State of Wyoming

Department of Health

Chapter 1, Rules and Regulations for Public Health Laboratory Testing Fees

Thomas O. Forslund Director

July 2012

State of Wyoming Department of Health

Chapter 1, Rules and Regulations for Public Health Laboratory Testing Fees

Rules and Regulations for Public Health Laboratory Testing Fees Wyoming Department of Health

Public Health Division

Additional information and copies may be obtained from: Richard Harris, Administrator

Wyoming Public Health Laboratory 208 South College Drive

Cheyenne, Wyoming 82002 Telephone: (307) 777-7448 Facsimile: (307) 777-6422

E-Mail Address: richard.harris@wyo.gov

This document is available in alternative format upon request.

CHAPTER 1 Rules for Laboratory Testing Fees

Section 1. Authority ............................................................................................1-1

Section 2. Purpose and Applicability ..................................................................1-1

Section 3. Definitions…………………………………………………………..1-1

Section 4. Facilities and Programs ......................................................................1-2

Section 5. Fees ....................................................................................................1-2

Section 6. Fee Schedule for Services ..................................................................1-3

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CHAPTER 1

Rules and Regulations for Public Health Laboratory Testing Fees

General Provisions

Section 1. Authority. The Wyoming Department of Health is promulgating this Rule pursuant to requirements in 2012 Wyoming Session Laws, Chapter 26, Section 048 Department of Health, Footnote 4, and the Wyoming Administrative Procedure Act at W.S. § 16-3-101, et seq.

Section 2. Purpose and Applicability. (a) These Rules establish the fees charged by the Public Health Laboratory for

providing laboratory testing services to other State of Wyoming agencies, local law enforcement entities and other individuals or organizations.

(b) The Department may issue Manuals or Bulletins to providers and/or other

affected parties to interpret the provisions of this Chapter. Such manuals or bulletins shall be consistent with and reflect the policies contained in the Chapter. The provisions contained in manuals or bulletins shall be subordinate to the provisions of this Chapter.

(c) The incorporation by reference of any external standard is intended to be

the incorporation of that standard as it is in effect on the effective date of this Chapter.

Section 3. Definitions. The following definitions shall apply in the interpretation and enforcement of these rules. Where the context in which words are used in these rules indicates that such is the intent, words in the singular number shall include the plural and vice versa. Throughout these rules gender pronouns are used interchangeably. The drafters have attempted to utilize each gender pronoun in equal numbers, in random distribution. Words in each gender include individuals of the other gender.

(a) “Facility” is defined as a location that submits samples to the public health

laboratory for testing. (b) “Public Health Laboratory” is defined as the Department of Health Public

Health Laboratory located at 208 South College Drive, Cheyenne, WY 82002. (c) “Submitter list” is defined as all submitting locations currently included in

the Microbiology and Chemical laboratory information systems. Section 4. Facilities and programs.

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(a) Facilities and programs already on the submitter list that have submitted samples for Public Health Laboratory analysis will receive a monthly or quarterly invoice for all analytical services completed according to the fee schedule established in these rules.

(b) Only facilities and programs currently on the Public Health laboratory

submitter list will be authorized to submit samples under this fee structure. (c) Facilities and programs that are not currently on the Public Health

Laboratory submitter list that are, or that may need to request laboratory testing services should contact the Public Health Laboratory for information and assistance to get on the submitter list.

Section 5. Fees. (a) The Public Health Laboratory may increase individual fee assessments by

up to twenty percent (20%) without a rule change, if it is determined that the costs of laboratory testing necessitates such increases. The Public Health Laboratory will notify all facilities and programs on the submitters list at least 90 days before any increase is effective. Increases in the fee assessments that are greater than twenty percent (20%) will require a rule change.

(b) The Public Health Laboratory reserves the option to enter into agreements

with State Agency programs that would adjust or waive fees included in these rules and regulations.

(c) The Department of Health laboratory programs and specific tests affected by this fee schedule include:

(i) Immunology: Viral serology, Chlamydia/Gonorrhea, Hepatitis B,

HIV; (ii) Microbiology: Stool screen, bacterial 16s ID, Mycobacteriology,

Quantiferon, Group A Strep; (iii) Molecular biology: West Nile Virus IgM, Norovirus, Influenza;

PFGE;

(iv) Drinking Water: Bacteriological testing;

(v) Blood Alcohol: Blood alcohol kits; (vi) Toxicology: Toxicology screen and confirmation, synthetic

marijuana and emerging drugs, ETG, oral fluid drug toxicology.

