reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to Senate Enrolled Act No. 53, enacted during the 2006 Budget
				  Legislative Session, and the Wyoming Administrative Procedures Act at
				  W.S.
				  16-3-101, et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				implement a method of selecting recipients for three (3) hospitals in the state
				to achieve magnet hospital certification and for small hospitals to achieve
				quality nursing practices, quality nursing working environments, increased
				retention of nursing staff, and demonstrated improved outcomes for patients.
(i) The three (3) hospitals seeking Magnet
				Recognition Program designation shall be eligible for up to two hundred fifty
				thousand dollars ($250,000) to meet the criteria developed by the American
				Nurses Credentialing Center in effect on January 1, 2006. Any subsequent
				changes in the Magnet Recognition Program shall continue to promote quality
				that supports professional practice and excellence in the delivery of nursing
				services to patients. If subsequent changes do not reflect these elements, the
				unexpended amount of grant funds shall be returned to the Department.
(ii) The small hospitals, with under one
				hundred (100) beds, seeking grants for technical and professional assistance to
				promote quality nursing practices, quality nursing working environments,
				increased retention of nursing staff and demonstrated improved outcomes for
				patients shall be eligible for up to fifty thousand dollars ($50,000) as a
				single entity. Small hospitals of three or more organizations may form a
				consortium to address the four required areas at each hospital and be eligible
				for up to two hundred thousand dollars ($200,000). One organization shall be
				named the lead entity, negotiate the contract, and be responsible for
				organizing the matching funds requirement.
(iii) The technical and professional
				assistance may be contracted to a Wyoming hospital that has previously prepared
				or submitted a Magnet Recognition Program application or to the University of
				Wyoming's Nightingale Center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-3 - Special Provisions

Current through July 13, 2024
(a) If any portion
				of these rules is found to be invalid or unenforceable, the remainder shall
				continue in effect.
(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.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-5 - Authority to Award and Administer Grant Funds

Current through July 13, 2024
(a) The Department
				shall have the following responsibilities with regard to administering the
				grant awards:
(i) It shall develop a Request
				for Proposal (RFP), in consultation with the Office of Rural Health, for
				funding for up to three (3) grants to any Wyoming hospital seeking Magnet
				Recognition and for small hospitals of less than one hundred (100) beds to
				promote quality nursing practices, quality nursing working environments,
				increased retention of nursing staff and demonstrated improved outcomes for
				patients. The RFP developed by the Department and the Office of Rural Health
				shall comply with all of the Department of Administration and Information's RFP
				requirements. The RFP shall prioritize grant recipient requirements;
(ii) It shall provide technical and
				professional assistance to eligible recipients making an application through
				the RFP for the grant funds for the purpose of completing a Magnet Recognition
				Program application or for promoting quality nursing practices, quality nursing
				working environments, increased retention of nursing staff and demonstrated
				improved outcomes for patients by addressing the selected criteria of the
				Magnet Recognition Program;
(iii)
				It shall collect and analyze the RFP applicant information and shall, in
				consultation with the Office of Rural Health, select grant recipients pursuant
				to the priorities outlined in the RFP;
(iv) It shall enter into a contract with the
				grant recipient that further outlines the project requirements, detailing how
				measurable outcomes will be achieved, and ensuring that the grant funds are
				used to effectuate the goals of the project;
(v) It shall fund three (3) hospitals to
				achieve Magnet Recognition Program designation;
(vi) It shall fund small hospitals to promote
				quality nursing practices, quality nursing working environments, increased
				retention of nursing staff and demonstrated improved outcomes for patients by
				meeting the selected criteria; and
(vii) It shall inform the Joint Labor, Health
				and Social Services Interim Committee if legislation is needed to authorize any
				additional rules and regulations to effectuate the goals of the
				projects.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-6 - Criteria for and Priorities Given to Magnet Hospital Grant Program Awards

