reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0055 - Tax Refund to Elderly & Disabled › Chapter 1 - RULES FOR TAX REFUNDS FOR ELDERLY AND DISABLED › Section 1-10 - Documentation

Current through July 13, 2024
(a) Applications must be accompanied by a
				copy of the applicant's tax return (form 1040 or form 1040A, or form 1040EZ)
				for the income year. If the applicant did not file a tax return, the statement
				on the application must be initialed attesting that he/she did not file a U.S.
				Income Tax Return for the income year.
(b) Certain types of income are not
				reportable on the U.S. Federal Income Tax Return. Documents for these items of
				income must be included with the application regardless of whether the
				applicant attached a copy of his/her tax return. These items of countable
				income include, but are not limited to, Social Security payments, Veteran's
				Administration (VA) disability payments, Railroad Retirement & Railroad
				Social Security (RRTA 1099 & 1099R) payments, and Native American Per
				Capita payments, etc.
(c)
				Applicants who did not file a tax return are required to attach copies of forms
				W-2, W-2p, 1099INT, 1099DIV, 1099G, 1099M, etc., for income for the year. A
				business owner, including owners of rental property of all types, is required
				to attach a copy of his/her year end income statement to the
				application.
(d) Non-documented
				income is required to be reported. A bank or other institution is not required
				to provide a 1099INT in the case of interest income under ten dollars ($10.00)
				per year, for example. Such income must be included in the total reported on
				the application, and noted that no document was available.
(e) Applicants between the ages of eighteen
				(18) and sixty-five (65) must attach proof of total disability. A report from
				the Veterans Administration (VA) or a benefit verification statement from the
				Social Security Administration attesting to a total disability is
				adequate.
(f) The application must
				be submitted with a document attesting date of birth or age. A copy of a
				Wyoming Driver's License or identification card is adequate for this purpose.
				If these are not available, then a copy of a birth certificate, baptismal
				certificate, or other similar attest will be acceptable.
(g) If the applicant is claiming single based
				on a legal separation, as much of the legal separation document as necessary to
				clearly show the names of the parties, the legal firm, the date of the
				agreement, and that it is a legal separation must be attached.
(h) A person claiming single as an abandoned
				spouse must provide a signed, notarized statement which clearly states how long
				they have been separated, and stating that they receive no economic benefit
				from their spouse. A spouse (inmate) being detained in a facility is not
				abandonment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Authority

Current through July 13, 2024
These rules shall also apply to and govern the reimbursement
				  of uncompensated trauma care to hospitals and ambulance services as outlined in
				  House Enrolled Act 52 passed by the 2008 Budget Session. and
				  W.S.
				  35-1-801,
et.
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules are
				designed to create an organized, statewide system for trauma patient care
				through the establishment of trauma service areas served by designated trauma
				center hospitals for which standards are set. The standards are formulated to
				be consistent with national criteria established by the American College of
				Surgeons and the American College of Emergency Physicians and have extended
				those criteria to meet the needs of Wyoming. These rules are applicable to
				facilities and emergency medical service providers which participate in the
				Wyoming Trauma Plan. They are designed to be consistent with and should be read
				in conjunction with the Wyoming Emergency Medical Services Act of 1977,
				W.S.
				33-36-101, as amended, and the Standards,
				Rules, and Regulations for Hospitals and Related Facilities. The Department may
				issue manuals, bulletins, or both, to interpret the provisions of these rules
				and regulations. Such manuals and bulletins shall be consistent with and
				reflect the policies contained in these rules and regulations. The provisions
				contained in manuals or bulletins shall be subordinate to the provisions of
				these rules and regulations.
(b)
				The incorporation by reference of any external standard is intended to be the
				incorporation of that standard as it is in effect on the effective date of this
				Chapter of these rules and regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-4 - General Organization of Trauma Plan

Current through July 13, 2024
(a) OEMS shall:
(i) Collect and compile information
				concerning:
(A) Clinical components of the
				Trauma System:
(I) Public information,
				education, and prevention;
(II)
				Prehospital care;
(III) Medical
				direction;
(IV) Triage;
				and
(V) Transportation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 2 - DESIGNATION PROCESS › Section 2-1 - General Procedure

Current through July 13, 2024
(a) Trauma Care
				Facilities - Designation Process.
(i) The
				facility designation categories are as follows:
(A) Regional Trauma Centers (RTCs);
(B) Area Trauma Hospitals (ATHs);
(C) Community Trauma Hospitals (CTHs);
				and
(D) Trauma Receiving Facilities
				(TRFs).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 2 - DESIGNATION PROCESS › Section 2-2 - Plan Development

