reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0048 - Public Health Laboratory › Chapter 1 - RULES AND REGULATIONS FOR THE PUBLIC HEALTH LABORATORY TESTING FEES › Section 1-5 - Fees

Current through July 13, 2024
(a) The Public Health Laboratory may increase
				individual fee assessments by up to twenty percent (20%) without a rule change,
				if it is determined that the costs of laboratory testing necessitates such
				increases. The Public Health Laboratory will notify all facilities and programs
				on the submitters list at least 90 days before any increase is effective.
				Increases in the fee assessments that are greater than twenty percent (20%)
				will require a rule change.
(b) The
				Public Health Laboratory reserves the option to enter into agreements with
				State Agency programs that would adjust or waive fees included in these rules
				and regulations.
(c) The Department
				of Health laboratory programs and specific tests affected by this fee schedule
				include:
(i) Immunology
(ii) Microbiology
(iii) Molecular biology
(iv) Drinking Water
(v) Blood Alcohol
(vi) Toxicology
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 1 - GENERAL PROVISIONS (REPEALED) › Section 1-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by the Wyoming
				  Department of Health, pursuant to its authority under the general provisions of
				  the Wyoming Medical Assistance and Services Act at
				  W.S.
				  42-4-101,
et seq.,
more
				  specifically W.S. W.S.
				  W.S.
				  42-4-103(a)(xxiii) and
				  42-4-117, and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq.,
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 1 - GENERAL PROVISIONS (REPEALED) › Section 1-2 - Statement of Purpose

Current through July 13, 2024
These rules and regulations are adopted to implement the
				  authority of the Wyoming End Stage Renal Disease Program, Wyoming Department of
				  Health, to provide assistance with costs for treatment of end stage renal
				  disease to and/or for eligible Wyoming residents.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 1 - GENERAL PROVISIONS (REPEALED) › Section 1-3 - Changes or Restrictions in Service Category Reimbursement

Current through July 13, 2024
The Wyoming End Stage Renal Disease Program may restrict or
				  categorize service reimbursement to meet budgetary limitations.
(a) Categories will be prioritized based upon
				medical necessity, Medicare eligibility and projected Medicare/Medicaid
				payments for different treatment modalities.
(b) hi the event program benefits are
				reduced, they will be reduced in a manner that takes into consideration medical
				necessity and other available coverage.
(c) The Program may affect changes in
				benefits by either adding or deleting entire categories or by proportionate
				changes across categories, or by a combination of both of these
				methods.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 1 - GENERAL PROVISIONS (REPEALED) › Section 1-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice-versa. Throughout these rules gender pronouns
				  are used interchangeably, except where the context dictates otherwise. The
				  drafters have attempted to utilize each gender pronoun in equal numbers in
				  random distribution. Words in each gender shall include individuals of the
				  other gender.
(a) "Acknowledgment" -
				written verification of receipt of information provided to the
				applicant/recipient by the Program.
(b) "Applicant" - a person whose written
				application for the Wyoming End Stage Renal Disease Program has been submitted
				to the Program, but who has not yet received final action.
(c) "Approved Facility" - a facility approved
				to participate in the Program, which includes, but is not limited to:
(i) Hospital outpatient dialysis facilities;
(ii) Free-standing ESRD clinics or
				centers;
(iii) In-state or
				ont-of-state facilities, including firee-standing facilities;
(iv) Medicare approved hospitals and
				transplant centers; and
(v)
				Veterans Administration and military hospitals which have Joint Commission,
				formerly known as Joint Commission on Accreditation of Healthcare Organizations
				(JCAHO), approved renal dialysis units.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 1 - GENERAL PROVISIONS (REPEALED) › Section 1-5 - Payment of Program Benefits

