Ch. 26, § 5. Services Not Covered

(a) The Wyoming Department of Health shall not cover the following services and supplies: (i) Except in an emergency, services furnished without the consent of the client or the client's legal guardian; (ii) Experimental procedures which are not generally accepted or used by a provider's peer group as current or standard practice; (iii) Examinations or reports required for legal purposes or other purposes not specifically related to medical care; (iv) Services furnished outside the United States; (v) Services furnished to an individual who is an inmate of a public institution, or an individual that is in the custody of a state, local, or federal law enforcement agency except as allowed by Federal law; (vi) Services provided to an individual during the first seventy-two (72) hours of emergency detention; (vii) Services provided to clients age 22 - 64 in an Institute for Mental Diseases (IMD), including Medicare secondary claims; (viii) Unless pre-approved, services which exceed the service limitations; (ix) Services provided pursuant to a court order if such services: (A) Are not covered services; (B) Exceed service limitations; (C) Are furnished by a health care practitioner or facility that is not a provider on the date(s) of services; (D) Have not received prior authorization, if applicable; or (E) Have not received admission certification, if applicable. (x) Abortions, except to the extent required by 42 C.F.R. § 441.200 - 441.208; (xi) Acupuncture; (xii) Alcohol and chemical rehabilitation furnished to an inpatient, except for purposes of detoxification or stabilization of acute conditions; (xiii) Autopsies; (xiv) Biofeedback therapies and equipment; (xv) Chronic pain rehabilitation; (xvi) Community mental health services and community substance abuse treatment center services furnished outside Wyoming; (xvii) Cosmetic procedures; (xviii) Custodial care including but not limited to non-skilled, personal care. Personal care would include help with activities of daily living, such as bathing, dressing, eating, getting in or out of a bed or chair, moving around, and using the bathroom; (xix) Gender reassignment surgery; (xx) Hormone therapy for gender dysphoria for a person who is younger than eighteen (18) years of age; (xxi) Infertility services, includes but is not limited to counseling, sterilization reversal and artificial insemination; (xxii) Missed or canceled appointments; (xxiii) Personal comfort items; (xxiv) Private-duty nursing services; (xxv) Puberty blockers for gender dysphoria for a person who is younger than eighteen (18) years of age; (xxvi) Sterilizations, unless the requirements of 42 C.F.R. § 441.250 - 441.259 are satisfied; and