048.0037.37.5
Ch. 37, § 5. Reimbursable Services
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.