Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 12 - HOME HEALTH SERVICES
Section 12-6 - Covered Services
Universal Citation: WY Code of Rules 12-6
Current through September 21, 2024
(a) The services and supplies specified in subsection (b) shall be covered services if the services are:
(i) Intermittent;
(ii) Medically necessary;
(iii) Ordered by a physician;
(iv) Documented in a plan of treatment;
and
(v) Expected to last six (6)
months or less.
(b) Covered services.
The following shall be covered services:
(i) Skilled nursing services provided by a
registered nurse for a client's condition while in the acute phase;
(ii) Home health aide services supervised by
a registered nurse;
(A) Supervision shall be
as follows:
(1) The registered nurse shall be
available for consultation in person or by telephone; and
(2) The registered nurse shall make personal
visits to the home:
(I) At least every two
(2) weeks if the client is receiving skilled nursing care; or
(II) At least every sixty (60) days if the
only services the client is receiving are home health aide services. The
supervisory visits shall occur while the aide is furnishing services.
Supervisory visits shall not be a covered service.
(B) Each home health aide
encounter shall include at least one (1) of the following personal care
services, but shall include all ordered services that can be provided in one
encounter unless medically indicated otherwise:
(1) Bath (bed, sponge, tub, shower, or
shampooing hair);
(2) Nail or skin
care (applying lotion to clients shall not constitute personal care);
(3) Oral hygiene;
(4) Toileting and elimination;
(5) Safe transfers/assisted
ambulation;
(6) Assist with
dressing;
(7) Assisted range of
motion/positioning; or
(8) Assisted
nutrition or fluid intake (meal set-up, meal preparation, feeding assistance or
meal supervision).
(iii) Physical therapy services provided by a
physical therapist;
(iv) Speech,
hearing, and language services provided by a speech therapist;
(v) Occupational therapy services provided by
an occupational therapist;
(vi)
Medical social services provided by a social worker.
(vii) Disposable medical supplies provided by
a provider in accordance with the plan of treatment.
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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