048-16 Wyo. Code R. § 16-4
The following are guidelines the WCCSP adheres to with regard to client enrollment and the processes for approval or denial of applications.
(a) Enrollment Period. A client who is enrolled in the WCCSP will remain in the program until they are eligible for Medicare or until adequate insurance coverage becomes available to the client. Clients who do not obtain a screen within three (3) months of initial enrollment approval will be notified in writing that enrollment approval may be terminated if screening is not obtained within the next ninety (90) calendar days. If provider capacity is insufficient at the time of enrollment approval, an extension may be given at the Department's sole discretion.
(b) Decision-Making Process. Upon receipt of an application, it will be reviewed and approved or denied by WCCSP team members. If a decision is complex and cannot be determined by the team members the case will be referred to a WDH staff physician for enrollment decision.
(c) Notification to Applicants of Approval or Denial. Eligibility is not determined online, in person, or over the telephone. Applicants are informed in writing whether their application has been approved or denied. Reasons for denial will be specified in the letter.
(d) Review Process. Applicants who are denied enrollment may submit a written letter explaining their situation or they may request that their healthcare provider submit a written letter supporting the request. These documents shall be submitted to the Program Manager. A review team will be formed within the Department to respond to the appeals. The Department will make every effort to respond to the appeals within thirty (30) business days.
048-16 Wyo. Code R. § 16-4