Current through September 21, 2024
(a) Any willing and
qualified agency or individual can enter into a contract with the CME for the
provision of HFWA and respite services.
(b) All HFWA provider requirements are
detailed in the Medicaid state plan, Targeted Case Management for Youth with
SED/SMI.
(c) All HFWA providers
shall comply with Department requirements for obtaining initial credentialing
as a HFWA provider and shall recertify their credentials annually.
(d) To be a FCC, the individual shall:
(i) Have a Bachelor's degree in a human
service area (or related field), or two years of work or personal experience in
providing direct services or linking of services for youth experiencing
SED/SMI;
(ii) Be at least
twenty-one (21) years of age;
(iii)
Complete all Department and CME-required training components;
(iv) Possess a valid driver's license,
automobile insurance coverage that complies with the Wyoming Department of
Insurance's required liability coverage limits, and car;
(v) Maintain current CPR and First Aid
Certification;
(vi) Complete the
HFWA credentialing processes as specified by Medicaid;
(vii) Be enrolled as a Wyoming Medicaid
provider;
(viii) Be under contract
(or have an employment agreement) with the CME; and
(ix) Successfully pass all background
screenings as required by Medicaid.
(e) To be a FSP, the individual shall:
(i) Have a high school diploma or GED
equivalent;
(ii) Be a parent or
caregiver of a youth with behavioral health needs or have two years of
experience working closely with youth with serious emotional/behavioral
challenges and their families;
(iii) Have a minimum two years of experience
in the behavioral health field;
(iv) Complete the credentialing requirements
specified by Medicaid;
(v) Be
enrolled as a Wyoming Medicaid provider;
(vi) Be under contract (or have an employment
agreement) with the CME;
(vii) Be
at least twenty-one (21) years of age;
(viii) Successfully pass all background
screenings as required by Medicaid; and (ix) Complete all Medicaid-required
training components.
(f)
To be a YSP, the individual shall:
(i) Have a
high school diploma or GED equivalent;
(ii) Be a youth with behavioral health needs
or have experience overcoming various systems and obstacles related to mental
and behavioral health;
(iii)
Successfully pass all background screenings as required by Medicaid;
(iv) Complete the credentialing requirements
specified by Medicaid;
(v) Be
enrolled as a Wyoming Medicaid provider;
(vi) Be under contract (or have another
employment agreement) with the CME;
(vii) Be eighteen (18) to twenty-six (26)
years of age; and
(viii) Complete
all Medicaid-required training components.
(g) Respite. Any provider of respite care is
required to attain and maintain a certification for this service from the CME
and shall:
(i) Successfully pass a criminal
history background check per Section 17 of this rule;
(ii) Maintain a current CPR and First Aid
Certification;
(iii) Be at least
twenty-one (21) years of age;
(iv)
Have two (2) years of work/personal experience with youth; and
(A) Preference is given to individuals who
have worked with a youth with serious emotional disturbance;
(v) Maintain auto insurance as
required by state law if transporting enrolled youth.
(h) The CME shall ensure all provider
qualifications are met upon initial contracting and annually
thereafter.
(i) A respite provider
determined to be out of compliance with Department requirements at any point in
the year will receive notification from the CME regarding the nature of the
non-compliance and a specified timeframe for resolution.