Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0064 - Kid Care CHIP
Chapter 1 - GENERAL PROVISIONS
Section 1-6 - Participating Insurance Company

Universal Citation: WY Code of Rules 1-6

Current through September 21, 2024

(a) No insurance company may participate in Kid Care CHIP, unless it offers a health insurance plan which meets or exceeds the basic level of benefits established pursuant to Chapter 3 Rules and Regulations for Kid Care CHIP and the insurance company has entered into a contract with the Department.

(b) The Department shall notify the participating insurance company of the identity of its participants and shall make premium payments on behalf of those participants directly to the company.

(c) The participating insurance company shall submit invoices to the Department in the manner specified by the Department to request reimbursement for premiums.

(d) When an insured seeks services, the provider must verify the individual's eligibility with the participating insurance company using the procedures established by the company. If a provider fails to verify eligibility, the Department shall not be responsible for paying such services.

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