 years of age and have
				a high school diploma, or equivalent, and;
(ii) Meet at least one of the following
				criteria:
(A) Have completed at least
				forty-eight (48) semester hours or seventy-two (72) quarter hours of
				post-secondary education in health care, elderly care, health care management,
				facility management, or other related fields from a college or institution,
				or;
(B) Have at least two (2) years
				of experience in social services working with the elderly or people with
				disabilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-12 - Homemakers

Current through July 13, 2024
The Homemaker assists with instrumental activities of daily
				  living. The Homemaker does not provide any Personal Care.
(a) Examples of duties include, but are not
				limited to:
(i) Light Housekeeping;
(ii) Shopping;
(iii) Laundry;
(iv) Linen Change; and,
(v) Basic meal preparation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-13 - Homemakers

Current through July 13, 2024
The Homemaker assists with instrumental activities of daily
				  living. The Homemaker does not provide any Personal Care.
(a) Examples of duties include, but are not
				limited to:
(i) Light Housekeeping;
(ii) Shopping;
(iii) Laundry;
(iv) Linen Change; and,
(v) Basic meal preparation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-13 - Certified Nursing Assistant

Current through July 13, 2024
CNAs shall follow the rules and regulations according to the
				  Wyoming Nurse Practice Act W.S. §
									
										33-21-119 through W.S. §
									
										33-21-157.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-14 - Certified Nursing Assistant

Current through July 13, 2024
CNAs shall follow the rules and regulations according to the
				  Wyoming Nurse Practice Act W.S. §
									33-21-119 through W.S. §
									33-21-157.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-14 - Client Evaluation

Current through July 13, 2024
All evaluations will be documented on a form approved by the
				  Division and are preferably conducted in the Client's home.
(a) Eligibility Screening. Prior to service
				provision each Client shall be screened to determine eligibility based on the
				definition of "At-risk".
(b)
				Initial Evaluation. The Grantee shall conduct a written initial evaluation of
				each Client based upon the information presented by the Client, family members,
				friends, and responsible parties. A Service Plan will be developed based on the
				evaluation and established goals.
(c) Quarterly Evaluations. Evaluation of a
				Client must be made by a case manager in the Client's home to evaluate the
				quality and need for services at least every ninety (90) days. Adjustments in
				the Service Plan will be made as necessary.
(d) Annual Evaluation. The ACC shall complete
				an evaluation, utilizing the initial evaluation form, at least annually or as a
				significant change in condition dictates.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-15 - Client Evaluation

Current through July 13, 2024
All evaluations will be documented on a form approved by the
				  Division and are preferably conducted in the Client's home.
(a) Eligibility Screening. Prior to service
				provision each Client shall be screened to determine eligibility based on the
				definition of "At-risk".
(b)
				Initial Evaluation. The Grantee shall conduct a written initial evaluation of
				each Client based upon the information presented by the Client, family members,
				friends, and responsible parties. A Service Plan will be developed based on the
				evaluation and established goals.
(c) Quarterly Evaluations. Evaluation of a
				Client must be made by a case manager in the Client's home to evaluate the
				quality and need for services at least every ninety (90) days. Adjustments in
				the Service Plan will be made as necessary.
(d) Annual Evaluation. The ACC shall complete
				an evaluation, utilizing the initial evaluation form, at least annually or as a
				significant change in condition dictates.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-15 - Service Plan

Current through July 13, 2024
During all phases of the assessment process the Service Plan
				  shall be developed, reviewed and/or modified as indicated to meet the needs of
				  the Clients.
(a) Service Plan:
(i) A Service Plan shall be developed by an
				Access Care Coordinator and shall consist of the following:
(A) The specific procedures to be
				done;
(B) The frequency of the
				procedures;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-16 - Service Plan

Current through July 13, 2024
During all phases of the assessment process the Service Plan
				  shall be developed, reviewed and/or modified as indicated to meet the needs of
				  the Clients.
(a) Service Plan:
(i) A Service Plan shall be developed by an
				Access Care Coordinator and shall consist of the following:
(A) The specific services to be
				done;
(B) The frequency of the
				services;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-16 - Maintenance of Records

