reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-13 - IOP Service Standards

Current through July 13, 2024
(a) IOP services must:
(i) Consist of nine (9) hours per week of
				structured clinical treatment programming for adults and six (6) hours per week
				of structured clinical treatment programming for adolescents, except while the
				client is being transitioned into a lower level of care;
(ii) Be provided three (3) times a week with
				no more than three (3) days between clinical services, excluding
				holidays;
(iii) Vary in intensity
				and duration based on ASAM Criteria and the SAMHSA TIP 47;
(iv) Be available within two (2) weeks of the
				initial clinical assessment unless the provider has no capacity to provide the
				service or the client is not able to begin the program. If the provider has no
				capacity to provide the service within two (2) weeks, engagement services or
				referral to another provider with the capacity shall be provided; and
(v) Address the client's needs for
				psychiatric and medical services through consultation and referral
				arrangements.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-14 - Impaired Driving Education Service Standards

Current through July 13, 2024
(a) A provider of impaired driving education
				services shall:
(i) Provide a minimum of eight
				(8) hours of services, which may be delivered through telehealth, utilizing an
				evidence-based curricula that is appropriate to age and developmental
				levels;
(ii) Ensure services are
				provided by qualified clinical staff or trained health educators supervised by
				qualified clinical staff;
(iii)
				Maintain records documenting client attendance and curricula completion or
				failure to attend or complete;
(iv)
				Provide adult and adolescent services separately; and
(v) Assess each client according to Section
				11(c)(vi) of this Chapter,
				subject to the following conditions:
(A) If
				an assessment was conducted by another certified provider within the three (3)
				months prior to receiving impaired driving services, the provider is not
				required to conduct another assessment, however, the provider shall obtain a
				copy of the report and recommendations resulting from the prior
				assessment.
(B) If the assessment
				results indicate a need for additional services, the provider shall complete a
				referral and warm hand-off, if the provider is unable to deliver needed
				services.
(C) An assessment must
				include documentation of a review of the blood alcohol level at the time of
				arrest and the driving record of the client.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-14 - DUI/MIP Service Standards

Current through July 13, 2024
(a) A provider of DUI/MIP services shall:
(i) Provide a minimum of eight (8) hours of
				client face-to-face services, which may be delivered through telehealth,
				utilizing evidence based curricula that is appropriate to age and developmental
				levels;
(ii) Ensure services are
				provided by qualified clinical staff or health educators supervised by
				qualified clinical staff;
(iii)
				Maintain records documenting client attendance and curricula completion or
				failure to attend or complete;
(iv)
				Provide adult and adolescent services separately; and
(v) Assess each client according to Section
				11(c)(vi) of this Chapter,
				subject to the following conditions:
(A) If
				an assessment was conducted by another provider within the three (3) months
				prior to receiving DUI/MIP services, the provider is not required to conduct
				another assessment, however, the provider shall obtain a copy of the
				recommendations resulting from the prior assessment.
(B) If the assessment results indicate a need
				for additional services, the provider shall make the appropriate
				referrals.
(C) An assessment must
				include documentation of a review of the blood alcohol level at time of arrest
				and driving record of the client.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-15 - Waivers

Current through July 13, 2024
(a) A behavioral health service provider may
				be granted a waiver from the Department of any standard imposed under Sections
				9 to
				14 of this Chapter if the Administrator
				determines that requiring immediate compliance with a particular standard would
				create an undue hardship on a provider and that temporary noncompliance would
				not impair the quality of the services being provided.
(b) A request for a waiver must be made in
				writing and may be made to the Administrator at any time the provider deems a
				standard represents an undue hardship.
(c) Prior to or as a condition of granting a
				waiver, the Administrator may:
(i) Set a time
				limit on the effective duration of the waiver; and
(ii) Require the provider to submit a written
				plan to the Administrator setting forth proposed methods of achieving
				compliance with the standard within the time frame of the waiver.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-16 - Variances

