044-13 Wyo. Code R. § 13-8

Current through April 27, 2019
Section 13-8 - Accessibility of Services

(a) Within each service area of a plan, basic health care services and specialized health care services shall be readily available and accessible to each of the plan's enrollees.

(b) The location of facilities providing the primary health care services of the plan shall be within reasonable proximity of the business or personal residences of enrollees, and so located as to not result in unreasonable barriers to accessibility.

(c) Hours of operation and provision for after-hour services shall be reasonable.

(d) Emergency health care services shall be available and accessible within the service area twenty-four (24) hours a day, seven (7) days a week.

(e) The ratio of enrollees to staff, including health professionals, administrative and other supporting staff, directly or through referrals, shall be such as to reasonably assure that all services offered by the plan will be accessible to enrollees on an appropriate basis without delays detrimental to the health of the enrollees.

(f) A plan shall provide accessibility to medically required specialists who are certified or eligible for certification by the appropriate specialty board, through staffing, contracting, orreferral.

044-13 Wyo. Code R. § 13-8