Section 42-4-207 – Recovery of Incorrect Payments; Recovery of Correct Payments; Liens.
42-4-207. Recovery of incorrect payments; recovery of correct payments; liens. (a) The department may through appropriate action recover any incorrect payment of medical assistance under this chapter on behalf of a recipient and may adjust any subsequent payment by an amount equal to the incorrect payment. Any recovery shall be prorated to the federal government […]
Section 42-4-202 – Third Party Liability; Authority; Enforcement; Notice; Costs.
42-4-202. Third party liability; authority; enforcement; notice; costs. (a) When the department provides, pays for or becomes liable for medical care, it shall have a lien for the cost of the medical assistance provided upon any and all causes of action which accrue to the person to whom the care was furnished, or to the […]
Section 42-4-203 – Settlement Between Recipient and Tortfeasor or Insurer; Lien Not Discharged; Exceptions.
42-4-203. Settlement between recipient and tortfeasor or insurer; lien not discharged; exceptions. (a) No settlement made by and between the applicant or recipient and the tortfeasor or insurer shall discharge the right to reimbursement created pursuant to this article, against any money due or owing by such tortfeasor or insurer to the applicant or recipient […]
Section 42-4-204 – Department Subrogated to Right of Recovery of Applicant or Recipient; Utilization of Personal Health Insurance; Insurance Coverage of Recipients.
42-4-204. Department subrogated to right of recovery of applicant or recipient; utilization of personal health insurance; insurance coverage of recipients. (a) The department shall be subrogated to any right of recovery or indemnification arising from an accident or occurrence resulting in expenditures by the department, which an applicant or recipient of medical assistance or any […]
Section 42-4-123 – Air Ambulance Transport Services for Wyoming Residents; Sunset.
42-4-123. Air ambulance transport services for Wyoming residents; sunset. (a) With the consent of the governor, the department shall apply, in the form of any necessary federal waiver, state plan amendment or other agreement, to the United States department of health and human services and endeavor to make coverage of air ambulance transport services through […]
Section 42-4-124 – Clubhouse Rehabilitation Services.
42-4-124. Clubhouse rehabilitation services. (a) The director of the department shall include reimbursement for clubhouse rehabilitation services within the Medicaid program. (b) Within the limits of available funding, the department may enter into contracts with certified clubhouse providers for clubhouse rehabilitation services. (c) On or before September 1, 2019 the department shall report to the […]
Section 42-4-201 – Action Against Third Party; Notice; Subrogation.
42-4-201. Action against third party; notice; subrogation. (a) If a person who is or becomes an applicant or recipient for medical assistance under this chapter receives an injury under circumstances creating a legal liability in some third party, the applicant or recipient shall not be deprived of any medical assistance for which he is entitled […]
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. […]