Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 37 - FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS
Section 37-5 - Reimbursable Services

Universal Citation: WY Code of Rules 37-5

Current through September 21, 2024

(a) FQHC and RHC reimbursable services are outpatient services that occur during an eligible visit and include:

(i) Physician services;

(ii) Nurse practitioner, physician's assistant, and certified nurse midwife services;

(iii) Behavioral health services provided pursuant to Wyoming Medicaid Rules Chapter 13 by providers licensed to provide such services;

(iv) Preventive primary care services;

(v) Dental services;

(vi) Vision services;

(vii) Audiology services;

(b) The following services and supplies furnished as incidental to the provider's services are included in the provider's rate and are not billable as a stand-alone visit, even if the service is performed on a separate day from the original visit:

(i) Lab services;

(ii) Drugs and biologicals that cannot be self-administered;

(iii) Supplies;

(iv) Radiology;

(v) Diagnostic services;

(vi) Therapeutic services;

(vii) Outreach;

(viii) Case management;

(ix) Transportation;

(c) If services are furnished at a permanent site in more than one location, each site will be independently considered for approval as a provider, unless prior approval was granted by CMS to operate both locations under a single provider number. To be considered a satellite provider location both sites must share medical staff, office staff, and/or administrative staff.

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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