Wyoming

At A Glance
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MEDICAID REIMBURSEMENT

  • Live Video: Yes
  • Store-and-Forward: No
  • Remote Patient Monitoring: No
  • Audio Only: No

PRIVATE PAYER LAW

  • Law Exists: No
  • Payment Parity: No

PROFESSIONAL REQUIREMENTS

  • Licensure Compacts: ASLP-IC, EMS, IMLC, NLC, OT
  • Consent Requirements: Yes

STATE RESOURCES

  1. Medicaid Program: Wyoming Medicaid
  2. Administrator: Office of Equality Care, under the Wyoming Dept. of Health
  3. Regional Telehealth Resource Center: Northwest Regional Telehealth Resource Center

Last updated 07/13/2022

Audio-Only Delivery

Medicaid: Telehealth Updates for COVID-19

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  FQHC/RHC Tribal Facilities

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  Home Health COVID-19

STATUS: According to the document titled Home Health & DME Prior Authorization Requirement Reinstatement – Corrected, WY Medicaid is still allowing telehealth services for home health care for state plan only Medicaid home health providers, not waiver providers at this time.

Medicaid:  BH Peer Specialist via Telehealth

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid 1915(c) Waiver:  Appendix K – Supports Waiver; Comprehensive Waiver

STATUS; Expired January 26, 2021; extended through 6 months after conclusion of PHE.

Medicaid 1915(c) Waiver: Appendix K Extension – Supports Waiver

STATUS; Active, extended through 6 months after conclusion of PHE.

Last updated 07/13/2022

Cross-State Licensing

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Cross-state licensing waiver expired Apr. 28, 2022.

Last updated 07/14/2022

Easing Prescribing Requirements

WY Medical Board: Coronavirus Frequently Asked Questions

STATUS: Active

Last updated 07/14/2022

Miscellaneous

Medicaid 1915(c) Waiver: Appendix K – Community Choices Waiver

STATUS: Expired January 26, 2021; extended through 6 months after conclusion of PHE.

Medicaid 1915(c) Waiver: Appendix K – Community Choices Waiver

STATUS: Expired January 26, 2021; extended through 6 months after conclusion of PHE.

Last updated 07/13/2022

Originating Site

Medicaid:  Home Health COVID-19

STATUS: According to the document titled Home Health & DME Prior Authorization Requirement Reinstatement – Corrected, WY Medicaid is still allowing telehealth services for home health care for state plan only Medicaid home health providers, not waiver providers at this time.

Last updated 07/14/2022

Private Payer

No Reference Found

Last updated 07/13/2022

Provider Type

Medicaid:  FQHC/RHC Tribal Facilities

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  Home Health COVID-19

STATUS: According to the document titled Home Health & DME Prior Authorization Requirement Reinstatement – Corrected, WY Medicaid is still allowing telehealth services for home health care for state plan only Medicaid home health providers, not waiver providers at this time.

Medicaid:  BH Peer Specialist via Telehealth

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  BH Group Therapy via Telehealth

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Last updated 07/13/2022

Service Expansion

Medicaid: Telehealth Updates for COVID-19

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  FQHC/RHC Tribal Facilities

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  Home Health COVID-19

STATUS: According to the document titled Home Health & DME Prior Authorization Requirement Reinstatement – Corrected, WY Medicaid is still allowing telehealth services for home health care for state plan only Medicaid home health providers, not waiver providers at this time.

Medicaid:  BH Peer Specialist via Telehealth

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Medicaid:  BH Group Therapy via Telehealth

STATUS: May have expired. Not listed in 2022 bulletins, but no definitive expiration date was given.

Last updated 07/14/2022

Definitions

“Telehealth is the use of an electronic media to link beneficiaries with health professionals in different locations.  The examination of the Member is performed via a real-time interactive audio and video telecommunications system. This means that the Member must be able to see and interact with the off-site practitioner at the time services are provided via telehealth technology.”

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 ICD-10, p. 121 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pgs. 131-132 & Ch. 7 CMS-1500 Common Billing Information pg.  206 (Jul. 1, 2022),  & Institutional Provider Manual pg. 131.  (Jul. 1, 2022). (Accessed Jul. 2022).

