Title 42, Welfare

Provision of assistance and services; duties of department; burial assistance; department of health state supplemental security income program. (a) The department shall provide and administer programs for public assistance and social services in Wyoming to those individuals lacki…

Personal opportunities with employment responsibilities; provision; eligibility; unemployed parent program. (a) The department may through the personal opportunities with employment responsibilities (POWER) program provide financial assistance for a dependent child and an eligibl…

Application for assistance and services; investigation of applicant. (a) An individual or other person on his behalf may apply in writing for public assistance and social services under this article to the field office of the department located within the county or region in whic…

Approval or disapproval of application; notification of applicant; amount and form of assistance and services. (a) Based upon the eligibility of an applicant, the department shall approve or disapprove each application for public assistance or social services filed with its field…

Payment of assistance; custodian for incompetent recipients. (a) Public assistance and social services approved under this article: (i) May be provided in the form of a performance payment or other financial assistance, in the home of the applicant, in an institution or in any ot…

Continuous assistance to recipient changing residence to another county; assistance provided to nonresidents; termination upon leaving state. (a) The department shall provide for the continuous and uninterrupted receipt of approved public assistance and social services by any eli…

Review of assistance and services; termination or modification; notice to department of change in assets. (a) Public assistance and social services provided under this article shall be reviewed at least once each year, except for recipients enrolled in an approved educational pro…

Administrative and judicial review. (a) An applicant or recipient whose application is not acted upon within a reasonable time following the date of application or who is aggrieved by any determination for the provision, amount, modification or termination of public assistance an…

Prohibited disclosure and use of records; penalty; judicial discovery. (a) Except as provided in this section, no person shall disclose, receive, use or knowingly permit or participate in the use of any information derived from records maintained pursuant to law or acquired in th…

Misrepresentation; penalties; recovery, termination or modification of assistance and services. (a) No person shall knowingly make a false statement or misrepresentation, fail to disclose a material fact, aid, abet or conspire with any other person in obtaining any form of supple…

Assignment or transfer of assistance and services; exemption from legal process. (a) Any assignment or transfer of public assistance and social services provided under this article is void. (b) Except as authorized under W.S. 42-2-112(m), public assistance and social services pro…

Reimbursement of federal government. The department shall reimburse the federal government as required by federal law.

Supplemental nutrition assistance program eligibility recertification frequency. Note: this section is effective as of 1/1/2027. (a) The department shall assign certification periods of not greater than four (4) months to households that include an able bodied adult without depen…

Definitions. (a) As used in this article: (i) "Program" means the employment and training program created under this article; (ii) "Support services" includes transportation, child care and other services necessary to enable participants in the program to participate without hard…

Participation required; exemptions; disqualification of benefits. (a) If available within the county of his residence, any person receiving benefits from the department under the supplemental nutrition assistance or personal opportunities with employment responsibilities (POWER) …

Establishment of program; powers and duties of division. (a) The department shall: (i) Establish an employment and training program which shall include job registration and may include job search employment training, work experience and support services; (ii) Establish the progra…

Definitions. (a) For purposes of this article: (i) "Asset", with respect to an individual, means: (A) All income and resources of the individual and of the individual's spouse, including any income or resources to which the individual or his spouse is entitled but does not receiv…

Transfers of assets affecting eligibility; exceptions; disclosures by applicants. (a) If an institutionalized individual or the individual's spouse has disposed of, for less than fair market value, any asset or interest therein within sixty (60) months before or any time after th…

Trust transfers affecting eligibility for medical assistance. (a) For purposes of determining an individual's eligibility for or the amount of benefits under chapter 4 of this title, the rules specified in subsections (d) and (e) of this section shall apply to a trust established…

Determination of transfer of asset. In the case of an asset held by an individual in common with another person in a joint tenancy, tenancy in common or similar arrangement, the asset, or the affected portion of the asset, shall be considered to be transferred by the individual w…

Individuals with substantial home equity; disqualification. (a) An applicant shall not be eligible for long-term care services under this article if the applicant's equity interest in the applicant's home exceeds five hundred thousand dollars ($500,000.00). (b) Beginning on July …

Low income home energy assistance and weatherization program; funding. (a) The department shall administer a low income home energy assistance program in accordance with federal P.L. 97-35, as amended. The department shall submit and keep current a state plan and shall administer…

Creation; deposits. (a) The child support and revenue enhancement account is created. (b) The following payments, collections and revenues shall be transmitted to the state treasurer for deposit to the credit of the child support and revenue enhancement account: (i) Child support…

Administration. The department shall administer the funds in the child support and revenue enhancement account and report annually to the joint appropriations interim committee and joint judiciary interim committee. The account may be divided into subaccounts for purposes of admi…

Authorized expenditures. (a) Funds in the child support and revenue enhancement account shall be expended only as authorized by this section. (b) The department may at any time disburse funds in the account for: (i) Payments to support obligees and disbursements required under th…

Short title. This chapter may be cited as the "Wyoming Medical Assistance and Services Act". The program and services provided pursuant to this chapter and Title XIX of the federal Social Security Act may be cited as "Medicaid" or the "Medicaid program".

