reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-9 - Co-payments

Current through July 13, 2024
(a) The benefit year cost sharing maximums
				and co-payments for particular services shall be determined by the Department
				and insurance contractor. Co-payment amounts shall be determined according to
				the family income reported at the time of application.
(b) Children who are American Indians or
				Alaska Natives as defined in
				42 CFR
				457.10 may not have any cost sharing charges
				imposed, as per
				42
				CFR 457.535.
(c) The benefit year maximum amounts for
				co-payments shall be contained in the Kid Care CHIP Handbook developed by the
				insurance contractor and shall be made available to each CHIP
				enrollee.
(d) Co-payments,
				coinsurance, deductibles or any other cost sharing will not be imposed for
				well-baby, well-child services, including but not limited to immunizations and
				preventive services, as outlined in
				42
				CFR §
										457.520.
(e) No insured shall be terminated because of
				the failure to make co-payments as per the Kid Care State Plan.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-10 - Provider Participation

Current through July 13, 2024
No person or entity that provides services to a client shall
				  receive Kid Care CHIP funds unless the person or entity is a participating
				  provider.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-11 - Participating Insurance Company

Current through July 13, 2024
(a) No insurance company may provide benefit
				and claims administration services for Kid Care CHIP, unless it is licensed by
				the Wyoming Insurance Commissioner as outlined in
				W.S.
				35-25-101 and offers coverage which meets or
				exceeds benefits outlined in 42 CFR Subchapter D, Part 457, Subpart D,
				W.S.
				35-25-104, and pursuant to Minimal Essential
				Health Benefits as outlined in Section 2001 of the Affordable Care Act. The
				participating insurance company must have entered into an agreed upon contract
				with the Department.
(b) The
				Department shall provide the participating insurance company with the identity
				of the eligible enrollees and shall make payments on behalf of those enrollees
				directly to the participating insurance company as per the agreed upon
				timeframe and process.
(c) The
				participating insurance company, upon completion of agreed reconciliation
				process with the Department, shall submit invoices to the Department, in the
				manner specified by the Department, to request payment for premiums.
(d) When an insured seeks services, the
				provider must verify the individual's eligibility with the participating
				insurance company using the procedures established by the company. If a
				provider fails to verify eligibility, the Department shall not be responsible
				for paying such services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-12 - Contingent on Funding

Current through July 13, 2024
(a) In accordance with Program Expenditure
				provisions of the Act, payment to participating insurance companies shall be
				contingent on the availability of Kid Care CHIP funds.
(b) If the budget projections prepared show
				that there will or may be insufficient program funds, the Department may
				declare a partial or total moratorium on new insureds, so that otherwise
				eligible individuals will not be determined eligible until such time as the
				Department determines that sufficient program funds are available.
(c) A program reduction or termination, or
				the denial of eligibility because of a moratorium, shall not be an adverse
				action, and shall not be subject to reconsideration pursuant to this Chapter or
				an administrative hearing pursuant to Chapter 4 of the Wyoming Department of
				Health's Medicaid rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-13 - Reconsideration and Administrative Hearings

Current through July 13, 2024
An applicant or insured who is denied eligibility or
				  terminated from eligibility may request an administrative hearing. Chapter 4 of
				  the Wyoming Department of Health's Medicaid Rules shall govern administrative
				  hearings involving Kid Care CHIP eligibility issues in all respects, except a
				  client can submit a request for a hearing verbally and within 60 calendar days,
				  as required by 42 C.F.R. § 438 Subpart F.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-14 - Financial Audits

Current through July 13, 2024
The Department may audit a participating insurance company's
				  financial records at any time to determine the accuracy and appropriateness of
				  invoices submitted to the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-15 - Interpretation of Chapter

Current through July 13, 2024
The order in which the sections of this Chapter appear is not
				  to be construed to mean that any one section is more or less important than any
				  other section. The text of this section shall control the titles of its various
				  sections.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-16 - Superseding Effect

