Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0077 - Mental Health and Substance Use Disorder Services
Chapter 4 - COMPLAINTS
Section 4-3 - Investigations

Universal Citation: WY Code of Rules 4-3

Current through September 21, 2024

(a) The Department, on its own initiative or upon receipt of a complaint including substantive information alleging detriment to the health, safety or welfare of clients, fraud, or ethical misconduct, may conduct an investigation of a provider. If an investigation is initiated by the Department, the Department shall provide a summary of the Department's concerns to the provider in writing within ten (10) business days of initiating the investigation.

(b) The executive director of the provider against whom the investigation is being conducted shall file a response to the complaint with the Department no later than twenty (20) business days after receipt of the copy or summary of the complaint from the Department. If the executive director provides the Department with good cause, the Department may extend the time to respond to the complaint.

(c) If the Department determines that the provider has failed to respond or the complaint is not sufficiently resolved by the provider's response under subsection (b) of this Section, the Department may continue the investigation.

(i) The provider shall allow the Department access to all pertinent information concerning the operations of the provider.

(ii) The Department's investigation may include on-site inspections, off-site reviews, and consultations with the executive director, governing board, program staff, the complainant, and other pertinent sources of information.

(d) If a provider fails to comply with this Chapter, the Department may sanction the provider. Sanctions may include, but are not limited to, adverse inferences related to any denials made by the provider, the immediate suspension of contract payments to the provider, and decertification.

(e) The Department shall issue a final written report and disposition of the investigation to the provider within ninety (90) business days of the closure of the investigation. The report must include:

(i) The Department's findings and the corrective actions required, if any; and

(ii) A determination whether each deficiency relates to the health, safety, welfare, or rights of clients.

(f) The Department shall provide a written summary of the results and disposition of the investigation to the complainant within ninety (90) business days of the closure of the investigation.

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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