Last updated 07/18/2022

Email, Phone & Fax

Telehealth does not include a telephone conversation, electronic mail message (email), or facsimile transmission (fax) between a healthcare practitioner and a member, or a consultation between two health care practitioners asynchronous “store and forward” technology.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pg. 123 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 133 & Ch. 7 CMS-1500 Common Billing Information, pg. 208 (Jul. 1, 2022) & Institutional Provider Manual pg. 133.  (Jul. 1, 2022). (Accessed Jul. 2022).

Last updated 07/14/2022

Live Video

POLICY

For Medicaid payment to occur, interactive audio and video telecommunications must be permitting real-time communication between the distant site physician or practitioner and the patient with sufficient quality to assure the accuracy of the assessment, diagnosis, and visible evaluation of symptoms and potential medication side effects. All interactive video telecommunication must comply with HIPAA patient privacy regulations at the site where the patient is located, the site where the consultant is located, and in the transmission process. If distortions in the transmission make adequate diagnosis and assessment improbable and a presenter at the site where the patient is located is unavailable to assist, the visit must be halted and rescheduled. It is not appropriate to bill for portions of the evaluation unless the exam was actually performed by the billing Provider.

A medical professional is not required to be present with the client at the originating site unless medically indicated.  However, to be reimbursed, services provided must be appropriate and medically necessary. See manual for examples of physicians/practitioners eligible to bill for professional services.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pgs. 122-123 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 133 & Ch. 7 CMS-1500 Common Billing Information, pgs. 207-208 (Jul. 1, 2022) & Institutional Provider Manual pg. 132-133.  (Jul. 1, 2022). (Accessed Jul. 2022).


ELIGIBLE SERVICES/SPECIALTIES

Telehealth services must be properly documented when offered at the discretion of the provider as deemed medically necessary.

Each site will be able to bill for their own services as long as they are an enrolled Medicaid provider (this includes out-of-state Medicaid providers).

Providers shall not bill for both the spoke and hub site; unless, the provider is at one location and the member is at a different location even though the pay to provider is the same. Examples include Community Mental Health Centers and Substance Abuse Treatment Centers. A single pay to provider can bill both the originating site (spoke site) and the distant site provider (hub site) when applicable.

Quality assurance/improvement activities relative to telehealth delivered services need to be identified, documented and monitored.

Providers need to develop and document evaluation processes and patient outcomes related to the telehealth program, visits, Provider access, and patient satisfaction.

All service providers are required to develop and maintain written documentation in the form of progress notes the same as if they originated during an in-person visit or consultation with the exception that the mode of communication (such as, teleconference) should be noted

Documentation must be maintained at the hub and spoke locations to substantiate the services provided. Documentation must indicate that the services were rendered via telehealth and must clearly identify the location of the hub and spoke sites.

Group psychotherapy is not a covered service.

For ESRD-related services, at least one face-to-face “hands on” visit (not telehealth) must be furnished each month to examine the vascular access site by a qualified provider.

The same procedure codes and rates apply for telehealth as in person.  The modifier GT is used to identify the professional telehealth service provided by the distant site. Using GT does not change the reimbursement fee.

Services must be medically necessary, follow generally accepted standards of care and be a service covered by Medicaid.

See manual for billing examples.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 121-125 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pgs. 133, 134 & 135 & Ch. 7 CMS-1500 Common Billing Information pgs. 206-209 (Jul. 01, 2022) & Institutional Provider Manual pg. 131-135.  (Jul. 1, 2022). (Accessed Jul. 2022).

Diabetes Prevention Program (DPP)

The first session of a DPP program cannot be performed via telehealth, but sessions 2-16 can be.  The GT modifier should be used.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual p. 237-238 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 18, Covered Services- Dietitian, pgs. 361-362 (Jul. 01, 2022), (Accessed Jul. 2022).

Mental Health Services

The following services are excluded:

  • Clinical services which are not provided in person or via a telehealth modality, other than collateral contacts necessary to develop or implement a treatment plan.

SOURCE: WY Admin Rules and Regulations, Agency 048, Department of Health, Mental Health Services, Ch. 13, Sec. 8, (Accessed Jul. 2022).

