Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 13 - BEHAVIORAL HEALTH SERVICES
Section 13-5 - Special Requirements for Certified Center Services

Universal Citation: WY Code of Rules 13-5

Current through September 21, 2024

(a) To receive Medicaid reimbursement, a certified center shall:

(i) Meet Medicaid enrollment requirements pursuant to Medicaid Rules Chapter 3; and

(ii) If a community mental health center, be under contract with the Wyoming Department of Health, Division of Behavioral Health as a certified center;

(b) Each member of a certified center's staff who provides case management services shall:

(i) Be enrolled as a Medicaid provider pursuant to Medicaid Rules Chapter 3;

(ii) Be employed by, or under contract with, a certified center to provide case management services;

(iii) Be a clinical professional or clinical staff member.

(c) Each member of a certified center's the staff who provide Individual Rehabilitative Services (IRS) shall:

(i) Be enrolled as a Medicaid provider pursuant to Medicaid Rules Chapter 3;

(ii) Be eighteen (18) years of age or older;

(iii) Have at minimum GED or high school diploma;

(iv) Be employed by, or under contract with, a certified center to provide IRS services;

(v) Complete a basic training program which includes non-violent behavior management;

(vi) Be supervised by the client's primary therapist as evidenced by co-signature of the primary therapist on each IRS progress note.

(d) Each member of a certified center's staff who provides mental health or substance use services shall:

(i) Be employed by, or under contract with, a certified center; and

(ii) Be a clinical professional or clinical staff member who meets the requirements of the specific service and who practices within the scope of their license or certification.

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