Wyoming
LLC
Website link to register:
https://sos.wyo.gov/Business
Naming conventions
Restricted words require prior approval from relevant authorities. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLCs apply to medical practices.
Licensing Requirements
All members must hold licenses from the Wyoming Board of Medicine. Malpractice insurance required. Additional permits for telemedicine practices may be needed.
Required documentation for medical practices
Articles of Organization, Telemedicine Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $100
Annual/Biennial Fee: $50
Additional Notes: Annual report due on LLC anniversary date.
Medicaid
Program Name: Wyoming Medicaid
Official Website: http://health.wyo.gov/healthcarefin/medicaid
Legislation: Wyoming does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid being classified as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
Wyoming Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with Wyoming Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS supports streamlined enrollment for "Ordering and Referring Only" providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs aimed at improving access to care.
State-Specific Notes
Collaboration opportunities exist with Wyoming Medicaid Managed Care Organizations for innovative care delivery.
Dispensing Medication
Board of Pharmacy Official Link: https://pharmacyboard.wyo.gov/
State Licensing
Physicians must register with the Wyoming Board of Pharmacy for controlled substances dispensing.
Scope of Practice
Physicians may dispense medications directly under Wyoming law; controlled substances require DEA registration.
Inventory Management
Maintain accurate inventory logs and secure storage for all medications dispensed.
Record-Keeping
Records must comply with Wyoming state laws and federal HIPAA regulations.
Dispensing Standards
Labels must include patient name, prescribing physician, dosage, and detailed usage instructions.
Controlled Substances
DEA registration and reporting to Wyoming’s PMP are mandatory for controlled substances.
Billing and Reimbursement
Billing practices must adhere to Wyoming-specific and federal anti-kickback laws.
Federal Compliance
Adherence to FDA, DEA, and OSHA standards is required for dispensing medications.
State Pharmacy Laws
Physicians must comply with Wyoming Board of Pharmacy laws for dispensing controlled substances.
Patient Consent
Patient consent is required before dispensing medications.
Insurance and Liability
Physicians must ensure liability insurance explicitly covers dispensing activities.
Training Requirements
Continuing education is encouraged for compliance with Wyoming’s controlled substances regulations.
Audits and Inspections
Inspections by the Wyoming Board of Pharmacy ensure compliance, with penalties for violations.