Current through July 13, 2024
This Chapter supersedes all prior rules or policy statements
				  issued by the Department, including manuals or newsletters, which are
				  inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0064 - Kid Care CHIP › Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program") › Section 5-17 - Severability

Current through July 13, 2024
If any portion of this Chapter is found to be invalid or
				  unenforceable, the remainder shall continue in effect. If any portion of this
				  Chapter is inconsistent with the State plan, the State plan shall
				  control.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health (Department) is promulgating
				  rules and regulations for the management and control of communicable diseases
				  to comply with Wyoming Statute (W.S.) §§
									
										35-4-101,
				  35-1-240, and
				  35-4-139.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Purpose

Current through July 13, 2024
This Chapter authorizes the Department to implement,
				  maintain, or otherwise supervise the Wyoming Immunization Registry (WyIR),
				  establish accessibility of immunization data recorded and stored in the WyIR,
				  define reporting guidelines for the WyIR, and outline consent, confidentiality,
				  and guidelines for the WyIR.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - 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 use 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) "Authorized User"
				means any individual who is permitted to access immunization records of
				individuals falling within his administrative or clinical responsibilities. An
				Authorized User may designate the ability to access the system to others as
				appropriate.
(b) "Designee" means
				an individual, acting under the authority of a health care provider or another
				category of Authorized User, who has been specifically delegated responsibility
				to access the WyIR, an Immunization Information System (IIS), and perform the
				functions permitted the primary Authorized User.
(c) "Electronic Health Record" (EHR) means a
				longitudinal electronic record of patient health information generated by one
				or more encounters in any care delivery setting.
(d) "Health Information Exchange" (HIE) means
				the electronic movement of health-related data and information among
				organizations according to agreed standards, protocols, and other
				criteria.
(e) "Health Care
				Provider" means a person who is licensed, certified, or otherwise authorized by
				the law of this state to provide health care in the ordinary course of business
				or practice of a profession, but does not include a person who provides health
				care solely through the sale or dispensing of drugs or medical
				devices.
(f) "Immunized or
				immunization" means initial immunization and any boosters or reimmunizations
				required to maintain immunization pursuant to the vaccination standards and
				recommendations issued by the State Health Officer.
(g) "Immunization Information System" means a
				confidential, computerized information system that attempts to collect
				vaccination or immunization data about individuals.
(h) "Immunization Section" means the program
				housed within the Wyoming Department of Health that orders and distributes
				publicly-provided vaccines. The Immunization Section is also responsible for
				the maintenance and coordination of the WyIR and related activities.
(i) "Wyoming Immunization Registry" (WyIR)
				means the secure, confidential, Internet-based, full-lifespan immunization
				database maintained within or otherwise supervised by the Immunization
				Section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-5 - General Provisions

Current through July 13, 2024
(a) The WyIR shall
				establish a system to coordinate immunizations. That system shall:
(i) Create an electronic immunization
				record;
(ii) Provide electronic
				access to immunization records;
(iii) Track an individual's immunization
				status;
(iv) Allow health care
				providers to identify and send reminders to individuals about immunizations
				that are necessary for vaccine series completion;
(v) Allow health care providers to identify
				and contact individuals about vaccine recall issues;
(vi) Provide evidence-based guidelines
				related to immunizations for health care providers;
(vii) Reduce the likelihood of unnecessary
				immunizations;
(viii) Provide
				official copies of an individual's immunization record;
(ix) Generate reports to determine compliance
				with immunization mandates and/or program evaluation; and
(x) Generate reports required for
				participation in the state's vaccine distribution program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-6 - Authorized Users

Current through July 13, 2024
(a) Individuals
				requesting access to the WyIR shall be screened and approved by the
				Immunization Section in accordance with WyIR policy developed by the
				Department. Authorizer Users shall understand and agree to adhere to the
				confidentiality policies developed by the Department.
(b) Authorized Users shall access the WyIR
				only to assure adequate immunization, to confirm compliance with mandatory
				immunization requirements, to control disease outbreaks, and for treatment and
				program oversight.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-7 - Access Levels

