reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 6 - STATE INTERAGENCY COORDINATING COUNCIL › Section 6-303.650 - General

Current through July 13, 2024
(a) Each Council shall-
(1) Advise and assist the lead agency in the
				development and implementation of the policies that constitute the statewide
				system;
(2) Assist the lead agency
				in achieving the full participation, coordination, and cooperation of all
				appropriate public agencies in the State;
(3) Assist the lead agency in the effective
				implementation of the statewide system, by establishing a process that
				includes-
(i) Seeking information from
				service providers, service coordinators, parents, and others about any Federal,
				State, or local policies that impede timely service delivery; and
(ii) Taking steps to ensure that any policy
				problems identified under paragraph (a)(3)(i) of this section are resolved;
				and
(4) To the extent
				appropriate, assist the lead agency in the resolution of disputes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 6 - STATE INTERAGENCY COORDINATING COUNCIL › Section 6-303.651 - Advising and assisting the lead agency in its administrative dutiesEach Council shall advise and assist the lead agency in the

Current through July 13, 2024
(a) Identification of sources of fiscal and
				other support for services for early intervention programs under this
				part;
(b) Assignment of financial
				responsibility to the appropriate agency; and
(c) Promotion of the interagency agreements
				under §
									303.523.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 6 - STATE INTERAGENCY COORDINATING COUNCIL › Section 6-303.652 - Applications

Current through July 13, 2024
Each Council shall advise and assist the lead agency in the
				  preparation of applications under this part and amendments to those
				  applications.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 6 - STATE INTERAGENCY COORDINATING COUNCIL › Section 6-303.653 - Transitional services

Current through July 13, 2024
Each Council shall advise and assist the State educational
				  agency regarding the transition of toddlers with disabilities to services
				  provided under part B of the Act, to preschool and other appropriate
				  services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 6 - STATE INTERAGENCY COORDINATING COUNCIL › Section 6-303.654 - Annual report to the Secretary

Current through July 13, 2024
(a) Each Council shall-
(1) Prepare an annual report to the Governor
				and to the Secretary on the status of early intervention programs operated
				within the State for children eligible under this part and their families;
				and
(2) Submit the report to the
				Secretary by a date that the Secretary establishes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-1 - Authority

Current through July 13, 2024
(a) These rules are promulgated by the
				Department of Health, Behavioral Health Division, pursuant to Wyoming
				Statutes
										9-2-102,
				21-2-706,
				and
				35-1-620.
(b) These rules govern the operation of all
				early intervention programs and services provided to infants and toddlers with
				developmental delays ages birth through age two (2), pursuant to Wyoming law,
				by a Regional Part C Program Provider and by other public agencies within the
				State of Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-2 - Purpose and Applicability

Current through July 13, 2024
(a) The Department adopts this Chapter to
				govern:
(i) The eligibility of infants and
				toddlers for the Part C Early Intervention Program, and
(ii) The implementation and maintenance of a
				region-wide, comprehensive, coordinated, multidisciplinary, interagency system
				to provide Part C early intervention services for families and their infant or
				toddler who has been identified as having developmental delays.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-3 - Definitions

Current through July 13, 2024
(a) Except as otherwise specified, the
				terminology used in this Chapter is the standard terminology and has the
				meaning used in the IDEA and 34 C.F.R. Part 303. Any ambiguity in these rules
				should be resolved in favor of providing opportunities for children under three
				years of age who are at risk of having substantial developmental delay if they
				do not receive early intervention services.
(b) For the purpose of these rules, the
				following definitions shall apply:
(i)
				"Developmental Delay" means children who are experiencing at least a 25%
				developmental delay or a negative of at least 1.5 standard deviation utilizing
				appropriate diagnostic instruments and procedures in one or more of the
				following areas:
(1) cognitive development;
(2) physical development,
				including vision and hearing;
(3)
				communication development;
(4)
				social or emotional development;
(5) adaptive development.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-4 - Identification, Evaluation, and Eligibility Determinations