Current through July 13, 2024
The following criteria and priorities shall be considered in
				  awarding funds under this project:
(a)
				Demonstrated provision of medical care to patients qualified under Medicaid,
				Medicare, and Kid Care CHIP;
(b)
				Indication in writing the hospital's commitment to acquisition of Magnet
				Recognition Program designation within a five (5) year period following receipt
				of the grant;
(c) Indication in
				writing and in their grant budget a match of forty percent (40%) of the grant
				award with in-kind or in-cash funds to be expended in achieving Magnet
				Recognition Program designation;
(d) Agreement to submit periodic reports of
				progress in preparing, submitting and acquiring Magnet Recognition Program
				designation to the Department of Health, Rural and Frontier Health Division,
				Office of Rural Health as specified by that Department; and
(e) The grant application shall include a
				budget that specifies how grant funds will be expended.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-7 - Criteria for and Priorities Given to Small Hospital Grant Program Awards

Current through July 13, 2024
The following criteria and priorities shall be considered in
				  awarding funds under this project:
(a)
				Demonstrated provision of medical care to patients qualified under Medicaid,
				Medicare, and Kid Care CHIP;
(b)
				Indication in writing the hospital's commitment to meet the selected
				characteristics which address quality of nursing practice, quality of nursing
				working environments, increased retention of nursing staff and outcomes for
				patients within a five (5) year period following receipt of the
				grant;
(c) Small hospitals
				commitment in writing and in their grant budget a match of twenty percent (20%)
				of the grant award with in-kind services or in-cash funds to be expended with
				the grant funds;
(d) Agreement to
				report periodically to the Department regarding the use of grant funds and
				measurable results obtained with those funds; and
(e) The grant application shall include a
				budget that specifies how grant funds will be expended.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-8 - Application Form for Magnet Hospital Grant Program

Current through July 13, 2024
(a)
				Application for the Magnet Hospital Grant Program will be submitted per the RFP
				process.
(b) Application for the
				Magnet Hospital Grant Program shall include:
(i) Narrative description of how the hospital
				shall achieve Magnet Recognition Program designation within five (5) years. The
				narrative shall include annual objectives, activities, timelines, outcomes and
				measurements to be achieved in each year of the grant;
(ii) A detailed budget and budget narrative
				that specifies how grant funds shall be expended annually in a format to be
				established by the Department for each year of the requested grant including
				budget for forty percent (40%) match; and
(iii) A verification of understanding of the
				obligation to repay one hundred percent (100%) of the grant if the Office of
				Rural Health determines no progress has been made toward Magnet Recognition
				Program application in the first year, or fifty percent (50%) if the Office of
				Rural Health determines a lack of progress or failure to achieve Magnet
				Recognition Program designation in the subsequent four (4) years after the
				grant award date.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-9 - Application Form for Small Hospital Grant Program

Current through July 13, 2024
(a) Application
				for the Small Hospital Grant will be submitted per the RFP process.
(b) Application for Small Hospital Grant
				Program shall include:
(i) A statement of how
				the hospital shall achieve the key elements of the excellence in nursing. The
				narrative shall include a description of quality nursing practices; quality
				work environment; increased retention of nursing staff; and improved outcomes
				for patient care;
(ii) A detailed
				budget narrative that specifies how grant funds shall be expended annually in a
				format to be established by the Department for each year of the requested grant
				including budget for twenty percent (20%) match; and
(iii) A verification of understanding of the
				obligation to repay one hundred percent (100%) of the grant if the Office of
				Rural Health determines no progress has been made toward excellence in nursing
				in the first year, or fifty percent (50%) if the Office of Rural Health
				determines a lack of progress or failure to achieve excellence in nursing in
				the subsequent four (4) years after the grant award date.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-10 - Application Process