The “GT” modifier is an allowable Behavioral Health Modifier.

SOURCE: WY Division of Healthcare Financing Tribal Provider Manual, Ch. 15, Covered Services- Behavioral Health, pg. 332 (Jul. 01, 2022). (Accessed Jul. 2022).


ELIGIBLE PROVIDERS

The location of the physician or practitioner providing the professional services via a telecommunications system is called the distant site or Hub site. A medical professional is not required to be present with the Member at the originating site unless medically indicated. However, to be reimbursed, services provided must be appropriate and medically necessary.

Examples of eligible providers:

  • Physicians;
  • Advanced practice nurses with a specialty of psychiatry/mental health;
  • Physician’s assistant;
  • Psychologists and neuropsychologists;
  • Licensed Mental health professionals (LCSW, LPC, LMFT, LAT);
  • Board Certified Behavioral Analysts;
  • Speech therapist.

Provisionally licensed mental health professionals cannot bill Medicaid directly, but must provide services through a supervising provider. Services provided by non-physician practitioners must be within their scope(s) of practice and according to Medicaid policy.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 123 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 133 & Ch. 7 CMS-1500 Common Billing Information, 207-208 (Jul. 1, 2022) & Institutional Provider Manual pgs. 132-133.  (Jul. 1, 2022). (Accessed Jul. 2022).

Providers shall not bill for both the spoke and hub site; unless, the provider is at one location and the client is at a different location even though the pay to provider is the same. Examples include Community Mental Health Centers and Substance Abuse Treatment Centers. A single pay to Provider can bill both the originating site (spoke site) and the distant site Provider (hub site) when applicable. See below for billing and documentation requirements.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 122 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 132 & Ch. 7 CMS-1500 Common Billing Information,  206-207 (Jul. 1, 2022) & Institutional Provider Manual pg. 132.  (Jul. 1, 2022). (Accessed Jul. 2022).


ELIGIBLE SITES

Each site will be able to bill for their own services as long as they are an enrolled Medicaid provider (this includes out-of-state Medicaid providers). Providers shall not bill for both the spoke and hub site; unless, the provider is at one location and the client is at a different location even though the pay to provider is the same.

The Originating Site or Spoke site is the location of an eligible Medicaid client at the time the service is being furnished via telecommunications system occurs.

Authorized originating sites:

  • Hospitals;
  • Physician or practitioner offices (includes medical clinics);
  • Psychologists or neuropsychologists offices;
  • Community mental health or substance abuse treatment centers (CMHC/SATC);
  • Advanced practice nurses with specialty of psychiatry/mental health;
  • Office of a Licensed Mental Health Professional;
  • Federally Qualified Health Centers;
  • Rural Health Clinics;
  • Skilled nursing facilities;
  • Indian Health Services Clinics;
  • Hospital-based or Critical Access Hospital-based renal dialysis centers (including satellites). Independent renal dialysis facilities are not eligible originating sites;
  • Development Center;
  • Family Planning Clinics;
  • Public Health Offices

A medical professional is not required to be present at the originating site, unless medically indicated.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 122 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pgs. 132-133 & Ch. 7 CMS-1500 Common Billing Information, pg. 207 (Jul. 1, 2022) & Institutional Provider Manual pg. 132-133.  (Jul. 1, 2022). (Accessed Jul. 2022).


GEOGRAPHIC LIMITS

No Reference Found


FACILITY/TRANSMISSION FEE

Medicaid will not reimburse for the use or upgrade of technology, for transmission charges, for charges of an attendant who instructs a patient on the use of the equipment or supervises/monitors a patient during the telehealth encounter, or for consultations between professionals.

The originating site fee is not billable if the client uses their own equipment, such as a personal phone, tablet, or computer.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 123-124 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pgs. 133-134 & Ch. 7 CMS-1500 Common Billing Information, pg. 208 (Jul. 1, 2022) & Institutional Provider Manual pg. 133-134.  (Jul. 1, 2022). (Accessed Jul. 2022).