Current through July 13, 2024
(a) Benefits are
				only payable after all other possible third parties (e.g., private/group
				insurance. Medicare, Medicaid, Indian Health Service (IHS) or the Veterans
				Administration) have met their responsibilities to pay, or after it is
				determined that there are no third parties that may be liable for payment.
(i) If dialysis has begun and there is no
				verifiable third party payer, the Program will pay the dialysis center a fiat
				rate fee, as determined by the Program, per treatment for up to ninety (90)
				days.
(ii) One sixty (60) day
				extension of the fiat rate fee may be granted at the discretion of the Program
				in an extenuating circumstance,
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by. the Wyoming
				  Department of Health, pursuant to its authority under the general provisions of
				  the Wyoming Medical Assistance and Services Act at
				  W.S.
				  42-4-101,
et seq.
, more
				  specifically W.S. W.S.
				  W.S.
				  42-4-103(a)(xxiii) and
				  42-4-117, and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
etseq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-2 - Statement of Purpose

Current through July 13, 2024
These rules and regulations are adopted to implement the
				  Department's authority to establish the eligibility of recipients for Program
				  benefits.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-3 - Eligibility

Current through July 13, 2024
(a) An applicant will be eligible to receive
				Program benefits when the applicant receives Program approval after meeting the
				following requirements:
(i) Has a determined
				critical need for assistance;
(ii)
				Is a resident of Wyoming, being actually present in the state continuously for
				the sixty (60) days preceding the date of application, and having furnished
				documentation of residency;
(iii)
				Has made application through the Program. Applications may be obtained through
				any of the following;
(A) An approved
				dialysis center or facility;
(B) A
				Medicare approved hospital/transplant center;
(C) A military or Veterans Administration
				hospital with a Joint Commission approved dialysis unit;
(D) A Public Health Nursing Field Office or
				Social Service Field Office; or
(E)
				On-line at the Wyoming Department of Health website, End Stage Renal Disease
				page.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-4 - Application Process

Current through July 13, 2024
In making application, a person must submit or have submitted
				  on their behalf the following documents:
(a) A properly completed and signed original
				Application for Program Benefits, including the signed authorization to
				Furnish/Release Information;
(b)
				Copies of acceptable evidence of residency, Copies of any two of the following
				documents will be considered acceptable to determine residency;
(i) A current, valid Wyoming driver's license
				or identification card with a current Wyoming address;
(ii) A copy of a current, valid Wyoming
				voter's registration card;
(iii)
				Mortgage or rent payment receipts in the name of the applicant or her spouse
				from the two (2) months immediately preceding the date of application revealing
				a verifiable Wyoming address;
(iv)
				Utility payment receipts in the name of the applicant or his spouse for the two
				(2) months immediately preceding the date of application revealing payment of
				utilities for a Wyoming address;
(v) Wyoming property tax receipts for the
				most recently completed tax year;
(vi) Wyoming employment/unemployment
				records;
(vii) Postal verification
				of a Wyoming address; or
(viii)
				Current Wyoming resident hunting or fishing license.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-5 - Incomplete Applications

Current through July 13, 2024
(a) Au application
				shall be deemed incomplete for any one of the following reasons:
(i) Failure to provide information requested
				on the application form;
(ii) Lack
				of supporting documents;
(iii) Lack
				of or improper signature;
(iv) Lack
				of Wyoming residency documentation;
(v) Lack of financial
				documentation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-6 - Eligibility Date

Current through July 13, 2024
The applicant's eligibility date will be based on the date
				  the Program receives a properly completed and signed Application for Benefits,
				  including all required documentation.
(a) The eligibility date will be determined
				by the latest date of the following:
(i) The
				date applicatiom/reapplication and supporting documentation was received by the
				Program; or
(ii) The date of the
				first dialysis treatment or transplant surgery.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 2 - ELIGIBILITY REQUIREMENTS (REPEALED) › Section 2-7 - Benefit Continuation