Current through July 13, 2024
(a) Each infant or toddler referred to an
				Early Intervention Service Provider must receive an evaluation of eligibility
				pursuant to this section within forty-five (45) days of the Provider's receipt
				of the initial referral.
(b) An
				infant or toddler may be deemed eligible for services under this Chapter if
				he/she is less than three (3) years old, a resident of the state of Wyoming
				and:
(i) Has a documented developmental
				delay; or
(ii) Has a diagnosed
				physical or mental condition that has a high probability resulting in a
				developmental delay.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-5 - Assessment for Service Provision

Current through July 13, 2024
(a) Each infant or toddler deemed eligible
				for services pursuant to Section
				4, must also receive an initial assessment
				within forty-five (45) days of the Provider's receipt of the initial referral.
				The initial assessment must consist of:
(i) A
				family assessment;
(A) The family assessment
				must be:
(I) Family-directed;
(II) Designed to determine the resources,
				priorities, and concerns of the family, and the identification of the supports,
				and services necessary to enhance the family's capacity to meet the
				developmental needs of the child;
(III) Voluntary on the part of the
				family;
(IV) Conducted by qualified
				personnel who are trained to utilize appropriate methods and
				procedures;
(V) Based on
				information provided by the family though a personal interview; and
(VI) Incorporate the family's description of
				its resources, priorities, and concerns related to enhancing the child's
				development.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-6 - Individual Family Service Plan (IFSP)

Current through July 13, 2024
(a) Each infant or toddler's IFSP must:
(i) Identify the natural supports of the
				family and incorporate those supports into specific strategies contained in the
				IFSP;
(ii) Include child and family
				outcomes that are measureable, and functional,
(iii) Address family concerns and the
				developmental delays of the child;
(iv) Include the specific services that will
				be offered to the family and child, when services will begin, and frequency of
				services; and
(v) Be signed by the
				parent or primary caregiver and all IFSP team members.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-7 - Early Intervention Service Provider Standards

Current through July 13, 2024
(a) All persons providing services on behalf
				of a Regional Part C Program Provider must meet applicable licensure
				requirements under Title 33 of the Wyoming Statutes and applicable agency,
				board, or commission rules.
(b)
				Service coordinators must be knowledgeable of and support best practices for
				providing early intervention services.
(c) Early intervention services may be
				provided by paraprofessionals or assistants who are appropriately trained and
				supervised according to State laws and regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-8 - Natural Environment

Current through July 13, 2024
(a) Regional Part C Program Providers must
				ensure early intervention services are provided in natural environments.
(i) Natural environments include settings
				where typically developing infants and toddlers participate, including their
				home, child care settings, and other community or public settings;
(ii) The infant or toddler's IFSP must
				include a statement of the natural environment in which early intervention
				services will be provided.
(iii)
				Services may only be provided outside of the natural environment, such as a
				clinician's office, if:
(A) The parent(s) and
				the Individual Family Service Plan team determine that early intervention
				outcomes cannot be achieved satisfactorily in a natural environment;
				and
(B) For each early intervention
				service that cannot be delivered in a natural environment, the IFSP contains
				written justification, and a plan and timeline of moving services back to a
				natural environment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-9 - Complaint Procedures

Current through July 13, 2024
(a) Complaints may be submitted by a parent,
				Regional Part C Program Providers, early intervention provider, or other entity
				that provides early intervention or health care to the infant or toddler or
				family. All complaints must be in writing and mailed to the attention of the
				Part C Coordinator, Wyoming Department of Health, 6101 Yellowstone Rd., Suite
				220, Cheyenne, WY 82009. The Division shall, within 60 days of receiving the
				written complaint:
(i) Send written
				acknowledgement to complainant of receipt of complaint;
(ii) Carry out an independent investigation
				including, if necessary, an on-site visit;
(iii) Give the complainant the opportunity to
				submit additional information, either orally or in writing, about the
				allegation of the complaint;
(iv)
				Provide the provider with an opportunity to respond to the complaint, and
				provide a proposal to resolve the complaint;
(v) Review all relevant information and make
				an independent determination as to whether the provider is violating a
				requirement of these rules, 34 C.F.R. Part 303, or the IDEA; and
(vi) Issue a written decision to the
				complainant that addresses each allegation in the complaint, and contains:
(A) Findings of fact and
				conclusions;
(B) The Division's
				final decision, and
(C) Any agreed
				upon remediation efforts.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 8 - SERVICES FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DELAYS › Section 8-10 - Payment for Services

