Wyoming Administrative Code › Agency 053 - Workforce Services, Department of › Sub-Agency 0021 - Workers' Compensation Division › Chapter 7 - BENEFITS › Section 7-3 - Medical and Hospital Care

Current through July 13, 2024
(a) Health Care
				Benefits.
(i) Workers with injuries
				compensable under the Act shall be provided reasonable and necessary health
				care benefits as a result of such injuries.
(ii) Change of Health Care Provider. A worker
				wishing to change treating health care providers while under treatment shall
				file a written request with the Division, stating all reasons for the change
				and the name of the intended new treating health-care provider. The Division
				shall send notice of the change to the employer, the worker, and the current
				and intended new treating health care providers.
(iii) Medical Reimbursement to Injured
				Worker. Requests for reimbursement may be submitted to the Division by an
				injured worker for expense paid out-of-pocket for medical service(s) deemed
				reasonable, necessary and directly related to his work-related injury on a form
				provided by the Division.
(A) Requests for
				reimbursement will be considered only if the original receipt, which must be
				itemized, displays the transaction date, and substantiates proof of payment, is
				submitted with the Division's form.
(B) The Division may reimburse an injured
				worker 100% for the initial expense including taxes, paid out-of-pocket for
				prescribed medical service, prescribed drug or supply required to treat a
				compensable injury, when the service, drug or supply had been provided prior to
				the Division's notifying the injured worker of the case number assigned to his
				reported injury. The Division will not reimburse an injured worker for
				insurance co-pays or deductibles.
(C) Expenses incurred by an injured worker
				for over-the-counter (OTC) medication or medical supplies prescribed or
				recommended by the treating health care provider will be reimbursed at 100% of
				the purchase price, including taxes.
(iv) Travel Reimbursement. Reimbursement for
				travel necessary to obtain the closest available medical or hospital care
				needed by the employee will be payable at the rates provided for state
				employees in the rules and regulations of the State Auditor. W.S. § 27
				14-401(d)(iii).
(A) Reimbursement for mileage
				will be based on map mileage from address to address and travel within the
				community of residence will only be paid if the distance exceeds ten miles one
				way.
(B) Requests for reimbursement
				of meal, lodging, bus, air travel, cab, train, parking, and other travel
				expenses must be accompanied by the original receipt. Reimbursement will not be
				paid for car rental expenses under any circumstances.
(C) Reimbursement for meals shall be paid as
				provided for state employees in the rules and regulations of the State
				Auditor.
(D) Unless medically
				necessary, there shall be no reimbursement for the travel and associated
				expenses incurred by other persons or for phone charges incurred during such
				travel. Necessity for accompanied travel should be reflected in the
				documentation provided from the health care provider.
(E) Reimbursement for travel will be
				considered only if filed on the appropriate form provided by the
				Division.
(F) Claims for
				reimbursement shall be submitted to the Division within one (1) year from the
				date travel or other expenses were in