Current through July 13, 2024
(a) Continuation of
				Program benefits for recipients will be based on an annual update to certify
				her continued eligibility.
(b) To
				ensure recertification for continued benefits, the recipient must complete and
				return to the Program an annual update packet. The packet is due to the Program
				by June 30" each year for the recipient to maintain continued eligibility with
				the program.
(c) To maintain
				continuing eligibility for the program;
(i)
				The recipient must still reside in Wyoming;
(ii) The recipient must still be medically
				eligible;
(iii) The recipient must
				still be financially eligible.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 3 - CONDITIONS OF PARTICIPATION FOR FACILITIES (REPEALED) › Section 3-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by the "Wyoming
				  Department of Health, pursuant to its authority under the general provisions of
				  the Wyoming Medical Assistance and Services Act at
				  W.S.
				  42-4-101,
et seg
.,more
				  specifically W.S. W.S.
				  W.S.
				  42-4-103(a)(xxiii) and
				  42-4-117, and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 3 - CONDITIONS OF PARTICIPATION FOR FACILITIES (REPEALED) › Section 3-2 - Statement of Purpose

Current through July 13, 2024
These rules and regulations are adopted to implement the
				  Department's authority to establish standards and conditions of participation
				  for in-state dialysis facilities and out-of-state facilities. The Program may,
				  at its sole discretion, require the use of in-state facilities when the
				  in-state facilities are comparable and are equal in geographic accessibility to
				  out-of-state facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 3 - CONDITIONS OF PARTICIPATION FOR FACILITIES (REPEALED) › Section 3-3 - Conditions and/or Approval Requirements

Current through July 13, 2024
(a) An approved
				ESRD facility is one that:
(i) Has met all
				Medicare certification requirements; and
(ii) Has been assigned a Medicare ESRD
				provider number.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 4 - DENIAL OF APPLICATION; MODIFICATION, SUSPENSION OR TERMINATION OF RECIPIENT BENEFITS (REPEALED) › Section 4-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by the Wyoming
				  Department of Health, pursuant to its authority under the general provisions of
				  the Wyoming Medical Assistance and Services Act at
				  W.S.
				  42-4-101,
et seq
., more
				  specifically W.S. W.S.
				  W.S.
				  42-4-103(a)(xxiii) and
				  42-4-117, and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 4 - DENIAL OF APPLICATION; MODIFICATION, SUSPENSION OR TERMINATION OF RECIPIENT BENEFITS (REPEALED) › Section 4-2 - Statement of Purpose

Current through July 13, 2024
These rules and regulations are adopted to implement the
				  Department's authority to deny an applicant benefits or modify, suspend or
				  terminate a recipient's benefits under the Program for the following
				  reasons:
(a) The applicant/recipient
				is not a resident of the State of Wyoming;
(b) The applicant/recipient fails or refuses
				to provide the required annual update or submits documents required in support
				of the annual update which contain false statements of fact designed to enhance
				that person's eligibility status for Program benefits;
(c) The applicant/recipient submits an
				application or any documents required in support of the application which
				contains false statements of fact designed to enhance that person's eligjbility
				status for Program benefits;
(d)
				The applicant/recipient does not have end stage renal disease, regains kidney
				function, or voluntarily stops treatment for end stage renal disease;
(e) The recipient refuses to reimburse the
				Department after being notified of third party benefits or recipient's
				reimbursement obligation;
(f) The
				recipient notifies the Program in writing that he no longer wishes to claim
				Program benefits;
(g) The
				applicant/recipient dies;
(h) The
				recipient submits false claims for benefits to the Program;
(i) The Program has not paid a claim for
				benefits on behalf of the recipient during any period of twelve (12)
				consecutive months;
(j) Program
				funds are reduced;
(k) Funds
				allocated for payments on behalf of the recipient are exhausted.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 4 - DENIAL OF APPLICATION; MODIFICATION, SUSPENSION OR TERMINATION OF RECIPIENT BENEFITS (REPEALED) › Section 4-3 - Procedures for the Denial of Benefits or the Modification, Suspension, or Termination of Benefits

