Wyoming Administrative Code
Agency 044 - Insurance Dept
Sub-Agency 0002 - General Agency, Board or Commission Rules
Chapter 37 - LONG-TERM CARE REGULATION
Section 37-9 - Minimum Standards for Home Health Care Benefits in Long-Term Care Insurance Policies
Universal Citation: WY Code of Rules 37-9
Current through September 21, 2024
(a) A long-term care insurance policy or certificate may not, if it provides benefits for home health care services, limit or exclude benefits:
(i) By requiring that the insured/claimant
would need skilled care in a skilled nursing facility if home health care
services were not provided;
(ii) By
requiring that the insured/claimant first or simultaneously receive nursing
and/or therapeutic services in a home or community setting before home health
care services are covered;
(iii) By
limiting eligible services to services provided by registered nurses or
licensed practical nurses;
(iv) By
requiring that a nurse or therapist provide services covered by the policy that
can be provided by a home health aide, or other licensed or certified home care
worker acting within the scope of his or her licensure or
certification.
(v) By requiring
that the insured/claimant have an acute condition before home health care
services are covered.
(vi) By
limiting benefits to services provided by Medicare-certified agencies or
providers.
(b) Home health care coverage may be applied to the non-home health care benefits provided in the policy or certificate when determining maximum coverage under the terms of the policy or certificate.
Disclaimer: These regulations may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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