(a) The department shall require each recipient of funds under the Wyoming rural health transformation program to submit reports sufficient to demonstrate compliance with applicable state and federal requirements. At a minimum, required reporting shall include detailed expenditure information, performance measures and documentation demonstrating the authorized use of funds. (b) The department shall require each recipient hospital, clinic, emergency medical service provider or other health care- related organization receiving funds under the programs authorized in W.S. 35-25-706 to enter into a written performance and accountability agreement with the department. At a minimum, the agreement shall include requirements relating to: (i) Operating margin targets; (ii) Days cash on hand; (iii) Liquidity ratio benchmarks; (iv) The adoption of modernization and efficiency practices, including improved revenue cycle management systems; (v) The development and implementation of a plan to reduce unprofitable, duplicative or nonessential service lines; (vi) Participation in shared services, regional collaboration or other cost-containment arrangements where feasible; and (vii) Submission of independent financial audits to the department for annual collection and transmittal to the joint appropriations committee. (c) A recipient of funds under the Wyoming rural health transformation program that fails to comply with a requirement, condition or obligation imposed by statute, rule or performance and accountability agreement, or that fails to meet required performance targets, misuses funds, expends funds for purposes not authorized under state or federal law or fails or refuses to implement required operational reforms, shall repay to the department all or a prorated portion of the funds received, as determined by the department. The department may recover amounts owed under this subsection by any means authorized by law. CHAPTER 26 - AUTOMATED EXTERNAL DEFIBRILLATORS
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