reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-8 - Covered Services

Current through July 13, 2024
The services listed in this section are covered services if
				  they are functionally necessary and part of a current emergency service plan
				  approved by the Division. The Division shall establish rates for covered
				  services.
(a) Emergency Case
				Management Services.
(i) Due to the critical
				nature of emergency situations, completion of the following emergency case
				management services shall occur as quickly as possible to alleviate the
				emergency and to quickly identify resources, services, and supports that the
				applicant can access:
(A) Gathering and
				compiling medical, educational, social, and other information.
(B) Coordinating completion of applications
				for Title XIX services, Medicare, social security, mental health services,
				vocational rehabilitation, and any other pertinent services.
(C) Applying for a temporary Medicaid number
				for the applicant, so that the psychological or neuropsychological assessment
				and Inventory for Client and Agency Planning can be completed to determine
				eligibility for a home and community based waiver, pursuant to Section
				10
				of this Chapter.
(D) Developing and
				submitting the emergency service plan to the Division.
(E) Providing on-going oversight of the
				services provided to the applicant to assure health and safety needs are
				met.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-9 - Development and Approval of the Emergency Service Plan

Current through July 13, 2024
(a) Within
				two (2) business days of the Division approving funding of an emergency
				referral, the provider shall submit an emergency service plan to the Division
				listing the services to be provided and the rates for services as agreed upon.
				The emergency service plan shall, as much as possible, be person-centered. The
				plan shall be completed on a form designed by the Division and shall include
				the following information:
(i) Pertinent
				health and safety information as available, including, but not limited to:
(A) Diagnoses.
(B) Medications.
(C) Behavioral support needs, including
				identification of rights restrictions and a basic positive behavior support
				plan, if targeted behaviors are known and if there is a possibility that
				restraints will be used.
(D)
				Supervision needs.
(E)
				Identification of assessments and health care visits being scheduled.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-10 - Application for Home and Community Based Waiver Services

Current through July 13, 2024
(a)
				The applicant's emergency case manager shall schedule a psychological or
				neuropsychological assessment within two (2) business days of approval of the
				emergency funding for the applicant, informing the psychologist that this is an
				emergency situation.
(i) If the psychological
				or neuropsychological cannot be completed within thirty (30) calendar days,
				including the written report submitted to the case manager, the emergency case
				manager shall contact the Division for assistance in identifying a psychologist
				who can complete the assessment within that time frame.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-11 - Submission and Payment of Claims

Current through July 13, 2024
(a) In order for
				claims to be paid, providers shall submit claims on an invoice on a monthly
				basis to the Division within sixty (60) calendar days after provision of
				services.
(i) The Division shall review
				claims to assure compliance with the service plan and shall submit the claim
				for payment to the Department of Health Fiscal Services and subsequently to the
				Wyoming Auditor's office for final approval and payment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-12 - Audits

Current through July 13, 2024
(a) The Division may audit a provider's
				financial records, medical records, or employment records at any time to
				determine whether the provider has received excess payments or
				overpayments.
(b) The Division may
				perform audits through employees, agents, or through a third party. Audits
				shall be performed in accordance with generally accepted auditing
				standards.
(c) Disallowance. The
				Division shall recover excess payments or overpayments for services that were
				not approved in the person's service plan.
(d) Reporting audit results. If at anytime
				during a financial audit or a medical audit, the Division discovers evidence
				suggesting fraud or abuse by a provider, that evidence, in addition to the
				Division's final audit report regarding that provider, shall be referred to
				appropriate authorities.
(e) The
				Division shall share the results of the audit with the provider before excess
				payments or overpayments are recovered. However, nothing in this section shall
				abrogate the rights of the State to recover excess payments or
				overpayments.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-13 - Reconsideration

Current through July 13, 2024
A provider may request that the Department reconsider a
				  decision to recover excess payments or overpayments. The request for
				  reconsideration, the reconsideration, and any administrative hearing shall be
				  pursuant to the reconsideration provisions of Chapter 3, Chapter 16, or Chapter
				  39, as applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-15 - Interpretation of Chapter

