048-46 Wyo. Code R. § 46-3

Current through April 27, 2019

Section 46-3 - General Provisions

(a) Terminology. Except as otherwise specified in Chapter 1 of the Department of Health's Medicaid Rules, or as defined in this Section, the terminology used in this Chapter is standard terminology and has the standard meaning used in accounting, health care, Medicaid, and Medicare.

(b) Definitions.

(i) "Case Manager" means an individual who provides case management services as defined in Chapter 45, Section 9.

(ii) "Level of Service score" means a participant's support needs for various parts of their everyday routine and their level of independence, which are tied to a Level of Service score ranging from 1(least level of support) to 6 (highest level of support). The Level of Service scores are based on comprehensive assessments that determine an individual's level of functioning related to behavioral and health factors, and identify essential staffing and support requirements.

(iii) "Relative" means a participant's biological or adoptive parent(s) or stepparent(s).

(c) This Chapter establishes a person-centered approach to determining the support needs of participants in the individualized plan of care and to assign the individual budget amount. Developing community connections, increasing independence, natural supports, self-direction, and employment opportunities are essential components of the Supports and Comprehensive Waivers.

(d) The Supports Waiver provides eligible participants supportive services so the person may remain in the place he or she currently lives, as funding is available.

(e) Objectives. In conjunction with the methodology listed in this Section, the Supports and Comprehensive Waivers shall meet the following objectives:

(i) Provide an array of services, including a continuum of support and employment offerings, to serve participants in the least restrictive and most appropriate environment;

(ii) Provide participants increased opportunities for community involvement;

(iii) Allow the opportunity to self-direct services;

(iv) Set and achieve targeted outcomes for each participant served; and

(v) Monitor and enhance continuous improvement strategies to improve service delivery for participants.

048-46 Wyo. Code R. § 46-3

Adopted, Eff. 6/21/2017.

Amended, Eff. 7/26/2018.