Current through July 13, 2024
(a) A behavioral health service provider may
				request a variance from the Department of any standard imposed under Sections
				9 to
				14 of this Chapter.
(i) A request for variance must be made in
				writing and, if the provider receives funds from the Department under Section
				2(b) of this Chapter,
				signed by the chair of the governing board.
(ii) A request for variance must establish
				how the variance will maintain or enhance the quality of a provider's
				operations and client services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 2 - BEHAVIORAL HEALTH SERVICE PROVIDER CERTIFICATION › Section 2-16 - Variances

Current through July 13, 2024
(a) A behavioral health service provider may
				request a variance from the Department of any standard imposed under Sections
				9 to
				14 of this Chapter.
(i) "Variance" means a permanent change to a
				required standard. A variance may be requested at any time.
(ii) A request for variance must be made in
				writing and, if the provider receives funds from the Department under Section
				2(b) of this Chapter,
				signed by the chair of the governing board.
(iii) A request for variance must establish
				how the variance will maintain or enhance the quality of a provider's
				operations and client services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter establishes the process and
				criteria to apply for and receive funding from the Department under the
				Community Human Services Act, Wyoming Statutes35-1-611 to -627.
(b) This Chapter applies to all providers
				seeking Department funding under the Community Human Services Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter establishes the process and
				criteria to apply for and receive funding from the Department under the
				Community Human Services Act, Wyoming Statutes
										35-1-611 to -627.
(b) This Chapter applies to all providers
				seeking Department funding under the Community Human Services Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-2 - Eligibility for Funding

Current through July 13, 2024
(a) A provider is eligible to apply to the
				Department for funding to provide behavioral health services within an
				identified service area if the provider:
(i)
				Meets the definition of a behavioral health center under
				W.S.
				35-1-613(a)(xvi);
				and
(ii) Is certified according to
				Chapter 2 of these Rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-2 - Eligibility for Funding

Current through July 13, 2024
(a) A provider is eligible to apply to the
				Department for funding to provide statewide or regional behavioral health
				services if the provider:
(i) Qualifies as
				one of the following:
(A) A public provider
				that is a hospital or governmental entity or is registered with the Secretary
				of State evidencing the authority to conduct business within the State of
				Wyoming;
(B) A private provider if
				the provider satisfies the requirements of
				W.S.
				35-1-624; or
(C) A provider that provides services other
				than behavioral health services if the provider:
(I) Provides behavioral health services as a
				separate unit or segment within the provider's overall organizational
				structure; and
(II) Meets the
				definition of a community mental health or substance use disorder center under
				Chapter 1 of these Rules;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-3 - Request for Application to Provide Services

Current through July 13, 2024
(a) The Department shall provide notice that
				it is seeking applications to provide funded services on the Department's
				public website. The notice must include:
(i)
				The eligibility requirements for funding as specified in Section
				2 of this Chapter;
(ii) The date applications must be received
				at the Department;
(iii) Where to
				submit applications;
(iv) Where to
				locate a copy of these Rules online;
(v) A list of comprehensive range of
				services, as determined by the Department;
(vi) The application packet; and
(vii) Scoring criteria.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-3 - Letter of Intent to Provide Services

Current through July 13, 2024
(a) A minimum of five (5) months prior to the
				beginning of a funding cycle, the Department shall provide notice that it is
				seeking letters of intent to provide funded services on the Department's public
				website at
https://health.wyo.gov/behavioralhealth/mhsa
.
				The notice must include:
(i) The eligibility
				requirements for funding as specified in Section
				2 of this Chapter;
(ii) The date letters of intent must be
				received at the Department;
(iii)
				Where to submit letters of intent; and
(iv) Where to locate a copy of these Rules
				online.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-4 - Evaluation and Scoring of Applications

