Medicaid/CHIP Data Requirements in Wyoming
Medicaid/CHIP Data Requirements in Wyoming
| Subtopic | Statute/Regulation | Description |
|---|
| Confidentiality of Medicaid data (including penalties for violating confidentiality) | Application Process, Applicant Rights and Responsibilities, 048-0037-18 Wyo. Code R. § 4 | Application Process, Applicant Rights and Responsibilities Establishes a process for applying for Medicaid benefits and identifies the... |
| Confidentiality of Records, Wyo. Stat. Ann. § 42-4-112 | Confidentiality of Records Classifies applications for medical assistance and information and records regarding medical assistance... |
| Access to Medicaid data (by patients, providers, and government agencies) | Audits, 048-0037-40 Wyo. Code R. § 17 | Audits Authorizes the Department of Health, MFCU, and CMS to audit a psychiatric residential treatment facility’s financial and medical... |
| Investigation of Suspected Fraud, Theft, or Abuse of Services by Clients, 048-0037-16 Wyo. Code R. § 5 | Investigation of Suspected Fraud, Theft, or Abuse of Services by Clients Tasks the Department of Health with investigating Medicaid clients... | |
| Investigation of Suspected Fraud, Theft, or Abuse of Services by Providers, 048-0037-16 Wyo. Code R. § 4 | Investigation of Suspected Fraud, Theft, or Abuse of Services by Providers Tasks the Department of Health with investigating Medicaid... | |
| Post-payment Reviews, 048-0037-8 Wyo. Code R. § 13 | Post-Payment Reviews Specifies the grounds on which the Department of Health may conduct post-payment reviews of hospitals that provide... | |
| Provider Recordkeeping and Data Collection, 048-0037-45 Wyo. Code R. § 7 | Provider Recordkeeping and Data Collection Requires providers of DD waiver services to collect any data, records, and information they need... | |
| Provider Records, 048-0037-3 Wyo. Code R. § 7 | Provider Records Requires Medicaid providers to maintain medical and financial records for the longer of at least six years after the... | |
| Record Retention, 048-0037-7 Wyo. Code R. § 29 | Record Retention Requires nursing facilities to comply with the record keeping requirements established in 048.0037.3 Wyo. Code R. § 7 (... |
| Medicaid medical records maintenance by providers (including retention period, storage, and other recordkeeping requirements) | Documentation Standards, 048-0037-45 Wyo. Code R. § 8 | Documentation Standards Establishes standards for documentation of DD waiver services, medical records, and financial records. Requires... |
| Medical, Financial, and Patient Records, 048-0037-16 Wyo. Code R. § 6 | Medical, Financial, and Patient Records Requires Medicaid providers to maintain records in accordance with 048.0037.3 Wyo. Code R. § 7... | |
| Provider Recordkeeping and Data Collection, 048-0037-45 Wyo. Code R. § 7 | Provider Recordkeeping and Data Collection Requires providers of DD waiver services to collect any data, records, and information they need... | |
| Provider Records, 048-0037-3 Wyo. Code R. § 7 | Provider Records Requires Medicaid providers to maintain medical and financial records for the longer of at least six years after the... | |
| Provider Records, 048-0037-6 Wyo. Code R. § 6 | Provider Records Requires HEALTH CHECK providers to comply with the record keeping requirements established in 048.0037.3 Wyo. Code R.... |
| Mandatory reporting by Medicaid providers (cost/utilization information) | Facility Reporting Requirements, 048-0037-29 Wyo. Code R. § 5 | Facility Reporting Requirements Requires facilities to submit an Inpatient Census Report (ICR) to the Healthcare Financing Division by 5pm... |
| Statewide Data Registry, 048-0037-46 Wyo. Code R. § 6 | Statewide Registry Data Requires the Behavioral Health Division to maintain a database of individuals deemed eligible for waiver services.... | |
| Submission and Preparation of Cost Reports, 048-0037-7 Wyo. Code R. § 5 | Submission and Preparation of Cost Reports Requires nursing facilities to submit cost reports to the Department of Health within five... |
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