Ch. 26, § 28. Client Co-Payments

(a) Clients who receive the following services shall make a co-payment: (i) Federally Qualified Health Centers (FQHC) services; (ii) Physician office visits; (iii) Physician home visits; (iv) Psychiatric services; (v) Rural Health Centers services; (b) Co-payment amounts. Co-payment dollar amounts shall be assigned as specified in State Plan Amendment 4.18-A. (c) Exceptions. Co-payment requirements of this Section shall not apply to: (i) Emergency services; (ii) Family planning clinic services; (iii) Clients under the age of twenty-one (21); (iv) Pregnant women; (v) Residents of a nursing facility or swing bed facility; (vi) A client who is also eligible for Medicare and where Medicare has reimbursed the provider for the claim; (vii) Items and services furnished directly to an American Indian or Alaska Native who is enrolled as a member of a Federally-Recognized Tribe or otherwise meets the definition of an "Indian" at Section 4 of the Indian HealthCare Improvement Act (25 U.S.C. § 1608); (viii) Hospice Services; and (ix) Inpatient hospital stays. (x) Any individual or service where cost sharing is prohibited by Federal law or State law as specifically delineated in State Plan Amendment 4.18-A. (d) Providers shall be responsible for collecting the co-payment. The amount of the co-payment shall be automatically deducted by the Wyoming Department of Health from the Medicaid allowable payment, regardless of whether the co-payment is actually paid. For purposes of this section, a provider shall not deny service to a client due to a client's inability to make the co-payment, unless a client regularly refuses to make co-payments.