053-10 Wyo. Code R. § 10-4

Current through April 27, 2019

Section 10-4 - Biofeedback

Biofeedback services shall be paid according to Chapter 9, Section 2 of these rules. The following conditions apply:

(a) individual meets the definition of "injury" under W.S. 27-14-102(a)(xi); and,

(b) the services must be prescribed by the primary treating health care provider.

(c) Administration of biofeedback treatment is limited to those practitioners who are certified by the Biofeedback Certification Institute of America;

(d) Practitioners must submit a current copy of their biofeedback certification to the Division of Workers' Compensation;

(e) Treatment can be authorized when the following is presented to the Division:

• (i) An evaluation report documenting:
  • (A) the basis for the injured worker's condition;
  • (B) the condition's relationship to the work injury;
  • (C) an evaluation of the injured worker's functional measurable modalities (e.g., range of motion, uptime, walking tolerance, medication intake, etc.);
  • (D) an outline of the proposed treatment program; and,
  • (E) an outline of the expected restoration goals.

• (ii) The injured worker's progress must be documented in the medical records to include continued medical necessity, expected number of sessions, and ability to facilitate any further positive functional gains.

053-10 Wyo. Code R. § 10-4

Amended, Eff. 8/24/2017.