Current through July 13, 2024
(a) Facilities
				shall have a trauma plan that is consistent with the Wyoming Trauma Plan and
				these rules and shall include the following:
(i) Summary of the plan;
(ii) Organizational structure;
(iii) System design;
(iv) Objectives;
(v) Implementation schedule; and
(vi) Fiscal impact of the system.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 2 - DESIGNATION PROCESS › Section 2-3 - Policy Development

Current through July 13, 2024
Health care facilities planning to implement a trauma system
				  shall develop policies which, at a minimum, address the following:
(a) The multi disciplinary nature of
				systemized trauma care;
(b) Public
				information and education about the trauma system;
(c) Marketing and advertising by trauma
				centers and prehospital providers as it relates to trauma care
				system;
(d) Establishment of
				service areas for trauma hospitals;
(e) EMS dispatching;
(f) Communication system usage;
(g) Transportation, including inter-trauma
				center transfer and transfer from a receiving hospital to a trauma
				center;
(h) The integration of burn
				and pediatric hospitals, when applicable, into the overall Trauma Care System
				to ensure all trauma patients receive appropriate trauma care in the most
				expeditious manner possible;
(i)
				Training of prehospital EMS personnel;
(j) EMS and trauma care coordination and
				mutual aid between neighboring jurisdictions;
(k) Coordination and integration of trauma
				care with non-medical emergency services;
(l) Medical control and accountability,
				including triage and treatment protocols;
(m) System organization and
				management;
(n) Data collection and
				management;
(o) Quality control and
				system evaluation; and
(p) Assuring
				the availability of trauma team personnel.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 2 - DESIGNATION PROCESS › Section 2-4 - Denial, Revocation or Suspension of Designation and Appeals Process

Current through July 13, 2024
(a) OEMS shall deny an application for
				designation if it finds in the course of the designation process, that the
				applying facility:
(i) Is unable to meet the
				requirements of Chapter 4 of these rules for the level of designation
				sought;
(ii) Made a false statement
				of a material fact in its application for designation;
(iii) Refuses to allow representatives of the
				OEMS to inspect any part of the facility, records, documentation, or
				files;
(iv) Is unable to meet or
				comply with the requirements of the approved trauma plan;
(v) Refuses to submit data to the state
				trauma registry as described in Chapter 3, Section
				1 of
				these rules; or
(vi) Has engaged in
				unauthorized disclosure of medical or other confidential information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 3 - DESIGNATION FACILITIES' REQUIREMENTS FOR PARTICIPATION › Section 3-1 - Data Collection

Current through July 13, 2024
For the purpose of improving quality of trauma care, all
				  designated facilities within the state are required to participate in use of
				  the state trauma registry and report a portion of that data to OEMS for systems
				  evaluation.
(a) The OEMS shall:
(i) Establish a statewide data registry to
				collect and analyze data on the incidence, severity, and causes of trauma for
				the purposes of:
(A) Improving trauma patient
				care;
(B) Monitoring and providing
				information necessary to evaluate major trauma patient care and
				outcome;
(C) Assessing compliance
				with the standards of state trauma system operation and designation of
				prehospital providers, health care facilities, hospitals, and rehabilitation
				services;
(D) Providing information
				necessary for resource planning and management;
(E) Providing data for injury surveillance,
				analysis, and prevention programs; and
(F) Providing a resource for research and
				education.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 3 - DESIGNATION FACILITIES' REQUIREMENTS FOR PARTICIPATION › Section 3-2 - Trauma System Evaluation

Current through July 13, 2024
All designated facilities will be required to participate in
				  quality initiatives within these rules.
(a) The following key components shall be
				addressed by the quality improvement plan designed by each facility:
(i) Clearly stated goals and
				objectives;
(ii) An organizational
				structure which facilitates the process of quality improvement;
(iii) The development of standards of
				care;
(iv) Established quality
				indicators (audit filter);
(v) A
				plan to define adverse outcomes by using a code that describes the
				complications;
(vi) A systematic
				peer review process utilizing a multi disciplinary method and involving
				prehospital care providers;
(vii) A
				plan to incorporate autopsy information, where available, regarding all trauma
				patients; and
(viii) A facility
				plan that includes a method for computing survival probability and comparing
				patient outcome.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 3 - DESIGNATION FACILITIES' REQUIREMENTS FOR PARTICIPATION › Section 3-3 - Superseding Effect

