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Serving Wyoming EqualityCare Providers

 

 

Waiver Manual and Bulletins

 

Waiver Services Manuals

Waiver Services General Manual
Waiver Covered Services

* Children’s Mental Health Waiver Services information is located in the CMS 1500 Provider Manual

Important Policy Changes/Additions (Not Previously Communicated)

  • Appeal of Timely Filing, Exceptions to the Twelve-Month Limit Section 6.20.1: When a client is determined to be eligible on appeal, reconsideration, or court decision the clients claims must be submitted within six (6) months of the date of the determination of retroactive eligibility. Review this section for complete policy and documentation requirements.

Waiver Services Bulletins

PASSR-LT101 Delay Notification (231K)
2010 Budget Letter
IVR/Email Communication Bulletin

Dr. Sherard OIG Exclusions Letter (110K)

 


Additional Links

DME Flow Chart 905
EqualityCare & State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
Explanation of Benefit Codes (EOB) Code Listing: Lists the EOB code and description. This is helpful when working the remittance advice.
NPI News and Information: Provides historical transition information, billing instructions and examples, etc.
 

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