Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 16 - MEDICAID PROGRAM INTEGRITY
- Section 16-1 - Authority
- Section 16-2 - Purpose and Applicability
- Section 16-3 - Definitions
- Section 16-4 - Audits
- Section 16-5 - Random Sample and Extrapolation
- Section 16-6 - Review of All Claims Submitted by the Provider
- Section 16-7 - Claim Adjustments and Denials
- Section 16-8 - Repayment of Credit Balance
- Section 16-9 - Medicaid allowable payment
- Section 16-10 - Investigation of Suspected Fraud, Waste, or Abuse of Services by Providers
- Section 16-11 - Investigation of Suspected Fraud, Waste, or Abuse of Services by Clients
- Section 16-12 - Adverse Actions for Providers
- Section 16-13 - Adverse Actions for Clients
- Section 16-14 - Educational Intervention
- Section 16-15 - Recovery of Overpayments from Providers or Clients
- Section 16-16 - Suspension and Termination of Provider
- Section 16-17 - Conditions on Providers
- Section 16-18 - Impose a Monitor
- Section 16-19 - Civil Monetary Penalties
- Section 16-20 - Immediate suspensions
- Section 16-21 - Reconsideration
- Section 16-22 - Suspending or Withholding Payments Pending Reconsideration or Administrative Hearing
- Section 16-23 - Remedies Cumulative
- Section 16-24 - Effect of Fraud, Waste, or Abuse of Services of Medicare
- Section 16-25 - Disposition of Recovered Funds
- Section 16-26 - Delegation of Duties
Current through December 21, 2024
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