048-22 Wyo. Code R. §§ 22-5 - Requests for Determination of Nursing Facility Level of Care
(a) Any individual may request a nursing
facility level of care determination on his or her own behalf.
(b) A guardian or legal representative may
request a nursing facility level of care determination on behalf of an
individual for whom legal decision-making authority has been
conferred.
(c) Employees of a
nursing facility, hospital, or any other such healthcare or social services
provider may request a nursing facility level of care determination on behalf
of any individual for whom that organization has the responsibility for the
provision or coordination of healthcare services.
(d) The Department shall approve only those
requests for a nursing facility level of care determination which meet all of
the following criteria:
(i) The request is
complete and is submitted in accordance with the Department's established
procedures;
(ii) The individual to
be assessed is a resident of, or intends to reside in, the State of
Wyoming;
(iii) The individual to be
assessed demonstrates a reasonable indication of need for long-term care
services as determined by any initial screening criteria established by the
Department;
(iv) The individual to
be assessed is currently receiving, or has expressed interest in, a long-term
care service or program which requires a nursing facility level of care
determination; and
(v) The
individual to be assessed is a current Wyoming Medicaid recipient, has
submitted an application for Wyoming Medicaid, or has been identified by a
Preadmission Screening and Resident Review (PASRR) Level I Screening to require
a PASRR Level II screening pursuant to Chapter 19.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.