Current through July 13, 2024
(a) Eligible providers may apply for
				funding.
(b) The Department shall
				give preference to current providers who are in compliance with contract
				requirements pursuant to
				W.S.
				35-1-620(b)(vi) and shall
				begin contract negotiations.
(c) If
				two (2) or more applicants propose to provide the same services in the same
				service area and each applicant meets the criteria in Section
				2 of this Chapter, they may be considered a
				competing applicant.
(d) If the
				conditions to grant preference under subsection (b) of this Section are not
				satisfied, the Department will score the competing applications according to
				the scoring criteria. When evaluating and scoring an application, the
				Department may consider information not included in the application but
				otherwise possessed by the Department.
(i) The
				Department will begin contract negotiations with the highest scoring
				applicant.
(ii) If the competing
				applicants' scoring results in a tie, the Administrator shall review and
				evaluate the competing applications. The Department will begin contract
				negotiations with the Administrator's highest scoring applicant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-4 - Evaluation and Scoring of Applications

Current through July 13, 2024
(a) The Department shall evaluate and score
				an application from an eligible provider received by the due date specified in
				the application packet.
(b) The
				Department shall evaluate and score an application based on the following
				criteria, whether:
(i) The applicant has the
				ability to provide a range of comprehensive and integrated behavioral health
				services that support quality care to the priority populations;
(ii) The applicant's staffing patterns and
				number of staff are adequate to provide the continuum of services required and
				the specific services for which funding is requested;
(iii) If currently funded by the Department,
				the applicant's performance is in compliance with current Department contract
				requirements;
(iv) The applicant
				has a strategic planning process;
(v) The applicant participates in the
				development and implementation of a community disaster plan;
(vi) The applicant utilizes electronic health
				care technologies that support the Department's contract reporting
				requirements;
(vii) The applicant
				utilizes clinical and business practices that address quality and
				cost-effective care;
(viii) The
				applicant utilizes recovery supports; and
(ix) The applicant involves people served in
				the planning and implementation of services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-5 - Application for Funding that is not Available Statewide or Regionally

Current through July 13, 2024
(a) If funding is available for projects or
				services which cannot be purchased on a statewide basis, the Department shall:
(i) Define the purpose of the
				funding;
(ii) Develop an
				application and funding process; and
(iii) Notification of available funds must be
				posted on the Department's public website. The Department shall include how
				funding decisions will be made in the application for the funding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-5 - Competing Applications

Current through July 13, 2024
(a) If two (2) or more applicants are
				competing to provide services in the same service area and each application
				meets the criteria in Section
				4(b) of this Chapter, the
				competing applications shall be handled pursuant to the conditions of this
				Section.
(b) If a competing
				applicant is a current provider of Department-funded services, proposes to
				serve the same service area with the same services as those currently funded,
				and has submitted approved deliverables according to the contract with the
				Department, the Department shall give preference to and begin contract
				negotiations with the applicant.
(c) If the conditions to grant preference
				under subsection (b) of this Section are not satisfied, the following
				conditions apply:
(i) The Department shall
				evaluate each application against the following criteria, whether:
(A) The applicant proposes to serve multiple
				counties or participate in a multi-county consortium;
(B) The applicant proposes to provide both
				mental health and substance use treatment services using an integrated
				model;
(C) The applicant has
				integrated behavioral health services with primary health services or proposes
				to integrate services;
(D) The
				applicant maximizes all applicable funding sources; and
(E) The applicant has demonstrated history in
				providing specialized services to priority populations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-6 - Review Committee

Current through July 13, 2024
(a) The review committee shall conduct a
				public hearing to consider the competing applications within thirty (30)
				calendar days of the selection of the review committee and at a location within
				the service area, determined by the Department.
(b) Prior to the public hearing, the review
				committee shall:
(i) Elect a chair to conduct
				the public hearing;
(ii) Establish
				an order of procedure for the public hearing that provides:
(A) Each competing applicant the opportunity
				to present argument, either in person, by phone, or by other electronic means;
				and
(B) The public in attendance an
				opportunity to comment; and
(iii) Review the information provided by the Department,
				including:
(A) The competing
				applications;
(B) The scores
				awarded to each application by the Department;
(C) The extent to which the criteria in
				Section 4(b)
				of this Chapter are met;
(D) The
				extent to which the additional criteria in Section
				5(c)(i) of this Chapter
				apply; and
(E) Other relevant
				information, as determined by the Department; and
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 3 - APPLICATION FOR FUNDS AND SELECTION OF PROVIDERS › Section 3-7 - Application for Funding that is not Available Statewide or Regionally