Current through July 13, 2024
(a) The
				interpretation of this Chapter is at the sole discretion of the Wyoming
				Department of Health.
(b) The order
				in which the provisions of this Chapter appear is not to be construed to mean
				that any one provision is more or less important than any other
				provision.
(c) The text of this
				Chapter shall control the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-16 - Superseding Effect

Current through July 13, 2024
This Chapter supersedes all prior rules or policy statements
				  issued by the Division, including provider manuals and provider bulletins,
				  which may be inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-1 - Purpose

Current through July 13, 2024
The purpose of these rules is:
(a) To establish minimum standards for the
				provision and administration of a statewide program to provide community based
				respite care services to families with a member under the age of twenty-one
				(21) years who has developmental disabilities and is not eligible for the home
				and community based waiver services under medicaid.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-2 - Authority

Current through July 13, 2024
These standards are authorized by
				  W.S.
				  9-2-102(a)(iii) and W.S.
				  W.S.
				  35-1-628 and have been adopted by the Wyoming
				  Department of Health -Division of Developmental Disabilities. These statutes
				  give the Department of Health the authority to prescribe standards for the
				  administration of the Respite Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-3 - Definitions

Current through July 13, 2024
(a) Department: The Department of Health of
				the State of Wyoming.
(b)
				Developmental disability: A severe, chronic disability which is attributable to
				a mental, emotional or physical impairment or combination of impairments,
				manifested before the person attains twenty-two years of age, is likely to
				continue indefinitely and results in substantial functional limitations in
				three (3) or more of the following areas:
(i)
				Self-care;
(ii) Receptive and
				expressive language;
(iii)
				Learning;
(iv) Mobility;
(v) Self-direction;
(vi) Capacity for independent living;
				and
(vii) Economic
				self-sufficiency.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 2 - GENERAL RESPONSIBILITIES › Section 2-1 - Community Based Respite Care Services

Current through July 13, 2024
(a) The Division of
				Developmental Disabilities is responsible for the administration of funds
				provided under
				W.S.
				35-1-628.
(b) Division responsibilities include:
(i) Establishing criteria for eligibility for
				respite care services which shall include consideration of:
(A) The familys need for services, including
				factors such as the demonstrated willingness and ability of family members to
				provide care and the special requirements of the family member with a
				developmental disability;
(B)
				Parent(s) gross income;
(C) Family
				expenses, including those related to care for the child with the
				disability;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 3 - RESPITE PROGRAM SERVICE SYSTEM › Section 3-1 - Eligibility Determination

Current through July 13, 2024
(a) The child for
				whom the parent is requesting services shall meet the definition of a child
				with a developmental delay.
(b) The
				child shall not be eligible to receive home and community based waiver services
				under medicaid;
(c) The child shall
				be under twenty-one (21) years of age.
(d) The child shall reside with his/her
				parent(s) in a private residential setting;
(e) The child shall require services of a
				trained respite care provider.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 3 - RESPITE PROGRAM SERVICE SYSTEM › Section 3-2 - Provider Criteria

Current through July 13, 2024
Provider shall:
(a)
				Be eighteen (18) years of age or older;
(b) Be selected by the parent; and
(c) Be trained to provide individualized care
				with a focus on the safety and well being of the child.
(i) Parent will provide training specific to
				the needs of their child.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 4 - PROCEDURES › Section 4-1 - Application Process

Current through July 13, 2024
(a) Parents shall
				file an application with the Division. The application shall contain at least
				the following information:
(i) Applicant
				name, address and phone number;
(ii) Name of child for whom service is being
				requested;
(iii) Nature of the
				childs disability;
(iv) Eligibility
				status regarding the home and community based service waiver under
				Medicaid;
(v) Other respite
				services the child is receiving;
(vi) Household composition;
(vii) Parent(s) gross income.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 4 - PROCEDURES › Section 4-2 - Service Authorization

Current through July 13, 2024
(a) Following
				application approval, the parent shall recruit and train a provider.
(b) Documentation of the providers
				qualification and related information shall be submitted to the Division by the
				provider.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 4 - PROCEDURES › Section 4-3 - Provider Invoice

