Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 11 - MEDICAL SUPPLIES, DURABLE MEDICAL EQUIPMENT, AND PROSTHETICS
Section 11-11 - Prior authorization

Universal Citation: WY Code of Rules 11-11

Current through September 21, 2024

(a) The Department may designate medical supplies or durable medical equipment that require prior authorization. The failure to obtain prior authorization shall result in denial of Medicaid payment for the service. Prior authorization of medical supplies and durable medical equipment shall be governed by the prior authorization requirements of Wyoming Medicaid Rules Chapter 3.

(b) In designating medical supplies or durable medical equipment that require prior authorization, the Department shall consider the:

(i) Cost of the service;

(ii) Potential for over-utilization of the medical supplies; and

(iii) Availability of lower cost alternatives.

(c) The Department may disseminate a list of medical supplies and durable medical equipment that require prior authorization to providers through manuals, bulletins or other methods deemed appropriate for provider communication.

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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