Current through July 13, 2024
This Chapter supersedes all prior rules or policy statements
				  issued by the Department including manuals, bulletins, and policy statements,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0056 - Trauma Program, Wyoming › Chapter 4 - FACILITY STANDARDS › Section 4-5 - Superseding Effect

Current through July 13, 2024
This Chapter supersedes all prior rules or policy statements
				  issued by the Department including manuals, bulletins, and policy statements,
				  which are inconsistent with this Chapter.
30 Autopsy information on all
				  trauma patients is highly recommended. Complete anatomical diagnosis of injury
				  is essential to the quality improvement process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Applicability

Current through July 13, 2024
(a) Chapters 1, 2 and 3 of these regulations
				shall apply to all hospitals, physicians and other health care providers
				licensed and performing patient care in Wyoming.
(i) Exception: Wyoming State (Psychiatric)
				Hospital.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 1 - GENERAL PROVISIONS › Section 1-4 - Immunity from Civil Action

Current through July 13, 2024
(a) Any person who
				complies with W.S. §
									
										35-1-240(b) is immune from
				any civil action with respect to a cancer case report provided to the State
				Agency or with respect to access to cancer case information provided to the
				registry.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 1 - GENERAL PROVISIONS › Section 1-5 - Standards

Current through July 13, 2024
The State Agency has adopted the latest version of
				  "Standards for Cancer Registries" published by the North American Association
				  of Central Cancer Registries (NAACCR).
(a) Data Completeness: 95% of unduplicated,
				expected malignant cases of reportable cancer occurring in Wyoming residents in
				a diagnosis year shall be reported to the state cancer registry.
(b) Data Timeliness: Cancer cases shall be
				reported to the state cancer registry within six (6) months of diagnosis
				date.
(c) Data Quality: Comply with
				standards for data quality including standardized data format as promulgated by
				the NAACCR.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-1 - Training

Current through July 13, 2024
(a) All hospitals shall arrange for a minimum
				of one (1) person and a maximum of three (3) persons, to attend initial
				training at the State Agency unless a waiver is granted to the hospital by the
				State Agency. Waivers will be granted at the sole discretion of the agency upon
				a showing of good cause; i.e., proof of contract with an independent contractor
				or proof that current hospital personnel have previously received
				training.
(b) Initial educational
				training of Hospital Cancer Registrars shall be done in the State Agency
				offices by a qualified trainer at no cost to the hospital. Hospitals employee
				expenses shall be the responsibility of the hospital.
(c) Hospitals shall be responsible for
				utilizing the initially trained employees to train other personnel to insure a
				continuum of trained personnel.
(d)
				Additional training of Hospital Cancer Registrars shall be provided by the
				State Agency or a suitable alternative within a reasonable time of individual
				hospitals request.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-2 - All Hospitals, Physicians and Other Health Care Providers

Current through July 13, 2024
(a) Hospitals, physicians and other health
				care providers shall grant State Agency access to all records that would
				identify cases of cancer or would establish characteristics of the cancer,
				treatment or medical status of any identified patient.
(b) Hospitals, physicians and other health
				care providers shall not be held liable in any civil action with respect to a
				cancer case report provided to the statewide cancer registry, or with respect
				to access to cancer case information provided to the statewide cancer registry
				per W.S. §
									
										35-2-609 (Disclosure without patients
				authorization).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-3 - All Hospitals

Current through July 13, 2024
(a) Hospitals shall
				perform case finding to determine all patients with a new diagnosis of cancer
				or history of cancer which meets the case eligibility criteria.
(b) Hospitals shall provide semi-annually to
				the State Agency a listing of cancer cases by ICD-9 codes which includes the
				diagnosis of cancer and history of cancer. The State Agency shall be authorized
				to inspect same, to verify the completeness of cancer reporting.
(c) Hospitals shall perform patient follow-up
				on all living patients annually per ACoS guidelines. Follow-up shall be
				submitted to the State Agency on a monthly basis.
(d) All hospitals shall have the right to
				establish a contract, to meet Tumor Registry require-
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-4 - Registration Options

Current through July 13, 2024
(a) All hospitals
				shall select one of the following options relative to the registration of
				cancer patients seen in their hospital:
(i)
				Option 1.
(A) Submit completed registration
				to the State Agency of all cases within the facility which meet case
				eligibility criteria. New case registrations shall be reported to the State
				Agency on a monthly basis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-5 - Physicians