Current through July 13, 2024
The Grantee must maintain a record of each Client for the
				  Wyoming Home Services program. All Client records relating to the program are
				  subject to state, local and federal privacy and security regulations.
(a) Documentation. The Grantee shall ensure
				that the program maintains an adequate system of record keeping to comply with
				these rules.
(b) The record must
				include but is not limited to the following:
(i) All eligibility and evaluation
				material;
(ii) Signed copy of the
				Division's Client's rights and grievance procedure;
(iii) Documentation of all Client related
				contact; and,
(iv) Disposition of
				referral, Service Plans, termination and all other documentation pertinent to
				the Client's care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-17 - Maintenance of Records

Current through July 13, 2024
The Grantee must maintain a record of each Client for the
				  Wyoming Home Services program. All Client records relating to the program are
				  subject to state, local and federal privacy and security regulations.
(a) Documentation. The Grantee shall ensure
				that the program maintains an adequate system of record keeping to comply with
				these rules.
(b) The record must
				include but is not limited to the following:
(i) All eligibility and evaluation
				material;
(ii) Signed copy of the
				Division's Client's rights and grievance procedure;
(A) Documentation of all Client related
				contact; and,
(B) Disposition of
				referral, Service Plans, termination and all other Documentation pertinent to
				the Client's care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-17 - Termination

Current through July 13, 2024
(a) The Grantee may terminate a Client from
				the program due to any of the following:
(i)
				Increasing or decreasing requirements as indicated by the Division's evaluation
				and Level of Care tools. An independent evaluation performed by a licensed
				nurse may be requested at the Division's discretion;
(ii) Cost containment requirements are
				exceeded as set by the Grantee;
(iii) The Client or their legal
				representative has signed an agreement to pay a fee for service but has not
				paid such fees;
(iv) The Client
				chooses nursing home placement or other alternatives,
(v) The Client or Client's family impedes the
				provision of services;
(vi) The
				Grantee has a reduction of funding or services;
(vii) The Grantee ceases to operate without
				transferring services; or,
(viii)
				The Client does not receive services for thirty (30) continuous calendar
				days.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-18 - Termination

Current through July 13, 2024
(a) The Grantee may terminate a Client from
				the program due to any of the following:
(i)
				Increasing or decreasing requirements as indicated by the Division's evaluation
				and Level of Care tools. An independent evaluation performed by a licensed
				nurse may be requested at the Division's discretion;
(ii) Cost containment requirements are
				exceeded as set by the Grantee;
(iii) The Client or their legal
				representative has signed an agreement to pay a fee for service but has not
				paid such fees;
(iv) The Client
				chooses nursing home placement or other alternatives,
(v) The Client or Client's family impedes the
				provision of services;
(vi) The
				Grantee has a reduction of funding or services;
(vii) The Grantee ceases to operate without
				transferring services; or,
(viii)
				The Client does not receive services for thirty (30) continuous calendar
				days.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-18 - Client's Right to Self-Determination

Current through July 13, 2024
Clients are entitled to decide where and how they live, and
				  whether or not they wish to receive Wyoming Home Services and other forms of
				  assistance. Grantees must recognize the civil rights of individuals they wish
				  to serve and must terminate service at any time that a Client refuses such
				  services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-20 - Program Transfer

Current through July 13, 2024
If the program is to be transferred from one Grantee to
				  another, it is the responsibility of the transferring Grantee to inform Clients
				  of changes in writing fourteen (14) days prior to the transfer. The information
				  provided to the Client shall include, at a minimum;
(a) Name of the new Grantee, along with the
				name and telephone number of the contact person;
(b) Information about potential changes in
				the provision of services;
(c)
				Assurance that the Client will not be arbitrarily dropped from the program due
				to the transfer;
(d) Informing the
				Client that a new assessment is required and will occur within ninety (90) days
				of transfer, and;
(e) The date of
				transfer.
(i) Should the program transfer
				from one Grantee to another, it is the new Grantee's responsibility to assess
				all transferred Clients within ninety (90) days. Grantees shall make all
				efforts to minimize interruption of services to transferred Clients.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-21 - Quality Assurance

Current through July 13, 2024
Quality assurance assessments for Wyoming Home Services will
				  be implemented in a format which has been approved by the
				  Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-22 - Insurance and Bonding

