048-22 Wyo. Code R. § 22-3
Except as otherwise specified in Chapter 1 or as defined herein, the terminology used in this Chapter is the standard terminology and has the standard meaning used in health care, Medicaid, and Medicare.
(a) "Evaluation of Medical Necessity." A review by a medical necessity evaluator of an applicant's/client's mental and physical condition, to assess the individual's functional ability, for the purpose of determining whether or not the individual requires nursing facility level of care to be reimbursed by Medicaid.
(b) "Medical necessity evaluator." A registered nurse who is under contract with the Department to function as a medical necessity evaluator. In situations where no contract exists, designated staff of the Department shall perform the evaluation with input and advice from the local medical professionals.
048-22 Wyo. Code R. § 22-3