Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 52 - SCHOOL-BASED SERVICES
Section 52-6 - Covered Services

Universal Citation: WY Code of Rules 52-6

Current through September 21, 2024

(a) School health services will be covered for Medicaid enrolled clients under the age of 21. Services shall be medically necessary as defined by Wyoming Medicaid Rules Chapter 1, and rendered as part of the student client's IEP or IFSP.

(b) School health services shall be provided in accordance with the client's individual needs and shall not be subject to limitations as to scope, amount, or duration.

(c) School health services may be performed in the school, at the client's home, or at another appropriate site in the community.

(d) The following service categories and providers are covered services under the SBS Program as further defined in the Department's School-Based Services Program Manual:

(i) Speech and audiology services
(A) Speech-Language Pathologist; and

(B) Speech-Language Pathology Aide/Assistant.

(ii) Psychological, counseling, and social work services
(A) School Psychologist;

(B) School Social Worker;

(C) School Counselor;

(D) Psychologist;

(E) Marriage and Family Therapist; and

(F) Certified Mental Health Worker (CMHC).

(iii) Nursing and health services
(A) Registered Nurse (RN);

(B) Advanced Practice Registered Nurse (APRN);

(C) Licensed Practical Nurse (LPN); and

(D) Certified Nurse Assistant (CNA).

(iv) Occupational therapy services
(A) Occupational Therapist; and

(B) Occupational Therapy Assistant.

(v) Physical therapy services
(A) Physical Therapist; and

(B) Physical Therapy Aide/Assistant.

(e) Evaluations and reevaluations are reimbursable only when they result in an IEP or IFSP in the specific service(s) being evaluated.

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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