048-12 Wyo. Code R. §§ 12-7 - Excluded Services

(a) The following shall not be covered services:

(i) Long-term custodial care;

(ii) Homemaker services;

(iii) Respite care;

(iv) Home delivered meals;

(v) Services for clients that are in a hospital or a nursing facility;

(vi) Services that are inappropriate in the client's home;

(vii) Services that are extensive or for long periods;

(viii) Services that are not cost effective;

(ix) Services where the desired outcome could be better and faster accomplished in another setting; and

(x) Services not included in Section 6 of this Chapter.

(b) Services where the client must be compliant to achieve measured success and the client is not compliant are not covered services.

(c) It is inappropriate to break up personal care into multiple episodes for the convenience of the home health agency staff or due to scheduling issues with home health staff. This shall be considered a non-covered service.

Notes

048-12 Wyo. Code R. §§ 12-7

Amended, Eff. 8/7/2017. Amended, Eff. 9/6/2018.