Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 46 - MEDICAID SUPPORTS AND COMPREHENSIVE WAIVERS
Section 46-7 - Clinical Eligibility Diagnoses
Universal Citation: WY Code of Rules 46-7
Current through September 21, 2024
(a) An individual is not eligible for waiver services pursuant to Section 4 of this Chapter unless the individual meets one of the following clinical eligibility diagnoses:
(i) A diagnosis of an intellectual
disability, as defined by the Diagnostic and Statistical Manual of Mental
Disorders (DSM 5), which is incorporated by reference, and is determined by a
Medicaid enrolled psychiatrist, neurologist, or clinical psychologist who is
licensed in Wyoming and is free of conflicts with other providers chosen by the
participant.
(A) The diagnosis shall be
verified in a written and signed psychological evaluation that is submitted to
the Division.
(B) The psychological
evaluation shall reflect adaptive behavior scores as determined through a
standard measurement of adaptive behavior using a validated test of adaptive
functioning such as the most current form of the Vineland Adaptive Behavior
Scales or Adaptive Behavior Assessment System.
(C) A child applicant who takes an
Intelligence Quotient test shall meet a qualifying clinical diagnosis like an
adult. A child too young to complete an Intelligence Quotient test may meet the
criteria of a developmental disability as described in subsection (a)(i)(B)
through medical records of a related condition using a standardized test of
development, such as the Bayley Scales of Infant and Toddler Development or
other similar instrument.
(ii) A developmental disability or a related
condition determined by a Medicaid enrolled licensed medical professional,
neurologist, or clinical psychologist who is licensed in Wyoming and is free of
conflicts with other providers chosen by the participant.
(A) Determination shall include verification
in medical records and a written psychological evaluation, which includes
assessment scores. The evaluation or records shall be submitted to the Division
and shall identify a severe, chronic disability, which:
(I) Manifested before the person turned age
twenty-two;
(II) Reflects the need
for a combination and sequence of special services, which are lifelong or of
extended duration;
(III) Is
attributable to a cognitive or physical impairment, other than mental
illness;
(IV) Is likely to continue
indefinitely; and
(V) Results in
substantial functional limitations in three (3) or more of the following major
life activity areas: self-care, receptive and expressive language, learning,
mobility, self-direction, capacity for independent living, and economic
self-sufficiency.
(B)
Individuals with a diagnosis of Autism Spectrum Disorder (ASD) shall submit a
current autism evaluation accepted by the Division, which demonstrates the
diagnosis of ASD. The autism evaluation shall be completed by a Medicaid
enrolled psychiatrist, neurologist, or clinical psychologist who is licensed in
Wyoming and is free of conflicts with other providers chosen by the
participant.
(iii) An
Acquired Brain Injury (ABI), as defined by Chapter 1 of the Department of
Health's Medicaid Rules. An individual with an ABI shall:
(A) Be between the ages of twenty-one (21)
and sixty-four (64); and
(B) Have
received a qualifying score on at least one of the evaluations accepted by the
Division, which shall be completed by a Medicaid enrolled psychiatrist,
neurologist, or clinical psychologist who is licensed in Wyoming and is free of
conflicts with other providers chosen by the participant. Accepted evaluations,
which shall be submitted to the Division to confirm the diagnosis, include:
(I) A score of 42 or more on the Mayo
Portland Adaptability Inventory (MPAI);
(II) A score of 40 or less on the most
current version of the California Verbal Learning Test Trials 1-5 T;
or
(III) A score of 4 or more on
the Supervision Rating Scale.
(b) A participant shall be reassessed for clinical eligibility at least annually or more frequently should a change in circumstances occur, which requires a participant to receive a higher level of services or support to ensure the participant's health, safety, and welfare.
(i) A subsequent psychological evaluation,
which shall be approved by the Division prior to scheduling, must be necessary
due to the participant's change in condition or as determined by the
Division.
(ii) A subsequent
neuropsychological evaluation, which shall be approved by the Division prior to
scheduling, shall be performed every five (5) years.
(iii) Psychological and neuropsychological
reassessments shall be completed by a Medicaid enrolled psychiatrist,
neurologist, or clinical psychologist who is licensed in Wyoming and is free of
conflicts with other providers chosen by the participant.
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