Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0049 - Renal Disease Program, Administrative Procedure for End Stage
Chapter 1 - GENERAL PROVISIONS (REPEALED)
Section 1-3 - Changes or Restrictions in Service Category Reimbursement

Universal Citation: WY Code of Rules 1-3

Current through September 21, 2024

The Wyoming End Stage Renal Disease Program may restrict or categorize service reimbursement to meet budgetary limitations.

(a) Categories will be prioritized based upon medical necessity, Medicare eligibility and projected Medicare/Medicaid payments for different treatment modalities.

(b) hi the event program benefits are reduced, they will be reduced in a manner that takes into consideration medical necessity and other available coverage.

(c) The Program may affect changes in benefits by either adding or deleting entire categories or by proportionate changes across categories, or by a combination of both of these methods.

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