Retroactive medicaid eligibility; rulemaking; reporting

W.S. § 42-10-110 — under Chapter 10 — Welfare Fraud Prevention Act.

W.S. § 42-10-110

Retroactive medicaid eligibility; rulemaking; reporting. Note: this section is effective as of 1/1/2027. (a) As used in this section: (i) "Retroactive eligibility" means coverage for services furnished prior to the month of application as authorized by 42 U.S.C. § 1396a(a)(34); (ii) "Medicaid eligible population" means persons eligible for medicaid under state or federal law. (b) Retroactive medicaid eligibility shall not extend more than two (2) months prior to the month in which a completed medicaid application is submitted. (c) This limitation applies only to initial applications and shall not affect ongoing eligibility. (d) The department of health shall adopt rules necessary to implement this section. (e) Not later than August 1 of each year, the department of health shall submit a report to the joint labor, health and social services interim committee of the Wyoming legislature, including: (i) The number of medicaid applications processed; (ii) The number of applicants denied retroactive eligibility under this section; and (iii) The estimated fiscal impact of the limitation. (f) This section shall be implemented not later than January 1, 2027.