Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 26 - COVERED SERVICES
Section 26-4 - Covered Services
Universal Citation: WY Code of Rules 26-4
Current through September 21, 2024
(a) The services and supplies specified in subsection (b) are covered services if medically necessary, subject to any exclusions or limitations contained in this Chapter and the Wyoming Department of Health.
(b) Covered services:
(i) ABA Treatment, for individuals between
the ages of 0-20 with a diagnosis of Autism Spectrum Disorder;
(ii) Administrative Transportation;
(iii) Advanced Practitioner of Nursing (APN)
services
(iv) Ambulance
Services;
(v) ASC
Services;
(vi) Audiology Services
and hearing aids;
(vii) Certified
Registered Nurse Anesthetist (CRNA) services;
(viii) Certified Community Mental Health
Center Services (CMHC);
(ix)
Comprehensive Outpatient Rehabilitation Facility (CORF) Services;
(x) Dental Services;
(xi) Dietician Services;
(xii) Developmental Center
Services;
(xiii) Emergency Hospital
Services;
(xiv) Early and Periodic
Screening, Diagnosis and Treatment (EPSDT) Services;
(xv) ESRD services;
(xvi) Family Planning Clinic
Services;
(xvii) Federally
Qualified Health Center (FQHC) services;
(xviii) Certified Substance Abuse Treatment
Center (SATC) Services;
(xix) Home
and Community Based Services (HCBS);
(xx) Home Health Services;
(xxi) Hospice Services;
(xxii) Hospital Services (inpatient and
outpatient);
(xxiii) Intermediate
Care Facility for People with Intellectual Disabilities (ICF/ID)
Services;
(xxiv) Institution for
Mental Disease (IMD) Services furnished to individuals under twenty-two years
of age and sixty-five years of age and older;
(xxv) Interpretation Services;
(xxvi) Laboratory Services;
(xxvii) Medical Supplies and
Equipment;
(xxviii) Nurse Midwife
Services;
(xxix) Nursing Facility
Services;
(xxx) Occupational
Therapy Services;
(xxxi)
Pharmaceutical Services;
(xxxii)
Physical Therapy Services;
(xxxiii)
Physician Services;
(xxxiv)
Psychiatric Residential Treatment Facility (PRTF) Services;
(xxxv) Psychological Services;
(xxxvi) Radiology Services;
(xxxvii) Rural Health Clinic (RHC)
Services;
(xxxviii) Solid organ
transplants and bone marrow transplants;
(A)
For clients over the age of 21, transplants are limited to bone marrow, kidney,
and liver;
(xxxix)
Speech Therapy Services;
(xl) Swing
bed Services;
(xli) Targeted case
management;
(xlii) Vision Services
and
(xliii) Weight reduction
treatment, including intestinal bypass surgery, gastric bypass surgery, and
gastric stapling.
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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