When billing for the originating site facility fee, use procedure code Q3014. A separate or distinct progress note is not required to bill Q3014. Validation of service delivery would be confirmed by the accompanying practitioner’s claim with the GT modifier indicating the practitioner’s service was delivered via telehealth. Medicaid will reimburse the originating site provider the lesser of charge or the current Medicaid fee.  Providers cannot bill for Q3014 if clients used their own equipment, such as personal phones or computers.  Eligible sites include:

  • Hospitals
  • Office of a physician or other practitioner (this includes medical clinics)
  • Office of a psychologist or neuropsychologist
  • Community mental health or substance abuse treatment center (CMHC/SATC)
  • Office of an advanced practice nurse (APN) with specialty of psych/mental health
  • Office of a Licensed Mental Health Professional (LCSW, LPC, LMFT, LAT)
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)
  • Skilled nursing facility (SNF)
  • Indian Health Services Clinic (IHS)
  • Hospital-based or Critical Access Hospital-based renal dialysis centers (including satellites).
  • Independent Renal Dialysis Facilities are not eligible originating sites
  • Developmental Center
  • Family Planning Clinics
  • Public Health Offices

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pgs. 122 &124 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 132 & Ch. 7 CMS-1500 Common Billing Information, pgs. 207 & 209 (Jul. 1, 2022) & Institutional Provider Manual pg. 132 & 134.  (Jul. 1, 2022). (Accessed Jul. 2022).

Care Management Entity service providers (CME Providers) are to use Place of Service code 02-Telehealth per their Provider agreement with Magellan Healthcare. CME Providers are NOT to use the “GT” modifier or “Q3014-Telehealth Originating Site Facility Fee” codes for virtual services.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 125 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 135 & Ch. 7 CMS-1500 Common Billing Information, pg. 209. (Jul. 1, 2022) & Institutional Provider Manual pg. 135.  (Jul. 1, 2022). (Accessed Jul. 2022).

Last updated 07/19/2022

Miscellaneous

Telehealth services must be properly documented when offered at the discretion of the provider as deemed medically necessary.

A single pay to provider can bill both the originating site (spoke site) and the distant site provider (hub site) when applicable.

The GT modifier must be billed by the distant site.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pgs. 121-122 & 124 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, pgs. 132, 134, 130, 206, 207, & 209 (Jul. 1, 2022) & Institutional Provider Manual pgs. 131-132 &134.  (Jul. 1, 2022). (Accessed Jul. 2022).

If the patient and/or legal guardian indicate at any point that he/she wants to stop using the technology, the service should cease immediately, and an alternative appointment set up.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 125 (Jul. 1, 2022), Institutional Provider Manual pg. 135 & WY Division of Healthcare Financing Tribal Provider Manual, pgs.135 &210. (Accessed Jul. 2022).

Mental Health and Substance Use Disorder

“Engagement services” means face-to-face staff contact, which may include delivery through telehealth, with an individual who is waiting to be admitted into treatment for the purpose of maintaining the individual’s motivation and to help prepare them for treatment.

SOURCE: WY Amin Rules and Regulations, Agency 048, Mental Health and Substance Use Disorder Services, Ch. 1, Sec.3. (Accessed Jul. 2022).

Behavioral Health Service Provider Certification

DUI/MIP Service Standards

Provide a minimum of eight (8) hours of client face-to-face services, which may be delivered through telehealth, utilizing evidence based curricula that is appropriate to age and developmental levels.

SOURCE: WY Admin Rules and Regulations, Health Dept., Agency 048, Mental Health and Substance Use Disorder Services, Chapter 2, Sec. 14. (Accessed Jul. 2022)

Last updated 07/19/2022

Out of State Providers

The billing Provider must comply with all licensing and regulatory laws applicable to the Providers’ practice or business in Wyoming and must not currently be excluded from participating in Medicaid by state or federal sanctions.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, p. 123 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pg. 133 & Ch. 7 CMS-1500 Common Billing Information, pg.  208  (Jul. 1, 2022) & Institutional Provider Manual pg. 133.  (Jul. 1, 2022). (Accessed Jul. 2022).

