048-26 Wyo. Code R. § 26-3
Except as otherwise specified in Chapter 1, or as specified herein, the terminology used in this Chapter is the standard terminology and has the standard meaning as used in health care, Medicaid and Medicare.
(a) "Applied Behavior Analysis (ABA) Treatment." Services provided to children between the ages of 0-20 years of age with a diagnosis of Autism Spectrum Disorder.
(b) "Ambulatory Surgical Center (ASC) Facility." A health care facility that specializes in providing surgery, pain management, and certain diagnostic services in an outpatient setting. ASC-qualified procedures are typically more complex than those done in a doctor's office but not so complex as to require an overnight stay.
(c) "Ambulatory Surgical Center (ASC) Services." Surgical procedures or other services offered by an ASC facility that do not require overnight inpatient hospital care.
(d) "Audiologist." A person licensed to practice audiology by the Wyoming Board of Examiners of Speech Pathology and Audiologists or a similar agency in another state.
(e) "Audiology Services." A hearing aid evaluation (HAE) and basic audio assessment (BAA) provided by a licensed audiologist, upon a licensed practitioner referral, to individuals with hearing disorders.
(f) "Chiropractic Services." Manual manipulation services provided by a licensed chiropractor.
(g) "Chiropractor" An individual licensed as a chiropractor by the Wyoming Board of Chiropractic Examiners or by a similar agency in another state.
(h) "Dental Services." Professional services and dental appliances furnished by a dentist within the scope of his practice.
(i) "Developmental Center." An agency which:
(j) "Developmental Center Services." Services provided to developmentally disabled clients under age twenty-one as part of an individualized education plan or as part of an individualized family services plan.
(k) "Diagnostic Assessment and Evaluation." A comprehensive, multi-disciplinary evaluation of a child five years of age or under, that:
(l) "Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services. Services as described in 42 U/S/C/1396 (d)(r) and 42 C.F.R. Part 441, Subpart B.
(m) "Emergency Hospital Services." Emergency hospital services, as defined by 42 C.F.R. §440.170(e)
(n) "End Stage Renal Dialysis (ESRD) Services." Services for outpatient dialysis and other treatment for persons with end-stage renal disease.
(o) "Family Planning Clinic Services." Services for medically approved diagnosis, treatment, counseling, contraceptive supplies or devices, which are prescribed or furnished to individuals of child-bearing age for purposes of enabling such individuals to determine the number and spacing of their children.
(p) "Habilitative Services." Services that help patients keep, learn, or improve skills and functioning for daily living. Examples would include therapy for a child who isn't walking or talking at the expected age.
(q) "Hospice Services." A program of care delivered in a person's home or health care facility that provides reasonable and necessary medical and support services for the management of a terminal illness.
(r) "Independent Occupational Therapist." An individual licensed as an independent occupational therapist by the Wyoming State Board of Occupational Therapy or a similar agency in another state. An independent occupational therapist is neither employed by, directly affiliated with, nor working under the supervision of a hospital, nursing facility, physician or other provider of health.
(s) "Independent Physical Therapist." An individual licensed as an independent physical therapist by the Wyoming State Board of Physical Therapy or a similar agency in another state. An "Independent Physical Therapist" is neither employed by, directly affiliated with, nor working under the supervision of a hospital, nursing facility, physician or other provider of health services.
(t) "Interpretation Services." Services that assist clients with oral or sign language interpretation.
(u) "Nurse Midwife Services" Nurse midwife services as defined by 42 C.F.R. § 440.165
(v) "Ophthalmologist." A physician who has successfully completed a postgraduate ophthalmology program of at least three years duration that is accredited by the American Board of Ophthalmology.
(w) "Optometrist." A person licensed to practice optometry by the Wyoming State Board of Examiners of Optometry or a similar agency in another state.
(x) "Physician Assistant." A person certified as a physician assistant by the Wyoming State Board of Medical Examiners or a similar agency in another state.
(y) "Physician Services." Professional services furnished by or under the supervision of a licensed physician.
(z) "Preventive Services/Visits." Any routine service or examination which is performed in the absence of a diagnosed illness, injury, or complaint.
(aa) "Public Institution." Public institution, as defined by 42 C.F.R. § 435.1010.
(bb) "Radiology Services." Professional or technical services in which X-rays or scans are used for diagnostic or therapeutic purposes.
(cc) "Rehabilitative Services." Services that help patients keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the client was sick, hurt, or suddenly disabled.
(dd) "Speech Therapy Services." Outpatient services provided by or under the direct supervision of a licensed speech therapist pursuant to written orders of a physician.
(ee) "Vision Services." Professional services and corrective lenses furnished by an Optometrist, optician, or Ophthalmologist within the scope of his practice.
048-26 Wyo. Code R. § 26-3
Amended, Eff. 12/17/2015.
Amended, Eff. 4/9/2019.