Current through July 13, 2024
(a) If funding is available for projects or
				services which cannot be purchased on a regional or statewide basis, the
				Department shall:
(i) Define the purpose of
				the funding;
(ii) Develop an
				application and funding process; and
(iii) Notify current contractors and
				interested parties of the available funds and how funding decisions will be
				made. Such notification must be posted on the Department's public website and
				included in the application for the funding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 4 - COMPLAINTS › Section 4-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter provides the complaint and
				investigation processes regarding providers of behavioral health services
				certified by the Department.
(b)
				This Chapter applies to all clients and providers of behavioral health services
				certified by the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 4 - COMPLAINTS › Section 4-2 - Filing Complaints

Current through July 13, 2024
(a) If an entity or individual has exhausted
				a provider's established client grievance procedure and is not satisfied with
				the resolution, the entity or individual may file a complaint with the
				Department.
(b) A complaint filed
				with the Department must be in writing. The complaint must be filed within one
				(1) year of the alleged violation and must provide the following information:
(i) The name, address and telephone number of
				the complaining party;
(ii) The
				party, individual, or agency the complaint is against; and
(iii) A clear and complete statement of the
				alleged violation of the law, order, rule, or standard, together with the facts
				which give the Department a clear and full understanding of the nature of the
				alleged violation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 4 - COMPLAINTS › Section 4-3 - Investigations

Current through July 13, 2024
(a) The Department, on its own initiative or
				upon receipt of a complaint including substantive information alleging
				detriment to the health, safety or welfare of clients, fraud, or ethical
				misconduct, may conduct an investigation of a provider. If an investigation is
				initiated by the Department, the Department shall provide a summary of the
				Department's concerns to the provider in writing within ten (10) business days
				of initiating the investigation.
(b) The executive director of the provider
				against whom the investigation is being conducted shall file a response to the
				complaint with the Department no later than twenty (20) business days after
				receipt of the copy or summary of the complaint from the Department. If the
				executive director provides the Department with good cause, the Department may
				extend the time to respond to the complaint.
(c) If the Department determines that the
				provider has failed to respond or the complaint is not sufficiently resolved by
				the provider's response under subsection (b) of this Section, the Department
				may continue the investigation.
(i) The
				provider shall allow the Department access to all pertinent information
				concerning the operations of the provider.
(ii) The Department's investigation may
				include on-site inspections, off-site reviews, and consultations with the
				executive director, governing board, program staff, the complainant, and other
				pertinent sources of information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 4 - COMPLAINTS › Section 4-4 - Resolution Plans

Current through July 13, 2024
(a) A provider shall submit to the Department
				a resolution plan for each corrective action required in the final written
				report of an investigation.
(i) If the
				Department's final report notes a deficiency relating to the health, safety,
				welfare, or rights of clients served, the provider shall submit a resolution
				plan to the Department within ten (10) business days of receipt of the written
				report from the Department.
(ii) If
				the Department's final report does not note a deficiency relating to the
				health, safety, welfare, or rights of clients served, the provider shall submit
				a resolution plan to the Department within thirty (30) business days of receipt
				of the written report from the Department.
(iii) A resolution plan must provide the
				following information:
(A) Who will be
				charged with the responsibility to correct each deficiency;
(B) What will be done to correct each
				deficiency;
(C) How the corrective
				actions will be incorporated into the provider's quality management
				program;
(D) Who will be charged
				with monitoring to ensure each deficiency does not occur again; and
(E) The deadline by when the provider expects
				to correct all deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter:
(i) Establishes professional standards for
				personnel providing behavioral health services purchased in whole or in part by
				the Department in a behavioral health center; and
(ii) Prescribes standards for the quality of
				behavioral health services provided by behavioral health centers purchased in
				whole or in part by the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter:
(i) Establishes professional standards for
				personnel providing behavioral health services purchased in whole or in part by
				the Department in a community mental health or substance use disorder treatment
				center; and
(ii) Prescribes
				standards for the quality of behavioral health services provided by community
				mental health or substance use disorder treatment centers purchased in whole or
				in part by the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-2 - Personnel Standards

