reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 9 - THE CRITICAL ACCESS AND RURAL HOSPITAL TECHNOLOGY GRANT PROGRAM › Section 9-8 - Eligibility Criteria for Critical Access and Rural Hospital Technology Grant Applicants

Current through July 13, 2024
(a) Rural hospitals
				with forty ( 40) beds or less, including Critical Access Hospitals, as defined
				by Section
				4 of
				these rules, are eligible to apply for funds under the Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 9 - THE CRITICAL ACCESS AND RURAL HOSPITAL TECHNOLOGY GRANT PROGRAM › Section 9-9 - Application Process

Current through July 13, 2024
(a) Applicant must
				complete the approved application and submit it to the Department with the
				appropriate and required supporting documents requested in the
				application.
(b) The application,
				among other documents and factors as outlined in these rules, will be used to
				determine if an applicant is awarded a grant and must:
(i) Include a narrative describing the scope
				of the project.
(ii) Include
				organizational financials, with and without tax support. Financials must
				include:
(A) Tax support received for each of
				the previous three (3) years;
(B)
				Savings, cash reserves, certificates of deposit, and other liquid assets for
				each of the previous three (3) years to determine ongoing available
				cash;
(C) Current Days Cash on
				Hand, as defined in Section
				4 of
				these rules;
(D) Current Ratio, as
				defined in Section
				4 of
				these rules; and
(E) Current
				Operating Margin, as defined in Section
				4 of
				these rules.
(iii)
				Include the estimated amount that a fully-functional, certified electronic
				health record will cost the hospital. The basis of the estimate must be
				described in detail and include vendor information.
(iv) Include the estimated amount of Medicare
				incentive funding the hospital anticipates once the criteria for the electronic
				health record and "meaningful" use have been met.
(v) Include the estimated length of time
				required to achieve "meaningful use" of electronic health records from the
				beginning of the selection process through implementation and survey to
				demonstrate "meaningful use."
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 9 - THE CRITICAL ACCESS AND RURAL HOSPITAL TECHNOLOGY GRANT PROGRAM › Section 9-10 - Selection Process

Current through July 13, 2024
(a) The Department
				may involve internal and external partners in the selection process.
(b) Selection criteria shall include, but may
				not be limited to:
(i) Highest priority will
				be given to applicants with the greatest need, as determined by the Department
				and based upon information and documentation provided in the application. The
				Department may consider all applications at one time in an effort to provide
				funds on a pro rata basis to the eligible applicants to assist as many
				applicants as possible in achieving "meaningful use" of electronic health
				records;
(ii) The Department shall
				use information from the application form and other sources in the selection
				process;
(iii) The Department shall
				make awards, at its sole discretion, to applicants who have documented an
				executable plan for achieving "meaningful use" of electronic health records and
				who have a project scope that is supported by the documentation provided in the
				application for funding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 9 - THE CRITICAL ACCESS AND RURAL HOSPITAL TECHNOLOGY GRANT PROGRAM › Section 9-11 - Critical Access and Rural Hospital Technology Grant Program Breach, Repayment and Penalties

Current through July 13, 2024
(a) A grantee who
				fails to complete or comply with the requirements of the Program, these rules
				or the Grant Award Agreement shall:
(i) Repay
				the state the full amount of grant funds received under the Program as of the
				date of the breach. The Department may include in the Repayment Agreement any
				costs and expenses incurred in collecting these amounts, including attorney
				fees and other litigation and court costs. Repayment shall be completed within
				one (1) year of the Department's determination of breach in accordance with the
				written Repayment Agreement.
(A) The
				Department, at its sole discretion, may consider extending the repayment term
				based upon the circumstances leading to the grantee's non-compliance. This
				extension will not result in a reduction in the return of one hundred percent
				(100%) of the grant funds paid to the grantee.
(B) The Department, at its sole discretion,
				may forgive a proportionate share of the amount to be repaid based upon the
				grantee's progress made toward achieving the federal requirements of
				"meaningful use" of electronic health records.
(C) Grantee must submit a written request to
				the Department for extension of repayment or forgiveness of a share of
				repayment. Upon receipt of written request from Grantee, the Department shall
				review and provide a written decision to the grantee. The decision to approve
				or deny a request for an extension of repayment or forgiveness of a share of
				repayment is at the Department's sole discretion.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Statutory Authority

