Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 40 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES
Section 40-4 - Provider participation
Universal Citation: WY Code of Rules 40-4
Current through September 21, 2024
(a) Except as otherwise specified in this Chapter, no facility that furnishes covered services to a recipient shall receive Medicaid funds unless the provider has signed a provider agreement, and is enrolled.
(b) Compliance with Medicaid Rules Chapter 3, Provider Participation. A facility that wishes to receive Medicaid reimbursement for covered services furnished to a recipient must meet the provider participation requirements of Medicaid Rules Chapter 3.
(c) Additional provisions.
(i) A PRTF must be certified. In-state PRTFs
shall be certified by the Division of Healthcare Financing in conjunction with
Healthcare Licensing and Surveys and CMS approval. Out-of-state PRTFs shall be
certified by their own state's licensing and survey agency and CMS.
(ii) A PRTF shall be licensed. For in-state
PRTFs, a PRTF shall be licensed by the State of Wyoming, Department of Family
Services. For out-of-state PRTFs, a PRTF shall be licensed by that state's
licensing authority.
(iii) A PRTF
shall have one of the following accreditations: JCAHO, CARF, COA, or any other
accrediting organization with comparable standards recognized by the
State.
(iv) No facility shall
become a provider or receive Medicaid funds for services furnished before the
date on which an authorized individual signs an attestation letter which meets
the requirements regarding restraint, seclusion, and death reporting policies
of 42 C.F.R. § 441.51 and 42 C.F.R. Subpart G.
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