Current through July 13, 2024
(a) In determining contract amounts
				pertaining to state general funds, regional Part C Program Providers shall
				calculate the number of children age birth through two (2) years of age who
				have a completed and signed IFSP on December 1st or the first business day
				thereafter. These numbers shall be used to calculate payments to service
				providers for the subsequent fiscal year.
(b) In determining contract amounts
				pertaining to federal funding, the Division shall multiply the total number of
				children age birth through two (2) receiving Part C Early Intervention Services
				on December 1st by the specified federal per child amount.
(c) Part C funds may only be used for early
				intervention services that an eligible infant or toddler needs but is not
				currently entitled to under any other federal, State, local, or private source.
				All Part C funds disseminated by formula are specified as payer of last resort.
				The regional Part C Program Provider is required to identify all available
				resources in their community and to use such resources prior to the use of Part
				C funds to develop or pay for direct services.
(i) The Regional Part C Program Provider may
				bill public and private insurance to pay for early intervention services if the
				parent provides informed consent. A parent's refusal to provide consent to
				access insurance shall not result in the denial of early intervention services
				to a child and their family. The consent to bill insurance must clearly state
				the parents:
(A) Agree to the Early
				Intervention Service Program's filing of an insurance claim to obtain
				reimbursement for specifically identified services;
(B) Acknowledge the information and records
				identified in the request for consent will be released to specifically
				identified persons or entities in connection with submitting the claim for
				reimbursement;
(C) Understand the
				parent is not required to consent to the filing of insurance claims and may
				refuse to do so at any time in the future; and
(D) Recognize that any refusal to permit the
				early intervention program to access their private insurance does not relieve
				the early intervention program of its obligation to provide all required
				services at no cost.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 13 - EARLY INTERVENTION AND DEVELOPMENTAL PRESCHOOL STATE FUNDING › Section 13-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Developmental Disabilities Division, pursuant to Wyoming Administrative
				  Procedure Act at
				  W.S.
				  16-3-101,
et seq.,
and by
				  W.S. W.S. W.S. 21-2-706.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 13 - EARLY INTERVENTION AND DEVELOPMENTAL PRESCHOOL STATE FUNDING › Section 13-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				pertain to criteria for calculating State payments to service providers for the
				subsequent fiscal year and preparing the Division's budget request to the
				legislature.
(b) The Division may
				issue manuals, bulletins, or both to interpret the provision of these rules and
				regulations. Such manuals or 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 0020 - Developmental Disabilities - Infants and Toddlers › Chapter 13 - EARLY INTERVENTION AND DEVELOPMENTAL PRESCHOOL STATE FUNDING › Section 13-4 - General Provisions

Current through July 13, 2024
(a) The Division
				shall determine the number of infants, toddlers, and preschool children age
				birth through five (5) years of age with developmental disabilities in their
				regions who are eligible for developmental preschool services.
(b) The number shall include all children who
				are currently receiving developmental preschool services, and children who have
				been determined to be eligible by the following criteria:
(i) There is a consent for evaluation signed
				and dated by parents; and
(ii)
				Program staff have met with parents and parents anticipate they will provide
				consent for services; and
(iii)
				Results of at least one (1) assessment indicates the child has a disability;
				or
(iv) Qualified personnel have
				used informed clinical opinion to establish child's disability; or
(v) The child has a diagnosed physical or
				medical condition that has a high probability of resulting in a developmental
				delay and who by reason thereof needs early intervention services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-1 - Authority

