reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-12 - Emergency Services

Current through July 13, 2024
(a) A center shall display in all its
				advertising, publications, signs, or other forms of communication the term
				"Freestanding" in a prominent manner sufficient to distinguish the center from
				a hospital emergency department.
(b) A center shall participate in the local
				Emergency Medical Service (EMS) and trauma system, consistent with the center's
				capabilities and capacity and the locale's existing EMS and trauma plans and
				protocols.
(c) A center shall
				receive and maintain formal designation through the Wyoming Trauma Program
				administered by the Department according to
				W.S.
				35-1-801 to -805.
(d) If a center does not provide diagnosis or
				treatment services to a victim of sexual assault, the center shall refer the
				victim seeking a forensic medical examination to a hospital or other health
				care facility that provides services to victims of sexual assault.
(e) Without regard to the patient's ability
				to pay, a center shall provide a patient that presents to the center:
(i) A medical screening examination to
				determine if an emergency medical condition exists; and
(ii) Any necessary stabilizing
				treatment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-13 - Laboratory Services

Current through July 13, 2024
(a) A center shall provide basic laboratory
				testing necessary to meet the emergency needs of patients and to adequately
				support the center's clinical capabilities, including:
(i) Chemical examinations of urine by stick
				or tablet methods, or both (including urine ketones);
(ii) Blood glucose;
(iii) Stool specimens for occult
				blood;
(iv) Pregnancy test;
				and
(v) International normalized
				ratio.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-14 - Pharmaceutical Services

Current through July 13, 2024
(a) A center shall provide pharmaceutical
				services necessary to meet the emergency needs of patients and to adequately
				support the center's clinical capabilities.
(b) A center shall:
(i) Maintain the pharmacy or drug storage
				area according to relevant federal and state law;
(ii) Package and dispense drugs and
				biologicals according to relevant federal and state law;
(iii) Keep drugs and biologicals in a locked
				storage area; and
(iv) Destroy
				drugs and biologicals as necessary according to accepted medical
				practices.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-15 - Radiologic Services

Current through July 13, 2024
(a) A center shall provide radiological
				services necessary to meet the emergency needs of patients and to adequately
				support the center's clinical capabilities, including plain film
				x-ray.
(b) A staff member may not
				use radiographic equipment unless the staff member is designated as qualified
				by the appropriate medical staff by virtue of the staff member's education,
				experience and training.
(c) A
				center shall ensure that a Wyoming-licensed radiologist is available to
				interpret radiographic tests that are determined by a practitioner to require a
				radiologist's specialized knowledge.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-16 - Respiratory Services

Current through July 13, 2024
(a) A center shall provide respiratory
				services necessary to meet the emergency needs of patients and to adequately
				support the center's clinical capabilities.
(b) A staff member may not provide
				respiratory services unless under the orders of a practitioner.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-17 - Emergency Preparedness

Current through July 13, 2024
(a) A center shall develop and maintain an
				emergency preparedness plan in accordance with the Chapter 3 of these
				Rules.
(b) A center shall:
(i) Ensure the plan includes ongoing
				coordination with community agencies and other local health care
				facilities;
(ii) Review the plan
				annually; and
(iii) Update the plan
				as necessary.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-18 - Infection Control

Current through July 13, 2024
(a) A center shall prevent, identify, and
				control infections and communicable diseases, according to nationally
				recognized standards of practice and applicable laws.
(b) A center's infection control program
				must:
(i) Prevent, identify, and control
				infections and communicable diseases;
(ii) Report issues involving the control of
				infections and communicable diseases to the center's quality management
				program; and
(iii) Maintain
				documentation related to corrective actions and outcomes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-19 - Quality Management

Current through July 13, 2024
(a) A center shall implement a quality
				management function pursuant to
				W.S.
				35-2-910.
(b) A center's quality management program
				must:
(i) Ensure and evaluate the quality of
				patient care provided at the center; and
(ii) Provide for the annual review of:
(A) The utilization of the center's services,
				including the number of patients served and volume of services;
(B) The center's health care
				policies;
(C) The center's
				infection control program including antibiotic stewardship; and
(D) The initiation and documentation of
				appropriate remedial action to address deficiencies found through the quality
				management program, as well as documentation of the outcome of remedial
				action.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-20 - Patient Transfer