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Section 6. Fee Schedule for Services. The following fees shall apply for each test

request submitted: (a) Viral serology for vaccine status (IgG), each viral antigen (Rubella,

Rubeola, Mumps, Chickenpox): $6.00

(b) Chlamydia and gonorrhea NAAT: $14.00

(c) Chlamydia or gonorrhea only NAAT: $12.00

(d) Hepatitis B antibody IgG (immune status): $15.00

(e) Hepatitis B markers (HbsAb, HbcIgM, HbsAg) for acute or chronic diagnosis: $45.00

(f) Hepatitis C antibody EIA: $20.00

(g) HIV antibody EIA: $15.00

(h) Stool screen and identification of bacterial pathogens: $25.00

(i) Bacterial ID by 16s rDNA: $35.00

(j) Mycobacteria smear and culture: $40.00

(k) Quantiferon TB screen: $40.00

(l) Group A streptococcus antigen test: $6.00

(m) West Nile Virus IgM: $20.00

(n) Norovirus PCR: $40.00

(o) Pertussis screen by PCR: $35.00

(p) Influenza PCR: $20.00

(q) Pulsed-field gel electrophoresis (PFGE): $40.00

(r) Drinking water coliform and E. coli screen: $8.00

(s) Blood alcohol collection kit: $9.50

(t) Drug toxicology screen and confirmation (methamphetamine, cocaine, opiates, benzodiazepines, cannabinoids, methadone, propoxyphene, barbituates: $9.00

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(u) Synthetic marijuana and emerging drugs: $23.00

(v) Ethyl Glucuronide (ETG): $9.00

(w) Oral fluid for drug toxicology screen: $14.00

State of Wyoming

Department of Health

Chapter 1, Rules and Regulations for Public Health Laboratory Testing Fees

Thomas O. Forslund

Director

October 2009 April 2012

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State of Wyoming Department of Health

Chapter 1, Rules and Regulations for Public Health Laboratory Testing Fees

Rules and Regulations for Public Health Laboratory Testing Fees Wyoming Department of Health

Public Preventive Health and Safety Division

Additional information and copies may be obtained from: Richard Harris, Administrator

Wyoming Public Health Laboratory 208 South College Drive 517 Hathaway Building

2300 Capitol Avenue Cheyenne, Wyoming 82002 Telephone: (307) 777-7448

FaxFacsimile: (307) 777-6422 E-Mail Address : richard.harris@wyo.gov

This document is available in alternative format upon request.

1-2

CHAPTER 1

Rules for Laboratory Testing Fees

Section 1. Authority .............................................................................................1-1

Section 2. Purpose and Applicability ...................................................................1-1

Section 3. Definitions…………… ……………………………………………1.1

Section 43. Facilities and Programs .......................................................................1-21

Section 54. Fees .....................................................................................................1-2

Section 65. Fee Schedule for Services ...................................................................1-32

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CHAPTER 1

Rules and Regulations for Public Health Laboratory Testing Fees

Laboratory Testing Fees General Provisions

Section 1. Authority. The Wyoming Department of Health is promulgating this Rule pursuant to requirements in 2009 2012 Wyoming Session Laws, Chapter 159 26, Section 048 Department of Health, Footnote 124, and the Wyoming Administrative Procedure Act at W.S. § 16-3-101, et seq.

Section 2. Purpose and Applicability. This Chapter establishes fees charged

by the Public Health Laboratory for providing laboratory testing services to other state agencies, local law enforcement entities and other individuals or organizations.

Section 2. Purpose and Applicability. (a) These Rules establish the fees charged by the Public Health Laboratory for

providing laboratory testing services to other State of Wyoming agencies, local law enforcement entities and other individuals or organizations.

(b) The Department may issue Manuals or Bulletins to providers and/or other affected parties to interpret the provisions of this Chapter. Such manuals or bulletins shall be consistent with and reflect the policies contained in the Chapter. The provisions contained in manuals or bulletins shall be subordinate to the provisions of this Chapter.

(c) The incorporation by reference of any external standard is intended to be the incorporation of that standard as it is in effect on the effective date of this Chapter.

Section 3. Definitions. The following definitions shall apply in the interpretation and enforcement of these rules. Where the context in which words are used in these rules indicates that such is the intent, words in the singular number shall include the plural and vice versa. Throughout these rules gender pronouns are used interchangeably. The drafters have attempted to utilize each gender pronoun in equal numbers, in random distribution. Words in each gender include individuals of the other gender.

(a) “Facility” is defined as a location that submits samples to the public health laboratory for testing.

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(b) “Public Health Laboratory” is defined as the Department of Health Public Health Laboratory located at 208 South College Drive, Cheyenne, WY 82002.

