(a) The participant may choose to change any provider at any time and for any reason.
(b) A provider who is terminating services with a participant shall notify that participant in writing at least thirty (30) calendar days prior to ending services, unless the Division approves a shorter transition period in advance. Failure to provide services during this thirty (30) calendar day period shall be considered abandonment of services and may result in decertification of the provider.
(c) When a participant, or any legally authorized representative, chooses to change providers, they shall inform the participant's case manager of the decision. All case managers shall notify the provider of a participant's or legally authorized representative's decision to discontinue services within three (3) business days.
(d) When a transition occurs, the case manager shall: - (i) Notify the Division of the request for change within five (5) business days of request;
- (A) If the participant, or any legally authorized representative, requests a change of case manager, the case manager shall review choice and make provider lists available to the participant and legally authorized representative.
- (B) If the participant or legally authorized representative requests a change of a provider other than the case manager, the case manager shall review choice and provider lists with the participant or legally authorized representative.
- (ii) Complete the transition checklist(s) as required by the Division;
- (iii) Schedule individualized plan of care team meetings and notify all current and new providers, the participant, any legally authorized representative, and the Division at least two (2) weeks prior to the meeting. Team meetings may be scheduled sooner than two (2) weeks due to an emergency situation. Case managers shall notify the Division of any emergency requiring a faster transition schedule; and
- (iv) Modify the participant's individualized plan of care.
- (A) If a revised individualized plan of care is required, the case manager shall complete the revised plan and submit it to the Division at least thirty (30) calendar days before the new provider is scheduled to begin providing services.
- (B) If the individualized plan of care only requires minor modification, the case manager shall complete and submit plan of care modifications to the Division at least seven (7) days prior to the scheduled start date of the new services.
(e) All providers on the individualized plan of care shall share pertinent information with the case manager and the individualized plan of care team in a timely manner.
(f) If a provider providing residential services to a participant requires a participant to move to another residential location, the participant shall be given the opportunity to choose from all available options without limitation to that provider's settings. - (i) The participant may choose from other setting options that are appropriate for the participant, which may include a new provider or transitioning to supported living services.
- (ii) The provider shall notify the participant, family, case manager, and any legally authorized representative of the move at least thirty (30) calendar days in advance so the participant can exercise the choice to find a new residence or provider.
(g) It is the responsibility of the case manager to ensure providers have received training on all participant information including health and safety, behavioral concerns, and the individualized plan of care.
048-45 Wyo. Code R. § 45-22