§ 42-4-102 — Definitions

(a) As used in this chapter:
(i) "Categorically eligible" means any individual in
need of medical assistance authorized by the legislature and by
Title XIX of the federal Social Security Act to be covered by a
state plan for medical assistance and services;
(ii) "Medical assistance" means partial or full
payment of the reasonable charges assessed by any authorized
provider of the services and supplies enumerated under W.S.
42-4-103 and consistent with limitations and reimbursement
methodologies established by the department, which are provided
on behalf of a qualified recipient, excluding those services and
supplies provided by any relative of the recipient, unless the
relative is a family caregiver providing services through a
corporation or a limited liability company, which corporation or
limited liability company the relative may own, under a home and
community based waiver program, or for cosmetic purposes only;
(iii) "Qualified" means any categorically eligible
individual satisfying eligibility criteria imposed by this
chapter, the state plan for medical assistance and services and
by rule and regulation of the department;
(iv) "Relative" means any person as defined by
department rule and regulation;
(v) "Resident" means any individual residing in this
state, including any individual temporarily absent from this
state;
(vi) "Institutionalized spouse" means as defined by
the Medicare Catastrophic Coverage Act of 1988, P.L. 100-360;
(vii) "Department" means the state department of
health;
(viii) "Direct patient care personnel" means only:
(A) Certified nursing assistants;
(B) Licensed practical nurses;
(C) Registered nurses.
(ix) "Skilled nursing home extraordinary care" means
skilled nursing home services clearly exceeding standard skilled
nursing home services and meeting the criteria established by
the department pursuant to W.S. 42-4-104(d);
(x) "Intermediate care facility for people with
intellectual disability" means "intermediate care facility for
the mentally retarded" or "ICFMR" or "ICFs/MR" as those terms
are used in federal law and in other laws, rules and
regulations;
(xi) "Family caregiver" means a relative of a waiver
recipient with a developmental disability or acquired brain
injury, who provides waiver services through a corporation or a
limited liability company, which corporation or limited
liability company the relative may own, to the person with a
developmental disability or acquired brain injury and who meets
the requirements for a qualified family caregiver as established
by rules promulgated by the department. Family caregivers shall
be certified by the department in the same manner as nonfamily
caregivers. For purposes of providing for reimbursement of
services to a family caregiver, the department shall amend the
state plan and apply for a waiver from the centers for Medicaid
and Medicare services, as necessary;
(xii) "Intentional" means that a person, with respect
to information, intended to act in violation of the law;
(xiii) "Knowing" or "knowingly" includes intentional
or intentionally and means that a person, with respect to
information, acts:
(A) With actual knowledge of the information;
(B) In deliberate ignorance of the truth or
falsity of the information; or
(C) In reckless disregard of the truth or
falsity of the information.