Current through July 13, 2024
Pursuant to
				  W.S.
				  35-4-107, W.S. W.S.
				  W.S.
				  35-4-108, and W.S. W.S.
				  W.S.
				  35-4-130 the Wyoming Department of Health is
				  authorized to make rules and regulations pertaining to a list of reportable
				  communicable diseases. The Wyoming Department of Health is generally authorized
				  pursuant to W.S. W.S.
				  W.S.
				  35-1-229 to adopt rules as necessary to
				  enforce.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Definitions

Current through July 13, 2024
These rules and regulations shall use the following terms as
				  defined within this section:
(a)
				"Acquired Immune Deficiency Syndrome" (AIDS) is the end result of Human
				Immunodeficiency Virus (HIV) infection supported by documented opportunistic
				infections, malignancies, or selected systemic diseases in association with HIV
				seropositivity.
(b) "Appropriate
				and Adequate Treatment" is the application and use of current minimum public
				health/medical standards regarding the treatment type and schedule for specific
				sexually transmitted diseases (STD).
(c) "Assault" is a perceived ability or
				attempt to intentionally cause bodily injury to another person.
(d) "Battery" is the intentional touching of
				another person without justification and/or without consent.
(e) "Body Fluid" includes any fluids that
				have been identified by the Center for Disease Control as potentially
				infectious and capable of facilitating the transmission of sexually transmitted
				disease including HIV/ AIDS.
(f)
				"Care and Treatment" is a schedule of care advised, offered and/or provided to
				a patient based on the current recommended minimum medical standard of care for
				sexually transmitted diseases.
(i) The
				definition for Care and Treatment is not intended to be construed as making the
				Wyoming Department of Health, Disease Prevention Program(s), responsible for
				providing medical services for STD patient care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Confidentiality of Information

Current through July 13, 2024
(a) All records
				pertaining to sexually transmitted diseases are confidential and except as
				otherwise required by law shall not be disclosed unless the disclosure:
(i) Is for statistical purposes and the
				information is released in a manner that does not reveal personal identifiers;
				or
(ii) Is necessary for the
				exclusive administration and enforcement of these rules and regulations and/or
				Wyoming State Statutes; or
(iii) Is
				preceded by the written consent of the infected individual specifying where the
				information shall be sent; or
(iv)
				Is for notification of health care employees as necessary to protect life and
				health.
(v) Is pursuant to a civil
				action for negligent or intentional infection of or exposure to a sexually
				transmitted disease.
(vi) Is
				pursuant to a criminal prosecution for the criminal infection of or exposure to
				a sexually transmitted disease.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 2 - REPORTING PROCEDURES › Section 2-1 - Disease List

Current through July 13, 2024
W.S. 35-4-130 declares Sexually
				  Transmitted Diseases to be contagious, infectious, communicable and dangerous
				  to public health. A current listing of time based reportable diseases may be
				  obtained from the office of the State Health Officer, State Epidemiologist,
				  state Sexually Transmitted Diseases Program or State HIV/AIDS Prevention
				  Program. Reportable Sexually Transmitted Diseases include the following (a
				  through e):
(a) AIDS - Acquired Immune
				Deficiency Syndrome
(b) Chlamydia -
				Chlamydia trachomatis
(c) Gonorrhea
				- Neisseria gonorrhoeae
(d) HIV
				Infection - Human Immune Deficiency Virus
(e) Syphilis - Treponema pallidum
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 2 - REPORTING PROCEDURES › Section 2-2 - Reporting Required

Current through July 13, 2024
(a) The following
				is a list of individuals and facilities which have an independent duty to
				report the occurrence of sexually transmitted disease:
(i) A physician or other health care provider
				diagnosing or treating a case of sexually transmitted disease;
(ii) The administrator of a health care
				facility or penal institution in which there is a case of a sexually
				transmitted disease;
(iii) The
				administrator or operator of a laboratory performing a positive test for
				sexually transmitted disease.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 2 - REPORTING PROCEDURES › Section 2-3 - Reporting Procedures/Methods