Current through July 13, 2024
The Department of Health, through its Division of
				  Developmental Disabilities, pursuant to
				  W.S.
				  9-2-102, W.S. W.S.
				  W.S.
				  35-1-620, and the Settlement Agreement in
				  Civil Action C90-0004 is authorized to establish minimum standards for programs
				  and personnel providing services to persons with developmental
				  disabilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-2 - Definitions

Current through July 13, 2024
(a) "Division" means the Division of
				Developmental Disabilities of the Wyoming Department of Health (DD).
(b) "Eligible person" means a person with
				mental retardation, a developmental disability, or a related condition, for
				whom individually-selected service coordination is applicable as described in
				4(a) below, and who meets the following eligibility criteria:
(i) "Developmental Disability" - The person
				has a confirmed diagnosis of Mental Retardation, or a related condition as
				defined in
				42 CFR
				435.1009.
(ii) "Mental Retardation" means significantly
				subaverage general intellectual functioning as evidenced by an IQ score of 70
				or below on a standardized measure of intelligence; and existing concurrently
				with deficits in adaptive behavior; and manifested during the developmental
				period (prior to age 22).
(iii)
				Persons with related conditions include individuals with a severe, chronic
				disability attributable to autism, cerebral palsy, a seizure disorder or any
				other condition other than mental illness that is found to be closely related
				to mental retardation because this condition results in impairments of general
				intellectual functioning or adaptive behavior similar to that of persons with
				mental retardation and requires treatment or services similar to those required
				for these persons. Further elements of a related condition include:
1. It is manifested before the person reaches
				age 22; and
2. It is likely to
				continue indefinitely; and
3. The
				person has substantial functional limitations in three or more of the following
				areas of major life functions:
Self-care
Understanding and use of language
Learning
Mobility
Self-direction
Capacity for independent living
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-3 - Administration

Current through July 13, 2024
(a) Individually-selected Service
				Coordination shall be provided as a service administered by the Wyoming
				Department of Health through its Division of Developmental Disabilities. The
				system shall be designed to promote individual choice and effective delivery
				and coordination of needed services.
(b) The Division shall be responsible for
				recruitment and certification of a roster of Individually-selected Service
				Coordinators who meet the eligibility and certification requirements, and for
				establishing the training and certification requirements of ISC
				personnel.
(c) The Division shall
				be responsible for monitoring ISC services to assure compliance with standards
				and quality of service outcomes.
(d) The Division shall establish
				reimbursement and payment methods, subject to available appropriation, to
				adequately support the provision of ISC services in a cost-effective
				manner.
(e) The ISC system will
				support, but not substitute for the responsibility of providers of other
				services to assure adequate internal service coordination, including internal
				provider case management, necessary to effectively deliver the services offered
				by that provider.
(f) The Division
				shall develop and implement such procedures, requirements and standards as are
				necessary to accomplish the purposes of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-4 - Applicability

Current through July 13, 2024
(a) Individually-selected Service
				Coordination, as identified herein, applies to all individuals with a
				developmental disability (ies) who are approved to receive services funded
				through the Wyoming Medicaid DD Home and Community Based (HCB) Waivers (adult
				and child) or through regional contracts with adult service
				providers.
(b) Children served
				through the DD preschool programs (birth to 5 years of age) receive service
				coordination in accordance with the provisions and requirements of those
				programs.
(c) Individuals residing
				at the Wyoming State Training School receive service coordination through the
				identified Qualified Mental Retardation Professional (QMRP) in accordance with
				ratios specified in the Settlement Agreement, and in accordance with federal
				ICF/MR regulations, subject to the following:
(i) Monitoring is provided by Wyoming
				Protection and Advocacy, Inc. (P&A) in accordance with the Settlement
				Agreement in Civil Action C90-0004.
(ii) A community-based ISC shall be
				identified and made part of the team for persons served who are referred for
				placement and are engaged in the transition process. An appropriate Area
				Resource Specialist employed by the Division will be as signed to fulfill this
				function for persons in transition until such time as the development of a
				specific placement plan makes identification of an ISC feasible.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-5 - Individually- selected Service Coordinator Qualifications and Caseload