Current through July 13, 2024
(a) A behavioral health center shall employ
				an executive director on a full-time basis.
(b) A behavioral health center shall ensure
				that:
(i) Only qualified clinical staff
				provide the clinical services purchased in whole or in part by the Department;
				and
(ii) All qualified clinical
				staff receive training necessary for billing services to Wyoming Medicaid and
				all other health insurers.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-2 - Personnel Standards

Current through July 13, 2024
(a) A community mental health or substance
				use disorder treatment center shall employ an executive director on a full-time
				basis.
(i) An individual may not serve as an
				executive director unless the individual:
(A)
				Is qualified clinical staff and has a minimum of two (2) years of relevant
				experience in behavioral health services management or administration;
				or
(B) Has an advanced degree in a
				health related or business field and a minimum of two (2) years of relevant
				experience in behavioral health services management or
				administration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-3 - Service Quality

Current through July 13, 2024
(a) A behavioral health center shall:
(i) Be certified according to Chapter 2 of
				these Rules;
(ii) Utilize
				evidence-based practices and promising practices;
(iii) Guarantee each client's right to an
				individualized plan of appropriate services which provides for treatment in the
				least restrictive environment that may reasonably be expected to benefit the
				client;
(iv) Develop processes to
				manage wait lists or practice same day access;
(v) Develop practices which result in high
				quality services as demonstrated in positive, cost effective client outcomes
				that are determined by the Department in collaboration with
				providers;
(vi) Provide integrated
				mental health or substance use disorder treatment services that are coordinated
				with primary care as applicable;
(vii) Gather and use client feedback to
				improve the quality of care; and
(viii) Not deny eligibility to clients or
				individuals seeking services based on the behavioral health center's inability
				to deliver services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-3 - Service Quality

Current through July 13, 2024
(a) A community mental health or substance
				use disorder treatment center shall:
(i) Be
				certified according to Chapter 2 of these Rules;
(ii) Utilize evidence-based practices and
				promising practices;
(iii)
				Guarantee each client's right to an individualized plan of appropriate services
				which provides for treatment in the least restrictive environment that may
				reasonably be expected to benefit the client;
(iv) Develop processes to manage wait lists
				or practice same day access;
(v)
				Develop practices which result in high quality services as demonstrated in
				positive, cost effective client outcomes that are determined by the Department
				in collaboration with providers;
(vi) Provide integrated mental health or
				substance use disorder treatment services that are coordinated with primary
				care as applicable; and
(vii)
				Gather and use client feedback to improve the quality of
				care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-4 - Behavioral Health Center Allowable Payment

Current through July 13, 2024
(a) The Department shall establish payment
				policies for Department-funded services in accordance with W.S. §
									35-1-620(b)(iii).
(b) Any payment which exceeds the behavioral
				health center allowable payment for the service may be recovered by the
				Department.
(c) A behavioral health
				center may not request an administrative hearing regarding a recovery of
				payment which exceeds the behavioral health center allowable payment.
(d) Except as otherwise specified by the
				Department, the behavioral health center allowable payment shall not exceed the
				Department's established fee schedule in effect on the date services were
				provided. The fee schedule is available upon request from the
				Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-4 - Variances

Current through July 13, 2024
(a) A community mental health or substance
				use disorder treatment center may request a variance from the Department of any
				standard imposed under Section
				2 of this Chapter.
(i) A variance is a permanent change to a
				required standard and may be requested at any time.
(ii) A request for variance must be made in
				writing and signed by the chair of the governing board.
(iii) A request for variance must establish
				how the variance will maintain or enhance the quality of a center's operations
				and client services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-5 - Payment of Claims

