Ch. 1, § 10. Participation Fees

(a) The Department shall assess reasonable participation fees for connection and access to the Health Information Exchange. (b) Fees shall be payable in the exact amount and are non-refundable. (c) The Department shall assess fees based on a participant or authorized user's taxonomy and usage category, which shall be determined by the Department upon initial connection or request for access. (d) The Department may periodically conduct revalidation of the participant or authorized user's category by requesting the resubmission of information provided at the time of initial connection. (i) The Department may assess a different fee after revalidation is completed for participants who no longer qualify in their initial fee category. (ii) The Department shall not revalidate participants more than once every year. (e) Unless otherwise specified, all participant categories shall be given full use of all functionality and features available to any participant. (f) The fee schedule for connection and access to the WYFI Health Information Exchange shall be as follows: Category Pricing Fee Maximum Fees Medicaid Per member per year $2 No Max Health Plans Per member per year $2 No Max Critical Access Hospitals and Surgical Hospitals Per year $5,000 $5,000 Hospitals of any type with twenty-six (26) to ninety-nine (99) beds Per year $7,500 $7.500 Hospitals of any type with over (100) beds $10,000 $10,000 Hospice Facilities Per year/ per location $250 $250 Long -Term Care -Skilled Nursing Facilities and Nursing Home Facilities Per year/ per location $250 $250 Assisted Living Facilities Per year/ per location $250 $250 Federally Qualified Health Centers Per year/ per location $250 $250 Indian Health Services and Tribally Run Facilities Per year $250 $250 Rural Health Clinics Per year/ per location $250 $250 Pharmacy Facilities Per year/ per location $250 $250 Ambulance or Emergency Medical Services agencies connecting outside of the WDH-provided Emergency Medical Services and Trip reporting system Per year $0 $0 County Healthcare Facilities: for example jails and Public Health offices Per year $250 $250 Individual healthcare providers & multi-provider offices who contribute data to the Health Information Exchange Per year/ per location $250 $250 Individual healthcare providers & multi-provider offices who do not contribute data to the Health Information Exchange Per licensed provider per year for access, up to a practice maximum $50 $1,000 Mental Health and Substance Use Disorder Providers Per licensed provider per year for access, up to a practice maximum $0 $0 Non-Profits serving Social Determinants of Health services (SDOH) Per year $0 $0 Other authorized users who request access to the Health Information Exchange not already identified within this table Per member per year or per custom quote $2 No Max Emergency First Responders Per year $0 No Max Federal Healthcare Provision Agencies Per year $0 No Max Wyoming State Agencies or their contractors Per year $0 No Max Other Health Information Exchanges Per Mutual Agreement $0 No Max Patient Authorized Data Requests: for example the Social Security Administration Per patient query $15 No Max (g) Fees for participants or authorized users who request ad hoc data products or special reports shall be scoped on a case-by-case basis and quoted based upon the time needed to complete the project request. (i) The WYFI shall deny requested data products or special reports that violate Section 7 of this Chapter governing the use of data. (ii) The WYFI may delay or deny requested data products or special reports if it lacks the staffing or technical resources to complete the project request in a timely manner. (h) The Department may adjust any of the fees listed in the schedule by three percent (3%) annually. Written notice of fee adjustments shall be given to participants affected. This section will be amended to reflect a total fee increase greater than fifteen percent (15%). (i) The Department reserves the right to waive or lower fees as needed during emergencies or as alternate funding sources become available to cover the costs of administering and maintaining the Health Information Exchange. (j) The Department reserves the right to not assess fees on other state entities and federal entities as defined in the WYFI Policy and Procedure Manual.