048-13 Wyo. Code R. §§ 13-8 - Excluded Services

(a) The following services are excluded:

(i) Clinical services which are not provided in person or via a telehealth modality, other than collateral contacts necessary to develop or implement a treatment plan;

(ii) Education, public education, public relations, and speaking engagements;

(iii) Day care;

(iv) Driving while under the influence (DUI) classes;

(v) Missed appointments;

(vi) Psychological testing done for the sole purpose of education diagnosis, school or institution admission or placement or Medicaid waiver eligibility assessments;

(vii) Record-keeping time, unless allowed by a specific service code;

(viii) Recreation and socialization without an active clinical treatment component as specified in the individual client's treatment plan;

(ix) Remedial or other formal education;

(x) Residential room, board, or care;

(xi) Substance abuse or mental health disorder prevention services;

(xii) Support groups, such as Alcoholics Anonymous or Narcotics Anonymous;

(xiii) Time spent preparing records or reports, except for up to three (3) hours for a licensed psychologist to prepare a formal report of test findings;

(xiv) Vocational services;

(xv) Services provided to a client with:

A. Sole Diagnostic and Statistical Manual (DSM) diagnosis of intellectual or cognitive disability;

B. DSM diagnosis of factitious disorder; or

C. DSM diagnosis of any ICD-10 "Z" code, unless the client's medical record contains a written statement signed by the affiliated clinical professional explaining why the treatment of a condition that is not classified as a mental disorder is medically necessary;

(xvi) Services provided by a school psychologist, except when provided pursuant to Medicaid Rules Chapter 52 School Based Services.

Notes

048-13 Wyo. Code R. §§ 13-8

Amended, Eff. 4/7/2015. Amended, Eff. 12/17/2015. Amended, Eff. 1/18/2018. Amended, Eff. 12/14/2022.