Wyoming Department of Health

Medication Assistance Information

As part of CMS requirements, the Division has developed a training program for certified waiver providers who assist participants with medications. This training is required for any provider who, during their daily routine, assist a participant with their medication regimen.

You will find the necessary information for medication assistance below including sample forms, directives, and policies and procedures.

** Some forms may be disabled to allow for updating. Please check back for updated forms. If you need a form immediately, please contact your local Provider Support Specialist. **

Medication Assistance Information

New Medication Assistance Policy and Standards

Medication Assistance Policy - PDF
Medication Assistance Standards - PDF
Medication Assistance Training and Division Monitoring Responsibilites - PDF

The above Policy and Standards are effective April 19, 2011

Medication Assistance Forms & Documents

Medication Assistance Record (MAR)

MAR Instructional Sample

No Medication Assistance Verification form

Sample Medication Incident Report

Medication Consent Form

Medication Assistance & Conflict of Interest Disclosure Form

Medication Assistance Guide

Medication Assistance Trainer Forms & Documents

Register your Medication Assistance Training Class
(must be submitted 2 weeks prior to your scheduled class date)

Medication Assistance Training Roster

NEW Medication Assistance Training Survey

Medication Assistance Trainer Agreement

Medication Assistance Policies & Procedures

Provider Medication Assistance Policies and Procedures

Case Manager Medication Assistance Policies and Procedures

Note: These policies can be used as drafts for providers to develop their own or they can be used "as is" by the provider as long as they are completed, signed and implemented by the provider

Medication Assistance Information

Medication Assistance Record (MAR) MAR Instructional Sample No Medication Assistance Verification form Sample Medication Incident Report Medication Consent Form Medication Assistance & Conflict of Interest Disclosure Form Medication Assistance Guide

Register your Medication Assistance Training Class(must be submitted 2 weeks prior to your scheduled class date) Medication Assistance Training Roster *NEW* Medication Assistance Training Survey Medication Assistance Trainer Agreement

Medication Assistance Policies & Procedures

Provider Medication Assistance Policies and Procedures Case Manager Medication Assistance Policies and Procedures

Note: These policies can be used as drafts for providers to develop their own or they can be used "as is" by the provider as long as they are completed, signed and implemented by the provider

Medication Assistance Record (MAR)

MAR Instructional Sample

No Medication Assistance Verification form

Sample Medication Incident Report

Medication Consent Form

Medication Assistance & Conflict of Interest Disclosure Form

Medication Assistance Guide

Register your Medication Assistance Training Class
(must be submitted 2 weeks prior to your scheduled class date)

Medication Assistance Training Roster

NEW Medication Assistance Training Survey

Medication Assistance Trainer Agreement

Provider Medication Assistance Policies and Procedures

Case Manager Medication Assistance Policies and Procedures