Division of Healthcare Financing
The Division of Healthcare Financing was created to bring public healthcare programs under one umbrella for administrative purposes.
The Division of Healthcare Financing administrator serves as the state medicaid director with responsibility for oversight and technical assistance provided to the divisions that administer Medicaid within the Department of Health.
The Division of Healthcare Financing includes three distinct units: Wyoming Medicaid, Kid Care CHIP (Wyoming's State Children's Health Insurance Program), and Office of Pharmacy Services.
RELEASED FOR COMPETITIVE PROCUREMENT: Announcement of Upcoming RFP for Wyoming Medicaid Total Health Record Gateway
The State of Wyoming, Department of Health, Division of Healthcare Financing is announcing the upcoming release of a Request for Proposals (RFP) for qualified contractors to provide the Total Health Record (THR) Gateway components for the Wyoming Medicaid program.
The Wyoming THR consists of a HL7 health information exchange (HIE) Gateway for sharing clinical messages. The THR Gateway (Medicaid HIE) component services are requested to continue operations of the Wyoming THR Gateway. This will include implementation of enhancements to the THR Gateway to obtain quantifiable information about Wyoming Medicaid operations, which includes utilization of services, appropriateness of treatment, and clinical outcomes; and providing support for the Medicaid-only HIE to facilitate providers' achievement of Meaningful Use in Wyoming. The state intends to gain flexibility to access and leverage THR tools and data as part of this contract.
If you would like to receive notice when the RFP is available, please email email@example.com with contact information.
ANNOUNCEMENT OF UPCOMING RFP FOR WYOMING MEDICAID PHARMACY BENEFITS MANAGEMENT SYSTEM AND SERVICES
The State of Wyoming, Department of Health, Division of Healthcare Financing, Pharmacy Services is announcing the upcoming release of a Request for Proposal (RFP) for a Pharmacy Benefits Management System (PBMS) including Point of Sale (POS) and Fiscal Agent services, operations, and support.
If you would like to receive vendor bid notifications when the PBMS RFP is available, please register with the State of Wyoming, Administration and Information, General Services, Procurement Section using a new web based e-Procurement service - Public Purchase - at the following link: https://www.publicpurchase.com/gems/register/vendor/register
ANNOUNCEMENT OF STATUS UPDATE FOR WYOMING MMIS WINGS PROJECT ACTIVITIES - APRIL 2015
The MMIS Replacement Project Team for the Wyoming Integrated next Generation System (WINGS) project provides periodic updates for WINGS Project activities for key focus areas and timelines.
1. The Pharmacy Benefits Management System Request for Proposal procurement is anticipated to be released in May 2015.
2. A Medicaid Program Integrity Fraud, Waste, Abuse (FWA) Analytics and FWA Case Tracking module vendor fair has been scheduled for June presentations. The FWA Analytics/FWA Case Tracking module functionality and services will be part of the overall Data Warehouse/Business Intelligence Request for Proposal.
3. The Data Warehouse/Business Intelligence Request for Proposal is anticipated to be released in November/December 2015.
4. The Medicaid Claims Processing Systems and Services Request for Proposal is anticipated to be released mid-2016.
Click here for information on Wyoming's Home and Community Based Services Waiver Transition Plan
Division of Healthcare Financing Units
Medicaid - Medicaid helps pay for certain health care services, and is available to qualifying families, children, individuals who are aged, blind or disabled, and qualified or non-qualified aliens.
Kid Care CHIP
Kid Care CHIP - Kid Care CHIP is a Wyoming program that helps families provide health insurance for their children. Health insurance is an important part of making sure that kids grow healthy. Kid Care CHIP offers health insurance coverage for Wyoming's children and teens through age 18 that are uninsured and meet income and eligibility guidelines.
Office of Pharmacy Services
Office of Pharmacy Services - Most prescription and some over-the-counter drugs are covered. A prescription is required for all drugs. A co-payment may be required for clients age 21 and older. Please look through our website for details on other programs available through the Office of Pharmacy Services.