Current through July 13, 2024
(a) The Division
				shall provide a written invoice to the provider and parent for signature. The
				invoice shall contain at least the following information:
(i) Provider name, address, and phone
				number;
(ii) Rate of
				payment;
(iii) Rate of parent
				co-payment; and
(iv)
				Duration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 4 - PROCEDURES › Section 4-4 - Payment Process

Current through July 13, 2024
(a) Provider shall
				submit an invoice to the Division and parent detailing services provided. The
				invoice shall contain at least the following information:
(i) Child(ren)s name(s);
(ii) Dates and times of service;
(iii) Total hours;
(iv) Amount of co-payment billed to
				parent;
(v) Amount due from the
				Division; and
(vi) Provider shall
				certify accuracy of information. (b) The Division shall process invoices and
				remit a payment within thirty (30) days from the end of the previous
				month.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 6 - CONTESTED DECISIONS › Section 6-1 - Informal Resolution

Current through July 13, 2024
The administrator of the Division or designee shall attempt
				  to resolve any disagreement over eligibility determination or service
				  authorization through mediation with the parents and/or
				  provider.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0022 - Developmental Disabilities - Children Respite Program › Chapter 6 - CONTESTED DECISIONS › Section 6-2 - Formal Resolution

Current through July 13, 2024
Any disagreements which can not be resolved through informal
				  mediation shall follow the procedures outlined in the Department's contested
				  case procedures which may be obtained at the Department's
				  office.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix A - EXECUTIVE ORDER No 76-4 › Section A-1

Current through July 13, 2024
The Wyoming Advisory Committee on Emergency Medical
					 Services is created under the sponsorship of the Wyoming Department of Health
					 and Social Services, Division of Health and Medical Services for the purpose of
					 assisting the efforts of various Federal, State and local agencies, private
					 industry, and interested citizens toward the development and implementation of
					 an integrated, statewide program for emergency medical services. The said
					 Committee shall stimulate the interest, planning, and development of activities
					 which result in the highest possible standard of medical care to victims of
					 trauma and critical illness in Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix A - EXECUTIVE ORDER No 76-4 › Section A-2

Current through July 13, 2024
The said Committee shall perform the following:
(a) Act in an advisory capacity to the
				  Division of Health and Medical Services and through the said Division to the
				  Governor on all matters related to emergency medical care programs.
(b) Make recommendations concerning the
				  development and implementation of statewide emergency medical care
				  programs.
(c) Determine statewide
				  emergency Medical care needs and provide a broad basis for responsibility and
				  policy decisions.
(d) Make
				  recommendations concerning guidelines and standards for the delivering of
				  emergency medical care which recognizes the concepts of the National Highway
				  Safety Act of 1966 and the Emergency Medical Services Act of 1973.
(e) Foster and encourage action in the
				  interest of improved care and treatment to victims of trauma and critical
				  illness in Wyoming.
(f) Coordinate
				  the State's participation in federally supported programs related to emergency
				  medical care and make recommendations as to the use of funds received under
				  such programs.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix A - EXECUTIVE ORDER No 76-4 › Section A-3

Current through July 13, 2024
The members of the said Committee shall be appointed by the
					 Governor and serve at his pleasure. Persons appointed to serve on the Committee
					 shall have demonstrated an interest or involvement in emergency medical care
					 activities. A Chairman and Vice-Chairman shall be elected from the membership
					 of the Committee in accordance with by-laws approved by the Governor. The
					 composition of the Committee shall be one member representing each of the
					 following:
(1) Wyoming Chapter of the
				  American Academy of Orthopaedic Surgeons.
(2) The Wyoming Trauma Committee, American
				  College of Surgeons.
(3) Wyoming
				  Ambulance and Emergency Medical Services Association.
(4) Wyoming Highway Patrol.
(5) Wyoming Disaster and Civil Defense
				  Agency.
(6) Wyoming Hospital
				  Association.
(7) Wyoming Governor's
				  Office of Highway Safety.
(8)
				  Wyoming Nurses Association.
(9)
				  Wyoming Office of Emergency Medical Services.
(10) Wyoming State Health Planning and
				  Development Agency.
(11) Wyoming
				  Registered Emergency Medical Technician.
(12) Private Physician
(13) Private Physician
(14) Consumer from Wyoming Health Safety
				  System Agency
(15) Consumer from
				  Wyoming Health Safety System Agency
(16) Wyoming Hospital Administrator
(17) Wyoming Ambulance Operator
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix A - EXECUTIVE ORDER No 76-4 › Section A-4

