048-6 Wyo. Code R. §§ 6-10 - Medicaid allowable payment
(a) The Medicaid
allowable payment for HEALTH CHECK services is the lower of the providers usual
and customary charge and the Medicaid fee schedule. Laboratory tests and
immunizations are separatey reimbursed at the lower of the provider's usual and
customary charge and Medicaid fee schedule.
(b) Treatment and referral services. The
Medicaid allowable payment for the referral and treatment of conditions
detected during a HEALTH CHECK examination shall be determined pursuant to the
rules of the Department.
(c)
Expanded services. Expanded services are reimbursed:
(i) Pursuant to the other rules of the
Department, if the expanded service is a covered services under any such rule;
or
(ii) At the lower of the
provider's usual and customary charge and the Medicaid fee schedule, if the
expanded service is not a covered service under any of the Departments
rules.
Notes
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