Current through July 13, 2024
(a) A behavioral health center may not seek
				payment from the Department for services delivered to a client until payment
				from third parties is sought and exhausted.
(b) A behavioral health center may not
				request, receive or attempt to collect any payment from the client or the
				client's family for services covered by the BHC-Full or BHC-Screen benefit
				plans. The behavioral health center shall accept the allowable payment as
				payment in full for the services.
(c) A behavioral health center that provides
				services not covered by the BHC-Full or BHC-Screen benefit plans to a client
				may seek payment from the client if the behavioral health center informed the
				client in writing of the client's potential liability before providing the
				service, and the client agreed in writing to pay for such services before they
				were furnished.
(d) All health
				insurers, including all self-insured plans, group health plans as defined in
				section 607(1) of the Employee Retirement Income Security Act of 1974, service
				benefit plans, managed care organizations, pharmacy benefit managers, or other
				parties that are, by statute, contract, or agreement, legally responsible for
				payment of a claim for a health care item or service, shall agree, as a
				condition of doing business in the state of Wyoming, to provide, with respect
				to the individuals who are eligible for behavioral health services purchased by
				the Department pursuant to W.S. §
									35-1-620 et. seq., information to
				determine the period during which the individual or the individuals' spouses or
				dependents may be or may have been covered by a health insurer and the nature
				of the coverage provided, including the name and address of the insurer and
				identifying number of the plan, in a manner prescribed by the
				Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-6 - Waivers

Current through July 13, 2024
(a) A behavioral health center may be granted
				a waiver from the Department of any standard imposed under Section
				2 of this Chapter if the Administrator
				determines that requiring immediate compliance with a particular standard would
				create undue hardship and that temporary noncompliance would not impair the
				quality of services being provided.
(b) A request for a waiver must be made in
				writing and may be made to the Administrator at any time the behavioral health
				center deems a standard represents an undue hardship.
(c) Prior to or as a condition of granting a
				waiver, the Administrator may:
(i) Set a time
				limit on the effective duration of the waiver; and
(ii) Require the behavioral health center to
				submit a written plan to the Administrator setting forth proposed methods of
				achieving compliance with the standard within the time frame of the
				waiver.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY › Section 5-7 - Variances

Current through July 13, 2024
(a) A behavioral health center may request a
				variance from the Department of any standard imposed under Section
				2 of this Chapter.
(i) A request for variance must be made in
				writing and signed by the chair of the governing board.
(ii) A request for variance must establish
				how the variance will maintain or enhance the quality of a center's operations
				and client services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter establishes the standards
				and procedures for court supervised treatment (CST) programs pursuant to
				Wyoming Statute
										7-13-1605(c).
(b) This Chapter applies to all CST programs
				subject to the Court Supervised Treatment Programs Act,
				W.S. 7-13-1601 to
				-1616.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-2 - Eligibility for Funding

Current through July 13, 2024
(a) An applicant is eligible to apply for
				funding from the Department to provide a CST program if:
(i) The applicant is:
(A) A governing body of a city, town, or
				county;
(B) A tribal government of
				either the Northern Arapaho or Eastern Shoshone tribes of the Wind River Indian
				Reservation; or
(C) A nonprofit
				organization recognized under
				26 U.S.C.
				§
												501(c)(3);
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-3 - Applications for Funds