Current through July 13, 2024
(a) Any applicant
				for Program benefits will be notified in writing if her application has been
				denied. The notification will state the reasons for denial and her rights to
				request a hearing in compliance with the Wyoming Department of Health,
				Procedures For The Conduct of Contested Case Hearings, Chapter 1 (Aug. 4,
				1983);
(b) Any recipient of
				benefits from the Program will be notified if his benefits are being modified,
				suspended or terminated. Notification will be by certified mail to the most
				recent address known to the Program and shall contain the reasons for the
				intended action, as well as the recipient's right to a hearing and the method
				by which he may obtain a hearing in compliance with the Wyoming Department of
				Health, Procedures For The Conduct of Contested Case Hearings, Chapter 1 (Aug.
				4,1983);
(c) These procedures do
				not apply to adjustments made by the Program in the type of Program benefits or
				the amount of benefits available when such adjustments are necessary to conform
				to budgetary limitations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 4 - DENIAL OF APPLICATION; MODIFICATION, SUSPENSION OR TERMINATION OF RECIPIENT BENEFITS (REPEALED) › Section 4-4 - Repayment of Funds

Current through July 13, 2024
(a) Any recipient
				who has been notified of a repayment obligation, for whatever reason, shall
				have sixty (60) days to respond to the Program;
(i) To arrange a repayment plan acceptable to
				the Program;
(ii) To request
				forgiveness of the debt for cause.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 5 - DENIAL, MODIFICATION, SUSPENSION OR TERMINATION OF FACILITY APPROVAL (REPEALED) › Section 5-1 - Authority

Current through July 13, 2024
These rules and regulations are promulgated by the Wyoming
				  Department of Health, pursuant to its authority under the general provisions of
				  the Wyoming Medical Assistance and Services Act at
				  W.S.
				  42-4-101,
et seq.,
more
				  specifically W.S. W.S.
				  W.S.
				  42-4-103(a)(xxiii) and
				  42-4-117, and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 5 - DENIAL, MODIFICATION, SUSPENSION OR TERMINATION OF FACILITY APPROVAL (REPEALED) › Section 5-2 - Statement of Purpose

Current through July 13, 2024
These rules and regulations are adopted to implement the
				  Department's authority to deny, modify, suspend, or terminate facility
				  approval.
(a) A program approved
				dialysis facility, whether in-state or out-of-state, will have its privilege to
				participate in the Program denied, modified, suspended, or terminated if:
(i) The facility loses Medicare
				approval;
(ii) The facility, with
				interim approval from the Program, fails to receive final Medicare/CMS
				approval;
(iii) The facility
				voluntarily withdraws from participation in the Program by providing the
				Program with a sixty (60) day written notice;
(iv) By mutual written consent of the Program
				and the facility;
(v) The facility
				fails or refuses to submit, in a manner prescribed by the Program, information
				which is requested for the purpose of determining the facility's compliance
				with program rules;
(vi) The
				facility submits materially false or intentionally misleading information to
				the Program;
(vii) The facility
				fails to reimburse the Department within ninety (90) days after it has been
				notified in writing that over payments have been made;
(viii) The facility files false
				claims.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage › Chapter 5 - DENIAL, MODIFICATION, SUSPENSION OR TERMINATION OF FACILITY APPROVAL (REPEALED) › Section 5-3 - Procedures for Denial Modification, Suspension, or Termination of Facility Approval

Current through July 13, 2024
(a) The Program
				shall notify the Administrator of the facility by certified mail of its intent
				to deny, modify, suspend, or terminate Program approval, the reasons for the
				adverse action, in compliance with the Wyoming Department of Health, Procedures
				For The Conduct of Contested Case Hearings, Chapter 1 (Aug. 4,1983).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health
				  pursuant to the Medical Malpractice Insurance Assistance Act, 2004 Special
				  Session, Enrolled Act No 3 (codified at WS
										35-1-901 et seq\ the Medical Malpractice
				  Insurance Account, 2006 Budget Session, Enrolled Act No, 20 (to be codified at
				  WS 
										35-1-901 et seq), and the Wyoming
				  Administrative Procedures Act at WS
				  
										16-3-101 et seq
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				shall apply to and govern the Medical Malpractice Insurance Assistance Program.
				They shall become effective upon adoption for all applications for assistance
				submitted on or before March 30, 2007.
(b) 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.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-3 - General Provisions