Current through July 13, 2024
(a) Physicians shall report to the State
				Agency, all cancer patients who meet case eligibility criteria who are
				diagnosed and/or treated in a private office and who are not admitted to a
				Wyoming Hospital.
(b) Physicians
				shall supply all available information requested by the State Agency concerning
				cancer patients who meet case eligibility criteria.
(c) Physicians shall supply all available
				information requested by their Hospital Cancer Registrar, concerning cancer
				patients who meet case eligibility criteria.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 2 - UNIFORM REGISTRATION AND REPORTING OF CANCER CASES › Section 2-6 - Other Health Care Providers

Current through July 13, 2024
(a) Clinical
				Laboratories in Wyoming shall provide copies of all tissue, cytology and
				autopsy reports on cancer patients seen outside a Wyoming Hospital.
(b) Infirmaries of Wyoming Institutional
				Facilities shall supply all available information requested by the State Agency
				concerning cancer patients who meet case eligibility criteria.
(c) Nursing Care Facilities shall supply all
				available information requested by the State Agency concerning cancer patients
				who meet case eligibility criteria.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 3 - REGISTRATION FEES › Section 3-1 - Fee Assessment

Current through July 13, 2024
(a) Fees shall be
				assessed only to those hospitals which select option 2 as defined in Chapter 2,
				Section
				4(ii).
(b) Hospitals which select option 2 as
				defined in Chapter 2, Section
				4(ii), shall be assessed a
				fee of twenty-five dollars ($25) per new case.
(c) Cancer cases diagnosed prior to July 1,
				1994 shall not be subject to fee assessment.
(d) Cancer case count for assessment of fees
				shall be calculated by State Agency's record of cases added to each hospitals
				file during each billing period.
(e) State Agency shall assess hospital fees
				annually for each cancer case registered within each billing period.
(f) Fees shall be payable to the state
				general fund within sixty (60) days of receipt of billing.
(g) Individual physicians shall not be
				assessed fees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0057 - Tumor Registry, Central › Chapter 4 - PUBLIC LAW 102-515 › Section 4-1 - Disclosure of Data

Current through July 13, 2024
(a) Confidential
				Case Data. The protection and release of confidential statistical records shall
				be in accordance with W.S. §
									
										16-4-201, et seq, the Wyoming Public Records
				Act, and the Wyoming Department of Health Information Practices
				Rules.
(b) Nonconfidential
				Statistical Data. Nonconfidential statistical data shall be released to all
				hospitals, physicians, other health providers and interested persons in
				compliance with the latest written policies set forth by the Wyoming State
				Epidemiologist.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Wyoming Department of
				  Health pursuant to Wyoming Statute (W.S.) §
									
										25-9-101 through
				  25-9-106
				  and W.S. §
									
										25-14-101 through 25-14105.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Purpose

Current through July 13, 2024
This Chapter is to define the following as they will pertain
				  to the Veterans' Home of Wyoming (VHW) or the Wyoming Veterans' Skilled Nursing
				  Facility (WVSNF).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Definitions

Current through July 13, 2024
(a) "Resident" means any individual admitted
				the VHW or WVSNF.
(b) "Veteran"
				means a person honorably discharged from the armed forces of the United States
				as proved by providing a DD214, Veterans Administration Statement of Service or
				a Disabled Veterans Certification as defined by United States Code, as
				currently adopted (This publication is on file from the U.S. Government
				Publishing Office,
www.gpo.gov
).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 2 - GENERAL OPERATION › Section 2-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Wyoming Department of
				  Health pursuant to Wyoming Statute (W.S.) §
									
										25-9-101 through
				  25-9-106
				  and W.S. §
									
										25-14-101 through 25-14105.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 2 - GENERAL OPERATION › Section 2-2 - Purpose and Applicability

Current through July 13, 2024
The following rules will define the operation of Veterans'
				  Home of Wyoming (VHW) and Wyoming Veterans' Skilled Nursing Facility (WVSNF)
				  shall provide for the general operations of the VHW or the WVSNF.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 2 - GENERAL OPERATION › Section 2-3 - Administration

