048-1 Wyo. Code R. § 1-3

Current through April 27, 2019
Section 1-3 - Definitions

The definitions provided for in W.S. 25-11-101 as they currently appear or as amended, are incorporated herein by reference. Other applicable definitions are as follows:

(a) "Actual cost" means the cost of providing treatment or services for resident in a state institution including minimum costs, as set by the department having the direct authority and control of the institution, or maintaining of a resident;

(b) "Agency" means the Department of Health which is administratively responsible for the respective institutions;

(c) "Average resident occupancy" means the average resident census for all days during the fiscal year;

(d) "Debt" means any form of legal indebtedness, liability or obligation to pay money by express agreement against the resident's assets such as mortgages, liens, loans, purchase contracts or security interests;

(e) "Deduction" means deductions as per the Department of Family Services Combined Manual unless Department of Health policy dictates otherwise;

(f) "Established charge" means that part of the actual cost for which the resident, and/or residents estate and legally responsible persons are liable;

(g) "Exemptions" means exemptions as per the Department of Family Services Combined Manual unless Department of Health policy dictates otherwise;

(h) "Income" means all cash, profits, wages or gains available to a person from any source as defined by the Department of Family Services Combined Manual, unless the Department of Health's policy dictates otherwise;

(i) "Indebtedness" means a sum of money due and owing for services rendered at a state health care institution;

(j) "Medicaid" means a program authorized by Title XIX of the Social Security Act, and the Wyoming Medical Assistance and Services Act in W.S. W.S. W.S. 42-4-101 through 42-4-112;

(k) "Resident" means a patient or resident voluntarily admitted or involuntarily committed to a state health care institution;

(l) "Resources" means assets as per Department of Family Services Combined Manual, unless the Department of Health's policy dictates otherwise;

(m) "Services and treatment" means any help, use or benefit to a resident as a result of the work performed by the staff at a state health care institution, including but not limited to diagnosis, evaluation, medication, therapy or prescribed care, observation, supervision, discharge planning, rehabilitation, reformation, and custodial or domiciliary care. Services and treatment shall not include education provided to any person which is required by state or federal law;

(n) "Schedule of Charges" means sliding scale based upon the ability to pay;

(o) "State Institution" means any state health care institution listed in Title 25 of the Wyoming Statutes that are under the direct authority and control of the Department of Health;

(p) "Third party payor" means an entity which is under contract with the resident or legally responsible person to pay costs for medical, nursing home or other specified services and treatment;

(q) "Verification" means acquiring information or documents that prove a statement to be true.

048-1 Wyo. Code R. § 1-3