Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 43 - ACQUIRED BRAIN INJURY HOME AND COMMUNITY BASED WAIVER
Section 43-13 - Waiting List Process

Universal Citation: WY Code of Rules 43-13

Current through September 21, 2024

(a) Waiting list. When there is insufficient funding to add additional participants, the Division shall maintain one waiting list for the Acquired Brain Injury Home and Community Based Waiver as specified below.

(b) Factors. The Division shall assign two rankings to each person on the waiting list based on the following two factors:

(i) The severity of the person's condition based on weighted scores of all 4 eligibility tests.

(ii) The person's placement date on the waiting list.

(c) When covered services become available, the Division shall alternate between the two factors listed in (b) of this section, beginning with the waiting list based on severity, in selecting the next person to whom covered services shall be provided. Before being added to the waiting list, the person shall be otherwise eligible as determined in Section 6 of this Chapter.

(d) In cases when the severity levels are the same or when the placement date on the waiting list is the same, the Division shall use the date that the Selection of Individually-selected Service Coordinator form was received by the Division to determine which name goes first on the waiting list.

(e) The Division shall determine the availability of funding for the approved individualized budget amounts for applicants on the waiting lists waiting for funding opportunities.

(f) The Extraordinary Care Committee shall review information on an applicant who meets the eligibility requirements in Section 6 of this Chapter and who is potentially an emergency referral to determine if he/she shall be funded as an emergency as specified in Section 14 of this Chapter.

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