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Rules and Regulations

Healthcare Licensing and Surveys (HLS) assures that all healthcare facilities which are required to be licensed meet the applicable state standards. The office also performs Medicare/Medicaid Certification surveys as required by the State of Wyoming contract with the U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services for certified providers.  
Rules Promulgated by the Wyoming Department of Health Aging Division with regard to healthcare facilities, follow. 

Rules are in PDF format.  If you do not have Adobe Reader, you may obtain it free of charge by clicking on the Get Adobe Reader icon at the end of this page.

Note: links are to the Wyoming Secretary of State Rules Database

Adult Day-Care Facilities
       Chapter 2 (Licensure) - 04-20-2000
       Chapter 7 (Program Administration) - 07-20-1999

Adult Foster Care Homes
       Chapter 13 (Pilot Project) - Aging Division - 09-10-2008

Ambulatory Surgical Centers
      Chapter 5 (Licensure) - 03-28-2003

Assisted Living Facilities
      Chapter 4 (Licensure) - 06-28-2001
      Chapter 12 (Program Administration) - 12-12-2007

Birthing Centers
      Chapter 6 (Licensure) - 05-07-2002

Boarding Homes
      Chapter 7 (Licensure) - 12-10-1998
      Chapter 8 (Program Administration) - 12-11-1998

Construction of Healthcare Facilities
      Chapter 3 - effective 04-03-2008 thru Current Date
            Chapter 3 - effective 07-14-04 through 03-19-07 and 07-24-07 thru 04-02-08
            Emergency Chapter 3 - effective 03-20-07 thru 07-23-07

Critical Access Hospitals
      Chapter 17 (Licensure) - 11-04-2004

End Stage Renal Dialysis Centers
      Chapter 18 (Licensure) - 03-11-1998

Freestanding Diagnostic Testing Centers
      Chapter 8 (Licensure) - 09-03-1998

Health Care Facilities Jurisdiction and Delegation
      Chapter 20 - 07-15-2004

Home Health Agencies
      Chapter 10 (Licensure) - 11-01-2001
      Chapter 9 (Program Administration) - 10-15-2001

Hospice Programs
      Chapter 11 (Licensure) - 09-03-1999
      Chapter 10 (Program Administration) - 09-03-1999

      Chapter 12 (Licensure) - 09-12-2012
Intermediate Care Facilities for the Mentally Retarded (ICF/MR)
      Chapter 13 (Licensure) - 06-08-2001

Licensure Fees
      Chapter 1 (Assessment of Fees) - 03-30-1998

Medical Assistance Facilities
      Chapter 14 (Licensure) - 07-15-1997

Nursing Care Facilities (Nursing Homes)
      Chapter 19 (Licensure) - 06-26-2000
      Chapter 11 (Program Administration) - 06-26-2000

Procedures for Informal Conference on Appeal of Agency Decision
and Procedures for Formal Administrative Hearings on Appeal of Agency Decision
      Chapter 21 - 09-07-2010

Psychiatric Hospitals
      Chapter 15 (Licensure) - 06-18-1999

Rehabilitation Facilities
      Chapter 16 (Licensure) - 08-25-1997

Rehabilitation Hospitals
      Chapter 22 (Licensure) - 09-12-2012

Rules Promulgated by other Wyoming State Agencies:
   Board of Nursing (Wyoming)
   Board of Pharmacy Laws (Wyoming)
   Secretary of State (Wyoming) - Rules Search

Federal Rules and Interpretive Guidelines:

Medicare State Operations Manual - Appendix

Ambulatory Surgical Centers

Comprehensive Outpatient Rehabilitation Facilities

Critical Access Hospitals

EMTALA – Hospitals

End Stage Renal Dialysis Centers 

On April 15, 2008, a Final Rule, which establishes new conditions for coverage that dialysis facilities must satisfy to be certified under the Medicare program was published in the Federal Register. According to CMS, the Final Rule reflects advances in dialysis technology and standard care practices since the existing conditions for coverage were issued in 1976.  CMS has posted a Fact Sheet on the CMS website.

CMS also recently released a "Frequently Asked Questions" document as well as a crosswalk that compares the former conditions to the final revised conditions that were issued in the Final Rule.

Home Health Agencies

Hospice Facilities
Medicare and Medicaid Programs: Hospice Conditions of Participation Final Rule--Published in the Federal Register on June 5, 2008.  [Effective Date: 12-02-08]


Intermediate Care Facilities for Individuals with Intellectual Disabilities

Laboratories (CLIA)

Life Safety Code

Long-Term Care (Nursing Homes) 

Outpatient Physical Therapy/Speech

Portable X-Ray

Psychiatric Hospitals

Religious Non-Medical Healthcare Institutions

Rural Health Clinics

Swing Bed – Hospitals