Current through July 13, 2024
(a) The Manager of
				the Office of Rural Health or his/her designee shall administer this program
				according to the rules of this program, and shall determine whether the
				applicant is eligible under these rules;
(b) The funds appropriated by the legislature
				will be allocated by the Office of Rural Health to recipient hospitals as
				contracted and budgeted per the application and resulting individual
				contract;
(c) The Department shall
				provide the application written notice of its determination;
(d) Documentation of the action taken and the
				reasons for the action shall be placed in the applicant's file; and
(e) The Manager of the Office of Rural Health
				or his/her designee may request documentation to collaborate any information
				requested in the application before a determination is made.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 4 - WYOMING HOSPITAL IMPROVEMENT GRANTS › Section 4-11 - Reporting Requirements

Current through July 13, 2024
(a) The Department
				may require an award recipient to provide information on an annual
				basis.
(b) The Department may
				request a site visit to verify and collaborate information submitted.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Public Health Division, pursuant to W.S. §
									
										35-1-1101, and the Wyoming Administrative
				  Procedures Act at W.S §
									
										16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules implement the Wyoming
				Provider Recruitment Grant Program which governs the award of grant funds to
				recruiting entities to recruit healthcare providers.
(b) The Department may issue manuals,
				bulletins or both to interpret the provision of these rules and regulations.
				Such manuals and bulletins shall be consistent with and 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 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules.
(a)
				"Department" means the Wyoming Department of Health, Public Health
				Division.
(b) "Provider" means an
				individual who is licensed or eligible to be licensed in a healthcare
				profession under Wyoming Statutes, Title 33.
(c) "This Act" means W.S. §
									
										35-1-1101.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-5 - Provider Recruitment Grant Program Administration

Current through July 13, 2024
(a) The Department shall develop an
				application form and solicit eligible applicants seeking to recruit eligible
				healthcare providers between July 1st and September
				30th of each year in which funding is available. The
				application form will be made available online at
				http://www.health.wyo.gov/rfhd/rural/index.html.
(i) In the event funding remains in the
				Program budget or additional funding is appropriated to the Program, the
				Department may accept additional applications at other times.
(ii) The Department will accept applications
				for the recruitment of healthcare provider types the Department has determined
				to be of highest need pursuant to Section
				8 of
				these rules and regulations.
(iii)
				The Department may identify a maximum amount in grant funding each applicant
				may apply for during each application period which aligns with the average
				reimbursement paid under all prior awards. The Department will indicate the
				identified maximum amount on the application form.
(iv) The Department shall verify the
				eligibility of each recruiting entity prior to making award
				determinations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-6 - Recruiting Entity Responsibilities

Current through July 13, 2024
(a) An eligible applicant shall complete and
				submit an application to the Department between July
				1st and September 30th
				each year. In the event additional applications are accepted pursuant to
				Section
				5(a)(i), eligible
				applicants shall complete and submit an application to the Department by the
				deadline identified in the Program application.
(b) Once the application is approved by the
				Department, the applicant becomes a recruiting entity. The recruiting entity
				shall enter into a Contract Agreement with the Department. The Contract
				Agreement will outline the grant amount the recruiting entity is eligible for
				and how those amounts are required to be used.
(c) The Contract Agreement is between the
				Department and the recruiting entity. The recruiting entity must have a
				separate contract with the recruited provider.
(i) The recruiting entity must enter into a
				written and legally binding Offer of Recruitment or employment contract with
				the recruited provider. The recruiting entity must include terms in the Offer
				of Recruitment or employment contract to recoup any benefits paid to the
				recruited provider, using grant monies under this Act, in the event the
				recruited provider fails to meet the requirements of this Act, these rules and
				regulations, and/or the Contract Agreement.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-7 - Eligibility Criteria for Provider Recruitment Grant Program Applicants

Current through July 13, 2024
(a) For-profit and non-profit hospitals,
				physicians, and healthcare clinics in Wyoming, and other appropriate Wyoming
				organizations (including county and city government agencies, non-profit
				organizations, and in-state provider recruitment agencies) are eligible to
				apply for grants under this Act.
(b) Providers may not recruit themselves, nor
				may they be recruited by their immediate family members.
(c) The recruiting entity may recruit more
				than one provider per application period. A separate application is required
				for each provider to be recruited.
(d) The recruited provider cannot already
				practice in Wyoming, including part-time. The only exceptions are providers
				completing residency training in Wyoming and military providers (not practicing
				in Wyoming other than to fulfill a military obligation) which may still be
				recruited under this Act.
(e)
				Providers relocating to Wyoming to become employed by the state or by the
				United States are not eligible.
(f)
				An organization recruiting a provider to treat that organization's employees,
				family members, or former employees is not eligible. An organization is
				eligible if the recruited provider's practice is "open to the public" and
				patient access is not in any way limited to a relationship with the
				organization.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-8 - Selection Process

