048.0037.40.4

Ch. 40, § 4. Provider participation

Last amended: 2023Length: 220 wordsOfficial source

Cite as Medicaid Rules, Ch. 40, § 4

(a) Except as otherwise specified in this Chapter, no facility that furnishes covered services to a recipient shall receive Medicaid funds unless the provider has signed a provider agreement, and is enrolled. (b) Compliance with Medicaid Rules Chapter 3, Provider Participation. A facility that wishes to receive Medicaid reimbursement for covered services furnished to a recipient must meet the provider participation requirements of Medicaid Rules Chapter 3. (c) Additional provisions. (i) A PRTF must be certified. In-state PRTF's shall be certified by the Division of Healthcare Financing in conjunction with Healthcare Licensing and Surveys and CMS approval. Out-of-state PRTF's shall be certified by their own state's licensing and survey agency and CMS. (ii) A PRTF shall be licensed. For in-state PRTF's, a PRTF shall be licensed by the State of Wyoming, Department of Family Services. For out-of-state PRTF's, a PRTF shall be licensed by that state's licensing authority. (iii) A PRTF shall have one of the following accreditations: JCAHO, CARF, COA, or any other accrediting organization with comparable standards recognized by the State. (iv) No facility shall become a provider or receive Medicaid funds for services furnished before the date on which an authorized individual signs an attestation letter which meets the requirements regarding restraint, seclusion, and death reporting policies of 42 C.F.R. § 441.51 and 42 C.F.R. Subpart G.
048.0037.40.4: Ch. 40, § 4. Provider participation | Justis AI