Current through July 13, 2024
(a) The physician
				must report or cause a report to be made using an official State Disease Case
				Report, a report via telephone, or a report via secured fax.
(b) The administrator of a health care
				facility or penal institution must report or cause a report to be made of the
				diagnosis or treatment of a sexually transmitted disease..
(c) The administrator or operator of a
				laboratory must report or cause a report to be made of test findings for
				reportable sexually transmitted diseases.
(d) Any physician or other health care
				provider and any administrator or operator of a health care facility or
				laboratory or penal institution reporting a diagnosis or positive test result
				pursuant to
				W.S.
				35-4-130 through
				35-4-134 shall notify any health
				care employee and/or health care professional reasonably expected to be at risk
				of exposure to a dangerous or life-threatening sexually transmitted disease,
				e.g., HIV/AIDS, who is involved in the supervision, care, and treatment of an
				individual infected or reasonably suspected of being infected with a dangerous
				life-threatening sexually transmitted disease.
(i) Notification shall be verbal.
(ii) Notification shall take place within 24
				hours or as soon as possible.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 2 - REPORTING PROCEDURES › Section 2-4 - Submission of Reports

Current through July 13, 2024
All sexually transmitted diseases and HIV/AIDS reports made
				  by the physician or other health care provider, administrator of a hospital,
				  director or supervisor of a laboratory facility, dispensary or penal
				  institution, or any other health care facility shall be forwarded to:
Wyoming Department of Health
Preventive Health and Safety Division
Epidemiology Section
Hathaway Building, 4th Floor
Cheyenne, Wyoming 82002
Fax: (307) 777-5573
Phone: (307) 777-3593
All written reports mailed utilizing a mail carrier shall be
				  in an envelope marked
"CONFIDENTIAL"
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 3 - PUBLIC HEALTH RESPONSIBILITIES › Section 3-1 - Public Health Action

Current through July 13, 2024
Upon receipt of a report or notice of a case of sexually
				  transmitted disease within a respective jurisdiction, a Health Officer or
				  Designee may take any or all of the following actions:
(a) If examination has not been performed,
				may provide for the examination of the infected individual(s) or the
				individual(s) reasonably suspected of suffering from a sexually transmitted
				disease and shall report the examination results to the
				individual(s);
(b) May require the
				infected individual(s) to seek adequate medical assistance for treatment of
				said infection either privately or if necessary at public expense;
(c) To the extent possible, provide for
				and/or arrange for the education and counseling of the infected individual(s)
				and/or their partner(s) as to the medical significance of the sexually
				transmitted disease;
(d) To the
				extent possible, identify, locate and refer the individual(s) with whom the
				infected individual(s) may have had contact for medical evaluation and
				treatment if necessary;
(e) Shall
				follow procedures (a) through (d) (Chapter III, Section
				1 )
				above with any identified partner(s);
(f) May isolate the individual(s) when that
				person(s) fails to comply with medical recommendations pertaining to an
				infection with or exposure to a dangerous or life-threatening sexually
				transmitted disease.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 3 - PUBLIC HEALTH RESPONSIBILITIES › Section 3-2 - Public Health Notification

Current through July 13, 2024
(a) To the extent
				possible, the Health Officer or Designee shall make every reasonable effort to
				locate and notify any person identified as having been exposed to a sexually
				transmitted disease within the prescribed public health standard for critical
				dates of exposure.
(b) Notification
				may include:
(i) The name of the sexually
				transmitted disease to which the individual may have been exposed;
(ii) The approximate date of
				exposure;
(iii) The nature of the
				disease (method of transmission, effects of the disease, etc.);
(iv) The available sources for education and
				counseling as to the medical significance of the disease;
(v) A recommendation to the individual about
				seeking medical assistance to determine if he or she is infected and obtaining
				treatment for known or suspected infection necessary.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 5 - CONFINED POPULATION › Section 5-1 - Examination Period

Current through July 13, 2024
Any person confined in a state penal institution or a county
				  jail or a community correctional facility for fifteen (15) days or more should
				  be examined by the appropriate Health Officer or qualified
				  Designee.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 5 - CONFINED POPULATION › Section 5-2 - Health Officer or Designee Action