Current through July 13, 2024
(a) Prior to the beginning of a funding
				cycle, the Department shall publish public notice of the availability of funds
				and the eligibility requirements, as specified in Section
				2 of this Chapter, to receive CST
				funding.
(b) The Department shall
				distribute the notice to currently-funded CST programs and shall post it on the
				Department's public website at:
https://health.wyo.gov/behavioralhealth/
mhsa/cst/.
(c) The Department shall
				distribute applications for funding to currently funded CST programs and any
				other entity which has expressed to an interest in applying for
				funding.
(d) An application for
				funding submitted to the Department must include, at a minimum:
(i) Identification of participating judges
				and a plan for participation of judges;
(ii) Identification of each CST program team
				member;
(iii) Identification of the
				CST treatment provider(s) and the specific treatment services to be provided
				including the location where treatment services will be provided;
(iv) Evidence of state certification and
				national accreditation of the CST treatment provider;
(v) Evidence of the completion of the
				training and continuing education requirements listed under Section
				8 of this Chapter;
(vi) The process by which fees or
				contributions to the program shall be made by program participants;
				and
(vii) Demonstration of local
				contributions to the program, including the source and nature of the local
				contributions.
(A) Local contributions must
				meet or exceed twenty-five percent (25%) of the amount requested from the
				Department. The local contribution may include cash match or in-kind
				contribution.
(B) Financial
				contributions by CST participants, and state and federal funds received from
				any source must not be used to meet local contribution requirements.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-4 - Funding Formula

Current through July 13, 2024
(a) The funding formula shall be based on the
				number of participants expected to be served and shall equal $9,354.66 per
				adult participant and $14,716.84 per juvenile participant.
(i) The Department may modify the adult
				participant and juvenile participant rates specified in the funding formula by
				plus or minus $500 without amending these Rules.
(ii) A modification to the funding formula
				pursuant to this subsection may not be effective until the beginning of the
				fiscal year following the change.
(iii) The Department shall notify
				currently-funded CST programs of changes to the funding formula at least thirty
				(30) calendar days prior to the release of applications for funding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-5 - CST Program Panel

Current through July 13, 2024
(a) The CST Program Panel shall select a
				chair, a vice chair, and a secretary and develop bylaws.
(b) Department staff shall maintain CST
				Program Panel records, including minutes of all panel meetings.
(c) The CST Program Panel shall consider each
				eligible application and the Department's funding recommendations.
(d) To approve an application for funding,
				the CST Program Panel must find the CST program:
(i) Is in compliance with
				W.S. 7-13-1601 to
				-1615 and these Rules; and
(ii) Can
				reasonably be expected to meet the goals listed under W.S.
				W.S.
				7-13-1603(b).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-6 - Treatment and Support Services

Current through July 13, 2024
(a) A CST program shall:
(i) Integrate treatment services with justice
				system case processing;
(ii)
				Collaborate with other CST programs to promote public safety and protect
				participants' due process rights;
(iii) Identify and promptly place eligible
				participants into the CST program;
(iv) Provide directly, or through
				subcontracts or referral relationships, a continuum of care for each
				participant that is individualized and based on the needs of the participant,
				to include at a minimum:
(A) Substance use
				disorder treatment;
(B) Support
				services;
(C) Continuing care;
				and
(D) Integrated treatment for
				mental health and substance use disorders for participants with co-occurring
				diagnoses.
(v) Allow
				access to the program by persons receiving MAT and shall facilitate MAT
				services where available and appropriate for a participant;
(vi) Monitor abstinence and the appropriate
				use of medications through frequent, random, and observed alcohol and other
				drug testing;
(vii) Coordinate a
				strategy which governs program responses to participants' compliance;
(viii) Ensure ongoing judicial interaction
				with each participant; and
(ix)
				Monitor and evaluate program goals and gauge effectiveness.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-7 - CST Program Policies and Procedures

Current through July 13, 2024
(a) A CST program shall adopt, implement, and
				enforce policies and procedures that:
(i)
				Enforce the conditions of participation listed under
				W.S.
				7-13-1607;
(ii) Enforce incentives and sanctions imposed
				under
				W.S.
				7-13-1608;
(iii) Detail how the program shall facilitate
				access to MAT services where accessible and appropriate;
(iv) Ensure the training and continuing
				education requirements provided under Section
				8 of this Chapter are satisfied;
(v) Ensure all participants contribute
				financially to the cost of their CST program; and
(vi) Guide processes for contracting
				substance use disorder treatment services or integrated co-occurring substance
				use disorder and mental health treatment services to treatment
				providers.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-8 - Training and Continuing Education