If the provider is an out-of-state, non-enrolled provider and renders services to a Medicaid client, the provider may choose to enroll in the Medicaid Program and submit the claim according to Medicaid billing instructions, or bill the client.  Out-of-state providers furnishing services within the state on a routine or extended basis must meet all of the certification requirements of the State of Wyoming. The provider must enroll in Medicaid prior to furnishing services.

Each site will be able to bill for their own services as long as they are an enrolled Medicaid provider (this includes out-of-state Medicaid providers).

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pgs 36 & 122 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 3 Provider Responsibilities, pg. 44, Ch. 6 Institutional/UB Common Billing Information, pg. 132 & Ch. 7 CMS-1500 Common Billing Information, pg. 206 (Jul. 1, 2022) & Institutional Provider Manual pgs. 43 & 132.  (Jul. 1, 2022). (Accessed Jul. 2022).

Last updated 07/14/2022

Overview

Wyoming Medicaid reimburses for live video under some circumstances. There is no reference to store-and-forward or remote patient monitoring reimbursement.

Last updated 07/18/2022

Remote Patient Monitoring

POLICY

No Reference Found


CONDITIONS

No Reference Found


PROVIDER LIMITATIONS

No Reference Found


OTHER RESTRICTIONS

No Reference Found

Last updated 07/18/2022

Store and Forward

POLICY

Telehealth does not include a telephone conversation, electronic mail message (email), or facsimile transmission (fax) between a healthcare practitioner and a member, or a consultation between two health care practitioners asynchronous “store and forward” technology.

SOURCE: WY Dept. of Public Health Insurance, Medicaid, CMS 1500 Provider Manual, pg. 123 (Jul. 1, 2022), WY Division of Healthcare Financing Tribal Provider Manual, Ch. 6 Institutional/UB Common Billing Information, pgs. 133-134 & Ch. 7 CMS-1500 Common Billing Information, pg. 208 (Jul. 1, 2022) & Institutional Provider Manual pg. 133.  (Jul. 1, 2022). (Accessed Jul. 2022).


ELIGIBLE SERVICES

No Reference Found


GEOGRAPHIC LIMITS

No Reference Found


TRANSMISSION FEE

No Reference Found

Last updated 07/19/2022

Definition

No Reference Found

Last updated 07/19/2022

Parity

SERVICE PARITY

No Reference Found


PAYMENT PARITY

No Reference Found

Last updated 07/19/2022

Requirements

No Reference Found

Last updated 07/19/2022

Cross State Licensing

Any physician rendering medical diagnosis and/or treatment to a person physically present in this state must have a license issued by the board when such diagnosis/treatment is rendered, regardless of the physician’s location and regardless of the means by which such diagnosis/treatment is rendered. This requirement shall not apply to an out-of-state physician who consults by telephone, electronic or any other means with an attending physician licensed by this board or to an out-of-state physician who is specifically exempt from licensure pursuant to W.S. 33-26-103.

Physicians residing in and currently licensed in good standing to practice medicine in another state or country brought into this state for consultation by a physician licensed to practice medicine in this state may practice medicine without first obtaining a Wyoming license for a total of not more than twelve (12) days in any fifty-two (52) week period and, therefore, are exempt from the licensure requirements of these rules and W.S. 33-26-103(a)(iv). Consults of longer duration or greater frequency require written advance approval of a majority of the Board officers. For purposes of this subsection, the term “brought into this state” means establishing a physician-patient relationship, either by the physician’s physical presence with the patient or through telemedicine.  See rule for additional requirements.

Emergencies. Physicians and physician assistants residing in and who hold full and unrestricted licenses to practice medicine or to practice as a physician assistant in another state or country who come into this state to provide medical care during an emergency or pandemic declared as such by Order of the Governor of this state and/or pursuant to any State Emergency Plan and who comply with all requirements of the board for verification of licensure and identity, may practice medicine or practice as a physician assistant without first obtaining a Wyoming license for the period during which any such emergency or pandemic Declaration or Order remains in effect.

Physicians and physician assistants not otherwise licensed in this state may practice in Wyoming under the consultation exemption during a public health emergency declared by the Governor.  For purposes of this paragraph, a physician or physician assistant brought into this state is deemed to be consulting with the state health officer.