Definitions. (a) As used in this chapter: (i) "Categorically eligible" means any individual in need of medical assistance authorized by the legislature and by Title XIX of the federal Social Security Act to be covered by a state plan for medical assistance and services; (ii) "Med…

Authorized services and supplies. (a) Services and supplies authorized for medical assistance under this chapter include: (i) Inpatient hospital services; (ii) Outpatient hospital services; (iii) Laboratory and x-ray services; (iv) Skilled nursing home services; (v) The professio…

Powers and duties of department of health; state Medicaid agent appointed by governor. (a) The department of health shall: (i) Administer this chapter; (ii) Develop a state plan for medical assistance and services provided to qualified recipients under this chapter and otherwise …

Application for assistance; determination of eligibility; assignment of benefits; resources and income allowances defined for institutionalized spouse. (a) Any Wyoming resident may apply for medical assistance under this chapter by filing an application by telephone, by mail, in …

Uniform application throughout state; discrimination prohibited; pilot projects authorized. (a) This chapter and the state plan for medical assistance and services developed under W.S. 42-4-104(a)(ii) shall be uniformly applied within all political subdivisions of the state. (b) …

Administrative hearings. In accordance with the Wyoming Administrative Procedure Act, the department shall provide opportunity for a hearing to any individual denied medical assistance under this chapter or otherwise aggrieved by the administration of this chapter.

Charges for inpatient hospital services. A cost deduction, cost sharing or other similar charge shall not be imposed upon any recipient of medical assistance for inpatient hospital services provided on his behalf pursuant to this chapter.

Providing or obtaining assistance by misrepresentation; penalties. (a) Repealed by Laws 2019, ch. 96, § 3. (b) Repealed by Laws 2019, ch. 96, § 3. (c) No person shall knowingly make a false statement or misrepresentation or knowingly fail to disclose a material fact in obtaining …

Confidentiality of records; penalty for disclosure; authorized disclosure. (a) Any application, information and record obtained, compiled and maintained for an applicant or qualified recipient of medical assistance under this chapter is confidential and shall not be disclosed or …

Eligibility criteria; irrevocable burial trusts. (a) The department shall not consider as assets available to an applicant seeking medical assistance the corpus of a Medicaid qualifying trust: (i) That is irrevocable; (ii) In which the trustee and trustor retain no discretion wit…

Cooperative agreements authorized. The department may enter into a cooperative agreement and may contract with private attorneys to provide legal services and legal representation necessary to assist the department in enforcing its right to reimbursement created under article 2 o…

Work incentives improvement option; purchase of services; eligibility criteria; definition. (a) The department may amend the state plan for medical assistance and services developed under W.S. 42-4-104(a)(ii) to allow individuals with countable income not to exceed three hundred …

Premium calculation. (a) The calculation of premium for services under W.S. 42-4-115 shall be as follows: (i) Determine the total expenses of the Medicaid program for the most recent state fiscal year and the total number of clients in the Medicaid program served in that period; …

End stage renal dialysis program; rulemaking; funding. (a) Effective July 1, 2001, the department shall expand coverage for services authorized under W.S. 42-4-103(a)(xxiii) for qualified individuals in need of end stage renal dialysis to the extent funding is available. (b) The …

Prescription drug assistance program created; eligibility criteria; benefits provided; coverage of medications. (a) There is created a prescription drug assistance program to assist residents of the state. The program shall be a state funded program to provide prescription drug a…

Pharmacy plus program; eligibility criteria; rulemaking; termination of program. (a) The department may apply for a demonstration waiver under section 1115 of the federal Social Security Act to allow individuals with income or assets in excess of limits generally established in t…

Contracts for waiver services; authority of department; emergency case services; cost based payments; training and certification of specialists. (a) The department is authorized to enter into contracts with providers of services under a federal home and community based waiver and…

Program of all-inclusive care for the elderly. (a) The department, as an optional services program of the Medicaid program, may develop and implement a program of all- inclusive care for the elderly (PACE) in accordance with section 4802 of the Balanced Budget Act of 1997, P.L. 1…

Cooperation with paternity determination. (a) Except as otherwise provided in subsection (b) of this section, as a condition of eligibility, or continuing eligibility, for medical assistance under this chapter, a person who receives medical assistance shall cooperate in good fait…

Clubhouse rehabilitation services. (a) The director of the department shall include reimbursement for clubhouse rehabilitation services within the Medicaid program. (b) Within the limits of available funding, the department may enter into contracts with certified clubhouse provid…