Section 42-4-120 – Contracts for Waiver Services; Authority of Department; Emergency Case Services; Cost Based Payments; Training and Certification of Specialists.
42-4-120. Contracts for waiver services; authority of department; emergency case services; cost based payments; training and certification of specialists. (a) The department is authorized to enter into contracts with providers of services under a federal home and community based waiver and to enforce the provisions of this section. (b) The department shall adopt and enforce […]
Section 42-4-121 – Program of All-Inclusive Care for the Elderly.
42-4-121. Program of all-inclusive care for the elderly. (a) The department, as an optional services program of the Medicaid program, may develop and implement a program of all-inclusive care for the elderly (PACE) in accordance with section 4802 of the Balanced Budget Act of 1997, P.L. 105-33, as amended, and 42 C.F.R. part 460. (b) […]
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 42-4-114 – 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) […]
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 42-4-104 – Powers and Duties of Department of Health; State Medicaid Agent Appointed by Governor.
42-4-104. Powers and duties of department of health; state Medicaid agent appointed by governor. (a) The department of health shall: (i) Administer this chapter; (ii) Develop a state plan for medical assistance and services provided to qualified recipients under this chapter and otherwise providing for the effective administration of this chapter; (iii) Maintain records on […]