048-22 Wyo. Code R. §§ 22-4 - General Provisions
(a) A determination indicating a need for
nursing facility level of care shall not constitute a determination of
eligibility or a guarantee of reimbursement for Wyoming Medicaid services.
Individuals shall meet any additional eligibility criteria for the applicable
Wyoming Medicaid services and programs.
(b) The level of care assessment conducted
pursuant to this Chapter is not intended to serve as an instrument for the
identification, diagnosis, or treatment of any disease or medical
condition.
(c) The Department is
the sole entity authorized to make nursing facility level of care
determinations for the purposes established by this Chapter.
(d) The Department shall establish the
procedures, instruments, methods, and criteria by which a level of care
assessment is conducted.
(i) The Department
shall make nursing facility level of care determinations based solely on the
results of a level of care assessment conducted by a qualified level of care
assessor.
(ii) The Department shall
make nursing facility level of care determinations and provide notification in
accordance with its established timelines and procedures.
Notes
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