Current through July 13, 2024
(a) The VHW or the WVSNF is under the
				direction of the Department of Health and is supervised by the Facility
				Administrator. All programs and activities within the VHW or WVSNF shall be
				consistent with the Department of Health's direction.
(b) A comfortable and pleasant environment
				shall be a priority of the VHW and the WVSNF.
(c) The VHW or the WVSNF shall work closely
				with the Department of Veterans' Affairs, various community hospitals, and
				various state and local agencies in providing and coordinating services for
				residents.
(d) Services provided by
				the VHW or WVSNF shall comply with applicable state and federal standards
				governing the institution.
(e) The
				VHW and WVSNF shall maintain records for each resident and make those records
				available to the resident.
(f) The
				VHW and WVSNF shall establish a system for investigating and reporting
				incidents, accidents or injuries occurring after admission to the home.
(i) Written records shall be completed for
				each occurrence.
(ii) The system
				shall also address suspected incidents of resident neglect or abuse.
(iii) The VHW and WVSNF shall report any
				unusual deaths, serious incidents or accidents to the appropriate authorities,
				including the Office of Healthcare Licensing and Survey (OHLS) and the
				Department of Veteran Affairs.
(iv)
				The VHW and WVSNF shall establish a resident grievance method that complies
				with federal and state requirements.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 2 - GENERAL OPERATION › Section 2-5 - Additional Care

Current through July 13, 2024
(a) The Facility Administrator may authorize
				the VHW or WVSNF to provide care to persons with conditions other than those
				specified in the provisions governing those state institutions in Title 25 of
				the Wyoming Statutes when the following conditions are met and documented:
(i) There is a need for such care;
(ii) The care can be provided
				effectively;
(iii) Sufficient
				number of qualified staff, with appropriate training to treat the residents,
				and who represent the various disciplines required for appropriate
				care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 2 - GENERAL OPERATION › Section 2-6 - Residents Rights

Current through July 13, 2024
(a) For any code, standard, rule, or
				regulation incorporated by reference in these rules:
(i) The Department of Health has determined
				that incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules.
(ii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in this section; and
(iii) The incorporated code, standard, rule,
				or regulation is maintained at the Department of Health and is available for
				public inspection and copying at cost at the same location.
(iv) The Department incorporates the
				Veterans' Home Wyoming Resident Manual and Bill of Rights adopted by the
				Veterans' Home of Wyoming Revised 08/2021 found at: 700 Veterans' Lane,
				Buffalo, Wyoming 82834, in the Administration Office.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 3 - DONATIONS › Section 3-1 - Acceptance of Donations

Current through July 13, 2024
The superintendent shall acknowledge and document all
				  donations accepted by the agency for the Veterans' Home of Wyoming pursuant to
				  Wyo. Stat. Ann. §
									
										25-9-103.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 4 - ADMISSION AND DISCHARGE › Section 4-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Wyoming Department of
				  Health pursuant to Wyoming Statute (W.S.) §
									
										25-9-101 through
				  25-9-106
				  and W.S. §
									
										25-14-101 through 25-14105.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 4 - ADMISSION AND DISCHARGE › Section 4-2 - Purpose and Applicability

Current through July 13, 2024
The purpose of this Chapter is to establish the admission and
				  discharge practices for the Veterans' Home of Wyoming (VHW) or the Wyoming
				  Veterans' Skilled Nursing Facility (WVSNF).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 4 - ADMISSION AND DISCHARGE › Section 4-3 - Eligibility for Veterans' Home of Wyoming or the Wyoming Veterans' Skilled Nursing Facility

Current through July 13, 2024
(a) To be eligible for admission to the VHW
				or WVSNF an applicant shall be:
(i) A veteran
				as defined by United States Code, Title 38, section 101; or
(ii) Spouse or surviving spouse of a Veteran
				as defined by United States Code, Title 38, section 3.50; or
(iii) A parent, all of whose children died
				while serving in the Armed Forces of the United States; or
(iv) The individual meets one or more of the
				admission categories outlined in Wyoming Statute25-14-10; and
(v) The individual is determined eligible
				through clinical review on a case-by-case basis and federal, state, and
				facility approved standardized assessments.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 4 - ADMISSION AND DISCHARGE › Section 4-4 - Discharge

Current through July 13, 2024
(a) It is the policy of the VHW and WVSNF to
				provide a comfortable living environment for our residents. The facility will
				initiate discharge planning for residents who may be discharge under one of the
				following conditions:
(i) The resident
				desires to leave the facility and transfer somewhere else;
(ii) The resident imposes an imminent danger
				to self and/or others;
(iii)
				Resident is asked to leave for violation of facility's rules, regulations, or
				policies; or
(iv) There is a change
				in the resident's level of care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0058 - Veterans Home of Wyoming › Chapter 4 - ADMISSION AND DISCHARGE › Section 4-5 - Admission Denial or Involuntary Discharge