Current through July 13, 2024
The Grantee shall assure that all Access Care Coordinators,
				  Homemakers, CNAs and Nurses are covered by liability insurance and
				  bonding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-23 - Client Notification of Scheduling Changes

Current through July 13, 2024
The Grantee shall notify the Client and/or responsible
				  parties in a timely manner of inability to provide services at previously
				  arranged time and/or date. Grantee shall make reasonable effort to provide
				  services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-24 - Complaint Review

Current through July 13, 2024
A complaint may be made by setting forth in writing the act
				  done or omitted by the Grantee in violation of state and federal law, order,
				  rule or standard over which the Division has jurisdiction. If the complaint(s)
				  is not under the jurisdiction of the Division, the person making the complaint
				  will be directed to the appropriate authority for review. All complaints that
				  are within the jurisdiction of the Division will be handled in accordance with
				  Chapter 2 of the Aging Division Operational Rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-25 - Complaint Review

Current through July 13, 2024
A complaint may be made by setting forth in writing the act
				  done or omitted by the Grantee in violation of state and federal law, order,
				  rule or standard over which the Division has jurisdiction. If the complaint(s)
				  is not under the jurisdiction of the Division, the person making the complaint
				  will be directed to the appropriate authority for review. All complaints that
				  are within the jurisdiction of the Division will be handled in accordance with
				  Chapter 2 of the Aging Division Operational Rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 1 - Definitions and General Provisions › Section 1-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) promulgates
				  this chapter under the authority granted by Wyo. Stat. Ann. §§
									
										14-4-116,
				  21-4-309,
				  35-1-240,
				  35-4-101, and
				  35-4-139.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 1 - Definitions and General Provisions › Section 1-2 - Purpose

Current through July 13, 2024
This chapter provides the definitions, general provisions,
				  and incorporated references for
Rules, Wyoming Department of Health,
				  Wyoming Immunization Program
. This chapter applies to all chapters
				  promulgated under these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 1 - Definitions and General Provisions › Section 1-4 - General Provisions

Current through July 13, 2024
(a) In the event of a contested case under
				these rules,
Rules, Office of Administrative Hearings, General Agency,
				Board of Commission Rules
, Ch. 2 (2014), incorporated by reference
				under section
				5 of this chapter, shall apply unless
				otherwise provided for under these rules.
(b) The Department may issue policy and
				procedure manuals to further facilitate interpretation of and compliance with
				the Wyoming Immunization Program Rules. These manuals are found at
				https://health.wyo.gov/publichealth/immunization/ and made available by the
				Department upon request
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 1 - Definitions and General Provisions › Section 1-5 - Incorporation by Reference

Current through July 13, 2024
(a) For any code, standard, rule, or
				regulation incorporated by reference in these rules:
(i) The Department has determined that
				incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules;
(ii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in subsection (b) of this section; and
(iii) The incorporated code, standard, rule,
				or regulation may be found at https://health.wyo.gov/publichealth/immunization/
				and is maintained and made available by the Department for public inspection
				and copying at cost at the same location.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) promulgates
				  this chapter under the authority granted by Wyo. Stat. Ann. §§
									
										35-1-240,
				  35-4-101, and
				  35-4-139.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-2 - Purpose

Current through July 13, 2024
This chapter establishes the Wyoming Vaccinates Important
				  People (WyVIP) Program as the childhood immunization program contemplated under
				  Wyo. Stat. Ann. §
									
										35-4-139. This chapter also identifies the
				  vaccines provided by the WyVIP Program and establishes patient eligibility
				  criteria, provider eligibility criteria to enroll with the WyVIP Program, and
				  the allowable administration fee.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-4 - Establishment of the WyVIP Program

Current through July 13, 2024
(a) The Department shall:
(i) Administer the WyVIP Program;
				and
(ii) Establish policies and
				procedures for participation in the WyVIP Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-5 - Patient Eligibility

Current through July 13, 2024
(a) A patient is eligible to receive a
				vaccine provided by the WyVIP Program if the patient is:
(i) Eighteen (18) years of age or
				younger;
(ii) A Wyoming resident;
				and
(iii) Is not a "federally
				vaccine eligible child" under
				42 U.S.C. §
											1396s(b)(2) or subsequent
				similar federal enactment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-6 - Vaccine Advisory Board