Current through July 13, 2024
(a) A center shall maintain a patient
				transfer agreement with at least one Wyoming hospital.
(b) A center may enter into more than one
				transfer agreement as necessary to meet the emergency needs of patients and to
				adequately support the center's clinical capabilities.
(c) A center's patient transfer policy must:
(i) Include written protocols that establish
				when a patient requires transfer to a hospital according to a transfer
				agreement;
(ii) Provide that the
				transfer of a patient may not be predicated upon arbitrary, capricious, or
				unreasonable discrimination based upon considerations such as race, religion,
				national origin, age, gender, physical condition, economic status, insurance
				status, or ability to pay;
(iii)
				Include a written operational plan to provide for patient transfer
				transportation services if the center does not provide transportation services,
				itself;
(iv) Recognize the right of
				a patient to request transfer into the care of a physician or a hospital of the
				patient's own choosing. If a patient requests or consents to transfer for
				economic reasons, the practitioner or center administration shall fully
				disclose to the patient the eligibility requirements established by the
				patient's chosen physician or hospital;
(v) Recognize the right of a patient to
				refuse a transfer and, if transfer is refused, ensure that reasonable steps are
				taken to secure the written informed consent of the patient;
(vi) Provide that a patient may not be
				transferred unless center staff verify that qualified practitioners are
				available and on-duty at the receiving hospital to accept transfer;
(vii) Provide that in determining the use of
				medically appropriate life support measures, personnel, and equipment, the
				transferring practitioner shall exercise that degree of care which a reasonable
				and prudent practitioner exercising ordinary care in the same or similar
				locality would use for the transfer;
(viii) Provide that a copy of those portions
				of the patient's medical record which are available and relevant to the
				transfer and to the continuing care of the patient be forwarded to the
				receiving physician and receiving hospital with the patient. If all necessary
				medical records for the continued care of the patient are not available at the
				time the patient is transferred, the records shall be forwarded to the
				receiving physician and hospital as soon as possible; and
(ix) Provide that the transferring
				practitioner shall determine and order life support measures that are medically
				appropriate to stabilize the patient before transfer and to sustain the patient
				during transfer. In addition, the transferring practitioner shall determine and
				order the utilization of appropriate personnel and equipment for the
				transfer.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-21 - Patient Rights

Current through July 13, 2024
(a) A center shall promote and protect
				patient rights.
(b) A center shall:
(i) Treat a patient with respect,
				consideration, and dignity;
(ii)
				Provide a patient appropriate privacy;
(iii) Provide a patient, to the degree known,
				appropriate information concerning the patient's diagnosis, treatment, and
				prognosis. When it is medically inadvisable to give such information to a
				patient, the center shall provide the information to a person designated by the
				patient or to a legally authorized person;
(iv) Provide a patient the opportunity to
				participate in decisions involving the patient's health care, except when the
				patient's participation is contraindicated for medical reasons; and
(v) Provide the patient written information
				regarding the patient's rights, including the following subjects:
(A) Patient conduct and
				responsibilities;
(B) Services
				available at the center;
(C) The
				center's transfer policy and procedures;
(D) Fees for services provided at the
				center;
(E) The center's payment
				policies; and
(F) The center's
				procedure for filing and pursuing a grievance, including all relevant steps
				from filing the initial grievance to achieving a resolution.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-22 - Records

Current through July 13, 2024
(a) A center shall maintain a log of all
				patients. The log must include, as applicable:
(i) The patient's name;
(ii) The patient's date and time of
				arrival;
(iii) The patient's mode
				of arrival;
(iv) The patient's
				chief complaint;
(v) Whether the
				patient was treated, or refused or was denied treatment;
(vi) The time of discharge or
				transfer;
(vii) The place that the
				patient discharged or transferred to, including home or hospital; and
(viii) The mode of discharge
				transportation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-23 - Staff

Current through July 13, 2024
(a) A center may not permit a staff member to
				provide a service unless:
(i) The staff
				member possesses the necessary education, training, experience, licensure, and
				certifications; and
(ii) The
				medical director has authorized the staff member to provide the particular
				service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-24 - Equipment