Current through July 13, 2024
If a resident is denied admission or is involuntarily
				  discharged they may request an administrative hearing. The hearing procedures
				  shall be outlined in the VHW Manual.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Manuals and Bulletins

Current through July 13, 2024
(a) The State Registrar of Vital Records may
				issue manuals, bulletins, or both, to interpret the provisions of these rules.
				Such manuals and bulletins shall be consistent with and reflect the policies
				contained in these rules. The provisions contained in manuals or bulletins
				shall be subordinate to the provisions of these rules.
(b) The incorporation by reference of any
				external standard is intended to be the incorporation of that standard as it is
				in effect on the effective date of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Official Forms

Current through July 13, 2024
All forms and certificates used in the system of vital
				  records are the property of Vital Statistics Services and shall be surrendered
				  to the State Registrar of Vital Statistics Services upon request. Only those
				  forms prescribed or approved and distributed by the State Registrar of Vital
				  Statistics Services shall be used in the reporting of vital statistics. Such
				  forms shall be used only for prescribed purposes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 2 - LOCAL REGISTRARS › Section 2-1 - Appointment

Current through July 13, 2024
Each local registrar or deputy local registrar of vital
				  records shall be appointed by the State Registrar and notified of the
				  appointment in writing. Such appointment shall remain in effect until the local
				  registrar resigns or is removed as provided for in Section
				  2.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 2 - LOCAL REGISTRARS › Section 2-2 - Removal

Current through July 13, 2024
The local registrar or the deputy local registrar of vital
				  records may be removed by the State Registrar for reasonable cause, including
				  but not limited to failure to carry out the provisions of the vital records act
				  or applicable regulations. Notification of such action shall be in writing and
				  shall be sent to the person so removed by certified mail.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 2 - LOCAL REGISTRARS › Section 2-3 - Duties

Current through July 13, 2024
Local registrars shall serve as agents of the State Registrar
				  of Vital Records in their registration districts and shall:
(a) Maintain an adequate inventory of all
				forms prescribed or approved and distributed by the State Registrar of Vital
				Records and supply these to such persons requiring them;
(b) Notify the person responsible for the
				filing when any certificate submitted for registration is not completed in
				accordance with these rules and request proper completion;
(c) Sign each certificate of birth, death,
				and stillbirth and enter the date each certificate is received;
(d) Complete a transmittal form to accompany
				each shipment of certificates sent to the State Registrar;
(e) Provide assistance to physicians, health
				care facilities, funeral directors and others in matters related to the system
				of vital records;
(f) Provide
				assistance to the certifier of a home birth in filing a birth
				certificate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 2 - LOCAL REGISTRARS › Section 2-4 - Absence

Current through July 13, 2024
The local registrar shall notify the deputy local registrar
				  of her absence or incapacity unless unable to do so. The deputy local registrar
				  shall thereupon immediately assume all duties and responsibilities of the local
				  registrar. In case of any extended absence, the State Registrar shall be
				  notified in writing by the local registrar or deputy local
				  registrar.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 3 - BIRTH REGISTRATION › Section 3-1 - General Requirements

Current through July 13, 2024
(a) For births
				which occur in a health care facility, the person in charge or that person's
				representative shall secure all necessary information and signatures on the
				certificate.
(b) For births which
				occur either in a health care facility or en route to a health care facility,
				the physician in attendance shall certify the facts of birth and provide the
				medical information required by the certificate within seven (7) days after
				birth. If the attendant has not signed the certificate within seven (7) days of
				the date of the birth, the person in charge of the institution or a designated
				representative shall complete and sign the certificate.
(c) When a birth occurs outside a health care
				facility, the certificate shall be prepared and filed by one of the following
				in the indicated order of priority:
(i) The
				physician in attendance at or immediately after the birth, or in the absence of
				such a person;
(ii) Any other
				person in attendance at or immediately after the birth; or
(iii) The father, the mother, or in the
				absence of the father and the inability of the mother, the person in charge of
				the premises where the birth occurred.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 3 - BIRTH REGISTRATION › Section 3-2 - Name of Father on Birth Certificate

