Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 31 - SELECTIVE CONTRACTING OF SERVICES
Section 31-9 - Reimbursement to non-contracting providers
Current through September 21, 2024
(a) Medicaid reimbursement for specialty services furnished by non-contracting providers shall be limited to reimbursement for services provided in response to an emergency.
(b) The Medicaid reimbursement rate for specialty services furnished by a non-contracting provider to a recipient, in response to an emergency, shall be the average Medicaid rate paid to contracting providers for such services.
(c) Retroactive eligibility. Specialty services furnished by a non-contracting provider to an individual that becomes eligible for Medicaid after the date of admission, shall be reimbursed at the average Medicaid rate paid to a contracting provider for the same or similar services.
