
Public Notice of Intent to Amend Community Choices Waiver
PUBLIC NOTICE
INTENT TO AMEND
COMMUNITY CHOICES WAIVER PROGRAM
Notice is hereby given to the public that the Wyoming Department of Health, Division of Healthcare Financing (Division) has submitted an application to amend the Community Choices Medicaid Waiver program to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS). Public comment on this amendment closed on November 21, 2022.
The Community Choices Waiver program provides eligible individuals with a community-based alternative to the care provided in a nursing facility. The proposed amendment will reflect the addition of new services, as well as updates to participant direction, service plan development, and critical incident reporting. The amendment application will have a proposed effective date of April 1, 2023.
The complete waiver application, as well as a detailed summary of the proposed changes is available below.
Summary of Proposed Changes
Proposed Fee Schedule
Proposed Service Index
Proposed Waiver Amendment
Department of Health Medicaid Rules Governing the Comprehensive and Supports Waiver Programs
Chapter 44 – Environmental Modifications and Specialized Equipment – Effective 12.2019
Chapter 45 – DD Waiver Provider Standards, Certification, and Sanctions – Effective 12.2019
Chapter 46 – Medicaid Supports and Comprehensive Waivers – Effective 12.2019
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 – Determination of Nursing Facility Level of Care– Effective 10.5.2021
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
Current Home and Community Based Waiver Documents
Community Choices Waiver/Approval – Effective July 1, 2021
Comprehensive Waiver/Approval – Effective September 1, 2022
Supports Waiver/Approval – Effective September 1, 2022
CCW COVID-19 Appendix K/Approval – Increased Home Delivered Meal Rates – Effective January 1, 2023
CCW COVID-19 Appendix K / Approval – Participant Direction Personal Support by Spouse – Effective April 1, 2022
• Flexibility to Allow CCW Spousal Employment under Participant Direction Memorandum
CCW COVID-19 Appendix K / Approval – Adjust Rates – Effective July 1, 2021
CCW COVID-19 Appendix K / Approval – Adjust CM and ALF Rates – Effective July 1, 2021
CCW COVID-19 Appendix K/Approval – Effective January 27, 2020
DD COVID-19 Appendix K/Approval – Effective January 27, 2020
DD COVID-19 Appendix K/Approval – Temporary Rate Increase – Effective January 27, 2020
DD COVID-19 Appendix K/Approval – Performance Measure Update – Effective January 27, 2020
DD COVID-19 Appendix K/Approval – Expiration of Temporary Rate Increases – Effective January 27, 2020
CCW and DD COVID-19 Appendix K/Approval – Date Extension – Effective January 27, 2020
Statistics and Report
Rate Study Reports
- Community Choice Waiver Provider Rate Study Report – SFY2022
- DD Waivers Provider Rate Study Report – SFY2023
National Core Indicator Reports
- NEW – National Core Indicators (NCI) 2018-2020 Combined Staff Stability Summary Report
- National Core Indicators (NCI) 2018-2019 Wyoming Adult Consumer Survey Final Report
- NCI 2020 Staff Stability Survey Report
Other Reports
- DD Waiver Statistics – Graphs & Visuals
- DD Waiver Monthly Report – December 2022
- HCBS Section Annual Report – SFY2022
- Comprehensive Waiver Individual Budget Amount (IBA) Methodology
- Comprehensive Waiver LOS/IBA Matrix – Effective February 1, 2022/Updated 2/23/22
- Wyoming Statewide Transition Plan – Approved June 29, 2018
- Wyoming Systemic Assessment
- Wyoming Statewide Transition Plan Final Compliance Report – Submitted December 13, 2022