Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 36 - ADMINISTRATIVE TRANSPORTATION
Section 36-10 - Allowable Medicaid reimbursement
Universal Citation: WY Code of Rules 36-10
Current through September 21, 2024
(a) Medicaid reimbursement for administrative transportation shall be as follows:
(i) Reimbursement to a client shall be by one
of the following methods:
(A) Prospective
reimbursement. The client may be reimbursed for projected administrative
transportation expenses.
(B)
Retroactive reimbursement. The client may be reimbursed for actual
administrative transportation expenses.
(ii) Reimbursement to a provider shall be the
lesser of the provider's billed charge and Wyoming Medicaid's allowed amount
per the published Wyoming Medicaid Fee Schedule.
(b) Private automobile. Medicaid reimbursement for administrative transportation furnished in a private automobile shall:
(i) Be based on mileage as
determined by the Wyoming State Auditor, or if not so determined, on map
mileage using major highways as determined by the Department;
(ii) Be limited to the maximum amount
recommended by the State Auditor in order to avoid any requirement for
reporting mileage income to the Internal Revenue Service; and
(iii) Not be paid for fractions of a
mile.
(c) Per diem expenses. Medicaid reimbursement for per diem expenses is limited to $25.00 per person, per day, to be used for meals and commercial lodging. Lesser amounts will be reimbursed for additional clients transported together.
(d) Retroactive reimbursement. Reimbursement for administrative transportation that is already completed is reimbursable to clients or providers if:
(i) Requested within
thirty days after the date the travel was completed; and
(ii) The request contains the information and
documentation required by the Department, including a valid receipt for travel
expenses.
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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