Section 42-4-122 – Cooperation With Paternity Determination.
42-4-122. Cooperation with paternity determination. (a) Except as otherwise provided in subsection (b) of this section, as a condition of eligibility, or continuing eligibility, for medical assistance under this chapter, a person who receives medical assistance shall cooperate in good faith with the department to: (i) Establish the paternity of a child, including any proceeding […]
Section 42-4-117 – End Stage Renal Dialysis Program; Rulemaking; Funding.
42-4-117. End stage renal dialysis program; rulemaking; funding. (a) Effective July 1, 2001, the department shall expand coverage for services authorized under W.S. 42-4-103(a)(xxiii) for qualified individuals in need of end stage renal dialysis to the extent funding is available. (b) The department shall by rule and regulation establish reasonable limits on services and supplies […]
Section 42-4-118 – Prescription Drug Assistance Program Created; Eligibility Criteria; Benefits Provided; Coverage of Medications.
42-4-118. Prescription drug assistance program created; eligibility criteria; benefits provided; coverage of medications. (a) There is created a prescription drug assistance program to assist residents of the state. The program shall be a state funded program to provide prescription drug assistance, in addition to the services provided under the Wyoming Medical Assistance and Services Act. […]
Section 42-4-119 – Pharmacy Plus Program; Eligibility Criteria; Rulemaking; Termination of Program.
42-4-119. Pharmacy plus program; eligibility criteria; rulemaking; termination of program. (a) The department may apply for a demonstration waiver under section 1115 of the federal Social Security Act to allow individuals with income or assets in excess of limits generally established in the state plan to receive services under a pharmacy plus program provided that: […]
Section 42-4-111 – Providing or Obtaining Assistance by Misrepresentation; Penalties.
42-4-111. Providing or obtaining assistance by misrepresentation; penalties. (a) Repealed by Laws 2019, ch. 96, § 3. (b) Repealed by Laws 2019, ch. 96, § 3. (c) No person shall knowingly make a false statement or misrepresentation or knowingly fail to disclose a material fact in obtaining medical assistance under this chapter. A person violating […]
Section 42-4-112 – Confidentiality of Records; Penalty for Disclosure; Authorized Disclosure.
42-4-112. Confidentiality of records; penalty for disclosure; authorized disclosure. (a) Any application, information and record obtained, compiled and maintained for an applicant or qualified recipient of medical assistance under this chapter is confidential and shall not be disclosed or used for any purpose other than the administration of this chapter. (b) A violation of subsection […]
Section 42-4-113 – Eligibility Criteria; Irrevocable Burial Trusts.
42-4-113. Eligibility criteria; irrevocable burial trusts. (a) The department shall not consider as assets available to an applicant seeking medical assistance the corpus of a Medicaid qualifying trust: (i) That is irrevocable; (ii) In which the trustee and trustor retain no discretion with respect to distributions to the applicant; (iii) In which the income from […]
Section 42-4-114 – Cooperative Agreements Authorized.
42-4-114. Cooperative agreements authorized. The department may enter into a cooperative agreement and may contract with private attorneys to provide legal services and legal representation necessary to assist the department in enforcing its right to reimbursement created under article 2 of this chapter. The department and its contract attorneys shall have an unconditional right to […]
Section 42-4-115 – Work Incentives Improvement Option; Purchase of Services; Eligibility Criteria; Definition.
42-4-115. Work incentives improvement option; purchase of services; eligibility criteria; definition. (a) The department may amend the state plan for medical assistance and services developed under W.S. 42-4-104(a)(ii) to allow individuals with countable income not to exceed three hundred percent (300%) of the supplemental security income level to receive services authorized under W.S. 42-4-103(a), provided […]
Section 42-4-116 – Premium Calculation.
42-4-116. Premium calculation. (a) The calculation of premium for services under W.S. 42-4-115 shall be as follows: (i) Determine the total expenses of the Medicaid program for the most recent state fiscal year and the total number of clients in the Medicaid program served in that period; (ii) Deduct from the totals in paragraph (i) […]