Current through July 13, 2024
(a) A center shall maintain adequate,
				age-appropriate equipment and supplies to provide services.
(b) Equipment must be tested and maintained
				according to the manufacturer guidelines.
(c) Adequate equipment and supplies is
				determined by the amount, type, and extensiveness of services provided by the
				center and includes, at a minimum:
(i)
				Personal protection equipment and supplies;
(ii) Patient assessment and diagnostic
				measurement equipment and supplies;
(iii) Suctioning equipment and
				supplies;
(iv) Airway management
				equipment and supplies;
(v)
				Bleeding control and wound management equipment and supplies;
(vi) Immobilization equipment;
(vii) Cardiac equipment and
				supplies;
(viii) Ingested poisons
				equipment and supplies;
(ix)
				Obstetrics and gynecology equipment and supplies;
(x) Heat and cold related injuries equipment
				and supplies; and
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 1 - General Provisions › Section 1-1 - GENERAL PROVISIONS

Current through July 13, 2024
The Wyoming Department of Health (Department) adopts these
				  rules pursuant to Wyoming Statutes §
									
										9-2-106 and §
									
										25-5-105.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 1 - General Provisions › Section 1-3 - Definitions

Current through July 13, 2024
(a) The following definitions apply to the
				WLRC rules, unless otherwise specified:
(i)
				"Adverse action" means the termination, reduction, or denial of services
				provided to a resident; the denial or withdrawal of admission certification;
				the discharge from services at the WLRC; or other action which, by law, may
				result in a contested case hearing before the Department. An adverse action
				excludes:
(A) The decision whether or not to
				offer a specific type of service at the WLRC;
(B) The staffing decisions made by the
				Department in its ordinary course of business; and
(C) The reduction or denial of services
				provided or any other action caused solely by a change in Federal or State
				statutes or regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 1 - General Provisions › Section 1-4 - General Provisions

Current through July 13, 2024
(a) The WLRC shall provide person centered
				planning and care based on the WLRC being the least restrictive environment,
				most appropriate, most integrated setting, and ensure the informed choice of
				the resident or legally authorized representative.
(b) The WLRC shall support and maintain core
				values in the form of real home, meaningful life, and empowered
				staff.
(c) As a safety net facility
				for the State of Wyoming, the WLRC is obligated to discharge residents when a
				safe and reasonable discharge is possible.
(d) A legally authorized representative may
				at all times act on behalf of the applicant or resident to the full extent
				legally authorized.
(e) The WLRC
				facility includes the Canyons Intermediate Care Facility for Individuals with
				Intellectual Disabilities; the Mountain View Skilled Nursing Facility; and may
				provide non-residential services in the form of disability, therapeutic and
				assistive technology services for persons with a disability; training for state
				employees, other service providers and caregivers on disability, medical,
				developmental and therapy services.
(i) Within
				the Canyons Intermediate Care Facility for Individuals with Intellectual
				Disabilities in addition to regular admission, seventy-five (75) calendar day
				services may be delivered to an individual who does not meet regular admission
				criteria.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 1 - General Provisions › Section 1-5 - Professional Standards

Current through July 13, 2024
(a) The WLRC shall provide each employee with
				training that enables the employee to perform duties effectively, efficiently,
				and competently.
(b) A professional
				employed or contracted by the WLRC shall:
(i)
				Meet all licensing and certification requirements pertinent to the
				profession;
(ii) Meet the standards
				of the profession;
(iii) Meet all
				other applicable standards by law; and
(iv) Participate in ongoing staff
				development.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 1 - General Provisions › Section 1-6 - Data Reporting

Current through July 13, 2024
(a) The WLRC shall report the following to
				the Director every month:
(i) The number of
				persons served by the WLRC;
(ii)
				The number of persons served by the WLRC by service category;
(iii) The services provided to persons served
				by the WLRC;
(iv) The data relative
				to the accomplishment of the criteria specified in resident individual program
				plan objectives in measureable terms; and
(v) Significant events related to planning
				and assessments that contribute to understanding resident level of care needs
				and quality of functioning.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 2 - ADMINISTRATIVE PROCEDURE › Section 2-2 - Adverse Actions

Current through July 13, 2024
(a) When an applicant is denied admission to
				the Intermediate Care Facility for People with Intellectual Disabilities
				(Canyons ICF), the Canyons ICF shall notify the applicant.
(i) The applicant may request that the
				Canyons ICF reconsider the admission denial within ten (10) calendar days after
				the date of the denial notification letter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 2 - ADMINISTRATIVE PROCEDURE › Section 2-3 - Reconsideration

