Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0077 - Mental Health and Substance Use Disorder Services
Chapter 5 - BEHAVIORAL HEALTH CENTERS: PROFESSIONAL STANDARDS FOR PERSONNEL AND SERVICE QUALITY
Section 5-5 - Payment of Claims

(a) A behavioral health center may not seek payment from the Department for services delivered to a client until payment from third parties is sought and exhausted.

(b) A behavioral health center may not request, receive or attempt to collect any payment from the client or the client's family for services covered by the BHC-Full or BHC-Screen benefit plans. The behavioral health center shall accept the allowable payment as payment in full for the services.

(c) A behavioral health center that provides services not covered by the BHC-Full or BHC-Screen benefit plans to a client may seek payment from the client if the behavioral health center informed the client in writing of the client's potential liability before providing the service, and the client agreed in writing to pay for such services before they were furnished.

(d) All health insurers, including all self-insured plans, group health plans as defined in section 607(1) of the Employee Retirement Income Security Act of 1974, service benefit plans, managed care organizations, pharmacy benefit managers, or other parties that are, by statute, contract, or agreement, legally responsible for payment of a claim for a health care item or service, shall agree, as a condition of doing business in the state of Wyoming, to provide, with respect to the individuals who are eligible for behavioral health services purchased by the Department pursuant to W.S. § 35-1-620 et. seq., information to determine the period during which the individual or the individuals' spouses or dependents may be or may have been covered by a health insurer and the nature of the coverage provided, including the name and address of the insurer and identifying number of the plan, in a manner prescribed by the Department.