Ch. 3, § 7. Out-of-State Providers

(a) A service furnished by an enrolled provider located outside Wyoming is Medicaid reimbursable if: (i) The services are needed because of a medical emergency; (ii) The client is located outside of Wyoming and the client's health would be endangered if required to return to the state; (iii) The Department determines, on the basis of medical advice, that the needed medical services, or necessary supplementary resources, are more readily available in the other state; (iv) It is general practice for clients in a particular locality in Wyoming to use medical resources in another state; (v) The client is referred to a provider outside Wyoming when prior authorized and comparable services are not available within the state; (vi) The out-of-state provider is closer to the client's residence than a provider of comparable services within Wyoming; or (vii) The client is less than 22 years of age; and (A) Is a foster child and in the custody of the Wyoming Department of Family Services who resides with a foster family out of state and whose Medicaid coverage cannot otherwise be transferred to the receiving state; or (B) Has been placed in an out-of-state institution.