Current through July 13, 2024
(a) A resident or applicant may request that
				the WLRC reconsider an adverse action. If a resident or applicant does not
				request reconsideration, the resident or applicant may not request an
				administrative hearing.
(b) A
				request for reconsideration shall contain the following:
(i) The name, address, and telephone number
				of the applicant or resident requesting reconsideration;
(ii) The reason for the request, including
				the nature of the adverse action; and
(iii) Any additional information the resident
				or applicant would like to provide.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 2 - ADMINISTRATIVE PROCEDURE › Section 2-4 - Request for an Administrative Hearing

Current through July 13, 2024
(a) If the matter cannot be resolved through
				reconsideration, a resident or applicant may request an administrative hearing.
				The resident or applicant shall provide the WLRC with a written request for an
				administrative hearing within thirty (30) calendar days after the date of the
				reconsideration determination letter.
(b) Upon receipt of a request for an
				administrative hearing, the Department shall transmit the administrative
				hearing request to the Office of Administrative Hearings. The hearing shall be
				conducted in accordance with
Rules, Office of Administrative Hearings,
				General Agency, Board of Commission Rules
, Chapter 2, Section 6
				(2017), incorporated herein by reference.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 2 - ADMINISTRATIVE PROCEDURE › Section 2-5 - Complaints

Current through July 13, 2024
(a) When the WLRC receives a complaint
				regarding the health and safety of a resident, the WLRC will refer the matter
				to investigation and determine how to handle the complaint on a case-by-case
				basis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 2 - ADMINISTRATIVE PROCEDURE › Section 2-6 - Incorporation by Reference

Current through July 13, 2024
(a) For any code, standard, rule, or
				regulation incorporated by reference in these Rules:
(i) The Department has determined that
				incorporation of the full text in these Rules would be cumbersome or
				inefficient given the length or nature of these Rules;
(ii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in subsection (b) of this Section; and
(iii) The incorporated code, standard, rule,
				or regulation may be found at
https://health.wyo.gov/behavioralhealth/wlrc/
and is maintained and made available by the Department for public inspection
				and copying at cost at the same location.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES › Section 3-1 - Purpose and Applicability

Current through July 13, 2024
(a) This chapter has been adopted to
				establish the criteria for eligibility to Canyons Intermediate Care Facility
				for People with Intellectual Disabilities (Canyons ICF), and to establish the
				admission and discharge processes.
(b) All activities and services must support
				the Canyons ICF's mission of being an Intermediate Care Facility for People
				with Intellectual Disabilities. The Canyons ICF shall ensure residents
				experience a well-organized, safe, and timely discharge from the Canyons ICF to
				their home communities or the most appropriate, least restrictive
				environment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES › Section 3-2 - Eligibility

Current through July 13, 2024
(a) An individual is eligible for admission
				to the Canyons ICF if:
(i) The individual
				qualifies for financial Medicaid assistance and meets institutional level of
				care requirements;
(ii) The
				individual has been clinically diagnosed with an intellectual disability;
				and
(iii) The individual
				demonstrates an institutional level of exceptionally difficult behaviors as
				determined by the Canyons ICF's formal facility-approved assessment
				process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES › Section 3-3 - Admission to the Canyons ICF

Current through July 13, 2024
(a) In order to apply for admission to the
				Canyons ICF, an individual shall submit a request for admission packet to the
				Canyons ICF.
(b) The formal review,
				including the preadmission screening and assessment, shall be completed within
				thirty (30) calendar days of Canyons ICF determination that an application
				packet is complete.
(i) The Canyons ICF shall
				determine membership of the screening team. The screening tem shall consist of
				a core group of qualified professionals with knowledge of the admission and
				eligibility processes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES › Section 3-4 - Standards for Resident Services

