Section 30-11 - Levels of care capped by the statewide ceiling (a) The Department shall reimburse the following levels of care using level of care payment rates capped by a statewide ceiling, unless reimbursed as specialty services: - (i) Maternity care - Medical;
- (ii) Maternity care - Surgical;
- (iv) Newborn readmission care; and
(b) Determination of payment rates. The payment rates for each level of care capped by a statewide ceiling shall be the lesser of: - (i) The hospital-specific mean cost per discharge, as determined pursuant to Section 9 and inflated pursuant to Section 20; or
- (ii) The statewide mean cost per discharge, determined pursuant to Section 9 and inflated pursuant to section 20.
- (iii) If payment is pursuant to paragraph 11(b)(i), the level of care payment rate shall include an incentive payment.
- (iv) A capital payment shall be determined pursuant to Section 18 and added to the level of care payment rate; and
- (v) The direct medical education payment determined pursuant to Section 19 shall be added to the level of care payment rate.
048-30 Wyo. Code R. § 30-11