Family Services, Dept. of

Child Support Program

Chapter 17: Medicaid Birthing Costs Recovery

Effective Date: 07/03/2025 to Current

Rule Type: Current Rules & Regulations

Reference Number: 049.0009.17.07032025

CHAPTER 17

MEDICAID BIRTHING COSTS RECOVERY

Section 1. Department of Health referrals for Title 19 reimbursement

(a) Upon a referral from the Department of Health (DOH) that says the mother has received Title 19 Medicaid services and is required to cooperate in the establishment of a child support and medical support obligation, including the reimbursement of Title 19 costs to the state pursuant to Wyoming statutes, the CSP shall contact the mother by sending an application for services packet. Before an application for services packet is mailed, the DOH shall provide, at a minimum:

(i) The full name, date of birth, Social Security Number (unless the mother is a non-U.S. Citizen) and mailing address of the mother;

(ii) The child's full name and date of birth;

(iii) The amount of Title 19 that has been expended on only birth-related costs; and

(iv) The average statewide birth cost.

(b) Upon receipt of a completed application for services, the CSP shall establish paternity and support pursuant to Chapter 4 General Services of these rules. In addition, CSP shall send a letter to the father or alleged father requesting income information and potential payment of Title 19 birth costs.

(i) CSP shall use the Federal Poverty Level (FPL) income when parents are unemployed to establish an income amount.

(c) CSP shall inform the DOH if the mother does not return the completed application packet within 15 days so DOH may sanction the mother as deemed appropriate for her failure to cooperate.