Current through July 13, 2024
(a) The interdisciplinary team shall be
				comprised of the resident; and professionals and paraprofessionals who possess
				the knowledge, skills, and expertise necessary to accurately identify the
				comprehensive array of the resident's needs and design a program that is
				responsive to those needs. The number of individuals who comprise the
				interdisciplinary team is based upon each resident's individual needs and may
				vary.
(b) The interdisciplinary
				team shall use the individual program plan as a record of the current treatment
				and recommendations depending on the needs of the resident.
(i) To ensure informed choice, placement
				options are reviewed in accordance with
				42 CFR
				483.440(c) and resident
				need.
(ii) For school-aged
				residents between the ages of three (3) and twenty-one (21) years, the home
				school district develops the individualized education program and the Canyons
				ICF shall coordinate the individual program plan process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES › Section 3-5 - Discharge

Current through July 13, 2024
(a) The Canyons ICF shall begin discharge
				planning at admission.
(b)
				Discharge is appropriate when identified treatment goals have been met.
(i) The interdisciplinary team shall revisit
				the individual program plan on a monthly basis until discharge is
				recommended.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health
				  pursuant to the Life Resource Center Act at W.S. §
									
										25-5-103(ii), and the
				  Wyoming Administrative Procedure Act at W.S. §
									
										16-3-101,
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-2 - Purpose

Current through July 13, 2024
This Chapter is being adopted to:
(a) Provide admission and discharge
				processes;
(b) Establish
				eligibility criteria for Acquired Brain Injury applicants to the
				Center;
(c) Prescribe the
				Individual Program Plan process; and
(d) Define rehabilitation services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-3 - Eligibility and Application Process for Services

Current through July 13, 2024
(a) An applicant
				for residential services in the Visions Program shall first make application to
				the Division for services per the Wyoming Medicaid Rules for Acquired Brain
				Injury Waiver. An applicant already determined eligible for this waiver service
				shall present documentation of qualification.
(b) The Division shall provide applicants and
				their families or legally authorized representatives a written resource guide
				regarding services for individuals with acquired brain injuries in the state of
				Wyoming.
(c) Eligibility under this
				Chapter is limited to persons who have completed the Division application
				process or who meet the following requirements:
(i) Medical determination. In order to meet
				the medical determination criteria for admission, an applicant shall meet the
				acquired brain injury criteria as determined by the medical team.
(ii) Neuropsychological or other evaluations
				confirmation. The neuropsychological or other evaluations confirm that the
				applicant meets the following criteria by attaining:
(A) A score of forty-two (42) or more on the
				Mayo Portland Adaptability Inventory;
(B) A score of forty (40) or less on the
				California Verbal Learning Test II Trials 1-5 T;
(C) A score of four (4) or more on the
				Supervision Rating Scale; or
(D) An
				Inventory for Client and Agency Planning services scores equal to or less than
				seventy (70).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-4 - Admission to the Center

Current through July 13, 2024
(a) When an
				applicant notifies the Division that she chooses residential services from the
				Center, an admission request form may be obtained from the Center or Division.
				The admission request form will be completed by the applicant or legally
				authorized representative and submitted to the Center.
(b) If a current waiver participant chooses
				to request services at the Center, an admission request form for Center
				services will be completed by the applicant or legally authorized
				representative and submitted to the Center. The Center staff will forward the
				request to the appropriate waiver representative.
(c) The Center staff shall receive the
				admission request form and coordinate with the applicant and other appropriate
				sources to obtain information requests, appropriate medical, demographic, and
				programmatic information pertinent to care and services required by the
				applicant. The applicant or his legally authorized representative shall be
				responsible for submitting the admission request form and all required
				documentation to the Center staff.
(d) An admission request form is valid for
				six (6) months from the date of submission. After that time, if necessary
				documentation has not been received, the applicant must reapply.
(e) When all of the required documentation
				has been received, Center staff shall notify the applicant that the formal
				thirty (30) day review period will begin and forward the completed application
				packet to the Administrator and the screening team.
(f) Membership of the screening team is
				determined by the Director. The preadmission screening and assessment shall be
				completed within thirty (30) days of receipt of completed application.
(i) The screening team shall review the
				applicant's information.
(ii) The
				screening team may assign a preliminary interdisciplinary team to include
				Division waiver staff for the purpose of conducting further assessments and
				evaluations. The preliminary interdisciplinary team may visit the applicant to
				complete preliminary assessments, including an assessment regarding the least
				restrictive, most appropriate, and most integrated placement, and submit the
				report to the screening team.
(iii)
				The screening team shall conduct a final review of the applicant's information,
				including any report(s) submitted by a preliminary interdisciplinary
				team.
(iv) A recommendation shall
				be made to the Administrator in writing.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-5 - Initial Individual Program Plan Development