Current through July 13, 2024
(a) Each ISC is required to meet current
				qualifications identified in federal standards for Qualified Mental Retardation
				Professional (QMRP), or,
(i) Meet
				qualifications identified in Medicaid DD HCB Waivers, including an appropriate
				Associate Degree or equivalent and two years of experience in the field of
				developmental disabilities, and be under the direct supervision and oversight
				of a person who meets the qualifications for QMRP.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-6 - Provider Requirements

Current through July 13, 2024
Each self-employed ISC or organization providing ISC services
				  shall:
(a) Have policies and procedures
				that identify
(i) Who is served,
(ii) Criteria for the order of
				acceptance,
(iii) The person(s)
				responsible for making the decision to accept a person for ISC
				services,
(iv) The criteria by
				which acceptance decisions are made,
(v) A means for appealing the denial of ISC
				services, and
(vi) How referrals
				will be made by the ISC to other providers of services as appropriate, which
				may include another ISC provider or the Division;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-7 - Roster of Individually-selected Service Coordinators

Current through July 13, 2024
(a)
				Persons served may only select an ISC from the roster of ISC providers
				maintained by the Division. Individuals may apply to the Division to be
				included on the ISC roster by written application to the Division including
				supporting documents to demonstrate educational and professional experience and
				compliance with all requirements.
(b) Within 30 days of the receipt of the
				completed application, the Division will determine if the applicant meets the
				requirements and will provide a written statement to the applicant. If the
				applicant is not qualified, the Division will include in its response the
				specific reasons for the denial. If the Division determines that the applicant
				is qualified, a certificate will be issued attesting to the eligibility of this
				applicant to provide ISC services. This certificate must be made available upon
				request to any person inquiring about services.
(c) The Division will maintain a roster of
				certified ISC personnel organized by individual, ISC organization and the city
				in which the ISC will provide services.
(d) The Division will update the roster
				monthly.
(e) The ISC roster is
				public information, which the Division will make available to anyone upon
				request.
(f) An ISC provider may
				request the Division to have his or her name, or the name of an ISC employed by
				the organization, removed from the roster by written request directed to the
				Division.
(g) The Division may
				remove the name of any ISC from the roster for unethical conduct after
				providing the ISC or ISC organization with written notice and the opportunity
				for a hearing conducted according to applicable Medicaid rules or the
				provisions of Division Contracts.
(h) The Division will periodically review the
				ISC roster deleting the names of persons known to have left the state or no
				longer providing services after sending a certified letter to his/her last
				known address.
(i) Removing an ISCs
				name from the roster terminates the individual from participation as a provider
				of ISC services. A terminated ISC may reapply for participation as specified in
				Section
				7(a) and
				7(b).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-8 - Selection of Individually-selected Service Coordinators

Current through July 13, 2024
(a)
				If an eligible person does not have an ISC, he or she should contact the
				Division to request the name of the Area Resource Specialist assigned to his or
				her location for assistance in the selection of an ISC.
(b) Until the person served has the
				opportunity to select an ISC, the appropriate Area Resource Specialist will
				serve in the capacity of ISC.
(c)
				Wyoming Protection & Advocacy, Inc. (P&A) will be notified by the
				Division of each request for the selection or change of an ISC. P&A may
				participate in providing information to the person served regarding ISC choices
				available to him or her so as to help assure informed choice.
(d) The person served or his or her guardian
				must select an ISC from the roster maintained by the Division, subject to
				Division approval of caseload limits as described in section
				5(d).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-9 - Change of ISC

Current through July 13, 2024
(a) The person served or his or her guardian
				may request a change of ISC concurrent with the 6-month plan review or the
				annual update of the plan of care. The Division Area Resource Specialist should
				be notified of an intent to make such a change. Changes may be authorized by
				the Division at other times if there is evidence of unethical conduct,
				non-performance of duties, resignation of the ISC, significant conflict between
				the ISC and the person served, or other unusual circumstances. In such
				instances the Area Resource Specialist should be contacted for assistance. If
				the person served or his or her guardian disagrees with the decision of the
				Division, an appeal may be made utilizing the Medicaid DD HCB Waiver appeal
				procedures or the Division Contested Case procedure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-10 - Responsibilities of Individually-selected Service Coordinators

