Public Notices, Regulatory Documents, and Reports

PUBLIC NOTICE

Intent to Repeal Rules

Wyoming Department of Health

Public notice is hereby given that the Wyoming Department of Health (Department) proposes to repeal Medicaid Chapter 27 – Program of All-Inclusive Care for the Elderly (PACE) pursuant to the Medical Assistance and Services Act at W.S. § 42-4-121 and the Wyoming Administrative Procedure Act at W.S. § 16-3-102.

On August 26, 2020, the Wyoming Department of Health announced difficult budget reductions approved by the Governor’s Office in response to historic declining state revenues. As part of these reductions, the Department of Health eliminated the optional services Program of All-Inclusive Care for the Elderly (PACE), effective March 1, 2021. Participants of the PACE program have transitioned to other service options; therefore, the Chapter that establishes rules for PACE must be repealed in order to fully end the program.

A copy of the rule can be found at the bottom of this page, or you can 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

A public hearing will be held if requested by 25 persons, by a governmental subdivision, or by an association having not less than 25 members.

The Department welcomes all comments on the proposed repealed rules.  Any person may urge the Department not to repeal these rules and may request that the Department state its reasons for overruling the consideration urged against the amendment.  Written comments must be submitted to the above address no later than 5:00PM on April 28, 2021.

Interested parties may request a statement of the Department’s position regarding each comment and the action taken as a result of the comments prior to, or within thirty (30) days after, Department action.   Requests must be submitted to the above address.  If requested, the statement will be issued by the Department within thirty (30) days after Department action.

Chapter 27 Repeal – Statement of Reasons

Chapter 27 Repeal – Clean

Chapter 27 Repeal – Strike

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 Fee Schedule – Effective 7/01/2021

Responses to CCW Case Manager Rate Change Questions

Wyoming CCW Rate Report 2020

PUBLIC NOTICE
Intent to Renew Community Choices Waiver
Wyoming Department of Health

The Wyoming Department of Health, Division of Healthcare Financing (Division) accepted public comment on the renewal application for the Wyoming Medicaid Home and Community Based Services Community Choices Waiver (CCW) from December 7, 2020 through January 8, 2021. The public comment period for this waiver renewal has been closed, and the renewal application has been submitted to to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS for final approval. The full text of the public input received, as well as a summary of the public input and the Division’s responses to the input, is available at https://sites.google.com/wyo.gov/ccwpubliccomment.

The renewal of the CCW has a proposed effective date of July 1, 2021. The renewal includes changes to the current CCW program, and is intended to update provider reimbursement rates, more accurately reflect current practices, and more precisely describe the Division’s methods for program implementation and compliance with the federal standards for Home and Community-Based Services (HCBS) waiver programs. Stakeholders will be notified once approval from CMS has been received.