Current through July 13, 2024
The Wyoming Department of Health and Social Services,
					 Division of Health and Medical Services, and its responsible office, is hereby
					 designated as the official administrative and operational agency for
					 coordination, planning, implementation, and evaluation of the Wyoming Emergency
					 Medical Services System.
GIVEN under my hand and the Executive Seal of the State of
					 Wyoming this 7th day of December
					 1976.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix B - EXECUTIVE ORDER No 1998-7 › Section B-1

Current through July 13, 2024
The Wyoming Advisory committee on Emergency Medical
					 Services is reaffirmed under the sponsorship of the Wyoming Department of
					 Health Division of Public Health, Office of Emergency Medical Services for the
					 purpose of assisting the efforts of various federal, state, and local agencies,
					 private industry, and interested citizens toward the continued development and
					 implementation of an integrated, statewide program for emergency medical
					 services and trauma system. The Committee shall promote the planning and
					 development of activities which will result in the delivery of the highest
					 possible standard of medical care to victims of trauma and critical illness in
					 Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix B - EXECUTIVE ORDER No 1998-7 › Section B-2

Current through July 13, 2024
The Committee shall perform the following duties:
(a) Act in an advisory capacity to the
				  Department of Health's Office of Emergency Medical Services on all matters
				  related to emergency medical services programs and trauma system
				  development.
(b) Make
				  recommendations concerning the development and implementation of statewide
				  emergency medical services programs.
(c) Determine statewide emergency medical
				  services' needs and provide a broad basis for responsibility and policy
				  decisions.
(d)
Make
				  recommendations concerning guidelines and standards for the delivery of
				  emergency medical care, which recognizes the concepts of the National Highway
				  Safety Act of 1966 and the Emergency Medical Services Act of 1973, et
				  seq
.
(e) Make
				  recommendations concerning the development and implementation of the statewide
				  trauma system.
(f) Coordinate the
				  State's participation in federally supported programs related to emergency
				  medical care and trauma systems and make recommendations as to the use of funds
				  received under such programs.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix B - EXECUTIVE ORDER No 1998-7 › Section B-3

Current through July 13, 2024
The members of the Committee shall be appointed by the
					 Governor and serve at his pleasure. Individuals appointed to serve on the
					 Committee shall have demonstrated an interest or involvement in emergency
					 medical care or trauma system activities. A chairman and vice-chairman shall be
					 elected from the membership of the Committee in accordance with by-laws
					 approved by the Department of Health. The composition of the Committee shall be
					 one member representing each of the following:
(1) A physician form the Wyoming Chapter of
				  the American Academy of Family Physicians.
(2) A physician from the Wyoming Chapter of
				  the American College of Emergency Physicians.
(3) A physician from the Wyoming Trauma
				  Committee of the American College of Surgeons.
(4) A member of the Wyoming Nurses
				  Association.
(5) A representative
				  from the Wyoming Hospital Association.
(6) A representative from the Wyoming Medical
				  Society.
(7) A Wyoming certified
				  Emergency Medical Technician.
(8) A
				  Wyoming licensed ambulance operator.
Terms are indefinite. A member who ceases to represent the
					 organization he/she was appointed to represent shall be replaced at the
					 recommendation of the Department of Health.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix B - EXECUTIVE ORDER No 1998-7 › Section B-4

