Ch. 4, § 6. Time of Notice

(a) Applicants. The Department shall mail the notice after a final determination is made. (b) Clients. The Department shall mail notice of adverse action at least ten (10) business days before the effective date, except: (i) The Department may mail notice, not less than five (5) business days before the effective date if, the circumstance indicate probable fraud by a client, and if possible, there are facts that have been verified through secondary sources. (ii) The Department may mail notice not later than the effective date if: (A) The Department has been notified that a client is deceased; (B) The Department receives a clear written statement signed by a client that: (I) The client no longer wishes to receive services; or (II) Provides information which requires termination or reduction of services. The statement must also include that the client understands that by providing the Department with the information, immediate termination or reduction of the client's services will result; (C) The client has been admitted to an institution where the client is ineligible under the plan for further services. (D) The client's whereabouts are unknown and the Department's mail is returned, indicating there is no forwarding address; (E) The Department establishes that the client has been accepted for benefits by another local jurisdiction, state, territory or commonwealth; (F) A change in the level of medical care is prescribed by the client's physician; or (G) The notice involves an adverse determination based on preadmission screening requirements for individuals with mental illness or intellectual disability. (c) Providers. (i) The Department shall notify a provider of the denial or reduction of payments after the denial or reduction. (ii) The Department shall notify a provider of a termination, suspension or other adverse action in accordance with Chapter 16 of the Wyoming Department of Health's Medicaid Rules.