Current through July 13, 2024
(a) Requirements
				when the mother was married at the time of conception or birth of the child, or
				between conception and birth:
(i) The husband
				shall be entered on the birth certificate as the father of the child, unless
				paternity has been determined otherwise by a court of competent jurisdiction;
				or the husband has signed an affidavit denying that he is the father and the
				mother and the person to be named as the father have signed an affidavit
				acknowledging paternity.
(ii) If
				the husband has signed an affidavit denying that he is the father and the
				mother and another man have signed an affidavit acknowledging paternity, the
				man signing the affidavit acknowledging paternity shall be listed as the
				father.
(iii) If a court of
				competent jurisdiction has determined that the husband is not the father of the
				child and the mother and another man have signed an affidavit acknowledging
				paternity, the man signing the affidavit acknowledging paternity shall be
				listed as the father. A certified copy of the court order must accompany the
				affidavit acknowledging paternity.
(iv) If a court of competent jurisdiction has
				determined paternity, the information stated in the court order concerning the
				father shall be listed on the birth certificate. A certified copy of the court
				order must be forwarded to Vital Records Services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 3 - BIRTH REGISTRATION › Section 3-3 - Infants of Unknown Parentage

Current through July 13, 2024
The certificate of an infant of unknown parentage shall be
				  registered by the State Registrar and shall:
(a) Have "Foundling" plainly marked in the
				top margin of the certificate;
(b)
				Show the approximate date of birth;
(c) Show the place of birth as the city and
				county in which the child was found;
(d) Contain no statements on
				parentage;
(e) In place of the
				signature of the attendant at birth, show the signature of the custodian of the
				child and indicate the custodian's title, if any.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 4 - SUBSTITUTION OF BIRTH CERTIFICATES › Section 4-1 - Adoptions

Current through July 13, 2024
(a) A new certificate of birth shall be
				prepared by the State Registrar of Vital Records for a child born in this state
				upon receipt of the following:
(i) An
				adoption report submitted on a form prescribed and supplied by Vital Records
				Services or a form supplied by another state which contains the information
				needed to file a new birth certificate in compliance with these rules. The
				report must include:
(A) Information needed
				to locate the original birth certificate;
(B) Information required to complete the new
				birth certificate;
(C) The
				signature of the clerk of the court that issued the decree, attesting to the
				date the final decree was issued.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 4 - SUBSTITUTION OF BIRTH CERTIFICATES › Section 4-2 - Legitimation

Current through July 13, 2024
If the natural parents marry subsequent to the birth of a
				  child, a new certificate of birth may be prepared for a child born in this
				  state by the State Registrar of Vital Records upon receipt of an affidavit
				  acknowledging paternity signed by the natural parents of said child, together
				  with a certified copy of the parents' marriage certificate.
(a) A new certificate may be prepared under
				this section only when
(i) There is not
				another man listed as the father on the original certificate;
(ii) The mother is listed as unmarried on the
				original certificate; and
(iii) The
				mother was not married within three hundred (300) days prior to the
				birth.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 4 - SUBSTITUTION OF BIRTH CERTIFICATES › Section 4-3 - Court Determination of Paternity

Current through July 13, 2024
A new certificate of birth shall be prepared by the State
				  Registrar of Vital Records for a child born in this state upon receipt of a
				  certified copy of a court determination of paternity.
(a) The new certificate shall be on the form
				that was in use at the time of the birth, if possible.
(b) The surname of the child shall remain the
				same unless otherwise ordered by the court.
(c) The additional personal particulars
				required for the new certificate regarding the natural father shall be included
				if it is specified in the court order or in a notarized affidavit signed by the
				natural father.
(d) After
				preparation of the new certificate, the original certificate shall not be
				subject to inspection except upon order of a court of competent
				jurisdiction.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 4 - SUBSTITUTION OF BIRTH CERTIFICATES › Section 4-4 - Acknowledgment of Paternity

Current through July 13, 2024
A new certificate of birth may be prepared for a child born
				  in this state by the State Registrar of Vital Records when a valid affidavit
				  acknowledging paternity is received.
(a) If the mother was married to someone
				other than the natural father within 300 days prior to the date of the birth,
				one of the following is required in addition to the affidavit acknowledging
				paternity:
(i) A certified copy of a court
				order determining that the husband or ex-husband is not the father of the
				child; or
(ii) An affidavit denying
				paternity signed by the husband or ex-husband.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 4 - SUBSTITUTION OF BIRTH CERTIFICATES › Section 4-5 - Foreign Born Adoptions