Current through July 13, 2024
The Wyoming Department of Health, Division of Public
					 Health, Office of Emergency Medical Services is hereby designated as the
					 official administrative and operational agency for coordination, planning,
					 implementation, and evaluation of the Wyoming Emergency Medical Services System
					 and Trauma System.
GIVEN under my hand and the executive seal of the
					 Governor's office this 16th day of November,
					 1998.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-201 - Definitions

Current through July 13, 2024
(a) As used in this article, unless the
					 context otherwise requires:
(i)
					 "Cardiopulmonary resuscitation" means measures to restore cardiac function or
					 to support breathing in the event of respiratory or cardiac arrest or
					 malfunction. "Cardiopulmonary resuscitation" includes, but is not limited to,
					 chest compression, delivering electric shock to the chest, or manual or
					 mechanical methods to assist breathing;
(ii) "Cardiopulmonary resuscitation
					 directive" means as advance medical directive pertaining to the administration
					 of cardiopulmonary resuscitation;
(iii) "Emergency medical service personnel"
					 means any emergency medical technician at any level who is certified by the
					 Department of Health. "Emergency medical service personnel" includes a first
					 responder certified by the Department of Health. (Laws 1993, ch. 108, §
												1.
					 )
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-202 - Cardiopulmonary resuscitation directives; who may execute

Current through July 13, 2024
Any adult who has the decisional capacity to provide
						informed consent to or refusal of medical treatment or any other person who is,
						pursuant to the laws of this state or any other state, authorized to make
						medical treatment decisions on behalf of a person who has such decisional
						capacity, may execute a cardiopulmonary resuscitation
						directive.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-203 - Cardiopulmonary resuscitation directive forms; duties of Department of Health

Current through July 13, 2024
(a) On or before January 1, 1994, the state
					 Department of Health shall promulgate rules and protocols for the
					 implementation of cardiopulmonary resuscitation directives by emergency medical
					 personnel. The protocols adopted shall include uniform methods of identifying
					 persons who have executed a cardiopulmonary resuscitation directive. Protocols
					 adopted by the Department of Health shall include methods for rapid
					 identification of persons who have executed a cardiopulmonary resuscitation
					 directive, controlled distribution of methods of identifying persons who have
					 executed a cardiopulmonary resuscitation directive, and the information
					 described in subsection (b) of this section. Nothing in this subsection shall
					 be construed to restrict any other manner in which a person may make a
					 cardiopulmonary resuscitation directive.
(b) Cardiopulmonary resuscitation directive
					 protocols to be adopted by the state Department of Health shall, at a minimum,
					 require the following information concerning the person who is the subject of
					 the cardiopulmonary resuscitation directive;
(i) The person's name, date of birth and
					 sex:
(ii) The person's eye and hair
					 color;
(iii) The person's race or
					 ethnic background;
(iv) If
					 applicable, the name of the hospice program in which the person is
					 enrolled;
(v) The name, address and
					 telephone number of the person's attending physician;
(vi) The person's signature or mark or, if
					 applicable, the signature of a person authorized by this article to execute a
					 cardiopulmonary resuscitation directive;
(vii) The date on which the cardiopulmonary
					 resuscitation directive was signed ;
(viii) the person's directive concerning the
					 administration of cardiopulmonary resuscitation , countersigned by the person's
					 attending physician.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-204 - Duty to comply with cardiopulmonary resuscitation directive immunity; effect on criminal charges against another person

Current through July 13, 2024
(a)
					 Emergency medical service personnel, health care provider's and health care
					 facilities shall comply with a person's cardiopulmonary resuscitation directive
					 that is apparent and immediately available. Any emergency medical service
					 personnel, health care provider, healthcare facility or any other person who,
					 in good faith, complies with a cardiopulmonary resuscitation directive which is
					 perceived to be valid shall not be subject to civil or criminal liability or
					 regulatory sanction for such compliance.
(b) Compliance by emergency medical service
					 personnel, healthcare provider's or healthcare facilities with a
					 cardiopulmonary resuscitation directive shall not affect the criminal
					 prosecution of any person otherwise charged with the commission of a criminal
					 act.
(c) In the absence of a
					 cardiopulmonary resuscitation directive, a person's consent to cardiopulmonary
					 resuscitation shall be presumed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-205 - Effect of declaration after inpatient admission

