048-40 Wyo. Code R. §§ 40-3 - Definitions

Except as otherwise specified in Medicaid Rules Chapter 1, the terminology used in this Chapter is the standard terminology and has the standard meaning used in healthcare, Medicaid, and Medicare.

(a) "Certification of need for services." A certification pursuant to Section 8 that meets the requirements of 42 C.F.R. §§ 441.152-.153, which requirements are incorporated by this reference.

(b) "Chapter" used herein refers to the specified Chapter in the Wyoming Department of Health, Medicaid Rules.

(c) "COA." The Council on Accreditation for Children and Family Services.

(d) "Facility." A PRTF which has been certified by the Centers for Medicare and Medicaid Services (CMS) pursuant to 42 C.F.R 483.354 and also maintains compliance with the conditions of participation found at 42 C.F.R Subpart G.

(e) "Financial Report." A report of a facility's costs for a specified fiscal period prepared and submitted in the form and manner specified by the Department. Financial report includes any supplemental request by the Department for additional information relating the facility's costs.

(f) "Foster home." A home certified by the Wyoming Department of Family Services (DFS) as a foster home.

(g) "Group Home." An institution certified by DFS as a group home.

(h) "Individual written plan of care (plan of care)." A written treatment plan, prepared by an interdisciplinary team, that meets the requirements of 42 C.F.R. § 441.155, except that the plan must be completed within fourteen (14) calendar days of an individual's admission to the facility.

(i) "Usual and customary per diem charge." A provider's per diem charge for comparable services provided to non-Medicaid recipients other than persons eligible for payment on a reduced or sliding fee schedule.

Notes

048-40 Wyo. Code R. §§ 40-3

Amended, Eff. 9/27/2019. Amended, Eff. 12/20/2023.