Current through July 13, 2024
(a) This Chapter is
				intended to be read in conjunction with the Medical Malpractice Insurance
				Assistance Act, 2004 Special Session, Enrolled Act No. 3 (codified at
				W.S.
				35-1-901 et seq.), and the Medical
				Malpractice Insurance Account, 2006 Budget Session, Enrolled Act No 20 (to be
				codified at W.S. W.S.
				W.S.
				35-1-901 etseq.),
(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 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-5 - Eligible Applicants

Current through July 13, 2024
Physicians and contracting entities, as defined in Section
				  4 of
				  these Rules, are eligible for assistance under the terms of this
				  program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-6 - Criteria for Application

Current through July 13, 2024
Subject to the availability of funds appropriated,
				  applications may be accepted and considered for loans according to the
				  following criteria:
(a) Physicians may
				apply for a loan to pay for medical malpractice insurance coverage as specified
				in this Act. The physician shall establish that:
(i) He/she was previously insured for prior
				events and those events are not eligible for coverage under the prior
				claims-made policy because the period for making a claim under the policy has
				expired;
(ii) Current coverage by
				the insurer providing the coverage is no longer available due to either the
				insolvency of the insurer or the withdrawal of the insurer from the state of
				Wyoming; and
(A) The physician has procured
				or will procure coverage from his previous insurer for prior events not covered
				due the expiration of the period for making claims, or
(B) He/she has procured or will procure a
				subsequent medical malpractice policy covering prior events.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-7 - Application Form

Current through July 13, 2024
(a) To be eligible to participate in this
				program a physician or contracting entity shall submit an application to the
				Department upon application forms approved by the Department;
(b) The Application shall include forms,
				eligibility criteria, rights and responsibilities regarding receiving
				assistance;
(c) An application
				shall be provided upon request;
(d)
				A separate application shall be required for each applicant;
(e) The application may be mailed or
				hand-delivered to the Department;
(f) Applications must be post-marked or
				date-stamped by the Department on or before March 30, 2007;
(g)The application must be complete prior to
				consideration by the Department
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-8 - Application Process

Current through July 13, 2024
(a) The Director or
				his/her designee shall administer this program according to the rules of this
				program, and shall determine whether the applicant is eligible under these
				rules;
(b) The Department shall
				provide the applicant written notice of its determination;
(c) Documentation of the action taken and the
				reasons for the action shall be placed in the applicant's file;
(d) The Director or his/her designee may
				request documentation to corroborate any information requested in the
				application;
(e) The funds
				appropriated by the legislature will be allocated by the Department for loans
				to physicians or contracting entities for the purpose identified under m the
				Act and pursuant to these rules;
(f) The Director or his/her designee shall be
				responsible for servicing the loans for those physicians or contracting
				entities;
(g) The denial of
				assistance is not an adverse action, and an applicant who does not receive
				assistance has no right to reconsideration pursuant to Chapter 3, Rules for
				Medicaid Administrative Fair Hearings of the Wyoming Medicaid rules or a
				contested case pursuant fo Chapter I Rules for Medicaid Administrative Fair
				Hearings of the Wyoming Medicaid rules, or any other provision of the
				Departments rules or the Wyoming Administrative Procedure Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-11 - Records

Current through July 13, 2024
(a) Public records. The name of any physician
				or contracting entity that receives a loan pursuant to this Chapter, and the
				amount of such loan, shall be public records.
(b) Confidential records. Any information
				submitted to the Department by a physician or contracting entity under this
				Act, which is not already a matter of public record, is confidential and is not
				a public record under
				W.S.
				16-4-201 through
				16-4-205.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-12 - Interpretation of Chapter

Current through July 13, 2024
(a) The order in
				which the provisions of this Chapter appear is not to be construed to mean that
				any one provision is more or less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-13 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including Manuals or Bulletins,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 1 - MEDICAL MALPRACTICE INSURANCE ASSISTANCE PROGRAM › Section 1-14 - Severability

