Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 9 - HOSPITAL SERVICES
Section 9-14 - Copayment
Universal Citation: WY Code of Rules 9-14
Current through September 21, 2024
(a) Outpatient hospital services. Except as provided in subsection (b), a recipient must pay a $6.00 copayment for each outpatient hospital visit.
(b) Exceptions. The following recipients are exempt from the copayment provision of subsection (a):
(i) An individual seeking
emergency services;
(ii) An
individual seeking family planning services;
(iii) An individual under age 21;
(iv) A pregnant woman or a woman that seeks
hospital services within six weeks after the delivery of her child;
(v) A resident of a nursing facility;
and
(vi) A recipient that is also
eligible for Medicare.
(c) Collection of copayment. Providers are responsible for collecting the copayment. The amount of the copayment shall be automatically deducted by the Department from the allowable Medic-aid payment, regardless of whether the copayment is actually paid.
(i) Prohibition or denial of services. A
provider may not deny outpatient services to a recipient because of the
recipient's inability to make the copayment.
(ii) Regular refusal to make copayment. A
provider may refuse outpatient services, other than emergency services, to a
recipient who regularly refuses to make copayments.
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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