Current through July 13, 2024
The Health Officer shall take any or all of the following
				  steps:
(a) Determine from the prisoners
				record and/or personal interview whether the individual is at risk for a
				sexually transmitted disease.
(b)
				May isolate prisoner(s) with treatable sexually transmitted diseases within the
				facility to prevent the spread of infection.
(c) Provide prisoner(s) infected with a
				curable sexually transmitted disease(s) with the minimum medical care and
				treatment to affect a cure.
(d) In
				the case of individuals(s) infected with an incurable sexually transmitted
				disease, provide for the minimum care and treatment of the
				individual(s).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 5 - CONFINED POPULATION › Section 5-3 - Care and Treatment

Current through July 13, 2024
Minimum care and treatment for incurable sexually transmitted
				  diseases requires that a prisoner shall be afforded equal provision of services
				  available to any other member of the confined population.
(a) The facility shall furnish or arrange for
				the provision of minimum medical care and/or medication pursuant to current
				medical practice in response to the specific disease.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-1 - Consent of Accused to Examination

Current through July 13, 2024
Upon the consent of a person accused of any crime involving
				  the alleged exchange of bodily fluids, the accused person shall be examined, as
				  soon as practical, for sexually transmitted diseases included within the list
				  of reportable diseases.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-2 - Warrant for Examination

Current through July 13, 2024
Persons accused of any crime wherein it is alleged that there
				  has been an exchange of bodily fluids who are unwilling or unable to give
				  consent or from whom it is impractical to seek consent for examination, the
				  court may issue a warrant upon a sufficient showing of probable cause by
				  affidavit, at any time of day or night, and thus order the medical examination
				  of the accused person for sexually transmitted diseases included within the
				  list of reportable diseases.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-3 - Person Convicted

Current through July 13, 2024
Any person convicted of a sex offense shall, at the request
				  of the victim, be examined as soon as practicable after the conviction for
				  reportable sexually transmitted diseases.
(a) The victim shall make the request to the
				District Attorney responsible for prosecuting the offense.
(b) If the offender is unwilling or unable to
				consent to the examination, the District Attorney shall petition the court for
				an order requiring the offender to submit to the examination.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-4 - Conduct of Examination

Current through July 13, 2024
Any examination performed under this Chapter shall be
				  performed by a licensed physician or health care provider and shall
				  include:
(a) Collection of an
				appropriate laboratory specimen for sexually transmitted diseases for
				submission to:
(i) The State Public Health
				Laboratory or
(ii) An approved
				private laboratory if such tests are unavailable at the State Public Health
				Laboratory.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-5 - Results Laboratory-Medical Examination

Current through July 13, 2024
(a) Examination
				results shall be reported to the appropriate Health Officer and/or
				Designee.
(b) Upon receipt of the
				examination results, the Health Officer or Designee shall notify the victim,
				alleged victim, or if a minor, the parents or guardian of the victim or the
				alleged victim.
(c) Costs of any
				medical examination undertaken pursuant to this section shall be funded through
				the Wyoming Department of Health.
Any claim for reimbursement for physician and/or laboratory
				  costs for examination of patient and/or patient specimen for confirmation of
				  sexually transmitted infection(s) must be adequately confirmed by the provision
				  of a copy of the court order provided to the Wyoming Department of Health at
				  the time the reimbursement is made in writing. The claim shall include patient
				  identification, age, marital status, gender and risk factor for exposure to
				  infection.
Claim for reimbursement shall include:
Nature of medical examination-clinical procedure(s).
Summary of clinical findings and clinical diagnosis.
Laboratory test procedure used to determine suspect or known
				  infection.
Laboratory test findings and reference laboratory.
2. Claim(s) for reimbursement shall be
				submitted in writing, if by mail it shall be marked "CONFIDENTIAL" and mailed
				to:
Wyoming Department of Health
Chief, Acute Illness and Injury Section
Hathaway Building, Room 520
Cheyenne, WY 82002
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 6 - MANDATORY TESTING › Section 6-6 - Medical Examination (W.S. 7-1-109)