Current through July 13, 2024
It is the responsibility of the ISC to:
(a) Gain an understanding of the needs,
				desires and preferences of the person served,
(b) Arrange, coordinate and be financially
				responsible for assessment, subject to applicable reimbursement
				guidelines,
(c) Coordinate the team
				in the development of the plan of care,
(d) Provide support and encouragement to the
				person served in the development of the plan of care,
(e) Advocate for the preferences and choices
				of the person served, unless such preferences and choices are clearly not in
				the person serveds best interest,
(f) Review and monitor overall service
				delivery in accordance with the plan of care,
(g) Coordinate assistance in crisis
				intervention,
(h) Assist in
				coordinating Transition Plans,
(i)
				Assist the person served to achieve his or her highest level of independence
				and social integration within his or her capabilities and
				preferences,
(j) Be available to
				the person served at times and locations most convenient to that person,
				including regular visits to the person served at home, work, day program,
				learning site, and recreational sites,
(k) Assure that a qualified provider of ISC
				services is available to the person served when the ISC is unavailable for an
				extended period of time, such as vacations or extended illnesses. This may be
				accomplished by referral to another ISC, with permission of the person served
				or his or her guardian.
(l) Prepare
				an exit summary for each person leaving ISC services,
(m) Perform other duties as required by the
				Division related to provision of ISC services, and
(n) Maintain a master record in accordance
				with Division requirements, and assure that information is disseminated to
				appropriate parties.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-11 - Assessment

Current through July 13, 2024
(a) Prior to the development of a plan of
				care, the ISC shall arrange and coordinate the collection and collation of
				in-depth information about a persons situation and functioning. The assessment
				shall identify the persons strengths, current availability and potential
				capacity of natural supports, and need for service and financial resources if
				appropriate. The assessment shall include, as appropriate for the person
				served:
(i) Interests, preferences, desires,
				expectations, and strengths;
(ii)
				Health status, including medications, chronic and current conditions and
				treatments;
(iii) Functional
				performance, including activities of daily living, level of assistance needed,
				and assistive devices used or needed;
(iv) Behavior and emotional factors,
				including history, coping mechanisms, and stressors;
(v) Cognitive functioning, including memory,
				attention, judgment, and general cognitive measures;
(vi) Environmental factors, including
				architectural or transportation barriers,
(vii) Social supports and networks, including
				natural supports such as families and friends, religious organizations or other
				organizations;
(viii) Financial
				factors such as insurance, assets, or income, guardianship or conservatorships,
				or entitlements that influence the array of supports and services that are
				needed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-12 - ISC Responsibilities and the Plan of Care

Current through July 13, 2024
(a) Each
				person served receiving ISC services shall have a written plan of care based
				upon the findings of the comprehensive assessment and input from the team. The
				development and implementation of this plan will be coordinated and monitored
				by the ISC, with assistance as necessary from internal provider service
				coordinators/case managers and other team members.
(b) The duration of the plan will not exceed
				twelve (12) months. The team may alter the plan at any time as circumstances,
				needs, and preferences of the person served dictate.
(c) The plan shall encourage the highest
				level of independence and participation of the person served in keeping with
				the persons preferences.
(d) The
				plan shall:
(i) Address the strengths and
				needs identified in the assessment,
(ii) Identify the goals and objectives to be
				achieved,
(iii) Specify the timing,
				type and amount of supports and services that will be mobilized to meet the
				objectives,
(iv) Include the
				sources of funding for the supports and services,
(v) Delineate the responsibilities of the ISC
				and other team members, and (vi) Include a schedule for periodic reviews of the
				relevance of the plan.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-13 - ISC Responsibilities in Implementation and Monitoring of the Plan

