Wyoming Statutes

Wyo. Stat. § 26-34-125 (2026)

Administrative procedures.

✓ current as of May 2026
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(a) If the commissioner has cause to believe that grounds
for the denial of an application for a certificate of authority
exist, or that grounds for the suspension or revocation of a
certificate of authority or for the imposition of an
administrative penalty exist, he shall notify the health
maintenance organization and the administrator by written order
specifically stating the grounds for denial, suspension,
revocation or administrative penalty. The health maintenance
organization or applicant may in writing request a hearing
within thirty (30) days from the date of mailing of the order.
If no written request is made, the order shall be final upon the
expiration of the thirty (30) days.

     (b) If the health maintenance organization or applicant
requests a hearing pursuant to this section, the commissioner
shall issue a written notice of hearing and send it to the
health maintenance organization or applicant by certified or
registered mail and to the administrator stating:

          (i) A specific time for the hearing, which may not be
less than twenty (20) nor more than thirty (30) days after
mailing of the notice of hearing; and
          (ii) A specific place for the hearing, which may be
either in Cheyenne or in the county where the health maintenance
organization's or applicant's principal place of business is
located.

     (c) If a hearing is requested, the administrator, or his
designated representative, shall be in attendance at the hearing
and shall participate in the proceedings. The administrator's
recommendations and findings with respect to matters relating to
the quality of health care services provided in connection with
any decision regarding denial, suspension or revocation of a
certificate of authority, are conclusive and binding upon the
commissioner. After the hearing, or upon the failure of the
health maintenance organization to appear at the hearing, the
commissioner shall take action as is deemed advisable on written
findings which shall be mailed to the health maintenance
organization with a copy thereof to the administrator. The
commissioner's action and the administrator's recommendations
and findings are subject to review by the district court. The
court, in disposing of the issue before it, may modify, affirm
or reverse the commissioner's order in whole or in part.

     (d) The Wyoming Administrative Procedure Act applies to
proceedings under this section to the extent it is not in
conflict with this section.