Current through July 13, 2024
(a) WyIR access
				shall be role based. Authorized Users shall be assigned an appropriate Access
				Level by the Immunization Section. Role-based access shall include:
(i) Administrator Access: The Administrator
				Access Level or her designee shall have the ability to activate new accounts
				for Authorized Users based on their roles in an organization as defined by the
				organizational representative, to inactivate Authorized Users who should no
				longer have access to the WyIR, and to inactivate immunization records from the
				WyIR. Individuals who have Administrator Access shall be limited to employees
				of the Wyoming Department of Health who are responsible for supporting and
				maintaining the WyIR or authorized individuals who work for an organization
				that has a Business Associate Agreement on file with the Immunization
				Section.
(ii) View or Read-Only
				Access: Read-only access allows Authorized Users to view records of those
				individuals under their administrative responsibility and to compile reports
				based on data aggregated on those records.
(iii) Client or Read/Write Access: Only
				health care providers who order and/or administer immunizations or his designee
				and designated local and state Wyoming Department of Health personnel may
				generate reports and enter immunization information.
(iv) Additional access may be granted if
				determined necessary to comply with Section
				6(b) of this
				Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-8 - Reporting Guidelines

Current through July 13, 2024
(a) Health care
				providers who administer vaccines or their designee(s) may record doses
				administered into the WyIR contingent upon receiving access approval from the
				Immunization Section. Immunization data entered by an Authorized User shall
				include demographic and vaccination information in accordance with WyIR
				policy.
(b) In the event that the
				State Health Officer, in response to a public health emergency, orders vaccines
				such as smallpox, anthrax, or pandemic influenza vaccines, any health care
				providers who receive or administer such vaccines shall enter doses
				administered data into WyIR within a timeframe designated by the State Health
				Officer.
(c) Health care providers
				or their designee(s) who have access to the WyIR shall record doses
				administered into the WyIR through one of the following methods:
(i) Direct online entry of immunization
				information into the WyIR;
(ii)
				Secure transmission of electronic files extracted from clinical management
				information systems, such as Electronic Health Records (EHR); or
(iii) Information uploaded from other
				electronic media.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-9 - Consent

Current through July 13, 2024
(a) Any individual who receives vaccines from
				a Wyoming health care provider shall be provided notice that her immunization
				information may be entered into the WyIR. This notice shall be written in plain
				language and contain uses and disclosures, individual rights, and an assurance
				to maintain the privacy of protected health information.
(b) Exclusion of immunization information
				from the WyIR may be obtained by submitting written notification to the
				Department in a format prescribed by the Department or substantially similar
				and mailed to the Immunization Section. The Department may not retain
				individually identifiable information about any person for whom exclusion has
				been requested.
(c) Any inactivated
				immunization information shall be maintained in aggregate format.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-10 - Confidentiality

Current through July 13, 2024
Immunization information recorded in the WyIR shall be
				  protected in accordance with federal and state confidentiality laws and
				  policies and shall not be disclosed except to protect the health of the
				  individual and the health of others.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-11 - Security

Current through July 13, 2024
Upon receipt of any information contained in the WyIR,
				  Authorized Users shall be responsible for securing all such information at
				  least to the minimum standards required by applicable law. Any violation of
				  WyIR security policies by Authorized Users shall result in a suspension or
				  termination of access to the WyIR.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0065 - Wyoming Immunization Registry › Chapter 1 - GENERAL PROVISIONS › Section 1-12 - Hearing

Current through July 13, 2024
If access to the WyIR has been suspended or terminated, an
				  Authorized User may request a hearing pursuant to the Department's Procedures
				  for the Conduct of Contested Case Hearings.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-3 - Application for a Hemp Extract Registration Card

Current through July 13, 2024
(a) A person 18 years of age or older may
				apply for a registry card by submitting an application. The application packet
				must include:
(i) The applicant's name, date
				of birth, and address; and
(ii) The
				name, address, and telephone number of the neurologist providing the written
				certification;
(iii) A copy of the
				applicant's photographic identification showing proof of Wyoming
				residency;
(iv) A written
				certification from a qualifying Wyoming licensed neurologist; and
(v) A non-refundable $150 application
				fee.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-4 - Submission of an Evaluation Record