Current through July 13, 2024
(a) Implementation of the plan shall take
				into account the person serveds preferences and cultural beliefs.
(b) As much as possible, the plan shall be
				implemented according to the timetables in the plan. If lengthy delays occur in
				the implementation of the plan, the ISC will work with the person served and
				the team to determine if a change in plan is needed or whether the Division
				should be notified for assistance in achieving compliance.
(c) The ISC shall monitor the implementation
				of the plan and notify the Division if problems are encountered.
(d) Monitoring shall include a review of the
				timing, sequence, duration, efficiency and effectiveness of services and the
				person serveds satisfaction with the supports and services provided. Results
				will be documented in the master record and provided to the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-14 - Review of ISC Providers

Current through July 13, 2024
Staff of the Division will conduct annual on-site visits of
				  all ISC providers to monitor compliance with the Division rules applicable to
				  the persons served by the individual or organization. If the ISC provider
				  serves persons covered by different DD Division standards, the more stringent
				  standards will apply. ISC providers accredited by the Commission on
				  Accreditation of Rehabilitation Facilities (CARF) in the area of case
				  management will be deemed to have met Division standards necessary for
				  certification.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-15 - Program Evaluation

Current through July 13, 2024
Each ISC provider or organization shall prepare an annual
				  report on Individually-selected Service Coordination, to include an evaluation
				  of its program. The provider may conduct the program evaluation or may contract
				  to have the program evaluation conducted and report developed.
(a) The program evaluation may address a
				variety of issues, but must include measures of at least two of the following
				indicators of how persons served have benefitted during the report year:
(i) Social integration,
(ii) Independence of vocational or day
				placement,
(iii) Independence of
				residential placement.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-16 - Unethical Conduct

Current through July 13, 2024
(a) Persons who
				provide services to vulnerable populations incur special responsibilities. The
				more dependent the population, the greater the responsibility. ISCs are
				expected to support the choices and preferences of the person served unless
				doing so is either illegal or clearly not in the best interests of the person
				served. Unethical conduct includes but is not limited to the following:
(i) Flagrant violations of the person serveds
				preferences without justification,
(ii) Abandonment of services,
(iii) Sexual contact with the person served,
				whether such contact is consensual or not,
(iv) Misappropriation of property or
				funds,
(v) Violations of
				confidentiality,
(vi) Verbal or
				physical abuse,
(vii) Failure to
				carry out ISC responsibilities identified in the plan of care,
(viii) Failing to properly account for and
				document services provided, and/or billing for undocumented services,
(ix) Offering premiums, gifts, cash or other
				inducements as a means of influencing ISC selection. Advertising, without
				promises of inappropriate inducements is not itself unethical.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 1 - RULES FOR INDIVIDUALLY-SELECTED SERVICE COORDINATION › Section 1-17 - System Implementation

Current through July 13, 2024
In order to assure effective and orderly implementation of
				  the system identified in these rules, the following provisions will
				  apply:
(a) All individuals or
				organizations authorized by the Division to provide case management services
				under the provisions of the Child or Adult Medicaid DD HCB Waiver or a Regional
				Provider Contract as of June 30, 1995 will be added to the Division roster of
				ISC providers effective July 1, 1995, and will be deemed to meet the
				eligibility requirements of an ISC through June 30, 1996 as long as they
				continue to meet applicable certification standards for those programs during
				that period.
(i) Any individuals or
				organization(s) desiring to be maintained on the ISC roster after June 30, 1996
				must meet all qualifications, make application, and be certified by the
				Division in accordance with Section
				7(a)
				(b) prior to that date.
(ii) Individuals who have served in either a
				staff or contract capacity as an Independent Case Manager during the tenure of
				that system, and who apply, qualify, and are certified as HCB Waiver providers
				prior to June 30, 1995, will be included under the provisions of section
				17(a) and
				17(a)(i) above.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health
				  pursuant to the Wyoming Medical Assistance and Services Act at W.S. §
									