Current through July 13, 2024
(a) The Department will make selections based
				on:
(i) The Department's determination of
				priority of the various geographic areas of Wyoming;
(ii) The Department's determination of
				priority of the medical specialty need of the various geographic areas of
				Wyoming; and
(iii) Other relevant
				information submitted on the application.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-9 - Provider Recruitment Grant Termination Breach, Repayment and Penalties

Current through July 13, 2024
(a) The Department is contracting with the
				recruiting entity. If the recruited provider fails to meet the requirements of
				this Act, the recruiting entity must repay the entire amount of grant funds
				received under this Act to the state. The recruiting entity is not precluded
				from recovering these repayments from the recruited provider.
(b) If the recruiting entity is unable to
				recruit an eligible provider within one (1) year of the effective date of the
				Contract Agreement, the contract terminates without penalty. If the recruiting
				entity incurred eligible costs under Section
				5(e), but was unsuccessful
				in recruiting a provider, the recruiting entity may submit a request for
				reimbursement to the Department. Payment of grant monies under Section
				5(e) without a successful
				recruitment will be at the discretion of the Department.
(c) If the recruited provider fails to
				relocate and begin full-time practice in the approved geographic area of
				Wyoming within six (6) months as required by Section
				6(i), the Contract
				Agreement terminates and the Department will not make any grant payments to the
				recruiting entity for eligible costs under Section
				5(d).
(d) Repayments include:
(i) The total amount of grant funds paid to
				the recruiting entity;
(ii)
				Interest at the rate of ten percent (10%) per annum; and
(iii) The amount to be repaid shall be
				determined from the end of the month in which the recruiting entity breached
				the Contract Agreement as if the recruiting entity had breached at the end of
				the month.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-10 - Selection Process

Current through July 13, 2024
(a) The Department
				will make selections based on:
(i) The
				Department's determination of priority of the various geographic areas of
				Wyoming;
(ii) The Department's
				determination of priority of the medical specialty need of the various
				geographic areas of Wyoming; and
(iii) The Department may use other relevant
				information submitted on the application.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-11 - Physician Recruitment Grant Termination Breach, Repayment and Penalties

Current through July 13, 2024
(a) The Department is contracting with the
				recruitment entity. If the recruited physician fails to meet the requirements
				of the statute and rules, the recruitment entity must repay the entire amount
				of grant funds awarded. The recruitment entity is not precluded from recovering
				theses repayments from the recruited physician.
(b) If the recruitment entity is unable to
				recruit a physician within one (1) year of the effective date of the Contract
				Agreement, the contract terminates without penalty.
(c) If the recruited physician fails to
				relocate and begin full-time practice in Wyoming within six (6) months as
				required by Section
				7(i), the Contract
				Agreement terminates and the Department will not make any grant payments to the
				recruitment entity.
(d) If the
				recruitment entity fails to provide required information in Section
				7, it
				may be required to repay any monies granted under this section to the
				state.
(e) Repayments include:
(i) The total amount of the grant identified
				in the Contract Agreement;
(ii)
				Interest at the rate of ten percent (10%) per annum; and
(iii) The Department may also recover costs
				and expenses incurred in collection and attorney fees.
(iv) The amount to be repaid shall be
				determined from the end of the month in which the grant recipient breached the
				contract agreement as if the recipient had breached at the end of the
				month.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 5 - WYOMING PROVIDER RECRUITMENT GRANT PROGRAM › Section 5-12 - Coordination with W. S. 9-2-118, the Wyoming Healthcare Provider Loan Repayment Program

