Section 11-11 - Prior authorization (a) Incorporation of Chapter 3. Prior authorization of medical supplies and equipment shall be governed by the prior authorization requirements of Chapter 3.
(b) Medical supplies that require prior authorization. - (i) The Department may designate medical supplies or equipment that require prior authorization.
- (ii) In designating medical supplies that require prior authorization, the Department shall consider the:
- (B) Potential for over-utilization of the medical supplies; and
- (C) Availability of lower cost alternatives.
- (iii) The Department may disseminate a list of medical supplies and equipment that require prior authorization to providers through manuals, bulletins or other methods deemed appropriate for provider communication.
- (iv) The failure to obtain prior authorization shall result in denial of Medicaid payment for the service.
048-11 Wyo. Code R. § 11-11