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 5-8 - Cost Sharing Maximums and Tracking Requirements
Current through September 21, 2024
(a) Cost sharing shall not exceed five percent (5%) of a family's gross income for the length of the child's eligibility period as specified in 42 C.F.R. 457.560. Each family shall be notified of their cost sharing maximum for the eligibility period as per 42 CFR 457.525(b)(1).
(b) Families will be provided resources to track their benefit year cost sharing expenditures for medical, pharmacy, dental, vision and medically necessary orthodontia and submit receipts to the Department when they believe they have met the benefit year cost sharing maximum.
(c) If it is determined the family has paid more than their five percent (5%) annual cost sharing maximum the family shall be reimbursed by the insurance contractor.