Current through July 13, 2024
(a) The Department
				will determine if benefits under
				W.S.
				9-2-118, the Wyoming Healthcare Provider Loan
				Repayment Program (WHPLRP), are to be included in the recruitment offer and
				will identify such in the Contract Agreement with the recruitment entity.
(i) The recruitment entity is responsible to
				verify the recruited physician's eligibility for WHPLRP.
(ii) The recruited physician must sign a
				WHPLRP contract.
(iii) The WHPLRP
				contract is the controlling document for the WHPLRP. All recruited physicians
				qualifying for the WHPLRP are required to adhere to this contract's
				requirements.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health
				  pursuant to the Childhood Immunization Act at W.S. §
									
										35-4-139
et seq
. and
				  the Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-2 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter
				defines the process for determining the specific vaccines to be purchased to
				provide for the healthy development of children.
(b) This Chapter establishes the criteria
				required for Healthcare Providers to participate in the Wyoming Vaccines for
				Important People (WyVIP) program.
(c) This Chapter defines the Appeals process
				for Healthcare Providers who are made ineligible for the WyVIP program due to
				failure to comply with appropriate Rules and Regulations
(d) The Department may issue manuals or
				bulletins to providers and/or other affected parties to interpret the
				provisions of this Chapter. Such manuals or bulletins shall be consistent with
				and reflect the policies contained in the Chapter. The provisions contained in
				manuals or bulletins shall be subordinate to the provisions of this
				Chapter.
(e) 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 these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-3 - General Provisions

Current through July 13, 2024
Except as otherwise specified, the terminology used in this
				  Chapter is the standard terminology and has the standard meaning used in
				  accounting, healthcare, the National Immunization Program and the Vaccines for
				  Children Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules gender pronouns
				  are used interchangeably. The drafters have attempted to utilize each gender
				  pronoun in equal numbers, in random distribution. Words in each gender include
				  individuals of the other gender.
(a)
				"Cold Chain." The system used for keeping and distributing vaccines in good
				condition is called the 'cold chain'. This consists of a series of storage and
				transport procedures, all of which are designed to keep the vaccine at the
				correct temperature to ensure vaccine efficacy until it is administered.
				Different vaccines require different storage conditions, and what is correct
				for one vaccine may be dangerous for another, so it is vital to know the
				correct storage conditions for each vaccine used.
(b) "Healthcare Provider." Refers to
				individuals in a practice that is enrolled in the WyVIP program.
(c) "Parent." Refers to the biological
				parent, adoptive parent, or legal guardian of a minor child receiving an
				immunization.
(d) "State Health
				Officer." Refers to the individual appointed by the Governor to administer the
				Wyoming Department of Health, or designee.
(e) "State Immunization Section Chief."
				Refers to the individual appointed by the Wyoming Department of Health to
				manage the State Immunization Program.
(f) "Vaccines for Children Program (VFC)."
				Refers to the federal program defined in
				42 U.S.C. §
										1396 s(b)(2) or subsequent similar federal
				enactment(s).
(g) "Wyoming Vaccines
				for Important People (WyVIP)." Refers to the Wyoming Department of Health
				Immunizations Program section that administers the ordering, distribution,
				vaccine handling, quality control and reporting for vaccines provided to
				Healthcare Providers.
(h) "Child."
				Refers to individuals who have not reached their nineteenth (19)
				birthday.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-5 - Vaccine Advisory Board