Current through July 13, 2024
The Vaccine Advisory Board (VAB) serves as the advisory group
				  appointed by the Department Director as described in Wyo. Stat. Ann. §
									
										35-4-139.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-7 - WyVIP Vaccine Formulary

Current through July 13, 2024
(a) The State Health Officer shall establish
				the WyVIP vaccine formulary. The WyVIP vaccine formulary must include those
				vaccines determined by the State Health Officer to be necessary for the healthy
				development of children pursuant to Wyo. Stat. Ann. §
									
										35-4-139.
(b) The State Health Officer may, in
				accordance with this chapter, modify the WyVIP vaccine formulary including, but
				not limited to, adding or removing a vaccine antigen or brand.
(c) When deciding to modify the WyVIP vaccine
				formulary, the State Health Officer shall consider the following:
(i) Whether the vaccine is necessary for the
				healthy development of children;
(ii) The recommendations of the VAB;
				and
(iii) The availability of
				funds.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-8 - Provider Eligibility and Enrollment

Current through July 13, 2024
(a) A primary health care provider is
				eligible to enroll in the WyVIP Program if the provider:
(i) Is employed by an organization enrolled
				with the WY IIS;
(ii) Has a valid
				license to administer vaccines within the State of Wyoming;
(iii) Is not included on the Office of
				Inspector General (OIG) List of Excluded Individuals and Entities
				(LEIE);
(iv) Has the capacity to
				order, receive, and manage vaccines, including proper vaccine storage and
				temperature monitoring capacity; and
(v) Agrees to program requirements, including
				participation in site visits and educational opportunities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-9 - Program-Enrolled Provider Responsibilities

Current through July 13, 2024
(a) A program-enrolled provider shall utilize
				the IIS for the following:
(i) Vaccine
				orders, transfers, and returns;
(ii) Patient demographic and immunization
				information; and
(iii) Vaccine
				inventory.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-10 - Disciplinary Action

Current through July 13, 2024
(a) The Department may take disciplinary
				action against a program-enrolled provider if the Department finds a provider
				failed to comply with the requirements of this chapter or the policies and
				procedures established by the Department. Disciplinary action may include a
				reprimand, conditions, restrictions, probation, suspension, termination, other
				appropriate action, or a combination thereof.
(b) The Department shall base its decision to
				terminate a program-enrolled provider from the WyVIP Program on the following
				factors:
(i) The provider's compliance with
				this chapter, the provider agreement, and established policies and
				procedures;
(ii) The risk posed to
				patient health and safety;
(iii)
				The risk posed to vaccine viability; and
(iv) The impact of the provider's fraud or
				abuse or vaccine waste, if applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 2 - The Wyoming Vaccinates Important People Program › Section 2-11 - Billing for Vaccine Administration

Current through July 13, 2024
(a) A program-enrolled provider may charge an
				eligible patient a fee for the administration of a publicly-supplied
				vaccine.
(b) The administration fee
				charged to an eligible patient by a program-enrolled provider must not exceed
				twenty one dollars and seventy two cents ($21.72) multiplied by the number of
				antigens in the vaccine administered from the WyVIP Program.
(c) If a patient is unable to pay the
				administration fee, the program-enrolled provider shall waive the
				administration fee. Other visit or office fees may be charged as applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) promulgates
				  this chapter under the authority granted by Wyo. Stat. Ann. §§
									
										14-4-116,
				  21-4-309,
				  35-1-240, and
				  35-4-101.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-2 - Purpose

Current through July 13, 2024
This chapter establishes the mandatory immunization
				  requirements for a child to attend a school or child caring facility according
				  to Wyo. Stat. Ann. §§
									
										14-4-116 and
				  21-4-309.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-3 - Applicability

Current through July 13, 2024
(a) This chapter applies to a child:
(i) Attending a school, full or part
				time;
(ii) Participating in a
				school sanctioned activity; or
(iii) Attending a child caring facility, full
				or part time.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-4 - Minimum Immunization Requirements

