Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these Rules. Where the context in which words are used in
				  these Rules indicates that such is the intent, words in the singular number
				  shaii inciude the plural and visa-versa. Throughout these Rules gender pronouns
				  are used interchangeably, except where the context dictates otherwise. The
				  drafters have attempted to utilize each gender pronoun in equal numbers in
				  random distribution. Words in each gender shall include individuals of the
				  other gender.
For the purpose of tlrese Rules, the following shall
				  apply:
(a) "Access to care programs"
				means Wyoming funded programs designed to increase the number of healthcare
				professionals working in areas of greatest need for primary care access in
				Wyoming as determined by the Department.
(b) "Applicant" means an existing or new
				Community Health Center or Rural Health Clinic applying for this grant
				program.
(c) "Area of greatest
				need" means an area identified by the Department as not having sufficient
				primary care providers to satisfactorily meet medical care demand for the
				area's population. Areas of greatest need will change regularly and be
				determined by the Department.
(d)
				"Cash" means an unobligated liquid asset.
(e) "Certified Electronic Health Record"
				means an electronic health record that has been certified under the Certified
				Health IT Product List (CHPL). The CHPL is available at
http://onc-chpl.force.com/ehrcert
.
(f) "Community Health Center" means a health
				center receiving federal funding pursuant to Public Health Service Act Section
				330 (PHS 330). This does not include other Federally Qualified Health Centers
				(FQHCs) including, but not limited to, migrant and homeless clinics.
(g) "Department" means the Wyoming Department
				of Health, Public Health Division, Rural and Frontier Health Section, Office of
				Rural Health or the contractor/entity utilized to administer the
				Program.
(h) "Electronic Health
				Record" means an electronic version of a patient's medical history that is
				maintained by the provider over time, and may include all of the key
				administrative clinical data relevant to the patient's care under a particular
				provider, including demographics, progress notes, problems, medications, vital
				signs, past medical history, immunizations, laboratory data, and radiology
				reports.
(i) "Federally Qualified
				Health Center Look-Alike (FQHC-LA)" means an organization that meets all of the
				eligibility requirements of an organization that receives a Pubhc Health
				Service Act Section 330 (PHS 330) grant, but does not receive the PHS 330 grant
				funding. FQHC Look-Alikes receive many of the same benefits as FQHCs, including
				but not limited to, enhanced Medicare and Medicaid reimbursement, access to the
				pubic [public] Health Service Act Section 340 B Drug Pricing Program, and
				automatic designation as a Health Professional Shortage Area (HPSA).
(j) "Grant" means an award of state funds to
				an applicant through a written Grant Award Agreement.
(k) "Grant Amount" means the Program funds
				identified in the Grant Award Agreement.
(l) "Grant Award Agreement" means a legally
				enforceable and binding agreement describing the terms of the commitment
				between the Department and the grantee.
(m) "Grantee" means an applicant approved for
				a grant file:///mder the Program.
(n) "Grant Term" means a three (3) year Grant
				Award Agreement and timeframe under which a grantee must adhere to Program
				requirements.
(o) "HIPAA" means the
				Health hisurance Portability and Accountability Act of 1996.
(p) "In-kind" means real property, goods, or
				services with documented equity equal to or greater than the amount provided as
				the in-kind local match.
(q)
				"Integrated care" means the clinic's coordination with other local healthcare
				professionals, home health agencies, and the patient's hospital, to enhance
				care, improve access to care, reduce emergency room visits and
				re-hospitalizations for all patients in the clinic's service area. The clinic
				uses patient data and best practice guidelines to be proactive in providing
				quality care to improve patient outcomes, or be recognized as a "patient
				centered medical home" by a national program.
(r) "Key performance indicators" means
				quantifiable measurements, agreed to between the Department and grantee prior
				to executing the Grant Award Agreement, that reflect the critical success
				factors of the project.
(s) "Local
				match" means the local funding source, in cash, in-kind, or both, the applicant
				receives from the local community to apply toward the proposed project and must
				be no less than twenty-five percent (25%) of the total grant amount.
(t) ''new Access Point Grant Application"
				means the formal Health Resources and Services Administration (HRSA)
				application process required to become a Community Health Center.
(u) "Operational expenses" means expenses
				such as, but not limited to, rent, utilities, and salaries.
(v) "PHS 330 funding" means
				42 U.S.C. §
										254 b of the federal Public Health Service
				Act that provides grants to Federally Qualified Health Centers, including
				Community Health Centers. This is commonly referred to as PHS 330 funding or
				330 funding.
(w) "Program" means
				the Wyoming Primary Care Support Grant Program.
(x) "Rural Health Clinic" means a certified
				R.ural Health Clinic, as documented by the Centers for Medicare and Medicaid
				Services (CMS).
(y) "Service Area"
				means the geographic vicinity a clinic draws the bulk of patients from. This
				may be a town, city, county, or a combination thereof.
(z) "Sliding fee scale" means a scale to
				determine whether a patient receives services free of charge, for a nominal
				fee, or at a discounted rate based upon income and current federal poverty
				guidelines.
(aa) "Treat without
				reservation" means to not limit the number or type of care for patients
				qualified under the Medical Assistance and Services Act (Medicaid), Title XVIII
				of the federal Social Security Act (Medicare), and the Children's Health
				Insurance Program (CHIP) who seek medical care which the healtlicare provider
				is qualified to provide in the grantee's clinic.
(bb) "This Act" means W.S. §
									
										9-2-127, the Wyoming Primary Care Support
				Act.
(cc) "Quality Indicators"
				means financial and clinical quality measures including, but not limited to,
				those found in the Consolidated List of Performance Measures published by the
				Bureau of Primary Healthcare (BPHC).