Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 12 - HOME HEALTH SERVICES
Section 12-7 - Excluded Services
Universal Citation: WY Code of Rules 12-7
Current through September 21, 2024
(a) The following shall not be covered services:
(i) Long-term
custodial care;
(ii) Homemaker
services;
(iii) Respite
care;
(iv) Home delivered
meals;
(v) Services for clients
that are in a hospital or a nursing facility;
(vi) Services that are inappropriate in the
client's home;
(vii) Services that
are extensive or for long periods;
(viii) Services that are not cost
effective;
(ix) Services where the
desired outcome could be better and faster accomplished in another setting;
and
(x) Services not included in
Section 6 of this
Chapter.
(b) Services where the client must be compliant to achieve measured success and the client is not compliant are not covered services.
(c) It is inappropriate to break up personal care into multiple episodes for the convenience of the home health agency staff or due to scheduling issues with home health staff. This shall be considered a non-covered service.
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