Wyoming Workers' Compensation Rules & Regulations: Chapter 10, Section 15 Overview

Employer Medical Benefit Obligation

In Wyoming, Chapter 10, Section 15 mandates that employers furnish medical benefits for employees injured on the job. The rule specifies that any medical provider listed on the state's approved list may treat the employee, and the employer must reimburse the provider directly for services rendered. This direct reimbursement model eliminates the need for employees to pay out of pocket before claims are processed.

Approved Medical Providers and Billing

Only providers registered with the Wyoming Workers' Compensation Board may bill the employer. The rule requires that each bill include the employee's claim number, the date of service, and a detailed description of the treatment. Bills that omit any of these elements are subject to rejection and may trigger penalties under the broader Workers' Compensation Act.

Scope of Covered Services

Section 15 defines covered services as any medical treatment, prescription medication, or therapy directly related to the workplace injury. This includes initial emergency care, follow‑up visits, diagnostic testing, and physical rehabilitation. Cosmetic procedures or elective treatments are excluded unless medically necessary to treat the injury.

Reporting and Documentation Requirements

Employers must maintain records of all medical bills and correspondence for a minimum of two years. The rule specifies that documentation must be available for audit by the Workers' Compensation Board, and failure to keep complete records can result in administrative fines.

Interaction with Other Wyoming Workers' Compensation Provisions

Chapter 10, Section 15 operates in conjunction with Chapter 9, which governs wage replacement, and Chapter 12, which addresses disability benefits. While Section 15 focuses solely on medical benefits, it sets the foundation for coordinated benefit administration across the state's workers' compensation system.