Health, Department of

Renal Disease Program, Administrative Procedure for End Stage

Chapter 3: Conditions of Participation for Facilities

Effective Date: 07/24/2014 to 12/20/2016

Rule Type: Superceded Rules & Regulations

Reference Number: 048.0049.3.07242014

CHAPTER 3

Rules and Regulations for the Wyoming End Stage Renal Disease Program

Conditions of Participation for Facilities

Section 1. Authority.

These rules and regulations are promulgated by the Wyoming Department of Health, pursuant to its authority under the general provisions of the Wyoming Medical Assistance and Services Act at W.S. 42-4-101, et seq., more specifically W.S. 42-4-103(a)(xxiii) and 42-4-117, and the Wyoming Administrative Procedures Act at W.S. 16-3-101, et seq.

Section 2. Statement of Purpose.

These rules and regulations are adopted to implement the Department's authority to establish standards and conditions of participation for in-state dialysis facilities and out-of-state facilities. The Program may, at its sole discretion, require the use of in-state facilities when the in-state facilities are comparable and are equal in geographic accessibility to out-of-state facilities.

Section 3. Conditions and/or Approval Requirements.

(a) An approved ESRD facility is one that:

1. (i) Has met all Medicare certification requirements; and
2. (ii) Has been assigned a Medicare ESRD provider number.

(b) The facility approval date may not be earlier than the date granted by CMS for Medicare ESRD approval.

(c) Facilities under interim approval for Medicare participation also will be classified as having interim approval by the Program for the purpose of receiving payments on behalf of Program recipients.