Current through July 13, 2024
The State Registrar may prepare a new birth certificate for
				  a child born in a foreign country who has been adopted by persons who were
				  residents of Wyoming at the time of the adoption.
(a) The adoption decree must have been issued
				by a Wyoming court.
(b) The
				certificate will be on a form approved by the State Registrar.
(c) The following information shall be shown
				on each certificate:
(i) The name of the
				child as shown in the decree;
(ii)
				The date and place of birth as indicated by the decree and/or report of
				adoption;
(iii) The names and
				personal particulars of the adoptive parent(s) or of the natural parent if a
				stepparent adoption;
(iv) Documents
				upon which the new certificate is based.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 5 - DEATH REGISTRATION › Section 5-1 - Responsibility for Filing

Current through July 13, 2024
The funeral director who first assumes custody of a dead body
				  shall:
(a) Complete all items on the
				death certificate except the physician's, county health officer's or coroner's
				statement attesting to the time, date, place and cause of death;
(b) Secure all necessary signatures and
				review the certificate for completeness and accuracy;
(c) If the death occurred without medical
				attendance, if the physician last in attendance refuses or fails to sign the
				certificate, or if circumstances suggest the death was not due to natural
				causes, immediately notify the local registrar who shall refer the case to the
				county health officer or county coroner.
(d) File the certificate with the local
				registrar.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 5 - DEATH REGISTRATION › Section 5-2 - Medical Certification

Current through July 13, 2024
(a) The medical
				statement of cause of death shall be completed and signed within twenty-four
				(24) hours after the death by the physician in charge of the patient's care,
				unless inquiry is required by a post-mortem examination. If such an inquiry is
				required, the medical statement shall be completed and signed pursuant to
				Chapter 5, Section
				3,
				(c) of these rules.
(b) In the
				absence or inability of the physician in charge of the patient's care, another
				physician may certify to the cause of death in any case where that physician
				has access to the medical history of the deceased and views the deceased at the
				time of death or at some point after death. In all other cases in which the
				physician in charge of the patient's care is unavailable, the local registrar
				shall refer the case to the local health officer or coroner who shall prepare
				and file the medical certification of cause of death.
(c) In cases of death from other than natural
				causes, the coroner shall complete and sign the medical certification with the
				assistance of a competent physician within twenty-four (24) hours after taking
				charge of the case.
(d) The cause
				of death shall be stated as accurately and specifically as possible.
(e) If the death was not from natural causes,
				the certificate must state the type of injury which caused the death.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 5 - DEATH REGISTRATION › Section 5-3 - Time Limits

Current through July 13, 2024
(a) The death
				certificate shall be filed with the local registrar of the county in which the
				death occurred within three (3) days of the date of death.
(b) When a death certificate cannot be
				completed within three (3) days of the date of death, the local registrar may
				grant an extension of time, not to exceed forty-eight (48) hours. In all cases
				a death certificate must be filed with the local registrar within five (5) days
				of the date of death.
(c) If the
				cause of death cannot be determined within the time limits specified above, the
				person responsible for the medical certification shall sign the certificate and
				mark the cause of death "Pending."
(d) If the funeral director is unable to
				obtain the personal information within the specified time limit, the
				certificate shall be filed with the information that is available.
(e) When an incomplete death certificate is
				filed, a supplemental report providing the missing information shall be filed
				with the State Registrar as soon as possible.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 5 - DEATH REGISTRATION › Section 5-4 - Presumptive Death

Current through July 13, 2024
When a death is presumed to have occurred within this state
				  but the body cannot be located, a death certificate may be prepared by the
				  State Registrar only upon receipt of an order of a court of competent
				  jurisdiction, which shall include the finding of facts required to complete the
				  death certificate. Such a death certificate shall be marked "Presumptive" and
				  shall show on its face the date of death as determined by the court, the date
				  of registration, and shall identify the court and the date of the decree.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0059 - Vital Records Services › Chapter 6 - STILLBIRTH REGISTRATION › Section 6-1 - Responsibility for Filing

Current through July 13, 2024
A stillbirth certificate shall be filed for all stillbirths
				  with a gestation of twenty (20) or more completed weeks.
(a) The funeral director who first assumes
				custody of a stillbirth shall:
(i) Notify the
				coroner if the stillbirth occurred without medical attendance;
(ii) Complete all items except those in the
				section pertaining to cause of death;
(iii) Obtain all necessary signatures and
				review the certificate for completeness and accuracy;
(iv) File the certificate with the local
				registrar of the county in which the stillbirth occurred.