Ch. 22, § 4. General Provisions

(a) A determination indicating a need for nursing facility level of care shall not constitute a determination of eligibility or a guarantee of reimbursement for Wyoming Medicaid services. Individuals shall meet any additional eligibility criteria for the applicable Wyoming Medicaid services and programs. (b) The level of care assessment conducted pursuant to this Chapter is not intended to serve as an instrument for the identification, diagnosis, or treatment of any disease or medical condition. (c) The Department is the sole entity authorized to make nursing facility level of care determinations for the purposes established by this Chapter. (d) The Department shall establish the procedures, instruments, methods, and criteria by which a level of care assessment is conducted. (i) The Department shall make nursing facility level of care determinations based solely on the results of a level of care assessment conducted by a qualified level of care assessor. (ii) The Department shall make nursing facility level of care determinations and provide notification in accordance with its established timelines and procedures.