Current through July 13, 2024
A cardiopulmonary resuscitation directive for any person
						who is admitted to a health care facility shall be implemented as a physician's
						order concerning resuscitation as directed by the person in the cardiopulmonary
						resuscitation directive, pending further physicians' orders.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-206 - Effect of cardiopulmonary resuscitation directive; absence; on life; or health insurance

Current through July 13, 2024
Neither a cardiopulmonary resuscitation directive nor the
						failure of a person to execute one shall affect, impair or modify any contract
						of life or health insurance or annuity or be the basis for any delay in issuing
						or refusing to issue an annuity or policy of life or health insurance or any
						increase of a premium therefor.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-207 - Revocation of cardiopulmonary resuscitation directive

Current through July 13, 2024
A cardiopulmonary resuscitation directive may be revoked
						at any time by the person who is the subject of the directive or by any other
						person who is, pursuant to the laws of this state or any other state authorized
						to make medical treatment decisions on behalf of the person who is the subject
						of the directive.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix E › Article 2 - CARDIOPULMONARY RESUSCITATION DIRECTIVES › Section 35-22-208 - Effect of article on euthanasia; mercy killing; construction of statute

Current through July 13, 2024
Nothing in this article shall be construed as condoning,
						authorizing or approving euthanasia or mercy killing. In addition, the
						legislature does not intend that this article be construed as permitting any
						affirmative or deliberate act to end a person's lief, except to permit natural
						death as provided by this article.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-1 - Authority

Current through July 13, 2024
The statutory authority for these rules is
				  W.S.
				  33-38-103 and W.S. W.S.
				  W.S.
				  16-3-102(a).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-2 - Applicability

Current through July 13, 2024
(a) The Department may issue manuals,
				bulletins, or both, to interpret the provisions of this Chapter. Such manuals
				and bulletins shall be consistent with and reflect the copy contained in this
				Chapter. The provisions contained in manuals or bulletins shall be subordinate
				to the provisions of this Chapter.
(b) The incorporation by reference of any
				external standard is intended to be the incorporation of that standard as it is
				on the effective date of this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-3 - Purpose

Current through July 13, 2024
These rules and regulations promote the health and safety of
				  the people of Wyoming by establishing minimum standards and procedures relating
				  to ambulances, a system for the licensing of ambulance businesses, the training
				  and certification criteria for prehospital emergency medical personnel, land
				  ambulance attendants, emergency medical fire protection service personnel, and
				  by providing for penalties.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-4 - 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 except where the context
				  dictates otherwise. The drafters have attempted to utilize each gender pronoun
				  in equal numbers, in random distribution. Words in each gender shall include
				  individuals of the other gender.
(a)
				"Act" means the Wyoming Emergency Medical Services Act,
				W.S.
				33-38-101 through
				33-38-113.
(b) "Advanced Life Support" or "(ALS)" means
				treatment rendered by highly skilled certified personnel, including procedures
				such as cardiac monitoring, advanced airway management, intravenous therapy,
				and the administration of certain medications.
(c) "Affidavit" means written notarized
				statement of facts made voluntarily under oath.
(d) "Ambulance" means:
(i) Any land motor vehicle maintained,
				operated or advertised for the medical care and transportation of patients upon
				any street, highway, or public way;
(ii) Any land motor vehicle owned and
				operated on a regular basis by the State of Wyoming or any agency,
				municipality, city, town, county or political subdivision of Wyoming for
				medical care and transportation of patients upon any street, highway or public
				way; or
(iii) Any aircraft which is
				maintained, operated or advertised for the medical care and transportation of
				patients in this state.
(iv) This
				definition does not include any land motor vehicle or aircraft owned and
				operated by the United States.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-5 - Notice