Current through July 13, 2024
If any portion of this Chapter is found to be invalid or
				  unenforceable, the remainder shall continue in full force and
				  effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Public Health Division, pursuant to W.S. §§
									
										9-2-118 and 119, and the Wyoming
				  Administrative Procedures Act at W.S. §
									
										16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules implement the Wyoming
				Healthcare Professional Loan Repayment Program which governs the award of grant
				funds to healthcare professionals to repay loans taken for educational
				expenses.
(b) The Department 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.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules.
(a)
				"Allied Healthcare Professional" means an individual who is licensed or
				certified to practice in the state as defined under Wyoming Statutes, Title 33,
				Chapter 9 (Podiatrists), Chapter 10 (Chiropractors), Chapter 15 (Dental
				Hygienists), Chapter 21 (Advanced Practice Registered Nurses, Registered
				Nurses, Licensed Practical Nurses, Certified Nurses Assistants), Chapter 23
				(Optometrists), Chapter 24 (Pharmacists and Pharmacy Technicians), Chapter 25
				(Physical Therapists), Chapter 26, Article 5 (Physician Assistants), Chapter 27
				(Psychologists), Chapter 33 (Speech Pathologists and Audiologists), Chapter 34
				(Laboratory Directors), Chapter 36 (Emergency Medical Technicians), Chapter 37
				(Radiologic Technologists), Chapter 38 (Professional Counselors, Marriage and
				Family Therapists, Social Workers, and Chemical Dependency Specialists),
				Chapter 40 (Occupational Therapists), and Chapter 43 (Respiratory Care
				Practitioners).
(b) "Dentist" means
				an individual licensed under Wyoming Statutes, Title 33, Chapter 15, excluding
				Dental Hygienists.
(c) "Department"
				means the Wyoming Department of Health, Public Health Division.
(d) "Physician" means an individual who is
				licensed to practice in the state under Wyoming Statutes, Title 33, Chapter 26,
				of the Wyoming Medical Practice Act.
(e) "This Program" means the loan repayment
				programs authorized by W.S. §
									
										9-2-118 and W.S. §
									
										9-2-119.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-5 - Healthcare Professional Loan Repayment Program Grants - Terms and Service

Current through July 13, 2024
(a) The Department may provide loan repayment
				grants to physicians, dentists, and allied healthcare professionals to repay
				loans taken for educational expenses in exchange for their agreement to provide
				full-time service at an approved practice location in the state for a period of
				three (3) years.
(b) Under either
				W.S. §
									
										9-2-118 or W.S. §
									
										9-2-119, loan repayment grants may be given
				only to repay bonafide loans that meet the following criteria:
(i) A commercial loan made by a bank, credit
				union, savings and loan association, insurance company, school, or credit
				institution; or
(ii) A governmental
				loan made by a federal, state, county, or city agency.
(iii) Educational loans may only include
				those costs related to the applicant's education in a healthcare profession,
				including the cost of books, education equipment, fees, materials, reasonable
				living expenses, supplies and tuition. Loans which include debt belonging to an
				individual other than the applicant or costs not associated with the
				applicant's healthcare professional education are not eligible for repayment
				under this Program.
(iv)
				Educational loans which are in default at the time of the healthcare
				professional's application for loan repayment are not eligible for repayment
				under this Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-6 - Loan Repayment Grant Eligibility and Selection