Current through July 13, 2024
(a) Each
				client admitted to the Center shall have on file at the Center an individual
				program plan. The individual program plan shall be prepared by an
				interdisciplinary team within thirty (30) days of admission for residential
				services under the supervision of the program manager. The plan shall be
				reviewed by the interdisciplinary team for appropriateness and feasibility of
				discharge or transition to another level of service thirty days (30) days after
				implementation of the plan, at the end of each quarter for the first year, and
				annually thereafter.
(b) A client
				shall be determined no longer eligible when she:
(i) Does not meet eligibility when re-tested;
				or
(ii) Changes residence to
				another state.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-6 - Development of the Annual Individual Program Plan by an Interdisciplinary Team

Current through July 13, 2024
(a) The purpose of the interdisciplinary team
				process is to provide team members with the opportunity to review and discuss
				information and recommendations relevant to the client's needs and to reach
				decisions as a team, rather than individually, on how best to address those
				needs, including transfer or discharge to another service.
(b) The interdisciplinary team is comprised
				of the client, or legally authorized representative and those individuals,
				professionals, and paraprofessionals who possess the knowledge, skills, and
				expertise necessary to accurately identify the comprehensive array of the
				client's needs and design a program that is responsive to those needs. The
				number of individuals who comprise the interdisciplinary team is based upon
				each client's individual needs and may vary.
(c) To ensure informed choice, placement
				options are reviewed annually, or anytime by request, with the client and/or
				legally authorized representative. The plan developed by the interdisciplinary
				team will include documentation of appropriateness of placement at the Center
				or at any other placement recommended.
(d) For a school-aged client, the home school
				district develops the individual education plan and the Center will coordinate
				the individual program plan process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 4 - VISIONS PROGRAM FOR PEOPLE WITH ACQUIRED BRAIN INJURIES › Section 4-8 - Discharge

Current through July 13, 2024
(a) Transfer or discharge occurs only when:
(i) The Center cannot meet the individual's
				needs;
(ii) The individual or her
				legally authorized representative chooses for her to reside elsewhere;
				or
(iii) A determination is made,
				by testing or review, that another level of service or living situation, either
				internal or external, would be more beneficial.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 5 - TEMPORARY SERVICES › Section 5-1 - Purpose and Applicability

Current through July 13, 2024
(a) This chapter establishes the procedures
				to provide temporary services at the Canyons Intermediate Care Facility for
				People with Intellectual Disabilities (Canyons ICF).
(b) This chapter only applies to temporary
				services at the Canyons ICF.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 5 - TEMPORARY SERVICES › Section 5-2 - Admission for Temporary Services

Current through July 13, 2024
(a) The Canyons ICF shall determine if
				seventy-five (75) calendar day temporary services are appropriate. Immediately
				upon admission for temporary services, the Canyons ICF shall begin the
				discharge planning process. When the Senior Administrator has determined it
				would be appropriate for an individual to receive temporary services, the
				Canyons ICF shall provide an appropriate program plan for the provision of
				services.
(b) The Canyons ICF may
				pursue reimbursement for temporary services as determined by the Wyoming
				Department of Health.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 5 - TEMPORARY SERVICES › Section 5-3 - Temporary Services Options

Current through July 13, 2024
(a) The Canyons ICF shall determine if
				temporary services are appropriate, based on the following:
(i) Evaluation for service needs;
(ii) Recovery from medical procedures
				requiring follow-up care at the Canyons ICF;
(iii) Provision of appropriate services
				following allegations that the individual admitted for services may be a victim
				of abuse or neglect;
(iv)
				Transition between other service environments; or
(v) Provision of disability, therapeutic, and
				assistive technology services for an individual with a disability.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 5 - TEMPORARY SERVICES › Section 5-4 - Discharge

Current through July 13, 2024
(a) Upon admission for temporary services at
				Canyons ICF, the temporary resident's interdisciplinary team shall develop a
				person-centered discharge plan based on:
(i)
				Appropriateness of placement;
(ii)
				Identification of an appropriate community placement; and
(iii) Status of seventy-five (75) calendar
				day period and an estimated timeline for completion of
				discharge.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 6 - NON-RESIDENTIAL SERVICES › Section 6-1 - Purpose and Applicability