Current through July 13, 2024
(a) The neurologist who signs the
				certification shall provide a copy of the evaluation and observation record of
				the patient to the department within five business days after signing a written
				certification.
(b) The evaluation
				record must include the following:
(i) The
				qualifying patient's name and date of birth;
(ii) Date of clinic office visit;
(iii) The neurologist's name, professional
				license number and expiration date;
(iv) A diagnosis of intractable epilepsy;
				and
(v) If the record is submitted
				for a registration card renewal, the patient's response to hemp extract as to
				effect on seizure control and adverse effects attributable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-5 - Issuance, Expiration, and Renewal of Hemp Extraction Registration Card

Current through July 13, 2024
(a) If an application is approved, the
				department shall issue a hemp extract registration card to the
				registrant.
(b) The hemp extract
				registration card must include the following:
(i) The registrant's name, date of birth, and
				address;
(ii) The patient's name,
				date of birth, and address if a minor under the registrant's care;
(iii) An issuance date and expiration
				date;
(iv) The neurologist's name,
				professional license number and expiration date; and
(v) A department-issued registry
				identification number.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-6 - Application Denial; Revocation of Hemp Extract Registration Card

Current through July 13, 2024
(a) The department shall deny an application
				for a hemp extract registration card that:
(i) Contains false information, including a
				false name, address, written certification, date of birth, or photo
				identification; or
(ii) Fails to
				provide an evaluation record or any of the information required.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-7 - Interim Changes

Current through July 13, 2024
(a) When there has been a change in the
				qualifying patient's name, address, or neurologist, the registrant must notify
				the department within ten business days by submitting a change of information
				form to the department.
(b) A
				registrant shall report to the department upon discovery that the registrant's
				hemp extract registration card is lost, stolen, or damaged. The registrant may
				request a replacement card.
(c) If
				the department issues a new hemp extract registration card to a registrant
				based on a request for a replacement card or an application to update
				information on the hemp extract registration card, the replacement card shall
				have the same expiration date as the hemp extract registration card being
				replaced or updated. The registrant shall pay a fee of $25.00 for the
				replacement card.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0067 - Hemp Extract Registry › Chapter 1 - Hemp Extract Registration › Section 1-8 - Verification of Registry to Law Enforcement: W. S. 35-7-1803

Current through July 13, 2024
(a) The department may verify to a law
				enforcement agency whether an individual is a lawful possessor of a hemp
				extract registration card, verification information shall be limited to
				information that is reasonably necessary to verify the authenticity of the hemp
				extract registration card.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Wyoming Department of
				  Health pursuant to W.S.§
									
										35-22-501 through 509.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-2 - Definitions

Current through July 13, 2024
(a) "Cardiopulmonary resuscitation bracelet"
				means the unique, immediately recognizable bracelet of uniform size and design
				issued by the Department to the declarant, to be worn for immediate
				identification of the declarant by emergency medical service (EMS) personnel
				and health care providers. The bracelet shall be considered the same as and
				have the same effect as an apparent, immediately available and identified
				cardiopulmonary resuscitation (CPR) directive.
(b) "Cardiopulmonary resuscitation directive
				form" means the document provided by the Department that is printed on
				distinctive security paper and is filled out by the declarant and attending
				physician to execute a CPR directive.
(c) "POLST" means Provider Orders for
				Life-Sustaining Treatment, the statewide method of identifying a patient's
				wishes regarding medical treatment when faced with life limiting illnesses, and
				converting those wishes into a set of medical orders.
(d) "POLST Form" is the standardized and
				easily identifiable document, approved by the Department, which converts a
				patient's goals of care and treatment preferences into a provider order that
				transfers across health care settings.
(e) "Primary Health Care Provider" per W.S.
				§
									
										35-22-402.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-3 - Provider Orders for Life Sustaining Treatment (POLST) Forms

