Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0064 - Kid Care CHIP
Chapter 5 - Rules and Regulations for Kid Care CHIP ("Children's Health Insurance Program")
Section 5-7 - Basic Level of Benefits
Universal Citation: WY Code of Rules 5-7
Current through September 21, 2024
(a) The covered services provided to children eligible for Kid Care CHIP shall include, at a minimum, the following services:
(i)
Inpatient hospital services
(ii)
Outpatient hospital services
(iii)
Physician services
(iv) Surgical
services
(v) Clinic services and
other ambulatory health care services
(vi) Prescription drugs
(vii) Laboratory and radiological
services
(viii) Prenatal care and
pre-pregnancy family planning services and supplies
(ix) Inpatient mental health
services
(x) Outpatient mental
health services
(xi) Durable
medical equipment
(xii) Abortion,
only if necessary to save the life of the mother or if the pregnancy is the
result of rape or incest
(xiii)
Dental services
(xiv) Medically
necessary orthodontia
(xv)
Inpatient substance abuse
(xvi)
Outpatient substance abuse treatment services
(xvii) Preventive care, screening and
immunization
(xviii) Hospice
care
(xix) Emergency medical
transportation
(xx) Vision
services
(xxi) Any other additional
or different services required by the Request for Proposal for health benefits,
and resulting contract.
(b) Except as otherwise specified, coverage shall be one hundred percent (100%) with no deductible or co-payment. Co-payments by insureds or their families shall be in compliance with Section 9.
(c) Any recommended/approved plan for targeted low-income eligible children shall not contain any exclusion for pre-existing conditions or a maximum life-time benefit per child.
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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