Ch. 3, § 4. Provider Qualifications

(a) The Department shall establish qualifications for individuals or entities to enroll as a provider of Medicaid covered services consistent with state and federal law. (b) To qualify for enrollment as a provider of covered Medicaid services, an individual or entity shall, at a minimum, satisfy the following criteria: (i) Meet applicable licensing and certification standards found in Wyoming statutes and rules, or in the statutes and regulations of the state in which the provider is located, or in the statutes and regulations of the state in which the services are provided. If applicable, a provider shall comply with Medicare certification standards; (ii) Not be excluded from participation in federally funded health care programs by the U.S. Department of Health and Human Services, Office of Inspector General; and, (iii) Be assigned a National Provider Identifier (NPI) number by the National Plan and Provider Enumeration System, as applicable.