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

DME requests are based upon price. If greater than $2500, please complete the DME Preauthorization Request form. If under $2500, no DME preauthorization is required and can be directly billed to CorVel (please see “Preauthorization of Durable Medical Equipment Billing less than $2500 Provider Bulletin).

All DME requests require the treating Healthcare Provider’s order and/or Letter of Medical Necessity, diagnosis code(s), clinical medical documents to support the DME request, and are subject for review.

Durable Medical Equipment (DME) requests are based upon Chapter 10: Miscellaneous Medical Protocols. Section 8: Durable Medical Equipment (DME).

Heidi Gerken, BSN, RN, DME Coordinator

(307) 687-5304
(307) 777-8724 Fax
heidi.gerken@wyo.gov

DME Guideline

DME Policies