048-16 Wyo. Code R. § 16-3

Current through April 27, 2019
Section 16-3 - Eligibility Guidelines

A completed and signed application must be submitted to the WCCSP for approval. The following eligibility criteria must be met before an application may be approved for enrollment:

(a) Residency. Applicant must have been a resident of the State of Wyomhig for at least one (1) year immediately prior to making application to the program. Applicant shall swear to an oath of residency when completing the application for enrollment.

(b) Age. Applicant must be age fifty (50) or over, unless an exception is requested by a healthcare provider indicating the need for earlier screening and the exception meets the program's evidence based guidelines. A minimum age requirement of age eighteen (18) is necessary to be screened through the program.

(c) Insurance. Applicant must not already be enrolled in the federal Medicare program or Wyoming Medicaid.

(d) Income. Applicant's gross income (before taxes) at the time of application must be at or below 250% of the Federal Poverty Level.

(e) Provider, Applicant, upon approval, must receive their' colonoscopy from a provider contracted with the WCCSP,

(f) Ten-Year Rule. Upon approval of application for enrollment, applicant will be eligible for one (1) colonoscopy every ten (10) years, counting any colonoscopy completed before July 1, 2007, or before the applicant became a Wyoming resident. However, the WCCSP on a case-by-case basis may authorize follow-up screening when medically indicated based on national evidence-based guidelines.

048-16 Wyo. Code R. § 16-3