WY · guidance
Wyo. Medicaid Institutional Provider Manual § 16.1.6
Services Unrelated to the Terminal Illness
For services unrelated to the Member’s terminal illness, the hospice Provider must provide the Hospice
Exemption Form to the billing Provider in order for the Provider to be reimbursed. The service must be
unrelated to the Member’s terminal illness to qualify.
This form must be submitted with the claim or sent as an attachment (paper or electronic) if the claim is
billed electronically. Waiver Service Providers will not need the exemption form.
Dental treatment/services are limited to palliative treatment and emergency services.
Provenance
- Source
- www.wyomingmedicaid.com
- Retrieved
- 2026-10-02
- Edition
- wy-ipm-16-2026-10-01
- Content hash
311832a82e87a515753a8a5b664a5da00adb5eda2eff1035117d13f34079fab1
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