Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 36 - ADMINISTRATIVE TRANSPORTATION
Section 36-6 - Reimbursable transportation expenses
Universal Citation: WY Code of Rules 36-6
Current through September 21, 2024
(a) Ambulance transportation. Transportation in an ambulance is a covered service as specified in Chapter 15.
(b) Administrative transportation to and from a medical appointment is reimbursable if:
(i) The covered services furnished to the
client at the medical appointment are medically necessary;
(ii) Transportation has been approved by the
Department at least three working days in advance of the necessary
transportation; and
(iii) The
transportation is the least costly mode of transportation selected and approved
by the Department pursuant to subsection (c).
(c) Selection and approval of administrative transportation.
(i) The Department shall be
responsible for selecting and approving the mode of administrative
transportation.
(ii) In selecting
and approving transportation, the Department:
(A) May consider the following modes of
transportation:
(I) Public transportation,
including subsidized public transportation and the Wyoming Rural Transit
Program;
(II) Private
automobile;
(III) Taxi;
(IV) Bus;
(V) Shuttle services; and
(VI) Airline; and
(B) Shall select the least expensive and most
appropriate mode of transportation reasonably available.
(iii) Per diem expenses. Per diem expenses
are reimbursable to a client or a client's legal guardian if:
(A) The client receiving services is a client
under age twenty-one; and
(B) The
services to be received are covered services.
(d) Transportation to medical appointments outside Wyoming and within the Wyoming Medicaid Service Area (WMSA) is reimbursable if:
(i) The covered service is
not available in the local trade area; and
(ii) The specified city within the WMSA is
closer (in highway miles) than the nearest location within Wyoming where the
service is available.
(e) Transportation to medical appointments outside the WMSA is not reimbursable unless:
(i) A person licensed to practice medicine,
dentistry, psychiatry, osteopathy, or optometry has referred the client to a
specified provider for covered services that are not available in the service
area; and
(ii) The referral is in
writing and the medical necessity of the referral is documented in the client's
medical records.
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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