048-45 Wyo. Code R. §§ 45-22 - Transition Process
(a) The participant or legally authorized
representative may choose to change any provider at any time and for any
reason.
(b) A provider who is
terminating services with a participant shall notify the participant and the
Division in writing at least thirty (30) calendar days prior to ending
services, unless the Division approves a shorter transition period in advance.
Failure to provide services during this thirty (30) calendar day period shall
be considered abandonment of services and may result in decertification of the
provider.
(c) When a participant or
legally authorized representative chooses to change providers, they shall
inform the case manager of the decision. The case manager shall notify the
provider of a participant's or legally authorized representative's decision to
discontinue services within three (3) business days.
(d) When a transition is requested, the case
manager shall notify the Division of the request for change within three (3)
business days of the request.
(i) If the
participant or legally authorized representative requests a change of case
manager, the case manager shall review choice and make provider lists available
to the participant and legally authorized representative.
(ii) If the participant or legally authorized
representative requests a change of a provider other than the case manager, the
case manager shall review choice and provider lists with the participant or
legally authorized representative.
(e) When a transition occurs, the case
manager shall complete the transition checklist(s) as required by the Division,
and schedule a transition meeting with the plan of care team.
(i) Notify all current and new providers, the
participant, legally authorized representative, and the Division at least two
(2) weeks prior to the meeting.
(ii) Team meetings may be scheduled sooner
than two (2) weeks due to an emergency situation. The case manager shall notify
the Division of any emergency requiring a faster transition schedule.
(f) After the transition meeting,
the case manager shall complete and submit plan of care modifications to the
Division at least seven (7) business days prior to the scheduled start date of
the new services.
(g) All providers
on the individualized plan of care shall share pertinent information with the
case manager and the plan of care team in a timely manner.
(h) If a community living services provider
requires a participant to move to another service setting, the participant
shall be given the opportunity to choose from all available options, without
limitation to that provider's settings.
(i)
The participant may choose from other setting options that are appropriate for
the participant, which may include a new provider.
(ii) The provider shall notify the
participant, family, case manager, and any legally authorized representative of
the move at least thirty (30) calendar days in advance so the participant can
exercise the choice to find a new residence or provider.
(i) It is the responsibility of the case
manager to ensure providers have received training on all participant
information, including health and safety, behavioral concerns, and the
individualized plan of care.
Notes
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