Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 10 - PHARMACEUTICAL SERVICES
Section 10-13 - Prior Authorization
Universal Citation: WY Code of Rules 10-13
Current through September 21, 2024
(a) Procedures. A provider seeking reimbursement for services which require prior authorization shall request prior authorization pursuant to the procedures and in the format specified by the Department and disseminated to providers through manuals or bulletins.
(i) Criteria for review. Prior
authorization shall be granted if the proposed services:
(A) Are covered services;
(B) Are consistent with the client's
diagnosis;
(C) Are medically
necessary;
(D) Are
cost-effective;
(E) Meet the
criteria established by the rules of the Department; and
(F) Are not reimbursable by any third party
payer.
(ii) Denial of
prior authorization. The Department shall provide written notice of the denial
of prior authorization to the provider and the client.
(A) If a request for prior authorization is
denied, the provider may submit a revised request for prior authorization or
additional documentation, as necessary, for the Department to reconsider the
matter; or
(B) The provider or
client may request reconsideration of the denial of prior authorization
pursuant to Chapter 4 of the Wyoming Medicaid Rules. If a timely request for
reconsideration is made, the services shall be furnished for up to sixty (60)
days while the Department reconsiders the denial. The Department shall provide
a written notice of its decision on reconsideration.
(C) The denial of prior authorization
precludes Medicaid reimbursement for the services in question, except to the
extent services are furnished pending reconsideration pursuant to subsection
(B).
(iii) Failure to
timely request prior authorization. The failure to obtain prior authorization
before providing services requiring authorization precludes Medicaid
reimbursement for such services.
(iv) Effect of prior authorization. Granting
prior authorization shall constitute approval for the provider to receive
Medicaid reimbursement for the approved services to be furnished, subject to
the other requirements of this and the other Medicaid rules of the Department
and post payment review. Prior authorization is not a guarantee of the client's
eligibility or a guarantee of Medicaid payment.
(b) Services that require prior authorization.
(i) This and other rules of the
Department specify services that require prior authorization. Notice of
services requiring prior authorization can be found in manuals, bulletins,
faxes, and designated websites published by the Department.
(ii) Designation of additional services. The
Department may designate additional services that require prior authorization
pursuant to this paragraph.
(A) Request for
designation. The Department, the P&T Committee, a provider, a client, an
organization of providers or clients, or any other person, may request that the
Department consider designating a service as requiring prior authorization.
Except when requested by the Department, such a request shall be delivered to
the Department in the form and manner specified by the Department.
(B) Referral to the P&T Committee. Any
request for designation received by or made by the Department shall be referred
to the P&T Committee.
(C)
Review by P&T Committee. The P&T Committee may review a referral
received from the Department to designate a service as requiring prior
authorization. In reviewing any such referral, the P&T Committee may
consider the:
(I) Clinical efficacy of the
service as demonstrated by:
(1) peer-reviewed
clinical literature;
(2)
nationally recognized practice standards; and
(3) the consensus of the members of the
P&T Committee;
(II)
Cost effectiveness of the service;
(III) Potential for over-utilization of the
services;
(IV) The availability of
lower cost alternatives; and
(V)
Comments received from interested parties for services which are under
consideration for designation as requiring prior authorization.
(D) Recommendation to the
Department. The P&T Committee shall make a recommendation to the Department
about whether it should designate a service as requiring prior authorization.
Such recommendation shall include the criteria to be used in determining
whether to prescribe such services.
(E) Consideration of recommendation. The
Department may consider the recommendation of the P&T Committee in
determining whether to designate services as requiring prior authorization. The
Department may also consider information from CMS and other sources of clinical
information which it deems relevant to the determination. The Department shall
not be bound by the recommendation of the P&T Committee, but the Department
shall not designate a service as requiring prior authorization until it has
received the P&T Committee's recommendation.
(iii) Notice of services which require prior
authorization.
(A) The Department shall, from
time to time, disseminate a current list of services which require prior
authorization to providers through manuals, bulletins, facsimiles, designated
websites, or other appropriate means.
(B) If additional services are designated
pursuant to this section, the Department shall disseminate notice of the
additional services which require prior authorization to providers through
manuals, bulletins, facsimiles, designated websites, or other appropriate
means.
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