										42-4-101, et seq. and the Wyoming
				  Administrative Procedures Act at W. S. §
									
										16-3-101, et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-2 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter
				shall apply to and govern state funded services authorized by W.S. §
									
										42-4-120 provided to persons 18 years of age
				or older who are determined to be an emergency referral and who may be eligible
				for the Adult Developmental Disabilities Waiver, the Children's Developmental
				Disabilities Home and Community Based Waiver, the Acquired Brain Injury Home
				and Community Based Waiver, or any other Home and Community Based Waiver
				administered by the Division, until eligibility is determined.
(b) The Division may issue provider manuals,
				provider bulletins, or both, to providers and/or other affected parties to
				interpret the provisions of this Chapter. Such provider manuals and provider
				bulletins shall be consistent with and reflect the rules and procedures
				contained in this Chapter. The provisions contained in provider manuals or
				provider bulletins shall be subordinate to the provisions of this
				Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-3 - General Provisions

Current through July 13, 2024
(a) Terminology.
				Except as otherwise specified, the terminology used in this Chapter is the
				standard terminology and has the standard meaning used in accounting,
				healthcare, Medicaid and Medicare.
(b) Unless otherwise specified, 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, including any applicable amendments, corrections, or revisions, but
				excluding any subsequent amendments or changes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-5 - Philosophy

Current through July 13, 2024
(a) All persons possess inalienable rights
				under the Constitutions of the United States and the State of Wyoming. Persons
				with developmental disabilities also possess the rights outlined in the
				Developmental Disabilities Assistance and Bill of Rights Act of 2000,
				42 U.S.C. §
										15001.
(b) It is the philosophy of the Division to
				develop reasonable and enforceable rules for the provision of services to
				individuals with developmental disabilities and acquired brain injuries in
				community settings in lieu of unnecessary institutionalization. This philosophy
				is mandated in the Supreme Court ruling on
Olmstead v. L.C, ex rel.,
				Zimring,
527 U.S.
				581 (1999).
(c) This Chapter is designed not only to
				support the philosophy of community based services, but to also protect the
				health, welfare, and safety of applicants.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-6 - Criteria for Identifying and Funding an Emergency Referral

Current through July 13, 2024
(a)
				Criteria for identifying persons in an emergency situation, including anyone
				who:
(i) Has a history of developmental
				disabilities or brain injury, but has not completed the eligibility process for
				a home and community based waiver, as defined in Chapters 41, 42, and 43
				respectably, and
(ii) Requires
				24-hour support or 24-hour access to services, and
(iii) For whom there exists a substantial
				threat to his or her life or health caused by:
(A) The death or incapacitation of the
				person's primary caregiver that results in homelessness or inability to live
				safely in the home, or
(B) Abuse,
				neglect, abandonment, exploitation, or self neglect that is substantiated by
				the Wyoming Department of Family Services, Protection and Advocacy or law
				enforcement, and:
(I) The person is removed
				from the home, and
(II) A victim's
				shelter or homeless shelter is not an appropriate setting for temporary shelter
				and support for the person, or there is no local shelter for the person to
				reside, or
(III) Due to other
				conditions of the emergency or the person's condition, an existing waiver
				provider would be the most appropriate and safe emergency intervention or
				shelter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0021 - Developmental Disabilities - Individually-selected › Chapter 2 - FUNDING EMERGENCY SERVICES › Section 2-7 - Process for Identification and Screening of Emergency Referrals

Current through July 13, 2024
(a) Any person may request that the Division
				consider whether an individual has an emergency.
(b) Once a potential emergency referral has
				been identified:
(i) A basic screening of the
				person and situation is coordinated by a representative from the Division
				within one business day with support from a team that may include but is not
				limited to a representative from each of the following:
(A) Department of Family Services Protective
				Services Unit;
(B) Community Mental
				Health Center;
(C) Registered nurse
				certified as a waiver home and community based waiver provider, registered
				nurse working for a Home and Community Based waiver provider, Division nurse or
				Public Health Nurse, if available;
(D) Law enforcement as appropriate.