Current through July 13, 2024
(a) Whenever
				possible, the medical examination of the accused shall be performed at a public
				health facility by a public health physician or qualified Designee.
(b) Whenever possible, the laboratory
				specimen collected shall be submitted to the State Public Health Laboratory for
				analysis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 7 - AUTHORITY FOR TESTING FOLLOWING EXPOSURE › Section 7-1 - Significant Exposure to Blood or Body Fluids

Current through July 13, 2024
Following a documented exposure of a health care worker to
				  blood or bodily fluids of a patient that could lead to infection of a
				  communicable disease which is capable of transmission by blood or other body
				  fluids, a health care provider, worker or professional, acting within his scope
				  of practice, may order an appropriate test to be performed on a specimen from
				  the patient by a duly licensed and accredited laboratory.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 7 - AUTHORITY FOR TESTING FOLLOWING EXPOSURE › Section 7-2 - Unavailability of Specimen

Current through July 13, 2024
If a patient specimen is not available for testing, a health
				  care provider, worker or professional, acting within the scope of his practice,
				  or the Health Officer may, with the patients consent, order the necessary
				  testing.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 7 - AUTHORITY FOR TESTING FOLLOWING EXPOSURE › Section 7-3 - Court Ordered Testing

Current through July 13, 2024
If the patient does not consent to testing, the Health
				  Officer or the authority responsible for the care of the patient may apply to
				  the district court for an order to have the necessary testing
				  performed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 7 - AUTHORITY FOR TESTING FOLLOWING EXPOSURE › Section 7-4 - Confidentiality of Results

Current through July 13, 2024
Test results will be kept confidential and shall be reported
				  by the health care provider, worker or professional, in accordance with
				  W.S.
				  35-4-130 through
				  35-4-134.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0051 - Sexually Transmitted Diseases › Chapter 7 - AUTHORITY FOR TESTING FOLLOWING EXPOSURE › Section 7-5 - Official Reports

Current through July 13, 2024
Laboratory and physician disease reports to the Wyoming
				  Department of Health shall be made on an official state disease report form or
				  the report may be made by telephone or secured fax with confirmation by written
				  form.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0052 - Small Water Supply › Chapter 1 - PURPOSE AND BACKGROUND › Section 1-1 - Purpose

Current through July 13, 2024
The purpose of these standards is not to substitute for the
				  Safe Drinking Water Act or its associated regulations, nor to guarantee
				  absolute safety of a private water supply, but to establish minimum water
				  quality criteria to be used in the conveyance of private property which derives
				  domestic water from a non-public or small water supply. With these standards as
				  guidance, conveyees of such property should have assurance that the water
				  supply is potable at the time of conveyance or take measures to assure
				  treatment of the water to make it potable prior to or concurrent with transfer
				  of the property.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0052 - Small Water Supply › Chapter 2 - TESTS AND STANDARDS › Section 2-1 - Minimum Testing Requirements

Current through July 13, 2024
(a) For purposes of
				meeting the requirements of
				W.S.
				35-1-229(b), the following
				tests shall be conducted. The listed analytic levels are the standards for the
				water source to be suitable for human consumption:
Test
Standard
Total coliform
negative/100 milliliters
Total dissolved solids:
=1500 mg/L
Sulfates:
=750 mg/L
Nitrate + Nitrite as N:
=10 mg/L
(b)
				Tests should be conducted within 90 days prior to conveyance of the property.
				Tap water samples should be collected by a public authority (sanitarian or
				other county or state health department official). In case arrangements cannot
				be made with a public official, then the conveyee may collect, or arrange for
				collection of the sample by a documented third party. When the sample is not
				collected by a public authority, appropriate containers and instructions for
				collection should be obtained from the laboratory performing the test. Under no
				circumstances may the conveyor or their representatives collect the water
				sample.
(c) Tests must be conducted
				by a laboratory certified by EPA for the analytes included in these rules and
				the cost of such tests is to be borne by the parties as stated in the
				legislation. The four tests listed above are the minimum requirement for
				transfer of property covered by the legislation. Copies of the analysis report
				shall be mailed to the conveyee and his/her agent, the conveyor and his/her
				agent, the lender, if there is one involved in the conveyance, and the State
				Health Department Epidemiologist. Lists of EPA approved laboratories may be
				obtained from the Department of Environmental Quality, Agriculture Department
				Extension Offices, the State Public Health Laboratory, and County Public Health
				Offices. Imposition of the requirement for EPA certification will become
				effective 1 July 1997.
(d)
In addition
, consideration must be given for the
				following as either party in the transaction may deem appropriate:
(1) For new construction serving a single
				residence:
Calcium
Magnesium
Sodium
pH
Specific conductance
Hardness
Total alkalinity
Chloride
Sodium absorption ratio
(2) After 6 months of occupancy in the new
				residence:
Iron
Zinc
Lead
*
Fluoride
Manganese
Copper
Corrosivity
*First and second draw samples used to evaluate contributions
				  from the plumbing, pump, and/or source water.
Acceptable limits for these analytes may be found in Appendix
				  A of this document.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0052 - Small Water Supply › Appendix A - Minimum water quality standards