See rule for additional requirements.

SOURCE: WY Rules and Regulations, Board of Medicine, Agency 52, Ch. 1, Sec. 4, (Accessed Jul. 2022).

Occupational Therapy

In order to provide occupational therapy services via telehealth to a client in Wyoming, the OT providing the service must have a valid and current license issued by the Board. Wyoming licensed OTs using telehealth technology with a client in another state may also be required to be licensed in the state in which the client receives those services and must adhere to those state licensure laws.

SOURCE: WY Rules and Regulations, Agency 83, Ch. 3, Sec. 4, (Accessed Jul. 2022).

Last updated 07/19/2022

Definitions

Physicians and Surgeons

“Telemedicine means the practice of medicine by electronic communication or other means from a physician in a location to a patient in another location, with or without an intervening health care provider.”

SOURCE: WY Statutes Sec. 33-26-102.(a(xxix)). (Accessed Jul. 2022).

Occupational Therapy

“Occupational therapy telehealth means the provision of occupational therapy services across a distance, using telecommunications technology for the evaluation, intervention or consultation without requiring the occupational therapist and recipient to be physically located in the same place.”

SOURCE: WY Statutes Sec. 33-40-102.(a(v)). (Accessed Jul. 2022).

Board of Chiropractic Examiners

“Telehealth” means the delivery of healthcare services using electronic communications, information technology, or other means between a licensee in one location and a patient in another location with or without an intervening healthcare provider.

SOURCE: WY Admin Rules. Board of Chiropractic Examiners. Ch. 1, Sec. 3 (t). (Accessed Jul. 2022).

Physical Therapy

“Consultation by means of telecommunications” means that a physical therapist renders professional or expert opinion or advice to another physical therapist or health care provider via telecommunications or computer technology from a distant location. It includes the transfer of data or exchange of educational or related information by means of audio, video, or data communications.

SOURCE: WY Admin Rules. Board of Physical Therapy. Ch. 7 Sec. 9. (Accessed Jul. 2022).

Audiology and Speech-Language Pathology Interstate Compact

“Telehealth” means the application of telecommunication technology to deliver audiology or speech-language pathology services at a distance for assessment, intervention, and/or consultation.

SOURCE: WY Statutes Annotated Sec. 33-33-402, Sec. 2(y). (Accessed Jul. 2022).

Speech Language Pathology

“Telehealth” means the delivery of speech-language pathology or audiology services using electronic communications, information technology, or other means between a Licensee in one location and a patient in another location.

SOURCE: WY Admin Rules. Board of Examiners of Speech-Language Pathology and Audiology Ch. 13, Sec. 2(b). (Accessed Jul. 2022).

Athletic Trainers

“Telehealth” means the delivery of athletic training services using electronic communications, information technology, or other means between a Licensee in one location and a patient in another location. Telehealth does not include the use, in isolation, of audio-only telephone conversation, electronic mail, instant messaging, phone text, or facsimile transmission.

SOURCE: WY Admin Rules, Board of Athletic Trainers, Ch. 10, (Accessed Jul. 2022).

Last updated 07/19/2022

Licensure Compacts

Member of the Interstate Medical Licensure Compact.

SOURCE: Interstate Medical Licensure Compact. The IMLC (Accessed Jul. 2022).

Member of the Audiology and Speech-Language Pathology Interstate Compact.

SOURCE: ASLP Compact.  (Accessed Jul. 2022).

Member of the Nurse Licensure Compact

SOURCE: Nurse Licensure Compact (Accessed Jul. 2022).

Member of Recognition of EMS Personnel Licensure Interstate Compact.

SOURCE: EMS Compact Member States & Commissioners. (Accessed Jul. 2022).

Member of the Occupational Therapy Licensure Compact.

SOURCE: Occupational Therapy Licensure Compact. (Accessed Jul. 2022). 

* See Compact websites for implementation and license issuing status and other related requirements.