Current through July 13, 2024
(a) A CST program shall ensure team members,
				staff, and treatment providers receive continuing interdisciplinary education
				that promotes evidence based treatment court planning, implementation, and
				operations.
(b) A CST program team
				member shall complete:
(i) A minimum of
				twenty (20) hours of drug-court-specific training or Department-approved CST
				training during the first year of participation in a CST program.
(A) A minimum of ten (10) hours must be
				formal training; and
(B) The
				remainder of these twenty (20) hours may be informal training, including
				shadowing or peer-sponsored training.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 6 - COURT SUPERVISED TREATMENT PROGRAMS › Section 6-9 - Department Monitoring

Current through July 13, 2024
(a) At least every two (2) years, the
				Department shall conduct an on-site review of each funded CST program to
				determine compliance with these Rules.
(b) The Department shall issue a written
				report to the CST program within forty-five (45) business days of the review.
				The report must include the Department's findings and the corrective actions
				required, if any.
(c) A CST program
				shall submit to the Department a resolution plan within thirty (30) business
				days of receipt of the written report for each corrective action required.
(i) A resolution plan must provide the
				following information:
(A) Who will be
				charged with the responsibility to correct each deficiency;
(B) What will be done to correct each
				deficiency;
(C) How the corrective
				actions will be incorporated into the CST program's quality management
				program;
(D) Who will be charged
				with monitoring to ensure each deficiency does not occur again; and
(E) The deadline by when the CST program
				expects to correct all deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 7 - BEHAVIORAL HEALTH CENTER BENEFIT PLAN ELIGIBILITY › Section 7-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter has been adopted to
				establish the criteria for Behavioral Health Center (BHC) benefit plans
				eligibility and renewal processes.
(b) This Chapter applies to individuals
				seeking treatment services through a BHC benefit plan.
(c) The Department may issue manuals,
				bulletins, or policies to interpret this Chapter. Such manuals, bulletins, or
				policies shall be consistent with and reflect the rules contained in this
				Chapter. The provisions contained in manuals, bulletins, or policies shall be
				subordinate to this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 7 - BEHAVIORAL HEALTH CENTER BENEFIT PLAN ELIGIBILITY › Section 7-2 - Behavioral Health Center Benefit Plan Eligibility

Current through July 13, 2024
(a) An individual may present at a BHC
				seeking treatment services or be referred by sources set forth in
				W.S.
				35-1-611 through
				W.S.
				35-1-627 to be screened for BHC benefit plan
				eligibility.
(b) The BHC shall
				assess the individual to determine BHC benefit plan eligibility and will bill
				the Department for screening. If an individual does not qualify for the
				BHC-Full benefit plan, the individual may receive treatment services with
				insurance or self-pay. BHCs may not seek other payment sources for BHC-Screen
				benefit plan assessments.
(c) An
				individual is eligible for the following BHC benefit plans when:
(i) BHC-Screen Benefit Plan. Individuals who
				are not eligible for statutorily defined priority populations at
				W.S.
				35-1-620(b)(ix).
(ii) BHC-Full Benefit Plan.
(A) Household income is less than or equal to
				two hundred percent (200%) of the federal poverty level; or
(B) The individual meets criteria for one or
				more of the statutorily defined priority populations at
				W.S.
				35-1-620(b)(ix).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0077 - Mental Health and Substance Use Disorder Services › Chapter 8 - ADMINISTRATIVE HEARINGS › Section 8-1 - Purpose and Applicability

Current through July 13, 2024
(a) This chapter governs the administrative
				hearing procedures of the Department with respect to behavioral health
				services.
(b) The Department may
				issue manuals, bulletins, or policies to interpret this Chapter. Such manuals,
				bulletins, or policies shall be consistent with and reflect the rules contained
				in this Chapter. The provisions contained in manuals, bulletins, or policies
				shall be subordinate to this Chapter.