Current through July 13, 2024
Used for the conveyance of private rural property connected to
				a private supply
Wyo
EPA
Det.
Analyte
MCL
*
MCL/SMCL
**
Limit
Units
Calcium
Magnesium
Sodium
1
1
3
mg/L
mg/L
mg/L
Hardness as CaCO3
mg/L
Total Alkalinity as CaCO Chloride
3
(250)
250
mg/L
Sulfates
750
deferred
3
mg/L
Nitrates + Nitrites as N
10
10
0.05
mg/L
Fluoride
(2)
2
mg/L
Conductivity
pH
(6.5-8.5 )
6.5-8.5
Umhos/cm
pH Units
Total Dissolved Solids, Summation
1500
500
mg/L
Iron
(0.3)
0.3
mg/L
Manganese
(0.05)
0.05
mg/L
Lead, First draw
(0.015)
TT/0.015
0.002
mg/L
Copper, First draw
(1.3)
TT/1.3
0.1
mg/L
Lead, Second draw
(0.015)
TT/0.015
0.002
mg/L
Copper, Second draw
(1.3)
TT/1.3
0.1
mg/L
Zinc
Corrosivity
(5)
(Non-Cor)
5
Non-Cor
mg/L
LI Units
Total Coliform
Negative
Negative
/100ml
1. Analytes in
BOLD
shaded ares represent the minimum requirement for private
			 water supplies serving a single residence.
2. Analytes in parentheses are recommended,
			 in addition to those in #1, for private water supplies connected to a single
			 residence but required for private supplies serving multiple residences below
			 those regulated under the Safe Drinking Water Act.
3. If first draw lead and/or copper data
			 exceeds recommendations, the data should ONLY be used to warn buyers or renters
			 and make suggestions to minimize exposure.
*MCL - Maximum Contaminant Level
**SMCL - Secondary Maximum Contaminant Level
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 6 - DESIGNATED HOSPITALS › Section 6-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to the Involuntary Commitment Act ("the Act"), at Wyo.
				  Stat. Ann. §§
									
										25-10-101 through -305, and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 6 - DESIGNATED HOSPITALS › Section 6-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish definitions applicable to Chapter 7, Standards for the Designation of
				Hospitals pursuant to Wyo. Stat. Ann. §
									
										25-10-104 and Chapter 8, Standards for the
				Reimbursement of Designated Hospitals or Other Treatment Providers pursuant to
				Wyo. Stat. Ann. §
									
										25-10-112.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of these rules, which reflect the
				policies contained in these rules and regulations. The provisions contained in
				manuals or bulletins shall be subordinate to the provisions of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 6 - DESIGNATED HOSPITALS › Section 6-3 - General Provisions

Current through July 13, 2024
(a) Terminology. Except as otherwise
				specified, the terminology used in these rules is the standard terminology used
				in the industry, and has the standard meaning used in accounting, healthcare,
				Medicaid and Medicare.
(b) The
				incorporation by reference of any external standard is intended to be the
				incorporation of that standard as it is in effect on the effective date of this
				Chapter of these rules and regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 6 - DESIGNATED HOSPITALS › Section 6-5 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to the Involuntary Commitment Act, ("the Act") at Wyo.
				  Stat. Ann. §§
									
