Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 51 - KID CARE CHILD HEALTH INSURANCE PROGRAM
Section 51-7 - Basic Level of Benefits

Universal Citation: WY Code of Rules 51-7

Current through September 21, 2024

(a) The covered services provided to CHIP clients, at a minimum, shall include the following services:

(i) Inpatient hospital services;

(ii) Outpatient hospital services;

(iii) Physician services;

(iv) Surgical services;

(v) Clinic services and other ambulatory health care services;

(vi) Prescription drugs;

(vii) Laboratory and radiological services;

(viii) Prenatal care and pre-pregnancy family planning services and supplies;

(ix) Inpatient mental health services;

(x) Outpatient mental health services;

(xi) Durable medical equipment, prosthetics and orthotics;

(xii) Abortion, only if necessary to save the life of the mother or if the pregnancy is the result of rape or incest;

(xiii) Dental services;

(xiv) Medically necessary orthodontia;

(xv) Inpatient substance abuse treatment services;

(xvi) Outpatient substance abuse treatment services;

(xvii) Preventive care, screening and immunization;

(xviii) Hospice care;

(xix) Emergency medical transportation where care is administered during transportation;

(xx) Vision services;

(xxi) Dietician services;

(xxii) Hearing services;

(xxiii) Home health services;

(xxiv) Interpretation services;

(xxv) Nurse practitioner and nurse midwife services;

(xxvi) Organ transplant services;

(xxvii) Occupational, physical and speech therapy services;

(xxviii) Rehabilitation services;

(xxix) Non-emergency medical transportation services; and

(xxx) Any other services determined to be medically necessary as defined in Medicaid Rules Chapter 1.

(b) No exclusion for pre-existing conditions or a maximum life-time benefit per client shall be imposed under CHIP.

Disclaimer: These regulations may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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