Ch. 11, § 11. Prior authorization

(a) The Department may designate medical supplies or durable medical equipment that require prior authorization. The failure to obtain prior authorization shall result in denial of Medicaid payment for the service. Prior authorization of medical supplies and durable medical equipment shall be governed by the prior authorization requirements of Wyoming Medicaid Rules Chapter 3. (b) In designating medical supplies or durable medical equipment that require prior authorization, the Department shall consider the: (i) Cost of the service; (ii) Potential for over-utilization of the medical supplies; and (iii) Availability of lower cost alternatives. (c) The Department may disseminate a list of medical supplies and durable medical equipment that require prior authorization to providers through manuals, bulletins or other methods deemed appropriate for provider communication.