Current through July 13, 2024
(a) An individual who wishes to execute a
				POLST Form must use the form approved by the Department. The form may not be
				altered in layout or style, including font style and size.
(b) Any person, health care provider or
				health care facility may obtain a POLST Form from the Department and from the
				Department's website.
(c) A health
				care provider, licensed health care facility or EMS provider shall act upon a
				copy of a POLST Form as if it were original.
(d) The standardized POLST Form shall
				contain:
(i) The person's name, date of
				birth, and gender;
(ii) Standard
				protocols, recognized nationally, regarding end-of-life care;
(iii) Medical condition and patient
				goals;
(iv) An area allowing the
				person, executing the form, to forbid any changes to be made by the
				surrogate;
(v) Printed name,
				address, and telephone number of the Primary Health Care Provider;
(vi) Signature of Primary Health Care
				Provider;
(vii) Signature of person
				executing the POLST Form; and
(viii) Dates of signatures;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-4 - Method of Identification

Current through July 13, 2024
(a) The POLST Form shall be printed on gold
				paper in order to be easily identifiable for patients and caregivers.
(b) Individuals, who have executed a POLST
				Form, shall be instructed to post a copy of the form in a visible area in their
				place of residence.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-5 - Prior Orders and Out of State Orders

Current through July 13, 2024
(a) A POLST Form from another state, absent
				actual notice of revocation or termination, shall be presumed to be valid in
				this state.
(b) A POLST Form
				executed prior to this rule, from this state and other states, absent actual
				notice of revocation or termination, shall be presumed to be valid in this
				state.
(c) All previously issued
				CPR bracelets and CPR directive forms, from this state and other states, shall
				be considered valid.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0068 - Provider Orders for Life Sustaining Treatment (POLST) › Chapter 1 - PROVIDER ORDERS FOR LIFE SUSTAINING TREATMENT ACT › Section 1-6 - Responsibilities

Current through July 13, 2024
(a) A Primary Health Care Provider who is
				completing a POLST Form with a patient shall ensure that the patient:
(i) Receives an explanation of the expected
				consequences of choices made for each section of the POLST Form;
(ii) Is informed that if the POLST Form is
				not apparent and immediately available, interventions may be initiated by EMS
				personnel; and
(iii) Receives an
				explanation of how and by whom the POLST Form may be revoked or
				changed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Wyoming Department of
				  Health, Aging Division, pursuant to W.S. §
									9-2-1208, W.S. §
									35-1-229, and the Wyoming
				  Administrative Procedures Act at W.S. §
									16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Wyoming Department of
				  Health, Aging Division, pursuant to W.S. §
									
										9-2-1208, W.S. §
									
										35-1-229, and the Wyoming Administrative
				  Procedures Act at W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-2 - Purpose

Current through July 13, 2024
The purpose of these rules is to establish standards for the
				  delivery of Wyoming Home Services for adults at risk of premature
				  institutionalization.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-3 - Scope of Program

Current through July 13, 2024
The goals of the program are to foster self-sufficiency,
				  prevent abuse, neglect or exploitation, maintain individuals in the least
				  restrictive and safest environment, and prevent inappropriate or premature
				  institutionalization, by offering short term and long-term services. In
				  addition to the services listed in W.S. §
									9-2-1208, the following services
				  may be provided:
(a) Care
				Coordination;
(b) Home
				Modifications;
(c) Chore;
(d) Personal Emergency Response
				System;
(e) Medication Set
				Up
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-3 - Scope of Program

Current through July 13, 2024
The goals of the program are to foster self-sufficiency,
				  prevent abuse, neglect or exploitation, maintain individuals in the least
				  restrictive and safest environment, and prevent inappropriate or premature
				  institutionalization, by offering short term and long term services. In
				  addition to the services listed in W.S. §
									
										9-2-1208, the following services may be
				  provided:
(a) Care
				Coordination;
(b) Home
				Modifications;
(c) Chore;
(d) Personal Emergency Response
				System;
(e) Medication Set
				Up
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-4 - Interpretive Notices

