Proposed rule changes – Workers’ Compensation Fee Schedules

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PUBLIC NOTICE IS HEREBY GIVEN that the Wyoming Workers’ Compensation Division proposes changes that will affect the Division’s rules, regulations and fee schedule.  These proposals include modifications to the Wyoming Workers’ Compensation Rules, Regulations and Fee Schedules;

Wyoming Workers’ Compensation Chapter 9 – Fee Schedules rules were last updated on 5/23/18.  The Division updates the fee schedules and the rules each year to adopt the most recent codes published by the American Medical Association (AMA) and Optum 360.  Fee schedules are a cost containment strategy as well as ensuring our injured workers can obtain quality health care and our health care providers are reimbursed at a fair rate.

The Division is proposing to adopt the 2019 fee schedule, effective 1/1/19. Section 1 – General Guidelines and Section 2 – Fee Schedules – includes incorporation by reference language to adopt the most recent editions of the Relative Values for Physicians and the Relative Values for Dentists fee schedules.

Specific changes include:

1.     Deleting code 64508 on Table A as it is no longer a valid code
2.    Update the 2018 dates to 2019 with the exception of 2015 effective date in Section 4 – Fees for Supplies, Implants, Durable Medical Equipment (DME), Orthotics and Prosthetics
3.      Revising Section 3 – Fees for Home Health Nursing – clarified this section by dividing it into two sections: home health nursing services provided by Medicare/Medicaid certified agencies, paid by “per visit” and private duty services/attendant care, paid by “hourly rate”. With these changes, Wyoming Workers’ Compensation is moving toward industry standards of billing for home healthcare. Industry practice pays the home healthcare worker a determined amount per visit.

Minor formatting updates or corrections were completed also.

Written comments should be submitted to the following address by July 1, 2019.

Wyoming Workers’ Compensation Division
ATTN: Administrator
1510 East Pershing Boulevard
Cheyenne, WY  82002
(307) 777-7672

Or via email to: [email protected]

A public comment period will end at close of business on July 1, 2019.

Copies may be obtained by submitting a written request to the Division, with pre-payment by personal check or money order for the total number of copies requested; the fee for each copy is $4.00.  The proposed rules may be downloaded, free of charge, from the Department of Workforce Services (DWS) at: http://www.wyomingworkforce.org/news/publicnotices/

Brenda

Brenda

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