Public Notice - Intent to Amend Chapter 22 - Determination of Nursing Facility Level of Care
PUBLIC NOTICE
Intent to Adopt Amended Rule
Public notice for this Chapter of rule has closed.
Public Notice on Changes to Statewide Methods and Standards For Setting Provider Payment Rates for the Community Choices Waiver
PUBLIC NOTICE
February 28, 2021
CHANGES TO STATEWIDE METHODS AND STANDARDS FOR SETTING PROVIDER PAYMENT RATES
Public notice is hereby given that the Wyoming Department of Health, Division of Healthcare Financing (the Division) intends to change the methods and standards for setting payment rates for services rendered under the Community Choices Waiver (CCW) program. This notice is provided consistent with the requirements at 42 CFR §447.205.
The Division conducted a study and updated the CCW program’s reimbursement methodology in preparation of its application to renew the program for another five-year waiver period. The revised CCW rate model primarily employs a cost factor build-up approach to identify and calculate the reasonable and necessary direct and indirect provider costs associated with waiver service delivery. The Division’s rate model then combines the estimated cost factors to calculate the maximum allowable reimbursement rate for each waiver service. The CCW rate model’s net impact on annual program expenditures is estimated at $950,000, or 2.5%.
Related documents are linked below. To obtain a printed copy of the CCW Rate Study Report, or for information on where these documents are available for public review in your county, please contact:
Shirley Pratt
Wyoming Department of Health
Home and Community Based Services Section
122 West 25th Street, 4 West
Cheyenne, WY 82002
(307) 777-2525
shirley.pratt@wyo.gov
CCW Rate Change Implementation Frequently Asked Questions (FAQs)
Service Plan Modifications for CCW Rate Changes Frequently Asked Questions (FAQs)
Statistics and Reports
- Developmental Disabilities Waiver Monthly Report as of June 30, 2021
- Comprehensive, Supports and Acquired Brain Injury Waivers SFY2019 Provider Rate Study
- Comprehensive Waiver Individual Budget Amount (IBA) Methodology
- National Core Indicators (NCI) 2018-2019 Wyoming Adult Consumer Survey Final Report
- NCI 2019 Staff Stability Survey Report
- State Fiscal Year 2020 Developmental Disabilities Section Annual Report
Current Home and Community Based Waiver Documents
Community Choices Waiver – Effective July 1, 2021
Comprehensive Waiver – Effective March 30, 2021
Supports Waiver – Effective March 30, 2021
CCW COVID-19 Appendix K – Effective January 27, 2020
DD COVID-19 Appendix K – Effective January 27, 2020
DD COVID-19 Appendix K – Temporary Rate Increase
DD COVID-19 Appendix K – Performance Measure Update
DD COVID-19 Appendix K – Expiration of Temporary Rate Increases
CCW and DD COVID-19 Appendix K – Date Extension
Department of Health Medicaid Rules Governing the Comprehensive and Supports Waiver Programs
Chapter 44 – Environmental Modifications and Specialized Equipment – Effective 12.20.2019
Chapter 45 – DD Waiver Provider Standards, Certification, and Sanctions – Effective 12.20.2019
Chapter 46 – Medicaid Supports and Comprehensive Waivers – Effective 12.20.2019
Rules Governing the Community Choices Waiver Program
Aging Chapter 7 – Program Administration of Adult Day Care Facilities – Effective 7.20.1999
Aging Chapter 11 – Program Administration of Nursing Care Facilities – Effective 7.1.2020
Aging Chapter 12 – Program Administration of Assisted Living Facilities – Effective 8.24.2020
Medicaid Chapter 22 – Evaluation of Medical Necessity for Medicaid Long Term Care Programs – Effective 09.26.2014
Medicaid Chapter 34 – Home & Community Based Waiver Services – Effective 03.17.1995
To review other Medicaid Chapters, visit https://rules.wyo.gov/.
- Select Current Rules
- Select Health, Department of (048)
- Select Medicaid (0037)
- Select the Chapter you wish to review
Wyoming’s Statewide Transition Plan – Approved June 29, 2018