048.0037.37.5

Ch. 37, § 5. Reimbursable Services

Last amended: 2023Length: 191 wordsOfficial source

Cite as Medicaid Rules, Ch. 37, § 5

(a) FQHC and RHC reimbursable services are outpatient services that occur during an eligible visit and include: (i) Physician services; (ii) Nurse practitioner, physician's assistant, and certified nurse midwife services; (iii) Behavioral health services provided pursuant to Wyoming Medicaid Rules Chapter 13 by providers licensed to provide such services; (iv) Preventive primary care services; (v) Dental services; (vi) Vision services; (vii) Audiology services; (b) The following services and supplies furnished as incidental to the provider's services are included in the provider's rate and are not billable as a stand-alone visit, even if the service is performed on a separate day from the original visit: (i) Lab services; (ii) Drugs and biologicals that cannot be self-administered; (iii) Supplies; (iv) Radiology; (v) Diagnostic services; (vi) Therapeutic services; (vii) Outreach; (viii) Case management; (ix) Transportation; (c) If services are furnished at a permanent site in more than one location, each site will be independently considered for approval as a provider, unless prior approval was granted by CMS to operate both locations under a single provider number. To be considered a satellite provider location both sites must share medical staff, office staff, and/or administrative staff.
048.0037.37.5: Ch. 37, § 5. Reimbursable Services | Justis AI