Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 31 - SELECTIVE CONTRACTING OF SERVICES
Section 31-7 - Medicaid allowable payment for specialty services

Universal Citation: WY Code of Rules 31-7

Current through September 21, 2024

(a) All-inclusive rate. No additional Medicaid reimbursement will be given to providers of specialty services. The only remuneration will be as specified in the all-inclusive contract rate.

(b) Services that require prior authorization or admission certification. The Department may require prior authorization or admission certification as a prerequisite to Medicaid payment. Failure to obtain prior authorization or admission certification shall result in the denial of Medicaid payment.

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