Wyoming · Regulations
Chapter 16 — Medicaid Program Integrity
26 sections
26 sections
- 048.0037.16.1Ch. 16, § 1. Authority
- 048.0037.16.2Ch. 16, § 2. Purpose and Applicability
- 048.0037.16.3Ch. 16, § 3. Definitions
- 048.0037.16.4Ch. 16, § 4. Audits
- 048.0037.16.5Ch. 16, § 5. Random Sample and Extrapolation
- 048.0037.16.6Ch. 16, § 6. Review of All Claims Submitted by the Provider
- 048.0037.16.7Ch. 16, § 7. Claim Adjustments and Denials
- 048.0037.16.8Ch. 16, § 8. Repayment of Credit Balance
- 048.0037.16.9Ch. 16, § 9. Medicaid allowable payment
- 048.0037.16.10Ch. 16, § 10. Investigation of Suspected Fraud, Waste, or Abuse of Services by Providers
- 048.0037.16.11Ch. 16, § 11. Investigation of Suspected Fraud, Waste, or Abuse of Services by Clients
- 048.0037.16.12Ch. 16, § 12. Adverse Actions for Providers
- 048.0037.16.13Ch. 16, § 13. Adverse Actions for Clients
- 048.0037.16.14Ch. 16, § 14. Educational Intervention
- 048.0037.16.15Ch. 16, § 15. Recovery of Overpayments from Providers or Clients
- 048.0037.16.16Ch. 16, § 16. Suspension and Termination of Provider
- 048.0037.16.17Ch. 16, § 17. Conditions on Providers
- 048.0037.16.18Ch. 16, § 18. Impose a Monitor
- 048.0037.16.19Ch. 16, § 19. Civil Monetary Penalties
- 048.0037.16.20Ch. 16, § 20. Immediate suspensions
- 048.0037.16.21Ch. 16, § 21. Reconsideration
- 048.0037.16.22Ch. 16, § 22. Suspending or Withholding Payments Pending Reconsideration or Administrative Hearing
- 048.0037.16.23Ch. 16, § 23. Remedies Cumulative
- 048.0037.16.24Ch. 16, § 24. Effect of Fraud, Waste, or Abuse of Services of Medicare
- 048.0037.16.25Ch. 16, § 25. Disposition of Recovered Funds
- 048.0037.16.26Ch. 16, § 26. Delegation of Duties