Wyoming insurance law on MNT and nutrition counseling
The short answerWyoming requires health policies to cover diabetes outpatient self-management training and education, including medical nutrition therapy, if prescribed. The benefit is capped at a one-time program within a year of diagnosis plus 3 hours a year after a significant change. A separate law treats a registered dietitian as a licensed person for reimbursement of dietary services, but an insurer need not pay for dietitian services unless the policy lists them as a benefit.
By Javier Alvarez · Updated · 1 min read
1 row: State insurance law · Wyoming. Public policy, not the member's benefits.
Wyoming insurance law
Fully insured plans (W.S. 26-20-201 and 26-22-101) · Wyoming
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Individual and group health insurance, service or indemnity contracts and HMO contracts that provide coverage, for private health benefit plans delivered or issued on or after July 1, 2001. [1] |
| Diagnoses | Insulin-dependent, insulin-using, gestational and noninsulin using diabetes. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Covered training and education is limited to a one-time evaluation and training program when medically necessary within one year of diagnosis, plus additional medically necessary training upon a significant change in symptoms, condition or treatment, limited to three hours per year. Standard deductibles or coinsurance apply. [1] |
| Referral and prior auth | Must be prescribed by a health care professional legally authorized to prescribe such items under Wyoming law. [1] |
| Who can bill | Training and education is provided by a certified, registered or licensed health care professional with expertise in diabetes. Separately, for dietary services, a dietitian registered with the Commission on Dietetic Registration is treated as a licensed person for reimbursement, but an insurer need not pay for dietitian services unless the policy lists them as a benefit. [1] |
What the Wyoming law says
- Where it applies. Individual and group health insurance, service or indemnity contracts and HMO contracts that provide coverage, for private health benefit plans delivered or issued on or after July 1, 2001.
- Diagnoses. Insulin-dependent, insulin-using, gestational and noninsulin using diabetes.
- Visit limits. Covered training and education is limited to a one-time evaluation and training program when medically necessary within one year of diagnosis, plus additional medically necessary training upon a significant change in symptoms, condition or treatment, limited to three hours per year. Standard deductibles or coinsurance apply.
- Referral and prior auth. Must be prescribed by a health care professional legally authorized to prescribe such items under Wyoming law.
- Who can bill. Training and education is provided by a certified, registered or licensed health care professional with expertise in diabetes. Separately, for dietary services, a dietitian registered with the Commission on Dietetic Registration is treated as a licensed person for reimbursement, but an insurer need not pay for dietitian services unless the policy lists them as a benefit.
What it means for a claim in Wyoming
The law sets a floor for the plans it reaches; the plan's own policy and the member's contract still decide the codes, units and referral. On the benefits call, ask whether the plan is fully insured in Wyoming, and if a covered service is denied, name the statute by section in the appeal. The sources below link to the statute itself.
Payers with their own row for Wyoming: Wyoming Medicaid. The state laws side by side compare Wyoming with other states.