Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 52 - SCHOOL-BASED SERVICES
Section 52-3 - Definitions

(a) Except as otherwise specified in Wyoming Medicaid Rules Chapter 1 or as defined in this Section, the terminology used in this Chapter is the standard terminology and has the standard meaning used in accounting, healthcare, Medicaid, and Medicare.

(b) "Free care services" means services provided to Medicaid enrolled students at no charge, and/or provided to the community at large free of charge.

(c) "Individualized Education Plan (IEP)" means a document developed pursuant to the Individuals with Disabilities Education Act (IDEA). The IEP guides the delivery of special education supports and services for a student with a disability.

(d) "Individualized Family Services Plan (IFSP)" means a document developed pursuant to the IDEA. The IFSP guides the delivery of early intervention services provided to infants and toddlers (birth to age 3) who have disabilities, including developmental delays. The IFSP also includes family supports services, nutrition services, and case management.

(e) "Local Education Agency (LEA)" means a public authority legally constituted by the State as an administrative agency to provide control of, and direction for, kindergarten through twelfth grade public education institutions.

(f) "Parental Consent Form" means a form executed by a student's parent or guardian authorizing an LEA to share information with and to bill Medicaid for the student's school health services.

(g) "Participating District" means a school district that is enrolled to provide and receive Medicaid reimbursement for SBS.

(h) "School Counselor" means a professional who meets the qualification requirements of 42 C.F.R. § 485.904(b)(5). The school counselor must obtain a Professional Services Endorsement for School Counselor through the Professional Teaching Standards Board. A school counselor must practice under the supervision of a qualified clinical supervisor licensed in the State of Wyoming pursuant to W.S. § 33-38-102(a)(xiii).

(i) "School Health Service" means medical or health-related assistance provided to a student by a qualified provider required for the diagnosis, treatment, or care of a physical or mental disorder, which service is recommended by a physician or other licensed practitioner of the healing arts within the scope of their practice under Wyoming law.

(j) "School Psychologist" means a professional who qualifies as a Specialist in School Psychology pursuant to W.S. § 33-27-113(a)(ix). The school psychologist must obtain a Professional Services Endorsement for School Psychologist by the Wyoming Professional Teaching Standards Board. A school psychologist must practice school psychology pursuant to the requirements of the Psychology Practice Act, W.S. §§ 33-27-113(a)(iv) and 114.

(k) "School Social Worker" means a professional who meets the qualification requirements of 42 C.F.R. § 410.73. The school social worker must obtain the Professional Services Endorsement for School Social Worker from the Professional Teaching Standards Board. A school social worker must practice under the supervision of a qualified clinical supervisor licensed in the state of Wyoming pursuant to W.S. § 33-38-102(a)(xiii).