										25-10-101 through -305, and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish standards for the designation of hospitals and to define the
				conditions under which the Department may enter into a contract or agreement
				with a designated hospital or treatment provider for the inpatient psychiatric
				treatment or community-based treatment of persons with mental illness pursuant
				to Wyo. Stat. Ann. §
									
										25-10-104.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of these rules which reflect the policies
				contained in these rules and regulations. The provisions contained in manuals
				or bulletins shall be subordinate to the provisions of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-3 - Designated Hospital Requirements and Treatment Provider Requirements

Current through July 13, 2024
(a) Designated hospitals or treatment
				providers shall have a safe and secure location to hold an individual who is
				emergently detained under Wyo. Stat. Ann. §
									
										25-10-109 in a suitable setting pursuant to
				the Act and based on the patient's condition.
(b) Designated hospitals or treatment
				providers shall provide treatment services with the patient's consent or allow
				access to the patient by treatment provider staff or the patient's private
				mental health provider for purposes of providing treatment with the patient's
				consent. Treatment services may be provided without patient consent or the
				consent of his parent or guardian when treatment is limited to diagnosis or
				evaluation or when treatment is necessary to prevent immediate and serious
				physical harm to the person or others pursuant to Wyo. Stat. Ann. §
									
										25-10-109(f).
(c) Designated hospital staff or treatment
				provider staff shall have access to ongoing psychiatric consultation services
				provided by the Wyoming State Hospital for purposes of prescribing and
				monitoring psychotropic medications.
(d) Designated hospital staff or treatment
				provider staff may also consult with the Wyoming State Hospital staff in
				advance of the following anticipated extended hospital stays:
(i) An anticipated extension of an emergency
				detention beyond 72 hours;
(ii) An
				anticipated extended detention beyond 14 days;
(iii) An anticipation of an Involuntary
				Hospitalization order.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-4 - Contracts or Agreements with Designated Hospitals

Current through July 13, 2024
(a) Pursuant to Wyo. Stat. Ann. §
									
										25-10-104, the Department may enter into a
				contract or agreement with a designated hospital for the provision of inpatient
				psychiatric treatment if the designated hospital meets one of the following
				qualifications:
(i) A hospital which meets
				the "special provisions applying to psychiatric hospitals," pursuant to
				42 C.F.R.
				§
											482.60;
(ii) A general hospital with a specific
				inpatient psychiatric unit;
(iii) A
				hospital without a specific inpatient psychiatric unit with psychiatric
				services available, to include a psychiatrist as a member of the medical staff
				of the hospital;
(iv) Other
				licensed treatment facilities which have psychiatrists available for
				consultation such as residential crisis stabilization centers; or
(v) A Wyoming hospital that does not have
				specific psychiatric services, but admits a patient on an emergency basis when
				no other appropriate level of care is available.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-5 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 7 - STANDARDS FOR THE DESIGNATION OF HOSPITALS AND TREATMENT PROVIDERS › Section 7-6 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to the Involuntary Commitment Act ("the Act"), codified
				  at Wyo. Stat. Ann. §§
									
										25-10-101 through -305, and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish standards for the reimbursement of designated hospitals or other
				treatment providers and to establish standards to manage costs billed to the
				Department pursuant to Wyo. Stat. Ann. §
									
										25-10-112.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of these rules, which reflect the
				policies contained in these rules and regulations. The provisions contained in
				manuals or bulletins shall be subordinate to the provisions of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-3 - Filing of Claims

Current through July 13, 2024
(a) Designated hospitals or treatment
				providers filing claims with the Department or responsible county under Wyo.
				Stat. Ann. §
									
