048-46 Wyo. Code R. §§ 46-17 - Denial of Funding for Waiver Services

(a) The Division may deny or revoke authorization for waiver services for any of the following reasons:

(i) The individual fails to meet waiver eligibility criteria as established in Section 4;

(ii) The eligible individual has not met emergency criteria and no other waiver funding opportunities are available;

(iii) The individual or legally authorized representative has not consented to waiver services;

(iv) The individual or legally authorized representative has chosen to receive ICF/IID or nursing facility services;

(v) The individual, his or her legally authorized representative, or other person on his or her behalf has not supplied needed information;

(vi) The participant's needs are not being met through waiver services;

(vii) The individualized plan of care has not been implemented;

(viii) The legislature has not appropriated sufficient fiscal resources to fund all services for all persons determined eligible for waiver services;

(ix) Funding for requested waiver services is available as a similar service from other sources, such as a school district or the Division of Vocational Rehabilitation;

(x) The eligible individual or legally authorized representative has failed to apply for, and accept any federal Medicaid benefits for which she or he may be eligible, or benefits from other funding sources within the Department of Health, the Department of Education, Department of Workforce Services, or other agencies to the maximum extent possible.

(xi) The eligible individual or legally authorized representative has not signed documentation required by the Department;

(xii) The eligible individual or legally authorized representative has failed to cooperate with, or refused the services funded by the Division; or

(xiii) The individual could receive educational services during a regular or adjusted school day, through the end of the school year in which the individual turns twenty-one (21) years old.

Notes

048-46 Wyo. Code R. §§ 46-17

Adopted, Eff. 6/21/2017. Amended, Eff. 7/26/2018. Amended, Eff. 12/20/2019.