Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 51 - KID CARE CHILD HEALTH INSURANCE PROGRAM
Section 51-4 - Application Process, Applicant Rights and Responsibilities

(i) An applicant shall submit an application in the manner and form prescribed by the Department. The application shall be completed, dated, and signed by the applicant or by any person who is assisting the applicant.

(ii) The Department shall act upon an application within forty-five (45) days from the date the application was submitted.

(iii) The Department shall notify the applicant in writing of its application determination along with the reasons and regulations supporting its decision.

(iv) If the application is denied or not acted upon by the Department within forty-five (45) days, the applicant may request an administrative hearing in accordance with Medicaid Rules Chapter 4.

(i) An applicant shall be allowed the opportunity to apply for CHIP without delay.

(ii) An applicant may be accompanied, assisted, or represented by an individual or individuals of their choice during the application process.

(iii) An applicant may request assistance from the Department in completing the application or obtaining required verification.

(iv) The Department shall inform applicants of the following information:

(v) Applications and other personal identifying information are confidential and shall not be disclosed, except as allowed by state and federal law.

(vi) An applicant shall not be excluded, denied benefits, or otherwise discriminated against on the grounds of race, color, sex, religion, political belief, national origin, age, or disability.

(i) Applicants shall cooperate in the process of determining eligibility by providing all information and documentation requested by the Department,

(ii) Applicants shall assign to the Department any right to medical support and to payment for medical care from a third party to the extent that CHIP has paid for medical services.

(iii) Applicants who fail to cooperate or provide the information requested by the Department shall be denied eligibility.

(i) CHIP eligibility begins the first day of the month in which the application was submitted.

(ii) Enrolled clients are deemed to be continuously eligible for twelve (12) months from the effective date of eligibility, or for twelve (12) months from the last redermination unless the covered child turns age nineteen (19), enters a public institution, moves out of state, becomes eligible for Medicaid, or requests to be disenrolled.

(iii) The Department shall re-determine a client's eligibility every twelve (12) months, except for pregnant clients whose eligibility will be re-determined following the client's twelve (12) month postpartum period.