Current through July 13, 2024
The Division may issue manuals, bulletins, notices, or
				  letters to interpret the provisions of these rules. Such manuals, bulletins,
				  notices, and letters shall be consistent with and reflect the policies
				  contained in these rules. The provisions contained in the manuals, bulletins,
				  notices, or letters shall be subordinate to W.S. §
									9-2-1208 and these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-4 - Interpretive Notices

Current through July 13, 2024
The Division may issue manuals, bulletins, notices, or letter
				  to interpret the provisions of these rules. Such manuals, bulletins, notices,
				  and letters shall be consistent with and reflect the policies contained in
				  these rules. The provisions contained in the manuals, bulletins, notices, or
				  letter shall be subordinate to W.S. §
									
										9-2-1208 and these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-5 - Definitions

Current through July 13, 2024
(a) "Access Care Coordinator" ("ACC") means
				an individual certified, by the Division, as an Access Care Coordinator to
				provide Care Coordination to Wyoming Home Services program
				recipients.
(b) "At-risk" means an
				individual unable to perform normal daily tasks independently due to multiple
				problems which can include, but are not limited to physical, emotional, or
				cognitive functioning, environment, abuse or neglect.
(c) "Care Coordination" means a set of
				logical steps and processes of interaction within a service network which
				assure that a Client receives needed services in a supportive, cost effective
				manner.
(d) "Central Registry"
				means the registry maintained by the Wyoming Department of Family Services
				pursuant to W.S. §
									14-3-213 and W.S. §
									35-20-115.
(e) "Certified Nursing Assistant (CNA)" means
				a person who is currently certified as a Certified Nursing Assistant by the
				Wyoming State Board of Nursing.
(f)
				"Chore" means services that may include snow removal, yard maintenance, deep
				cleaning of household appliances or other services per the discretion of the
				Grantee.
(g) "Client" means an
				At-risk adult who is the recipient of Wyoming Home Services.
(h) "Grantee" means an organization that
				provides services outlined in an approved grant funded by the
				Division.
(i) "Homemaker" means a
				person who assists with environmental services such as, but not limited to,
				housekeeping, basic meal preparation, shopping, and laundry.
(j) "Home Modifications" means minor
				modifications not to exceed three hundred dollars ($300) per Client per year
				that are necessary to facilitate the ability of At-risk adults to remain in
				their homes and that are not available under other programs.
(k) "Level of Care" means level of services a
				Client may need such as in home, intermediate, or institutional.
(l) "Personal Care" means activities include,
				but not limited to, bathing, grooming, feeding, ambulating, exercising, oral
				hygiene, and skin care.
(m)
				"Personal Emergency Response System (PERS)" means a Grantee provided electronic
				device worn by the Client to summon emergency help.
(n) "Service Plan" means documentation of
				demographic information, the time frame in which services will be provided,
				services that will be provided, the agreed upon amount to be paid for services,
				and eligibility information to meet the needs and goals of the
				Client.
(o) "Sliding Fee Scale"
				means a formula, created by the Division, to determine a Client's ability to
				pay for services rendered.
(p)
				"Wyoming Home Services" means a program provided to Wyoming residents per W.S.
				§
									9-2-1208.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-5 - Definitions

Current through July 13, 2024
(a) "Access Care Coordinator." ("ACC") An
				individual certified, by the Division, as an Access Care Coordinator to provide
				Care Coordination to Wyoming Home Services program recipients.
(c) "At-risk." An individual unable to
				perform normal daily tasks independently due to multiple problems which can
				include, but are not limited to physical, emotional, or cognitive functioning,
				environment, abuse or neglect.
(d)
				"Care Coordination." A set of logical steps and processes of interaction within
				a service network which assure that a Client receives needed services in a
				supportive, cost effective manner.
(e) "Central Registry." The registry
				maintained by the Wyoming Department of Family Services pursuant to W.S. §
									
