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of credit, guarantees of companies affiliated with the organization or a combination of those arrangements.

(g)PACE organizations shall assume responsibility for all…#

(g) PACE organizations shall assume responsibility for all costs generated by PACE program participants, and shall create and maintain a risk reserve fund that will cover any cost overages for any participant. A PACE organization is responsible for the full financial risk that the cost of services required by a program participant might exceed the Medicaid capitated fee for that participant.

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Page 64

Official source

of credit, guarantees of companies affiliated with the organization or a combination of those arrangements.

(g)PACE organizations shall assume responsibility for all…#

(g) PACE organizations shall assume responsibility for all costs generated by PACE program participants, and shall create and maintain a risk reserve fund that will cover any cost overages for any participant. A PACE organization is responsible for the full financial risk that the cost of services required by a program participant might exceed the Medicaid capitated fee for that participant.

(h)The department shall develop and implement a…#

(h) The department shall develop and implement a coordinated plan to promote the PACE program among prospective Medicaid long term care patients in the service areas of approved PACE organizations.

(j)As soon as practicable after July 1, 2010, the…#

(j) As soon as practicable after July 1, 2010, the department shall submit to the federal centers for Medicare and Medicaid services an amendment to the state Medicaid plan authorizing the state to implement the program of all-inclusive care for the elderly pursuant to this section. The department shall not enter into a contract with any PACE provider organization until all necessary state plan amendments or waivers are approved. An additional amendment to the state Medicaid plan shall not be required each time the department enters into a contract with a new PACE provider organization.

(k)Nothing in this section shall be construed to require a…#

(k) Nothing in this section shall be construed to require a PACE organization to hold a certificate of authority as an insurer or a health maintenance organization under title 26 of the Wyoming statutes.

(m)Repealed by Laws 2015, ch. 59, § 2.#

(m) Repealed by Laws 2015, ch. 59, § 2.

(n)No PACE organization shall withhold any necessary…#

(n) No PACE organization shall withhold any necessary medical or nonmedical services to any PACE participant in order to increase the organization's profit from the Medicaid capitated payment.

(o)PACE participants may disenroll from the PACE program…#

(o) PACE participants may disenroll from the PACE program at any time. A PACE organization shall promptly report the identity of all disenrolled participants to the department.

42-4-122. Cooperation with paternity determination.

(a) Except as otherwise provided in subsection (b) of this section, as a condition of eligibility, or continuing