Current through July 13, 2024
(a) Any notice which the Division is required
				by these rules to provide, shall be provided in writing and delivered by hand
				or sent by certified mail, return receipt requested, to the latest known
				address of the concerned person or entity which appears in the records of the
				Division. It shall be the responsibility of each person and entity certified or
				licensed under these rules to keep the Division informed of its current mailing
				address.
(b) Any notice which a
				person or entity is required by these rules to provide to the Division shall be
				provided in writing and sent by certified mail, return receipt requested, or
				delivered by hand to the Division at the following address:
Wyoming Department of Health
Office of Emergency Medical Services
2300 Capitol Avenue
Hathaway Building, 4th
				  Floor
Cheyenne, Wyoming 82002
Should the issue arise of whether such notice was received,
				  the return receipt from the U.S. Post Office or a receipt signed and dated by
				  an employee of the Wyoming Department of Health's Office of Emergency Medical
				  Services shall be presumptive evidence that notice was provided.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-6 - Violations: Penalties

Current through July 13, 2024
(a) No person shall
				aid or abet in the violation of these rules.
(b) Any person who violates these rules is
				guilty of a misdemeanor, as provided by Wyo. Stat.
										33-38-113. If the Division receives
				allegations that any individual has violated these rules, it may certify the
				facts to the Attorney General, who shall take appropriate action.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-7 - Reporting to the Board

Current through July 13, 2024
The Division shall notify the Board and the Attorney
				  General's office if it has reason to believe that a person certified by the
				  Division has engaged in the unauthorized practice of
				  medicine.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-8 - Enjoining or Restraining Unlawful Acts

Current through July 13, 2024
Whenever any person has engaged or is about to engage in any
				  acts or practices constituting a violation of these regulations, the Division
				  may take appropriate action, as provided by
				  W.S.
				  33-38-112, through the Attorney General's
				  Office. This may include, but is not necessarily limited to, making an
				  application for injunctive or other relief to the appropriate
				  court.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 1 - GENERAL PROVISION › Section 1-9 - Interpretation

Current through July 13, 2024
Where the context in which words are used in these rules and
				  regulations indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Words in the masculine gender include
				  feminine and neuter genders.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-1 - License Required

Current through July 13, 2024
No person shall maintain, conduct, operate, or advertise
				  that they operate an ambulance service in this state without a license.
Ambulance services desiring to have their personnel
				  participate in the State Volunteer EMT Pension Fund program must maintain a
				  current business license.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-2 - Exceptions

Current through July 13, 2024
An ambulance service business license shall not be required
				  for:
(a) The United States or an agency
				or political subdivision of the State of Wyoming;
(b) An industrial ambulance, except for
				annual reporting requirements;
(c)
				An individual operating a search and rescue vehicle;
(d) A person operating a volunteer ambulance
				service in an ambulance area in which no other ambulance services meeting the
				requirements of the Act are located;
(e) A person using a vehicle rendering
				service as an ambulance in the case of a major catastrophe or emergency when
				licensed ambulances based in the locality of the catastrophe or emergency are
				incapable of rendering the services required;
(f) A person using a privately owned vehicle
				or aircraft not designated as an ambulance and not ordinarily used in
				transporting patients, while operating under the provisions of
				W.S.
				33-28-103 in the performance of a life-saving
				act; or
(g) A person operating an
				ambulance service based outside of Wyoming, except that any ambulance service
				receiving a patient within this state shall be required to obtain an ambulance
				business license. The Division shall grant a license to an ambulance service
				based in another state whose licensing requirements insure that the purpose of
				W.S. W.S. W.S. 33-38-101,
et
				seq
and these rules are met.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-4 - Decision and Appeal

Current through July 13, 2024
(a) Within thirty
				(30) days after receipt of an application for an ambulance service business
				license, the Division shall issue the license or deny the application for a
				license. The Division's decision shall be based upon whether the application
				for an ambulance service business license is in compliance with all applicable
				federal and state requirements and with the Division's rules.
(b) If the Division issues an ambulance
				service business license to the applicant, it shall mail the license to the
				applicant.
(c) If the Division
				denies the applicant's application for an ambulance service business license,
				it shall send a written notice of denial to the applicant. The notice of denial
				shall explain the reasons for the denial.
(d) An applicant for an ambulance service
				business license whose application is denied, may appeal the denial by sending
				its request for an administrative hearing on the denial to the Division, by
				certified mail, return receipt requested, so that it is received by the
				Division within thirty (30) days of the date when the Division mailed the
				notice of denial to the applicant. All aspects of the administrative hearing on
				the denial shall be governed by the provisions of Chapter 9 of these
				rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-6 - Renewal of License