										14-3-213 and W.S. §
									
										35-20-115.
(f) "Certified Nursing Assistant (CNA)." A
				person who is currently certified as a Certified Nursing Assistant by the
				Wyoming State Board of Nursing.
(g)
				"Chore." Services that may include snow removal, yard maintenance, deep
				cleaning of household appliance or other services per the discretion of the
				Grantee.
(h) "Client." An At-risk
				adult who is the recipient of Wyoming Home Services.
(i) "Grantee." An organization that provides
				services outlined in an approved grant funded by the Division.
(j) "Homemaker." A person who assists with
				environmental services such as, but not limited to, housekeeping, basic meal
				preparation, shopping, and laundry.
(k) "Home Modifications." Minor modifications
				not to exceed three hundred dollars ($300) per Client per year that are
				necessary to facilitate the ability of At-risk adults to remain in their homes
				and that are not available under other programs.
(l) "Level of Care." Level of services a
				Client may need such as in home, intermediate, or institutional.
(m) "Personal Care." Activities include, but
				not limited to, bathing, grooming, feeding, ambulating, exercising, oral
				hygiene, and skin care.
(n)
				"Personal Emergency Response System (PERS)." A Grantee provided electronic
				device worn by the Client to summon emergency help.
(p) [o] "Service Plan." Documentation of
				demographic information, the time frame in which services will be provided,
				services that will be provided, the agreed upon amount to be paid for services,
				and eligibility information to meet the needs and goals of the
				Client.
(q) [p] "Sliding Fee
				Scale." A formula, created by the Division, to determine a Client's ability to
				pay for services rendered.
(r) [q]
				"Wyoming Home Services." A program provided to Wyoming residents per W.S.
				§
									
										9-2-1208.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-6 - Eligibility

Current through July 13, 2024
Clients of this program must:
(a) Be at least 18 years of age;
(b) Be determined through an ongoing
				assessment to be facing the possibility of premature
				institutionalization;
(c) Meet but
				not exceed the Level of Care available by the participating provider,
				and;
(d) Reside within the State of
				Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-6 - Eligibility

Current through July 13, 2024
Clients of this program must:
(a) Be at least 18 years of age;
(b) Be determined through an ongoing
				assessment to be facing the possibility of premature
				institutionalization;
(c) Meet but
				not exceed the Level of Care requirements as established by the Division's
				evaluation, and;
(d) Reside within
				the State of Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-7 - Funding

Current through July 13, 2024
Funding will be disbursed statewide through contracts with
				  the Division based on a funding formula developed by the Division. Program
				  income received must be utilized as part of the Grantees program budget.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-7 - Funding

Current through July 13, 2024
(a) Funding will be disbursed statewide
				through contracts with the Division based on a funding formula developed by the
				Division.
(i) Program income received must be
				utilized as part of the Grantees program budget.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-8 - Client Fees

Current through July 13, 2024
Clients will be assessed using the Department approved Income
				  Verification and Sliding Fee Scale Form. Based on the results of this Form the
				  clients will be asked to pay a percentage of the cost of their care. This
				  contribution will be considered program income. The Department's Income
				  Verification and Sliding Fee Scale Form can be obtained by calling
				  (307)-777-7995.
(a) Clients being
				charged for services will be provided with monthly statements. Fees may be
				accrued for sixty (60) days on a statement to the Client, after sixty (60) days
				the Grantee shall decrease the balance to zero.
(b) If the Client is unable to pay the agreed
				upon amount, the Client shall notify their Access Care Coordinator of their
				inability to pay, at which time the ACC and Client shall determine a new agreed
				upon amount. This information shall be reflected on the Service Plan.
(c) The service provider may choose to reduce
				services or place a client on the waiting list if the client is unable to
				contribute to the cost of services as determined by the Sliding Fee
				Scale.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-8 - Client Fees

