Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-2 - Definitions

Current through July 13, 2024
(a) As used within the rules:
(i) "Aggrieved Party" means any provider,
				purchaser or third-party payor including but not limited to any hospital,
				physician, allied health professional, health care provider or other person
				furnishing goods or services to or in competition with hospitals, insurers,
				hospital service corporations, medical service corporations, preferred provider
				organizations, health maintenance organizations or any employer or association
				that directly or indirectly provides health care benefits to its employees or
				members.
(ii) "Anniversary Month"
				means the month a health care cooperative arrangement is approved.
(iii) "Arrangement Already in Effect" means
				all substantiating elements included in the health care cooperative arrangement
				application have been working together in the State of Wyoming as proposed in
				the application for one (1) year prior to the filing of the
				application.
(iv) "Certified Mail"
				means uninsured first class mail whose delivery is recorded by having the
				addressee sign for it.
(v)
				"Comment" means a written document offering explanation, illustration,
				criticism, or personal opinion.
(vi) "Contested Case" means a proceeding
				including but not restricted to the review of applications for health care
				cooperative arrangements and the administration of approved applications for
				health care cooperative arrangements in accordance with WSS §
										
											16-3-101.
(vii) "Days" means consecutive calendar
				days.
(viii) "Department" means the
				Wyoming Department of Health.
(ix)
				"Director" means the Director of the Wyoming Department of Health.
(x) "Objection" means a written document
				offered by an aggrieved party in opposition to a health care cooperative
				arrangement which states the reason, grounds, or cause for expressing
				opposition.
(xi) "Persons on
				Record" means persons submitting written documentation to the Director, by
				certified mail, stating objections, comments, or requests for notification of a
				specific health care cooperative arrangement. Persons on record status must be
				renewed by written request, sent by certified mail to the Director, prior to
				December 31 of each calendar year.
(xii) "Revenue" means income received during
				the preceding fiscal year under the cash basis of accounting.
(xiii) "Trade Secret Information" means
				proprietary data including a formula, pattern, compilation, program, device,
				method, technique or process that:
A. Is
				supplied by the affected individual or organization to the State;
B. Is the subject of efforts by the
				individual or organization that are reasonable under the circumstances to
				maintain secrecy; and
C. Derives
				independent economic value, actual or potential, from not being generally known
				and not being readily ascertainable by proper means by other persons who can
				obtain economic value from its disclosure or use.