Current through July 13, 2024
(a) This chapter establishes the
				non-residential services provided through the Wyoming Life Resource Center
				(WLRC), which include:
(i) Therapeutic and
				assistive technology services for persons with disabilities; and
(ii) Training for state employees, other
				service providers, and caregivers on disability, medical, developmental, and
				therapy services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 6 - NON-RESIDENTIAL SERVICES › Section 6-2 - Outpatient and outreach disability, therapeutic and assistive technology services

Current through July 13, 2024
(a) The WLRC may administer an outpatient and
				outreach program. The program may provide services to meet the needs of
				individuals with disabilities, including:
(i)
				Diagnostic and professional assessment services; and
(ii) Medical, dental, behavioral, therapy and
				assistive technology services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 6 - NON-RESIDENTIAL SERVICES › Section 6-3 - Training Services

Current through July 13, 2024
(a) The WLRC may provide disability, medical,
				developmental, and therapy service conferences; seminars; and training for
				state employees, other service providers, caregivers, and individuals with
				disabilities.
(i) These services may be
				provided at any location, as necessary.
(ii) Any interested party may request
				specific training services. The WLRC shall respond to these requests based on
				appropriateness and availability of resources.
(iii) A denial of training services:
(A) Is not an adverse action within the scope
				of these rules; and
(B) Does not
				meet the criteria to request reconsideration or an administrative
				hearing.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-1 - Purpose and Applicability

Current through July 13, 2024
(a) This chapter has been adopted to
				establish the criteria for eligibility to the Mountain View Skilled Nursing
				Facility (Mountain View SNF), and to establish the admission and discharge
				processes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-2 - Eligibility

Current through July 13, 2024
(a) An individual is eligible for admission
				to the Mountain View SNF if:
(i) The
				individual meets one or more of the following:
(A) Persons with neurocognitive disorder who
				manifest exceptionally difficult behaviors;
(B) Persons with high medical need, including
				but not limited to, those who qualify for Medicaid extraordinary care;
				or
(C) Persons who are hard to
				place.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-3 - Admission to the Mountain View SNF

Current through July 13, 2024
(a) The individual shall submit a request for
				admission to the Mountain View SNF.
(b) The formal review, including preadmission
				screening and assessment, shall be completed within thirty (30) calendar days
				of Mountain View SNF determination that an application packet is complete.
(i) The Mountain View SNF shall determine
				membership of the screening team. The screening team shall consist of a core
				group of qualified professionals with knowledge of the admission and
				eligibility processes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-4 - Standards for Resident Services

Current through July 13, 2024
(a) Upon admission, the Mountain View SNF
				shall begin person-centered care planning pursuant to
				42 CFR
				483.21, as driven by the Minimum Data Set
				(MDS) assessment administration process.
(i)
				The interdisciplinary team shall develop a baseline person-centered care plan
				within forty-eight (48) hours of admission that meets professional standards of
				quality care.
(ii) The Mountain
				View SNF shall develop a comprehensive care plan within seven (7) calendar days
				after completion of the comprehensive assessments.
(iii) The Mountain View SNF shall share
				summary information included in the baseline and comprehensive person-centered
				care plans with the resident upon request.
(iv) The Mountain View SNF shall ensure
				person-centered care plans incorporate strengths, needs, personal and cultural
				preferences, and the resident's preference and potential for discharge. The
				Mountain View SNF shall also ensure services outlined in the person-centered
				care plan translate into medical treatment, nursing related treatment,
				behavioral based approaches, applicable therapies, and activity
				preferences.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-5 - Transfer

Current through July 13, 2024
(a) In the event a resident is transferred
				for temporary care or treatment under W.S. §
									
										25-5-125, the Mountain View SNF will hold the
				bed for a maximum of thirty (30) calendar days.
(i) If it is anticipated that the absence
				will exceed thirty (30) calendar days, the resident shall make a request for a
				bed hold extension to the Mountain View SNF.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0062 - Wyoming Life Resource Center › Chapter 7 - MOUNTAIN VIEW SKILLED NURSING FACILITY › Section 7-6 - Discharge

