048.0037.11.6

Ch. 11, § 6. Provider records

Last amended: 2023Length: 102 wordsOfficial source

Cite as Medicaid Rules, Ch. 11, § 6

. (a) A provider of medical supplies, durable medical equipment, or prosthetics must comply with the record-keeping requirements of Wyoming Medicaid Rules Chapter 3. (b) The provider's medical records must substantiate the medical necessity of the medical supplies, durable equipment, or prosthetics prescribed for a client, including: the client's diagnosis and prognosis; the estimated duration of the condition which necessitates the medical supplies or durable medical equipment; the nature and extent of the client's functional limitations; other therapeutic interventions which have been tried and their results; and a copy of the certification of medical necessity, and request for prior authorization, if applicable.
048.0037.11.6: Ch. 11, § 6. Provider records | Justis AI