Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 11 - MEDICAL SUPPLIES, DURABLE MEDICAL EQUIPMENT, AND PROSTHETICS
Section 11-6 - Provider records
Current through September 21, 2024
(a) A provider of medical supplies, durable medical equipment, or prosthetics must comply with the record-keeping requirements of Wyoming Medicaid Rules Chapter 3.
(b) The provider's medical records must substantiate the medical necessity of the medical supplies, durable equipment, or prosthetics prescribed for a client, including: the client's diagnosis and prognosis; the estimated duration of the condition which necessitates the medical supplies or durable medical equipment; the nature and extent of the client's functional limitations; other therapeutic interventions which have been tried and their results; and a copy of the certification of medical necessity, and request for prior authorization, if applicable.