Current through July 13, 2024
(a) A child must be immunized against the
				following vaccine-preventable diseases:
(i)
				Diphtheria;
(ii) Haemophilus
				influenza type b;
(iii) Hepatitis
				B;
(iv) Measles;
(v) Mumps;
(vi) Pertussis;
(vii) Polio;
(viii) Pneumococcal;
(ix) Rotavirus;
(x) Rubella;
(xi) Tetanus; and
(xii) Varicella.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-5 - Proof of Immunization

Current through July 13, 2024
(a) The following qualifies as documentary
				proof of immunization:
(i) An immunization
				record generated from the Immunization Information System (IIS) established by
				the Department;
(ii) An
				immunization record certified by a primary health care provider;
(iii) An immunization record certified by a
				physician licensed in the United States, or the physician's designee;
				or
(iv) An immunization record
				certified by a public health authority.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-6 - Evidence of Immunity

Current through July 13, 2024
(a) The following may be submitted as
				evidence of a child's immunity against a vaccine-preventable disease and in
				lieu of the documentary proof of immunization required for the particular
				vaccine-preventable disease:
(i) A positive
				serologic test for measles, mumps, rubella, hepatitis B, varicella, or all 3
				serotypes of poliomyelitis found in the polio vaccines; or
(A) A serology result reported as equivocal
				is not acceptable evidence of immunity.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-7 - Waivers

Current through July 13, 2024
(a) A waiver of an immunization required
				under Section
				4 of this chapter must be granted if written
				evidence of a religious objection is submitted to the State or County Health
				Officer by the child's parent. Written evidence of religious objection
				includes:
(i) A complete and signed religious
				waiver form, found at https://health.wyo.gov/publichealth/immunization and made
				available by the Department upon request; or
(ii) A signed statement from the child's
				parent, certifying religious objection to the administration of a specific
				immunization.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-8 - Parent Responsibilities

Current through July 13, 2024
(a) A parent shall submit the following
				documentation of a child's immunization status to the school or child caring
				facility administrator, or the administrator's designee within thirty (30)
				calendar days after the date of entry.
(i)
				Documentary proof of immunization pursuant to Section
				5 of this chapter;
(ii) Evidence of immunity pursuant to Section
				6 of this chapter; or
(iii) An approved religious or medical waiver
				pursuant to Section
				7 of this chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 3 - Mandatory Immunizations for Children Attending Schools and Child Caring Facilities › Section 3-9 - Emancipated or Adult-Aged Children

Current through July 13, 2024
The duties imposed upon and rights granted to a parent under
				  this chapter apply to an emancipated or adult-aged child attending school, full
				  or part-time, or participating in school sanctioned activities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) promulgates
				  this chapter under the authority granted by Wyo. Stat. Ann. §§
									
										14-4-116,
				  21-4-309,
				  35-1-240, and
				  35-4-101.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-2 - Purpose

Current through July 13, 2024
This chapter establishes the duties of school and child
				  caring facility administrators in regard to the mandatory immunizations and the
				  control and management of communicable diseases.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-4 - Administrator Responsibilities

Current through July 13, 2024
(a) A school or child caring facility
				administrator or the administrator's designee shall:
(i) Inform parents of the immunization
				requirements described in Chapter 3 of these rules;
(ii) Not permit a child to attend a school or
				child caring facility for more than thirty (30) calendars days after the date
				of the child's entry unless the child's parents have submitted the required
				documentation of the child's immunization status under Chapter 3 of these
				rules;
(iii) Act in accordance with
				section 6 of this chapter in
				regard to conditional enrollment;
(iv) Maintain all documentation received
				regarding the child's immunization status in the child's school or child caring
				facility record;
(v) Transfer a
				child's documentation regarding immunization status if the child transfers to
				another school or child caring facility within Wyoming;
(vi) Assess the required documentation of
				each child's immunization status as needed in accordance with Chapter 3 of
				these rules;
(vii) Make a child's
				submitted documentation regarding immunization status available for inspection
				and review by authorized representatives of the Department;
(viii) Report the immunization status and
				conditional enrollment of each enrolled child once per year using the forms and
				process established by the Department; and
(ix) For the control and management of
				communicable diseases, refer parents to an authorized user of the Immunization
				Information System (IIS) established by the Department for the purpose of
				creating an IIS immunization record or adding immunization information to an
				existing record pursuant to Chapter 5, Section
				15 of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-5 - Documentation of Immunization Status

