Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 12 - HOME HEALTH SERVICES
Section 12-4 - Definitions
Current through September 21, 2024
Except as defined in this Section or as defined in Chapter 1, the terminology used in this Chapter is the standard terminology and has the standard meaning used in accounting, health care, Medicaid, and Medicare.
(a) "Attending physician" means t he physician who prescribes home health services or reviews and certifies the plan of treatment.
(b) "Encounter" means a single episode of care on a date of service during which all ordered services are provided, regardless of length of time, except those that cannot be provided at the time due to medical necessity or specific physician orders to frequency or scheduling, i.e. services ordered "every 12 hours" or "3 times a day".
(c) "Home health agency" means a home health agency as defined by 42 C.F.R. § 440.70.
(d) "Home health aide" means a person that is certified as a nursing assistant/nurse aide by the Wyoming State Board of Nursing, and employed by a home health agency.
(e) "Home health aide service" means a covered service provided pursuant to a plan of treatment by a home health aide under the supervision of a registered nurse.
(f) "Intermittent" means three or fewer encounters per day for home health aide services and skilled nursing services combined.
(g) "Long-term custodial care" means care that has moved beyond the acute phase (has become clinically stable) and is expected to be needed for the rest of the client's life.
(h) "Plan of treatment" means a written treatment plan prepared on CMS Form 485 (or such other form as may be designated by the Department), which is signed and dated by the client's attending physician, and which specifies the:
(i) "Supplies" means medical supplies authorized for Medicaid payments under W.S. § 42-4-103 and the Rules and Regulations for Medicaid.