Current through July 13, 2024
Clients will pay a fee for services provided based on their
				  ability to pay as determined by the Division's Sliding Fee Scale. The agreed
				  upon amount shall be stated on the Service Plan and signed by the Client and
				  the ACC. Such fees will be considered program income. Clients will not be
				  denied services based upon an inability to pay.
(a) Clients being charged for services will
				be provided with monthly statements. Fees may be accrued for sixty (60) days on
				a statement to the Client, after sixty (60) days the Grantee shall decrease the
				balance to zero.
(b) If the Client
				is unable to pay the agreed upon amount, the Client shall notify their Access
				Care Coordinator of their inability to pay, at which time the ACC and Client
				shall determine a new agreed upon amount. This information shall be reflected
				on the Service Plan.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-9 - Means Testing

Current through July 13, 2024
The eligibility determination must document all information
				  needed to establish eligibility on the Income Verification and Sliding Fee
				  Scale Form.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-9 - Hiring Procedures

Current through July 13, 2024
The following will apply to all Licensed Nurses, CNAs and
				  Homemaker/Chore personnel hired at the effective date of this rule.
(a) Due to the nature of the Wyoming Home
				Services Program providing services to vulnerable adults, any individual who
				appears on the Central Registry or who has been convicted of a felony, or a
				misdemeanor related to abuse, neglect, exploitation, and/or abandonment of
				adults or children shall not provide in-home services as listed in Section
				3.
(b) Prior to working independently in a
				Client's home, the following reference checks must be completed and documented
				in the employees' personnel file:
(i) Written
				documentation of at least two (2) character references from a previous
				employer, if any, or other knowledgeable and objective sources prior to
				employment or volunteering (e.g., letters of reference; notations of telephone
				reference checks including the name of the person(s) contacted, the date(s) of
				contact, the firm(s) contacted, and the result(s).
(ii) The Grantee must contact the Wyoming
				Department of Family Services, for all personnel who are not licensed or
				certified by the Wyoming State Board of Nursing, to ensure the individual does
				not appear on the Central Registry.
(iii) The Grantee must contact the Wyoming
				State Board of Nursing for those staff who are licensed and/or certified by the
				Wyoming State Board of Nursing, to ensure the individual is in good standing
				with the board.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-10 - Hiring Procedures

Current through July 13, 2024
The following will apply to all Licensed Nurses, CNAs and
				  Homemaker/Chore personnel hired at the effective date of this rule.
(a) Due to the nature of the Wyoming Home
				Services Program providing services to vulnerable adults, any individual who
				appears on the Central Registry or who has been convicted of a felony, or a
				misdemeanor related to abuse, neglect, exploitation, and/or abandonment of
				adults or children shall not provide in-home services as listed in Section
				3.
(b) Prior to working independently in a
				Client's home, the following reference checks must be completed and documented
				in the employees' personnel file:
(i) Written
				documentation of at least two (2) character references from a previous
				employer, if any, or other knowledgeable and objective sources prior to
				employment or volunteering (e.g., letters of reference; notations of telephone
				reference checks including the name of the person(s) contacted, the date(s) of
				contact, the firm(s) contacted, and the result(s).
(ii) The Grantee must contact the Wyoming
				Department of Family Services, for all personnel who are not licensed or
				certified by the Wyoming State Board of Nursing, to ensure the individual does
				not appear on the Central Registry.
(iii) The Grantee must contact the Wyoming
				State Board of Nursing for those staff who are licensed and/or certified by the
				Wyoming State Board of Nursing, to ensure the individual is in good standing
				with the board.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0070 - Wyoming Home Services › Chapter 1 - WYOMING HOME SERVICES (PREVIOUSLY COMMUNITY BASED IN-HOME SERVICES) › Section 1-10 - Staff Development

Current through July 13, 2024
Grantees shall ensure that all staff have a general
				  orientation completed during the first week of employment and prior to direct
				  Client contact.
(a) The orientation
				shall include, but is not limited to, the following areas as related to job
				responsibilities:
(i) Confidentiality,
				including training on state, local and federal legislation related to privacy
				and security;
(ii) Emergency
				procedures;
(iii) Client rights and
				responsibilities;
(iv) Grantee
				rights and responsibilities;
(v)
				Abuse reporting procedures;
(vi)
				Communication;
(vii) Understanding
				and working with various Client populations, and;
(viii) Understanding basic human
				needs.