§ 14-2-1004 — Birth cost recovery calculation-medical assistance

Wyoming § 14-2-1004

• Jurisdiction: Wyoming
• Title 14: Children
• Ch. 2: PARENTS
• Art. 10: MEDICAID FAIRNESS ACT

Text

(a) Before requiring the payment of any amount of birth
costs under W.S. 14-2-1003, the department shall require the
father to provide satisfactory proof of income. If the father
does not provide satisfactory proof of income, or if the
department is unable to determine the father's income using any
means authorized by law, a rebuttable presumption shall exist
that the father's income is greater than four hundred percent
(400%) of the federal poverty level.
(b) After notification of birth costs pursuant to W.S.
14-2-1003(a), the department shall calculate the amount of birth
costs that are recoverable from the father in the following
manner, subject to subsection (d) of this section:
(i) For a father earning less than two hundred
percent (200%) of the federal poverty level, zero percent (0%)
of the birth costs;
(ii) For a father earning two hundred percent (200%)
or greater, but less than two hundred fifty percent (250%) of
the federal poverty level, ten percent (10%) of the birth costs;
(iii) For a father earning two hundred fifty percent
(250%) or greater, but less than three hundred percent (300%) of
the federal poverty level, twenty percent (20%) of the birth
costs;
(iv) For a father earning three hundred percent
(300%) or greater, but less than three hundred fifty percent
(350%) of the federal poverty level, thirty percent (30%) of the
birth costs;
(v) For a father earning three hundred fifty percent
(350%) or greater, but less than four hundred percent (400%) of
the federal poverty level, forty percent (40%) of the birth
costs;
(vi) For a father earning four hundred percent (400%)
of the federal poverty level or greater, fifty percent (50%) of
the birth costs.
(c) The department may assess a fee, in addition to any
recoverable birth costs under subsection (b) of this section,
which equals the average expenses incurred by the department on
a per case basis for the administration of this article and W.S.
42-4-122, plus any attorney's fees, if applicable. No fee or
attorney's fees shall be assessed against a father who meets the
criteria of paragraph (b)(i) of this section.
(d) The total amount recoverable by the department under
this section, including any fee or attorney's fees assessed
pursuant to subsection (c) of this section, shall not exceed the
average birth cost paid by medical assistance in this state, as
established by rule promulgated pursuant to W.S. 14-2-1008.