Current through July 13, 2024
The Division may renew a license if the license holder has
				  complied with the requirements of these regulations. Applicants for a license
				  renewal must complete a license renewal form and pay a twenty dollar ($20.00)
				  license fee. The license holder must convey the license renewal form and fee to
				  the Division at the following address:
Wyoming Department of Health
Office of Emergency Medical Services
Hathaway Building
Cheyenne, Wyoming 82002
The Division must receive the license renewal form and the
				  license renewal fee before December 1st of each year for renewal to be
				  processed by the expiration date.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-8 - Change in Ownership or Termination

Current through July 13, 2024
The license holder shall notify the Division at least thirty
				  (30) days before terminating the business or transferring the ownership of the
				  business to another entity or location.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-10 - Insurance coverage

Current through July 13, 2024
A license holder shall immediately notify the Division and
				  cease operations if the coverage required by Section
				  3(c)(x) is no longer in
				  force and effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-11 - Operation Requirements

Current through July 13, 2024
(a) An ambulance
				service business license holder shall:
(i)
				Obtain an ambulance permit, as required by Chapter 3 of these rules, for each
				ambulance used in the ambulance service business;
(ii) Insure that all attendants are certified
				as required by these rules. An ambulance service business license holder shall
				not, at any time, allow a person not appropriately certified as an attendant
				(including individuals who at one time were appropriately certified but whose
				certification is no longer current) to function as an attendant on any
				ambulance operated by the ambulance service business license holder;
(iii) Display a copy of the ambulance service
				business license in a prominent location on the premises of the ambulance
				service business at all times; and
(iv) Be operational and en route within ten
				(10) minutes or as soon thereafter within a reasonable and prudent amount of
				time of each request for service, unless other arrangements regarding dispatch
				time have been made and agreed to by the individual requesting
				service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 2 - AMBULANCE SERVICE BUSINESS LICENSE › Section 2-12 - Disciplinary Action

Current through July 13, 2024
(a) The Division
				may, at its sole discretion, deny, refuse to renew, restrict, suspend, or
				revoke an ambulance service business license at any time when the Division has
				received a credible allegation that an applicant for or a holder of an
				ambulance service business license has:
(i)
				Renewed, obtained, or attempted to renew or obtain a license by fraud, bribery,
				or misrepresentation;
(ii)
				Advertised the ambulance service in a false or misleading manner;
(iii) Obtained a fee by fraud or submitted a
				fraudulent billing, including billing for a service not rendered or billing for
				a service not medically necessary;
(iv) Failed to establish and abide by a set
				of procedures and precautions, as published by the Centers for Disease Control,
				to assist health care personnel in protecting themselves from infectious
				disease;
(v) Violated any federal
				or state law or regulations, or violated any of these rules; or
(vi) Received a termination notice from the
				physician medical director of the ambulance service. [See the requirements for
				summary suspension in Chapter 9 of these rules.]
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-2 - Application

Current through July 13, 2024
An ambulance service shall apply for a permit by completing
				  an application provided by the Division. The application shall contain at a
				  minimum:
(a) A description of each
				ambulance including type, make, model, year of manufacture, and motor or
				chassis number;
(b) An inventory
				verification of the recommended supplies and equipment carried aboard the
				ambulance;
(c) Motor vehicle
				license number or aircraft registration number; and
(d) The name and address of the person(s)
				owning and operating the ambulance.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-3 - Ambulance Specification Criteria

Current through July 13, 2024
All ground ambulances purchased or leased, per Manufacturers
				  Statement of Origin, shall not exceed the Federal certified Gross vehicle
				  Weight Rating for the chassis when fully configured and assuming payload of one
				  hundred fifty (150) pounds per passenger space.