Preauthorization of hospitalizations, surgeries and medical care are allowed by Wyoming Statute 24-14-601 (o) (i), (ii), (iii), (iv) as of July 1, 2005. Rule and Regulation Chapter 10 Miscellaneous Medical Protocols Section 22.

Request for Surgical/Procedural Preauthorization

Preauthorization Check Sheets

DME (Durable Medical Equipment) Preauthorization

Send requests to the contact below. Please include a LOMN or prescription, a quote with codes, pricing and the medical records to support along with vendor contact information.

Heidi Gerken, BSN, RN, DME Coordinator

(307) 687-5304
(307) 777-8724 Fax

DME Guideline

DME Policies