Current through July 13, 2024
(a) The Mountain View SNF shall begin
				discharge planning at admission. The Mountain View SNF shall ensure discharge
				planning is conducted in order to provide a safe transition in accordance with
				the resident's needs and preferences whenever possible. The Mountain View SNF
				shall invite the resident to be involved in the process to ensure the resident
				has the tools necessary to be successful at their next destination. The
				Mountain View SNF's discharge planning process shall be consistent with
				discharge rights set forth at
				W.S.
				25-5-124.
(b) The Mountain View SNF shall formally
				discharge the resident with written notification to the resident; the court
				shall be notified, as appropriate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0063 - Wyoming Cancer Program › Chapter 1 - WYOMING COLORECTAL CANCER SCREENING PROGRAM › Section 1-2 - Purpose

Current through July 13, 2024
These rules implement the Department's Wyoming Colorectal
				  Cancer Screening Program (WCCSP), as contemplated by the Wyoming Cancer Control
				  Act at W.S. 35-25-204.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0063 - Wyoming Cancer Program › Chapter 1 - WYOMING COLORECTAL CANCER SCREENING PROGRAM › Section 1-3 - Definitions

Current through July 13, 2024
(a) For the purpose of these rules, the
				following definitions apply:
(i) "Adverse
				event" means an injury or complication resulting from the colorectal cancer
				screening procedure.
(ii)
				"Underinsured" means an applicant has a large out-of-pocket cost sharing
				required by their health insurance plan that they cannot afford.
(iii) "Participating healthcare provider"
				means an entity that has executed a contract with Wyoming Medicaid and has a
				qualifying taxonomy code.
(iv)
				"Applicant" means an individual who has completed an enrollment form for the
				WCCSP.
(v) "Client" means an
				individual that has been accepted to participate in the WCCSP.
(vi) "Evidence-based colorectal cancer
				screening" means a test to screen for colorectal cancer that is supported by a
				large amount of scientific research.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0063 - Wyoming Cancer Program › Chapter 1 - WYOMING COLORECTAL CANCER SCREENING PROGRAM › Section 1-4 - Client Eligibility Requirements

Current through July 13, 2024
(a) An individual is eligible to participate
				in the WCCSP as a client if the individual:
(i) has been a resident of the State of
				Wyoming for at least one (1) year immediately prior to receiving their
				evidence-based colorectal cancer screening;
(ii) meets appropriate age requirements in
				accordance with national evidence-based recommendations which is publicly
				available on the program's website; and
(iii) is uninsured or underinsured;
				and
(iv) has a gross income before
				taxes at or below 250% of the Federal Poverty Guidelines.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0063 - Wyoming Cancer Program › Chapter 1 - WYOMING COLORECTAL CANCER SCREENING PROGRAM › Section 1-5 - Client Eligibility Decision

Current through July 13, 2024
(a) Upon receipt of a complete application,
				the Department shall determine if the applicant is eligible to enroll in the
				WCCSP as a client.
(i) If the Department
				determines that an applicant is eligible, the Department shall enroll the
				applicant in the WCCSP as a client and provide written notice of its decision.
(A) The Department may dis-enroll a client at
				any time if the Department determines that the client is no longer eligible to
				participate in the WCCSP.
(B) The
				Department shall provide the client written notice of the Department's decision
				to dis-enroll, including the basis for its decision.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0063 - Wyoming Cancer Program › Chapter 1 - WYOMING COLORECTAL CANCER SCREENING PROGRAM › Section 1-6 - Client Participation

Current through July 13, 2024
(a) A client is enrolled in the WCCSP for a
				period of one (1) year from the client's enrollment date.
(b) A client may receive colorectal cancer
				screening services only from a WCCSP participating healthcare provider.
(i) A client may receive coverage for one (1)
				evidence-based colorectal cancer screening every year. Colonoscopy coverage is
				limited to one (1) every ten (10) years.
(ii) A client may apply, in the form and
				manner prescribed by the Department, to receive an additional evidence-based
				colorectal cancer screening if medically indicated based on national
				evidence-based guidelines. If the Department denies the application, the client
				may submit a request for reconsideration, with clinical documentation from the
				participating healthcare provider, in the form and manner prescribed by the
				Department. The client is not entitled to request a contested case proceeding
				pursuant to the Wyoming Administrative Procedure Act.