Current through July 13, 2024
(a) Applicant Eligibility.
(i) Applicants must indicate full time
				employment or an offer for full time employment on their application.
(ii) Applicants must agree to treat Medicaid,
				Medicare or Kid Care eligible patients.
(iii) Applicants must be licensed or
				certified in Wyoming, or within one (1) year of licensure in their
				profession.
(iv) Applicants must be
				United States citizens or permanent residents.
(v) Applicants must disclose any other
				obligations to practice at a specific location and any other loan repayment
				arrangements in their application.
(A) An
				applicant with an obligation to practice professionally at a specific location
				is not eligible to receive a loan repayment grant under this Program until the
				existing obligations are fulfilled.
(B) Applicants required to practice in
				Wyoming, but not required to practice at a specific location, may be eligible
				to receive a loan repayment grant under this Program. The Department will
				determine applicant eligibility upon review of the application and
				circumstances of the obligation.
(C) WWAMI (Washington, Wyoming, Alaska,
				Montana, Idaho) Medical Education Program participants required to practice in
				Wyoming are eligible for a loan repayment grant under this Program.
(D) Any portion of the applicant's
				educational loans to be forgiven or repaid as a result of paragraphs (B) and
				(C), is not eligible for repayment under this Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-7 - Loan Repayment Grant Breach, Repayment, and Penalties

Current through July 13, 2024
(a) A loan repayment grant recipient under
				this Program who fails to complete the service obligation or fails to comply
				with the requirements of W.S. §§
									
										9-2-118 or 119, these Rules, or the terms and
				conditions set forth in the contract shall repay:
(i) The total amount of the loan repayment
				grant monies received under this Program according to a schedule established by
				the Department and set forth in the contract; and
(ii) Costs and expenses incurred in
				collection, including attorney fees.
(iii) The amount to be paid back shall be
				determined from the end of the month in which the recipient breached the
				contract as if the recipient had breached at the end of the month.
(iv) Amounts recovered and damages collected
				under this section shall be deposited as dedicated credits to be used to carry
				out the provisions of this Program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-8 - Eligibility Criteria for Loan Repayment Sites

Current through July 13, 2024
(a) The
				Department shall approve loan repayment sites that are located in areas that
				have a shortage of healthcare services and has been determined to be an
				underserved area of the state by the Office of Rural Health.
(b) Sites must provide care to persons
				eligible for Medicare, Medicaid, or Kid Care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-9 - Loan Repayment Grant Eligibility and Selection

Current through July 13, 2024
(a)
				Applicant Eligibility.
(i) Applicants must
				indicate full time employment or an offer for full time employment on their
				application.
(ii) Applicants must
				agree to treat Medicaid, Medicare or Kid Care eligible patients.
(iii) Applicants must be licensed or
				certified in Wyoming, or within one (1) year of licensure in their
				profession.
(iv) Applicants must be
				United States citizens or permanent residents.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-10 - Loan Repayment Grant Service Obligation

Current through July 13, 2024
(a) Before
				receiving an award under the act, the recipient shall enter into a contract
				agreement with the State agreeing to the conditions upon which the award is to
				be made.
(b) The contract agreement
				shall include necessary conditions to carry out the purposes of the
				Act.
(c) In exchange for financial
				assistance under the act, the recipient shall serve for a minimum of three (3)
				years at a site approved by the Department.
(d) The recipient's service at a site
				approved by the Department retires the amount owed for the award according to
				the schedule established by the Department at the time of the award.
(e) Periods of internship, preceptor ship, or
				other clinical training do not satisfy the service obligation under the
				act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-11 - Loan Repayment Grant Breach, Repayment, and Penalties

Current through July 13, 2024
(a)
				A loan repayment grant recipient under the act who fails to complete the
				service obligation shall repay:
(i) The total
				amount of the loan repayment grant according to a schedule established by the
				contract agreement with the Department; and
(ii) Costs and expenses incurred in
				collection, including attorney fees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-12 - Release of Recipient from Service Obligation

Current through July 13, 2024
(a) The
				Department may cancel or release, in full or in part, a recipient from his
				service obligation under the contract agreement without penalty:
(i) If the recipient is unable to fulfill the
				service obligation due to permanent disability that prevents the recipient from
				performing any work for remuneration or profit;
(ii) If the recipient dies; or
(iii) For other good cause shown, as
				determined by the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 2 - WYOMING HEALTHCARE PROFESSIONAL LOAN REPAYMENT PROGRAM › Section 2-13 - Reporting Requirements