Last updated 07/19/2022

Miscellaneous

Boards have power to adopt rules and regulations allowing the practice of telemedicine/telehealth and the use of telemedicine/telehealth technologies within an applicable profession or occupation consistent with the profession’s or occupation’s duties and obligations. For purposes of this paragraph, telemedicine/telehealth shall be defined within each promulgated rule in a manner applicable to the individual profession or occupation and in a manner which facilitates the development and promotion of uniform, system wide standards for the practice of telemedicine/telehealth and the use of telemedicine/telehealth technologies.  Any board promulgating rules under this paragraph shall first confer with the office of rural health for the purpose of promoting the goals established by W.S. 9-2-117(a)(vi) through (viii).

SOURCE:  WY Code 33-1-303(a(iv)). (Accessed Jul. 2022).

Connect Wyoming Program

Applicants of the Connect Wyoming Program are certifying that the funds shall be used to fund projects that create and retain local jobs and result in purposeful outcomes, including distance learning, telehealth public safety, commerce, and overall well-being.

SOURCE: WY Admin Rules and Regulations, Agency 085, Broadband Development Grant Program, Ch. 4, Sec. 12, (Accessed Jul. 2022).

Office of Rural Health

The office of rural health is created within the department of health. The office shall:

In collaboration with the state health officer and the state chief information officer, represent the department of health in a consortium of state agencies, private health organizations and professional and community organizations to facilitate the operations of a statewide interoperable telemedicine/telehealth network using existing internet protocol based communication and videoconferencing infrastructure and telecommunication services to the extent possible. The consortium shall:

  • Consist of members appointed by the director of the department of health, to include the Wyoming chief information officer or the officer’s designee;
  • Coordinate the development and promotion of statewide standards for an interoperable telemedicine/telehealth network and, where applicable, promote definitions and standards for statewide electronic health transactions
  • Promote and conduct education programs that inform network users that information communicated through the use of telemedicine/telehealth shall conform with state and federal privacy and security laws and information security programs established by the state chief information officer
  • Have the authority to seek funds for consortium operation and contract as needed to carry out its responsibilities.

In collaboration with the state health officer and the state chief information officer or their designees, coordinate with appropriate state agencies to establish incentives to implement, promote and facilitate the voluntary exchange of secure telemedicine/telehealth network information between and among individuals, entities and agencies that are providing and paying for services authorized under the Medicaid program, in conformity with rules adopted by the state chief information officer

In collaboration with the state health officer and the state chief information officer or their designees, develop and promote a common direction for a statewide interoperable telemedicine/telehealth network among state agencies, in conformity with rules adopted by the department of enterprise technology services

As required by W.S. 33-1-303(a)(iv) and in collaboration with the state health officer and the state chief information officer or their designees, collaborate with professional and occupational licensure boards concerning the promulgation of rules and definitions related to the practice of telemedicine/telehealth and the use of telemedicine/telehealth technologies.

SOURCE: WY Statutes Annotated, 9-2-117. (Accessed Jul. 2022).

Last updated 07/19/2022

Online Prescribing

Initially prescribing a controlled substance through the Internet, World Wide Web or any similar proprietary or common carrier electronic system without a documented physician-patient relationship is subject to review, discipline and consequences to license.

SOURCE: WY Statutes Annotated Sec. 33-26-402(a(xxxiii)). (Accessed Jul. 2022).

Last updated 07/19/2022

Professional Board Standards

WY Board of Chiropractic Examiners

SOURCE: WY Admin. Code, Chiropractic Board, Ch. 11, (Accessed Jul. 2022).

WY Board of Occupational Therapy

SOURCE: WY Admin Rules. Board of Occupational Therapy. Ch. 3, (Accessed Jul. 2022).

WY Board of Physical Therapy

SOURCE: WY Admin Rules. Board of Physical Therapy. Ch. 7, (Accessed Jul. 2022).

WY Board of Examiners of Speech-Language Pathology and Audiology

SOURCE: WY Admin Rules, Speech Language Pathology and Audiology, Ch. 13, Sec. 2(b). (Accessed Jul. 2022).

WY Board of Athletic Trainers

SOURCE: WY Admin Rules, Board of Athletic Trainers, Ch. 10, (Accessed Jul. 2022).

WY State Board of Medicine

SOURCE: WY Statutes Annotated, 33-26-202, (Accessed Jul. 2022).