The bill amends the Wyoming Medical Assistance and Services Act by establishing new requirements for health insurers operating in the state. Specifically, it mandates that all health insurers must respond to state inquiries regarding claims for payment within sixty (60) days. Additionally, the bill prohibits health insurers from denying Medicaid payments based solely on the date of submission, the type or format of the claim form, or a failure to obtain prior authorization or present proper documentation at the point of sale, provided that the claim is submitted within three years of the healthcare service being provided.

The effective date for this legislation is set for July 1, 2024. The amendments aim to streamline the claims process and ensure that health insurers comply with state inquiries, ultimately improving access to medical assistance for recipients in Wyoming.

Statutes affected:
24LSO-0014 v0.5: 42-4-204