Current through July 13, 2024
(a) The Department
				may require an award recipient to provide information on a periodic basis, as
				required by the loan repayment agreement.
(b) The Department may require the approved
				site to provide information on a periodic basis, as required by the loan
				repayment site contract agreement.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Office of Rural Health at
				  W.S.
				  9-2-117 et seq. and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				have been adopted to provide the application process and criteria for a
				facility to become designated as Critical Access Hospital.
(b) 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.
(c) The incorporation
				by reference of any external standard is intended to be the incorporation of
				that standard as it is in effect on the effective date of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and visa 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.
For the purpose of these rules, the following shall
				  apply:
(a) "Certification" means a
				health care provider or supplier of services meets the federal conditions to
				participate in the Medicare and/or Medicaid programs.
(b) "Critical Access Hospital" means a
				facility certified by the United States Secretary of Health and Human Services
				as a critical access hospital under the Social Security Act Section 1820. [
				42 U.S.C.
				1395i-4 ](e)
(c) "Designation" means an official finding
				and recognition by the Director, Department of Health, that a facility meets
				Wyoming State Rural Health Care Plan criteria to be a Critical Access
				Hospital.
(d) "Governing Body"
				means the individual(s), group, or corporation that is legally responsible for
				the Critical Access Hospital.
(e)
				"Rural Health Care Plan" means the document used by the Department of Health as
				a basis for improving primary health care services in rural Wyoming
				communities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-5 - Application Process

Current through July 13, 2024
(a) Applications
				for Critical Access Hospital designation can be obtained by contacting: Wyoming
				Department of Health, Office of Rural Health, 2300 Capitol Avenue,
				4th Floor, Cheyenne, WY 82002, (307) 777-8651 Phone,
				(307) 777-8776 Fax.
(b) The Office
				of Rural Health will, within ten (10) working days from receipt of the
				application request, mail the application form plus other pertinent material to
				the applicant.
(c) The applicant
				will have up to sixty (60) days to complete and submit an application form to
				the Office of Rural Health. The applicant can request permission to extend the
				time period for completion of the application.
(d) The Office of Rural Health must declare
				an application complete or incomplete within ten (10) working days after
				receipt of the application. Once the application has been declared complete,
				the Office of Rural Health will have twenty (20) days to draft preliminary
				findings and recommendations for consideration by the Director, Department of
				Health.
(e) The Director,
				Department of Health will have twenty (20) days to review the findings and
				recommendations offered by the Office of Rural Health and provide written
				notice of designation or denial of designation to the applicant. The Director
				must designate the applicant as a Critical Access Hospital before the applicant
				can petition for Medicare certification.
(f) Hearings
(i) To review a decision of the Department, a
				provider may request a hearing by submitting a written request within thirty
				(30) days of the date of receipt of the notice of adverse action to the
				Director, Department of Health.
(ii) Hearings requested under the terms of
				these rules shall be held in accordance with the provisions of the Wyoming
				Administrative Procedure Act.
Note: The above process outlines only minimum requirements
				  for designating facilities as Critical Access Hospitals. It is recommended that
				  each facility develop a clearly defined strategy which includes additional
				  factors such as: Governing board education and involvement, financial
				  feasibility study, health care facility and medical staff education, community
				  education and awareness, and a study of potential networking
				  relationships.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-7 - State Licensure

Current through July 13, 2024
Rules and Regulations for the Licensure of Critical Access
				  Hospitals can be obtained for a nominal fee by contacting: Wyoming Department
				  of Health, Office of Health Facilities, 2020 Carey Avenue,
				  8th Floor, Cheyenne, WY 82002, (307) 777-7123 Phone,
				  (307) 777-7127 Fax.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 3 - DESIGNATION OF CRITICAL ACCESS HOSPITAL › Section 3-8 - Federal Certification

Current through July 13, 2024
Federal (Medicare) certification standards for Critical
				  Access Hospitals can be obtained for a nominal fee by contacting: Wyoming
				  Department of Health, Office of Health Facilities, 2020 Carey Avenue, 8th
				  Floor, Cheyenne, WY 82002, (307) 777-7123 Phone, (307) 777-7127
				  Fax.