(c) “Submitter list” is defined as all submitting locations currently included in the

Microbiology and Chemical laboratory information systems. Section 43. Facilities and Programs. (a) The public health laboratory will provide billing information for each test

or collection kit, which includes prepaid tests, to all facilities submitting samples. Facilities and programs already on the submitter list that have submitted samples for Public Health Laboratory analysis will receive a monthly or quarterly invoice for all analytical services completed according to the fee schedule established in these rules.

(b) Only facilities Facilities and clients programs currently on the public

health laboratory submitter list will be authorized to submit samples under this fee structure.

(c) Facilities and programs that are not currently on the Ppublic Hhealth Laboratory submitter list that are, or that may need to request for these programs that are requesting laboratory testing services should submit inquiries contact to the Ppublic Hhealth Llaboratory for information and assistance to get on the submitter list.as not all testing services are available to all entities.

(d) The current Department of Health programs and specific tests affected

by fee collection include: (i) Immunization Program - tests for viral serology vaccine status;

(ii) Rheumatic Fever Control Program - group A strep antigen; (iii) Sexually Transmitted Disease Program – Gonorrhea and/or

Chlamydia tests for targeted private provider patients approved through the Gonorrhea and Chlamydia screening program;

(iv) Drinking Water Program - bacteriological testing; and (v) Blood Alcohol Testing Program.

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Section 4.5 Fees.

Fees for testing shall be used by the public health laboratory to make purchases for reagents and supplies necessary to conduct analysis and comply with existing testing regulatory requirements as appropriated by the legislature. (a) The Public Health Laboratory may increase individual fee assessments by

up to twenty percent (20%) without a rule change, if it is determined that the costs of laboratory testing necessitate such increases. The Public Health Laboratory will notify all submitters at least ninety (90) days before any increase is effective. Increases greater than twenty percent (20%) will require a rule change.

(a)(b) The Public Health Laboratory reserves the option to enter into agreements

with State Agency programs that would adjust or waive fees included in these rules and regulations.

(b)(c) The Department of Health Laboratory programs and specific tests affected by this fee schedule include:

(i) Immunology: viral serology, Chlamydia/Gonorrhea, Hepatitis B, HIV;

(ii) Microbiology: stool screen, bacterial 16s ID, Mycobacteriology, Quantiferon, Group A Strep; (iii) Molecular biology: West Nile Virus IgM, Norovirus, Influenza; (iv) Drinking Water: bacteriological testing; (v) Blood Alcohol: blood alcohol kits; and (vi) Toxicology: toxicology screen and confirmation, synthetic marijuana and emerging drugs, ETG, oral fluid drug toxicology.

Section 5.6 Fee Schedule for Services. The following fees shall apply for each test request submitted:

(a) Viral serology for vaccine status (IgG), each viral antigen (Rubella, Rubeola, Mumps or Chickenpox): Five Dollars ($5.00)

(b) Group A streptococcus antigen test: Five Dollars ($5.00)

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(c) Chlamydia and Gonorrhea nucleic acid amplification collection kit:

Twenty-five Dollars ($25.00)

(d) Drinking water coliform and E. coli screen (Colilert/Colisure): Five Dollars ($5.00)

(e) Blood alcohol collection kit: Nine Dollars and Fifty Cents ($9.50)

(a) Viral serology for vaccine status (IgG), each viral antigen (Rubella,

Rubeola, Mumps, Chickenpox): $6.00

(b) Chlamydia and gonorrhea NAAT: $14.00

(c) Chlamydia or gonorrhea only NAAT: $12.00

(d) Hepatitis B antibody IgG (immune status): $15.00

(e) Hepatitis B markers (HbsAb, HbcIgM, HbsAg) for acute or chronic diagnosis: $45.00

(f) Hepatitis C antibody EIA: $20.00

(g) HIV antibody EIA: $15.00

(h) Stool screen and identification of bacterial pathogens: $25.00

(i) Bacterial ID by 16s rDNA: $35.00

(j) Mycobacteria smear and culture: $40.00

(k) Quantiferon TB screen: $50.00

(l) Group A streptococcus antigen test: $6.00

(m) West Nile Virus IgM: $20.00

(n) Norovirus PCR: $40.00

(o) Pertussis screen by PCR: $35.00

(p) Influenza PCR: $20.00

(q) Pulsed-field gel electrophoresis (PFGE): $40,00

(r) Drinking water coliform and E. coli screen: $8.00

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(s) Blood alcohol collection kit: $9.50

(t) Drug toxicology screen and confirmation (methamphetamine,

cocaine, opiates, benzodiazepines, cannabinoids, methadone,

propoxyphene, barbituates: $9.00

(u) Synthetic marijuana and emerging drugs: $23.00

(v) Ethyl Glucuronide (ETG): $9.00

(w) Oral fluid for drug toxicology screen: $14.00