Current through July 13, 2024
(a) The State
				Health Officer or designee shall convene a Vaccine Advisory Board consisting of
				a representative of an organization representing physicians licensed in
				Wyoming, at least one (1) pediatric physician licensed in Wyoming and at least
				one (1) family physician licensed in Wyoming. Determination of vaccines that
				shall be purchased with State funds will be based on recommendations of the
				Vaccine Advisory Board and affirmed by the State Health Officer. The Vaccine
				Advisory Board will function to provide advice and recommendations to the State
				Health Officer including, but not restricted to:
(i) Specific vaccine antigens to provide for
				the healthy development of the children of Wyoming;
(ii) Specific vaccine brands of single
				antigen and/or combination antigens to be purchased;
(iii) Recommendations on the percentage of
				the legislative appropriation that is to be utilized for program operations and
				vaccine purchases;
(iv) Tier
				protocols for specific antigens/vaccine brands in the event that vaccines are
				not available for purchase or that appropriations will not be sufficient to
				provide Universal Vaccine coverage; and
(v) Recommendations to add newly developed
				and licensed vaccines to the formulary.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 7 - CHILDHOOD IMMUNIZATION ACT COVERED SERVICES › Section 7-7 - Appeals Process

Current through July 13, 2024
(a) In the event
				that a Healthcare Provider is subject to an administrative action by the WyVIP
				Program to include, but not be limited to program suspension:
(i) The designated Healthcare Provider found
				out of compliance with Wyoming Immunization Program Rules and Regulations may
				request an administrative hearing.
(ii) The request for an administrative
				hearing must be made to the State Health Officer in writing within 14 calendar
				days from the date of notification by the Wyoming Immunization Program of an
				administrative action.
(iii) An
				administrative hearing will be conducted in accordance with the current Rules
				For Contested Case
Practice and Procedure Before the Office of
				Administrative Hearings
.
(iv) The Office of Administrative Hearings
				shall make proposed findings of fact, proposed conclusions of law and
				recommended decisions to the State Health Officer.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-1 - Authority

Current through July 13, 2024
These Rules are promulgated by the Department of Health,
				  Public Health Division, Rural and Frontier Health Section, Office of Rural
				  Health, pursuant to W.S. §
									
										9-2-127, and the Wyoming Administrative
				  Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-2 - Purpose and Apnlicability

Current through July 13, 2024
(a) These Rules
				implement the Wyoming Primary Care Support Grant Program and create a process
				for facilitating the award of grant funds to Community Health Centers and
				Rioral Health Clinics for capital construction and start-up costs, as follows:
(i) As one-time start-up costs of a new
				Community Health Center or Rural Health Clinic; or
(ii) To allow existing Community Health
				Centers or Rural Health Clinics to expand the population served; or
(iii) To allow existing Community Health
				Centers or Rural Health Clinics to initiate new services; or
(iv) To allow existing Community Health
				Centers or Rural Health Clinics to facilitate compliance with quality
				criteria.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-5 - Primary Care Support Grants-Terms and Service

Current through July 13, 2024
(a) The
				Department shall issue Grant Award Agreements to the selected applicants. The
				Agreement shall set forth the terms of the grant, including, but not limited
				to, the grant amount, grant term, approved project, and payment
				terms.
(b) The grantee's term of
				service under the Grant Award Agreement shall be three (3) years fi:om the
				effective date of the Agreement.
(c) Grantees must comply with all Grant Award
				Agreement requirements for the entire three (3) year term of the Grant Award
				Agreement.
(d) Grants are not to be
				used for operational expenses. If a question arises as to whether an expense is
				categorized as operational, the Department will make a determination on a
				case-by-case basis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-6 - Department Responsibilities

Current through July 13, 2024
(a) The Department
				shall develop an application form, process and timeline. The Department shall
				make the application form available in electronic format accessible by the
				public.
(b) The Department will
				accept applications during an application period as determined and announced by
				the Department, and will make determinations of grant awards within sixty (60)
				days of the close of the designated application period. The Department may
				extend this period to ninety (90) days and if the Department does so, the
				Department will notify the applicant(s) in writing prior to the end of the
				initial sixty (60) days.
(i) If the
				Department requires an applicant to clarify information submitted on the
				application or attachments, the Department will determine the timeline the
				applicant has to submit the written clarification response. The Department will
				set a reasonable timeline based on the complexity of the clarification
				needed.
(ii) The Department may
				declare an application invalid if multiple clarifications are needed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-8 - Eligibility Criteria for Primary Care Support Grant Applicants