Current through July 13, 2024
(a) A school or child caring facility
				administrator shall accept the following as documentation of a child's
				immunization status:
(i) Proof of
				immunization pursuant to Chapter 3, Section 5 of these rules;
(ii) Evidence of immunity pursuant to Chapter
				3, Section
				6 of these rules; and
(iii) An approved religious or medical waiver
				pursuant to Chapter 3, Section
				7 of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-6 - Conditional Enrollment

Current through July 13, 2024
(a) Following the 30 day exclusion date, a
				school or child caring facility administrator may grant conditional enrollment
				to a child who is not fully immunized upon receipt of written documentation
				that is in accordance with Chapter 3 Section
				7 Subsection (c) of these rules.
(b) A school or child caring facility
				administrator or the administrator's designee shall monitor and confirm that
				the child has completed the serologic test or subsequent dose of a vaccine
				according to the submitted written documentation.
(c) A school or child caring facility
				administrator shall not permit a child to continue attending the school or
				child caring facility for more than fourteen (14) calendar days without
				verification that the child has received the subsequent dose of a vaccine in
				accordance with the written documentation from the primary health care
				provider, the primary health care provider's designee, or by a public health
				authority.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-7 - Exclusions During Communicable Disease Outbreaks

Current through July 13, 2024
(a) In the event of a vaccine-preventable
				disease outbreak, as determined by the State Health Officer or County Health
				Officer, a school or child caring facility administrator shall exclude from
				attendance any child who is not fully immunized against the occurring vaccine
				preventable disease.
(b) This
				section applies to a child with an approved waiver, a child granted conditional
				enrollment, or a child without documentary proof of complete immunization or
				serologic evidence of immunity pursuant to Chapter 3 of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-8 - IIS Access for Schools

Current through July 13, 2024
(a) A school may enroll with the IIS in
				accordance with Chapter 5 of these rules for the purpose of obtaining
				documentation of immunization status in accordance with this chapter.
(b) The school administrator shall ensure
				that qualifying parental consent has been obtained and documented in the
				child's record prior to the school administrator or the administrator's
				designee accessing a child's immunization record in the IIS.
(c) The following qualifies as documentation
				of parental consent under this section:
(i) A
				completed Immunization Agreement Between Parent/Guardian and School, found at
				https://health.wyo.gov/publichealth/immunization/ and made available by the
				Department upon request;
(ii)
				Electronic consent captured in the school's computer system with language
				consistent with the Immunization Agreement Between Parent/Guardian and School;
				or
(iii) The documentation of
				verbal consent, including the date and place, in the child's school
				record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 4 - Duties of School and Child Caring Facility Administrators › Section 4-9 - IIS Access for Child Caring Facilities

Current through July 13, 2024
(a) A child caring facility may enroll with
				the IIS in accordance with Chapter 5 of these rules for the purpose of
				obtaining documentation of immunization status in accordance with this
				chapter.
(b) The child caring
				facility administrator shall ensure that qualifying parental consent has been
				obtained and documented in the child's record prior to the child caring
				facility administrator or the administrator's designee accessing a child's
				immunization record in the IIS.
(c)
				The following qualifies as documentation of parental consent under this
				section:
(i) A completed WDH Authorization to
				Release Health Records (F-011) form, found at
				https://health.wyo.gov/admin/privacy/ and made available by the Department upon
				request.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) promulgates
				  this chapter under the authority granted by Wyo. Stat. Ann. §§
									
										35-1-240 and
				  35-4-101.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-3 - Applicability

Current through July 13, 2024
This chapter applies to the IIS established by the
				  Department, its administrators, public health care organizations, enrolled
				  organizations and their staff, schools, child caring facilities and authorized
				  users.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-4 - Functional Standards

Current through July 13, 2024
(a) The IIS shall meet the Centers for
				Disease Control and Prevention (CDC) Immunization Information System Functional
				Standards, 2013-2017, effective December 14, 2012, and updated February 2016,
				which have been incorporated by reference under Chapter 1 of these
				rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-5 - Organization Eligibility and Enrollment

