048-13 Wyo. Code R. § 13-8

Current through April 27, 2019

Section 13-8 - Excluded Services

The following services are excluded:

(a) Clinical services which are not provided in person or via a telehealth modality, other than collateral contacts necessary to develop or implement a treatment plan;

(b) Education, public education, public relations, and speaking engagements;

(c) Day care;

(d) Driving while under the influence (DUI) classes;

(e) Missed appointments;

(f) Psychological testing done for the sole purpose of education diagnosis, school or institution admission or placement;

(g) Record-keeping time, unless allowed by a specific service code;

(h) Recreation and socialization without an active clinical treatment component as specified in the individual client's treatment plan;

(j) Remedial or other formal education;

(k) Residential room, board, or care;

(m) Substance abuse or mental health disorder prevention services;

(n) Support groups, such as Alcoholics Anonymous or Narcotics Anonymous;

(o) Time spent preparing records or reports; except:

• (i) Up to three (3) hours for a licensed psychologist to prepare a formal report of test findings; and

• (ii) Time spent completing reports, forms, and correspondence regarding case management services in a client's treatment plan.

(p) Vocational services;

(q) Services provided to a client with:

• (i) Sole Diagnostic and Statistical Manual (DSM) diagnosis of intellectual or cognitive disability;

• (ii) DSM diagnosis of factitious disorder; or

• (iii) DSM diagnosis of any ICD-10 "Z" code, unless the client's medical record contains a written statement signed by the affiliated clinical professional explaining why the treatment of a condition that is not classified as a mental disorder is medically necessary;

(r) Services provided by a school psychologist.

048-13 Wyo. Code R. § 13-8

Amended, Eff. 4/7/2015.

Amended, Eff. 12/17/2015.

Amended, Eff. 1/18/2018.