Current through July 13, 2024
(a) New Community Health Centers are eligible
				to apply. A new Community Health Center shall include:
(i) An existing clinic, including Federally
				Qualified Health Center Look-Alikes (FQHC-LAs), that has submitted a 'New
				Access Point' grant application to receive PHS 330 fiinding as a federally
				qualified Community Health Center. This does not include other Federally
				Qualified Health Centers (FQHCs), including, but not limited to, migrant and
				homeless clinics.
(ii) A planned or
				new clinic that will apply for a 'New Access Point' grant to receive PHS 330
				funding as a federally qualified Community Health Center. This does not include
				other Federally Qualified Health Centers (FQHCs), including, but not limited
				to, migrant and homeless clinics.
(iii) Failure to obtain PHS 330 funding,
				designation as a Federally Qualified Health Center Look-Alike (FQtIC-LA), or
				designation as a Rural Health Clinic within eighteen (18) months will result in
				termination of the clinic's participation in the Program, and the clinic must
				repay the state one hundred percent (100%) of grant fimds received from the
				state.
(A) FQHC-LA status is only acceptable
				if the clinic intends to apply for PHS 330 funding during the next available
				application period for PHS 330 funding grants or if the clinic's application
				for PHS 330 funding was not awarded. Proof of FQHC-LA status must be provided
				to the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-10 - Selection Process

Current through July 13, 2024
(a) The Department
				will develop a committee within the Department to select applicants that best
				meet the state's need for increased access to integrated care. The committee
				may include partners from outside the Department.
(b) Selection criteria shall include, but may
				not be limited to:
(i) Highest priority will
				be given to applications for clinics in areas of greatest need for primary care
				access, as determined by the Department;
(ii) Potential of the project to increase
				primary care access in the applicable community and surrounding
				areas;
(iii) A new primary care
				clinic in a community where access to care does not exist shall have higher
				priority than existing clinics changing status or new clinics not in areas of
				greatest need;
(iv) Non-profit
				clinics shall be considered higher priority than for-profit climes;
(v) The Department shall use information from
				the application form and other sources in the selection process;
(vi) The Department shall make awards only to
				applicants who, in the opinion of the Department, have well documented and
				executable plans for integrated care;
(vii) The Department shall make awards only
				to applicants who, in the opinion of the Department, have a project scope that
				is well supported by the financial plan included in the application for
				funding;
(viii) The Department
				shall make awards only to applicants who, in the opinion of the Department,
				have a good operation plan that is supported by a good business
				model;
(ix) Service areas without
				existing eligible Community Health Centers will be given priority over service
				areas with existing eligible Community Health Centers; and
(x) Service areas without existing eligible
				Rural Health Clinics will be given priority over service areas with existing
				eligible Rural Health Clinics.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-11 - Primary Care Support 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, according to a
				schedule established by the Department and provided in a Repayment Agreement,
				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.
(A) At the
				written request of the grantee, the Department may consider approving a lower
				repayment amount based upon the date of the default and overall compHance with
				the intent of this Act as verified in submitted reports. This reduction shall
				be at the sole discretion of the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-12 - Reporting Requirements

Current through July 13, 2024
(a) The grantee's
				reporting requirements are discussed in Section
				7 of
				these Rules and will be incorporated into the Grant Award Agreement between the
				Department and the grantee.
(b) The
				Department may require grantee to provide additional information or reports on
				a regular basis (monthly, quarterly, semi-annually, or annually) and the
				requirements for such shall be set forth in the Grant Award Agreement between
				the Department and the grantee.
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 9-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Public Health Division, Rural and Frontier Health Section, Office of Rural
				  Health pursuant to the 2011 Wyoming Session Laws, Chapter 88, Section 355,
				  Critical Access and Rural Hospital Technology Grants, and the Wyoming
				  Administrative Procedures Act at W.S
										16-3-101,
et
				  seq
.
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 9-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				implement the Critical Access and Rural Hospital Technology Grant Program and
				create a process for administering the award of grant funds for the purchase of
				technologies by critical access and rural hospitals, as defined in
				W.S.
				35-1-1002(a)(ii), to assist
				those hospitals in meeting the federal requirements of "meaningful use" of
				electronic health records under the American Recovery and Reinvestment Act of
				2009. Any electronic health record technology or module purchased with grant
				funds from this Program must be certified, as defined in Section
				4 of
				these rules.
(b) The Department may
				issue manuals, bulletins or both to interpret the provision of these rules and
				regulations. Such manuals and bulletins shall be consistent with and 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.
(c) 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
				these rules and regulations.
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 9-5 - Critical Access and Rural Hospital Technology Grants - Terms and Service

