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11/20/2014 - A Message from Chris Newman, Senior Administrator.....


Case Managers:


In response to significant public input on the change to a 15 minute case management unit, the Division has made the decision to continue to offer the opportunity for case managers to use the monthly case management unit until the waiver service rates can be rebased and approved by the legislature.  Case managers, working with the participant, guardian and the participant’s team can decide to use either the 15 minute unit or the monthly unit.  This decision is contingent upon the Centers for Medicare and Medicaid Services’ current rules which do not require 15 minute units.   

Since many plans of care have the 15 minute unit due to start in January, and some case managers are already using it, the Division will implement a transition process to get the plans modified within the next three (3) months.  This change will require significant work for case managers and state staff to accomplish during an already busy period of plan approvals and transitions from old waivers to new, so we are asking for your patience as we move forward to allow both a 15 minute unit and the monthly unit.

In conjunction with the decision on the case management unit, the Division will be releasing detailed information on changes to documentation requirements for case managers who continue to use the monthly unit.  These documentation changes will help assure the Division can verify that appropriate and adequate case management services are being provided under the monthly unit.

We appreciate the input and recommendations we received from case managers, parents, providers and other stakeholders on this issue.   Details on the unit transition plan, which will be done by plan of care start dates, will be released tomorrow afternoon in a formal provider bulletin.   Within the next week we will be providing a more detailed response to other recommendations provided during this public comment period.  We ask that you review the information that is released before contacting the Division with questions.  We know this is an important issue, especially for case managers, and want to make sure that the information we release is accurate and provides enough detail to answer most of your questions.



Waiver Amendments Proposed

Documents were reposted on 9-24-14 in order to address an oversight regarding the conflict free case management model referred to in Appendix D (1)(b) and to remove the "relative" and "guardian" checkboxes from people who can provide the service.

Public comment period for these amendments ends on November 3, 2014. Please send your comments on the amendments to or mail them to our office at the address on this page.



SIS Pilot Project posted 9-25-14 pdf

Variance Reporting Pilot Project posted 8-29-14 pdf

Clinical Review Team (CRT) Membership and Experience Summary Posted 6-16-14

Link to Page for Clinical Review Team (CRT) Policy and Forms


Link to the Comprehensive and Supports Waivers Web Page

Link to newly recorded YouTube Waiver Trainings and Supplemental Materials

Conflict Free Case Management Model revised 5-12-2014


 Link to the MAT Training Schedule and Registration

NEW Link to the HCB Setting Transition Plan Forum Youtube video

HCB Setting Transition Plans for BHD Waivers

Want to submit feedback on a provider setting? Please complete this online survey!

Survey link:

Public notice of the transition plan was in the Cheyenne and Casper newspapers on October 3 & 4, 2014.

5-Year Transition Plan   Forum Schedule


Oct 16

1030 -1145 am

Mega Conference

Hilton Garden Inn

2229 Grand Ave



Oct 20

330–430 pm

Laramie County Library

Cottonwood room

2200 Pioneer Ave



Oct 22

330–430 pm

Teton County Library


125 Virginian Lane



Oct 23

330–430 pm

Evanston Senior Center

1229 Uinta St - Top Floor



Oct 27

2-300 p

6-700 p

Statewide Conference Call (at 2 separate times)

Phone 1-877-278-8686 Code 058448


Oct 28

530-630 pm

Sheridan Senior Center 211 Smith St.



Oct 29

530-630 pm

Casper College CS-160 Nichols Auditorium

125 College Dr.




Link to the MAT Training Schedule and Registration



Explanation on IBA Methodology Posted 5-16-2014

Recorded Training "Understanding Your New IBA for the Comprehensive Waiver" Posted 4-3-14

Printable PowerPoint "Understanding Your New IBA for the Comprehensive Waiver" Posted 4-3-14

Talking Points "Understanding Your New IBA for the Comprehensive Waiver"  Posted 4-3-14

Sample IBA Participant Letter Posted 4-3-14



2013 Senate Enrolled Act No. 0082 Medicaid Reform (Legislation requiring the Division to develop and redesign waiver program.)


Response on Wait List Funding from 2014 Legislative Session

· The wait list funding from the legislature went into effect July 1, 2014. Funding letters are being distributed throughout the six months of 2014.

· Not all persons on the wait list will receive a funding letter. We will fund everyone waiting 18 months or longer as of September 30, 2013 onto the Supports waiver, unless they meet the eligibility and emergency criteria for the Comprehensive Waiver.

· A plan of care must be submitted to the Division within 3 months from the date of the funding letter or the funding opportunity will be lost and re-application for the waiver is required.


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