Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 8 - INPATIENT HOSPITAL ADMISSION CERTIFICATION
Section 8-5 - Non-emergent Admissions
Universal Citation: WY Code of Rules 8-5
Current through September 21, 2024
(a) Designated non-emergent admissions shall receive admission certification before the clients admission.
(b) The Department may, from time to time, designate those non-emergent admissions which require the admission certification procedures set forth in Section 6.
(i) The Departments designation of admission
certification procedures shall be based on:
(A) Clinical consultation with health care
professionals;
(B) Applicable
Centers for Medicare & Medicaid Services guidelines; and
(C) The potential for
over-utilization.
(ii)
The Department shall disseminate a current list of non-emergent admission
surgeries and procedures to providers through manuals or bulletins.
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