Current through July 13, 2024
(a) The Department shall issue Grant Award
				Agreements to the selected applicants. The Agreement shall set forth the terms
				of the grant, including, but not limited to, the grant amount, grant term,
				approved project, and payment terms.
(b) The grantee shall provide reports on the
				project status to the Department as set forth in the Grant Award Agreement
				between the grantee and the Department.
(c) Grantees must comply with all Grant Award
				Agreement requirements for the entire term of the Grant Award
				Agreement.
(d) No single grant
				award under this Program shall exceed Four Hundred Thousand Dollars
				($400,000).
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 9-6 - Department Responsibilities

Current through July 13, 2024
(a) The Department
				shall develop an application form, process and timeline. The Department shall
				make the application form available in electronic format accessible by the
				public.
(b) The Department will
				accept applications during a specific time frame as determined and publicly
				announced by the Department. The Department will make determinations of grant
				awards within sixty (60) days of grant application submission.
(c) The Department will accept applications
				for funds to purchase technologies to assist critical access and rural
				hospitals in meeting the federal requirements of "meaningful use" of electronic
				health records in accordance with the American Recovery and Reinvestment Act of
				2009. Any electronic health record technology or module purchased with funds
				from this Program must be certified, as defined in Section
				4 of
				these rules.
(d) The Department
				will determine if the application meets the requirements in these rules prior
				to considering the applicant for a grant award.
(e) Applications that do not meet the
				requirements in these rules or that do not outline a project that will assist
				the applicant in meeting the federal requirements of "meaningful use" of
				electronic health records will be returned to the applicant with a written
				explanation.
(f) The Department
				shall determine the total amount of the grant authorized for each approved
				application. The grant amount for any single grant award shall not exceed Four
				Hundred Thousand Dollars ($400,000) regardless of the amount of grant funds
				requested in the approved 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."
(g) The
				Department shall notify the selected applicants and coordinate the Grant Award
				Agreement between the grantee and the Department. The Agreement shall set forth
				the terms of the grant, including, but not limited to, the grant amount, grant
				term, approved project, and payment terms.
(h) The Department shall make grant payments
				in the following manner:
(i) An initial,
				up-front grant payment may be made at the time the Grant Award Agreement is
				finalized. This initial payment shall not exceed ten percent (10%) of the total
				grant award amount.
(A) The applicant may
				submit a request for an initial payment amount over ten percent (10%) of the
				total grant amount at the time the Grant Award Agreement is finalized. The
				decision to approve or deny such requests is at the sole discretion of the
				Department.
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 9-7 - Applicant/Grantee Responsibilities

Current through July 13, 2024
(a) Applicants must
				complete the approved Program application and submit it to the Department
				within the time frame set by the Department.
(b) During the grant term, which will be
				identified in the Grant Award Agreement, grantees must:
(i) Provide reports on project status as
				required under the Grant Award Agreement.
(ii) Within sixty (60) days of the end of the
				grant term, as set forth in the Grant Award Agreement, the grantee must submit
				an end of grant final report to the Department that summarizes the project's
				successes, challenges, and outcomes.
(iii) Agree to repay the state all grant
				funds received and costs of collections, including attorney fees, if grantee
				fails to remain in compliance with the terms and requirements of these rules
				and the Grant Award Agreement for the entire term of the Grant Award
				Agreement.