Current through July 13, 2024
(a) An organization shall enroll with the IIS
				as determined by the Department if the organization:
(i) Employs, is owned or controlled by a
				primary health care provider that administers vaccines; or
(ii) Contracts with an organization that
				employs a primary health care provider that administers vaccines.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-7 - Facility Contact Responsibilities

Current through July 13, 2024
(a) A facility contact shall complete the
				following for their facility using the forms and process established by the
				Department:
(i) Requests for authorized
				users;
(ii) Change request to
				authorized user access levels; and
(iii) Report authorized users no longer
				employed by the organization within 24 hours.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-8 - Authorized User Eligibility and Access

Current through July 13, 2024
(a) A facility contact may request for an
				individual to become an authorized user using the form and process established
				by the Department.
(b) An
				individual is eligible to become an authorized user if the individual:
(i) Is not included on the OIG LEIE;
				and
(ii) Is a current employee of
				the enrolled organization.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-9 - Authorized User Responsibilities

Current through July 13, 2024
(a) An authorized user shall:
(i) Agree to the End User License Agreement
				according to the frequency and method established by the Department;
				and
(ii) Act in accordance with:
(A) The IIS Authorized User Policy (IMM-003);
				and
(B) The standards required by
				applicable law for the security of protected health information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-10 - IIS Interoperability

Current through July 13, 2024
(a) To achieve interoperability between the
				IIS and the electronic health record (EHR) system utilized by the organization
				or its facilities, a responsible authority or his designee for the organization
				shall:
(i) Submit a request for
				interoperability with the IIS using the form and process established the
				Department; and
(ii) Identify an
				individual to serve as the project lead for each facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-11 - Mandatory Reporting of Immunization Information

Current through July 13, 2024
(a) A primary health care provider that
				administers immunizations shall:
(i) Report
				immunization information to the IIS within thirty (30) days of administration
				using one of the following methods:
(A)
				Direct online entry into the IIS;
(B) Secure transmission of electronic files
				from an EHR using HL7 messaging in accordance with the specifications
				established by the Department; or
(C) Submission of a data file in the format
				established by the Department; and
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-12 - Suspension and Termination

Current through July 13, 2024
(a) The Department may suspend or terminate
				an organization's or facility's enrollment with the IIS if the organization or
				facility is unable to satisfy the conditions imposed under this chapter or the
				enrollment agreement.
(b) The
				Department may suspend or terminate an authorized user's access to the IIS if
				the authorized user violates the following:
(i) IIS Authorized User Policy
				(IMM-003);
(ii) End User License
				Agreement; or
(iii) Any other
				Department policy.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-13 - Patient Consent

Current through July 13, 2024
(a) A patient or parent, may request an
				exclusion of his or his child's immunization information from the IIS by
				completing the Use and Disclosure Restriction (F-12) form available at
				https://health.wyo.gov/admin/privacy/and and made available by the Department
				upon request.
(i) The Department may not
				retain individually identifiable information in the IIS for a patient listed on
				an approved Use and Disclosure Restriction (F-12) form.
(ii) Immunization information shall be
				maintained in aggregate format.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-14 - IIS Access for Schools and Child Caring Facilities

Current through July 13, 2024
(a) A school or child caring facility may
				enroll with the IIS for the purpose of meeting the requirements established in
				Chapter 4 of these rules.
(b) A
				school or child caring facility administrator may request for an individual to
				become an authorized user in accordance with Section
				8 of this chapter.
(c) A school or child caring facility
				administrator is responsible for ensuring that authorized users act in
				accordance with Chapter 4, Sections
				8 and
				9 of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0071 - Wyoming Immunization Program › Chapter 5 - Wyoming Immunization Information System › Section 5-15 - Creating/Editing IIS Records

Current through July 13, 2024
The Department may designate an authorized user to enter
				  immunization information into the IIS from an immunization record in accordance
				  with the Department's policy for Creating/Editing IIS Records from an Official
				  Immunization Record Policy (IMM-004), which has been incorporated by reference
				  under Chapter 1 of these rules.