Health, Department of

Medicaid

Chapter 50: State Supplemental Payments

Effective Date: 09/06/2018 to Current

Rule Type: Current Rules & Regulations

Reference Number: 048.0037.50.09062018

STATE SUPPLEMENTAL PAYMENTS

Section 1. Authority.

This Chapter is promulgated by the Department of Health pursuant to Wyoming Statute § 42-2-103.

Section 2. Purpose.

This Chapter has been adopted to provide uniform procedures used to determine eligibility for State Supplemental payments. In order to receive a federal match for the Medicaid program, these payments are required by 20 C.F.R § 416.2001 and Public Law 93-66, as amended by Public Law 93-233. These payments are intended to complement the federal benefit amount, thereby increasing the amount of income available to meet a client's needs.

Section 3. Definitions.

Except as otherwise specified in Chapter 1, the terminology used in this Chapter is the standard terminology and has the standard meaning used in health care, Medicaid, and Medicare.

Section 4. Application Process.

An application for Supplemental Security Income (SSI) shall be submitted to the Social Security Administration. In order to determine eligibility, the Social Security Administration shall provide the applicant's information to the Department of Health.

Section 5. Eligibility Factors.

A client who receives an SSI payment as a sole source of income and is a resident of Wyoming, as determined by the Social Security Administration, shall be eligible to receive a State Supplemental payment.

Section 6. Services.

State Supplemental payment amounts are determined by the Wyoming State Legislature.

Section 7. Administrative Hearing.

If an administrative hearing is requested, it shall be conducted in accordance with Wyoming Medicaid Rules, Chapter 4, Medicaid Administrative Hearings.

Section 8. Superseding Effect.

This Chapter supersedes all prior rules or policy statements issued by the Department, including manuals and bulletins, which are inconsistent with this Chapter.

Section 9. Severability.

If any of these rules are found to be invalid or unenforceable, the remainder shall continue in effect.

Section 10. Incorporation by Reference.

(a) For any code, standard, rule or regulation incorporated by reference in these rules:

(i) The Department has determined that incorporation of the full text in these rules would be cumbersome or inefficient given the length or nature of the rules;

(ii) The incorporation by reference does not include any later amendments or editions of the incorporated matter beyond the applicable date identified in subsection (b) of this section; and

(iii) The incorporated code, standard, rule, or regulation is maintained at the Department and is available for public inspection and copying at cost at the same location.

(b) Each rule or regulation incorporated by reference in these rules is further identified as follows:

(i) Referenced in Section 2 of this Chapter is 20 C.F.R § 416.2001, incorporated as of the effective date of this Chapter and can be found at http://www.ecfr.gov.

(ii) Referenced in Section 2 of this Chapter is Public Law 93-66, as amended by Public Law 92-233, incorporated as of the effective date of this Chapter and can be found at http://ssa.gov.