										25-10-112 for services provided pursuant to
				Wyo. Stat. Ann. §
									
										25-10-109, Wyo. Stat. Ann. §
									
										25-10-110 or Wyo. Stat. Ann. §
									
										25-10-110.1 shall provide documentation to
				the Department or responsible county detailing the services rendered and the
				payment requested. This documentation shall include, but is not limited to:
(i) All relevant and requested medical
				records directly related to the services for which payment is being
				requested;
(ii) An itemized billing
				statement (for services provided by designated hospitals) for services,
				including:
(1) A universal billing
				form;
(2) A CMS 1500.
(iii) The emergency detention
				notice, Form 3-81, and the continued emergency detention court order, if
				applicable;
(iv) The involuntary
				hospitalization court order, if applicable, and any papers showing the
				patient's release from involuntary hospitalization, Form 14-81.
(v) A certification signed by the designated
				hospital representative or treatment provider, indicating that the patient has
				no public or private health insurance and that there are no other governmental
				benefit programs from which it can recover the costs of treatment;
(vi) Documentation of all efforts made to
				recover costs of treatment from public and private health insurance, and from
				government benefit programs prior to seeking payment from the
				Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-4 - Payment of Claims

Current through July 13, 2024
(a) Payment made by the Department pursuant
				to Wyo. Stat. Ann. §
									
										25-10-112, for services provided by a
				designated hospital or other treatment provider under Wyo. Stat. Ann. §
									
										25-10-109 and Wyo. Stat. Ann. §
									
										25-10-110, shall not exceed:
(i) The current rate for similar services as
				determined by Medicaid;
(ii) A
				fixed, all-inclusive per diem rate as determined by the Department;
				or
(iii) Payments arranged through
				mental health or substance abuse contracts with the Behavioral Health Division,
				if applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-5 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 8 - STANDARDS FOR REIMBURSEMENT OF DESIGNATED HOSPITALS AND TREATMENT PROVIDERS › Section 8-6 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to Hospitalization of Mentally Ill Persons ("the Act")
				  codified at Wyo. Stat. Ann. §§
									
										25-10-101 through -127, and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish definitions applicable to Chapter 10, Standards for Convalescent
				Leave, pursuant to Wyo. Stat. Ann. §
									
										25-10-127.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of these rules, which reflect the
				policies contained in this rule and regulation. The provisions contained in
				manuals or bulletins shall be subordinate to the provisions of this rule and
				regulation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-3 - General Provisions

Current through July 13, 2024
(a) Terminology. Except as otherwise
				specified, the terminology used in these rules is the standard terminology used
				in the industry, and has the standard meaning used in accounting, healthcare,
				Medicaid and Medicare.
(b) The
				incorporation by reference of any external standard is intended to be the
				incorporation of that standard as it is in effect on the effective date of this
				Chapter of these rules and regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of Chapters 9 and 10 of these rules:
(a) "Appropriate Parties" means the patient's
				guardian, if applicable, the patient's care giver, if applicable, the patient's
				family, if applicable, the community treatment provider, and the county
				attorney involved in the involuntary hospitalization procedures for the
				patient.
(b) "Community Treatment
				Provider" means a community mental health center or other mental health
				treatment service provider chosen by the patient.
(c) "Convalescent Leave" means the placement
				of a patient who was involuntarily hospitalized under Wyo. Stat. Ann. §
									
										25-10-110 and treated at the Wyoming State
				Hospital or designated hospital, into a community on a conditional status, for
				purposes of continued recovery.
(d)
				"Designated Hospital" means a psychiatric treatment hospital that provides care
				to an individual detained under Wyo. Stat. Ann. §
									
										25-10-109, Wyo. Stat. Ann. §
									
										25-10-110, or Wyo. Stat. Ann. §
									
										25-10-110.1, which is under an agreement with
				the Department and bills the Department or the responsible county for the costs
				of care under the Act.
(e)
				"Involuntary hospitalization" means the hospitalization of a person against
				their will under Wyo. Stat. Ann. §
									
										25-10-110, at the Wyoming State Hospital or
				at a designated hospital under contract or agreement with the Department to
				provide inpatient psychiatric treatment.
(f) "Treating Medical Provider" means a
				physician, psychiatrist, advanced practice registered nurse, physician
				assistants, or other medical staff licensed in the State of Wyoming and
				employed by the Wyoming State Hospital or designated hospital.
(g) "Treatment Team" means staff of the
				Wyoming State Hospital or designated hospital representing the various
				disciplines needed to treat and promote the recovery of the patient. Treatment
				teams include, but are not limited to, the treating physician and a case
				manager.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-5 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 9 - CONVALESCENT LEAVE FROM INVOLUNTARY HOSPITALIZATION › Section 9-6 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter.