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  Welcome to Wyoming Medicaid

Wyoming Medicaid is a joint federal and state government program that pays for medical care for some low income and medically needy individuals and families. 

Information

 

To apply for Medicaid/Kid Care CHIP or for Medicaid/Kid Care CHIP application status, please call 1-855-294-2127, or 1-855-329-5204 TTY/TDD.

 

WyHealth - This link directs you to the Xerox Care health and utilization management programs for Wyoming Medicaid.  Helpful information for providers, stakeholders, clients and families.

Eligibility - This link directs you to information on who may be eligible for Medicaid and how to apply can be found on our eligibility page

Medicaid Provider/Client Portal - This link directs you to the Medicaid provider and client portal.  Providers can check status of claims, benefits, and services.  Clients may check eligibility or benefits and request a replacement Medicaid ID Card or transportation assistance.

ICD-10 Transition – The mandatory ICD-10-CM and ICD-10-PCS code sets are scheduled to be implemented on October 1, 2015. This link directs you to the Medicaid/Xerox provider portal to learn more and what you can do so that you are ready for the ICD-10 implementation and you are not in jeopardy of delaying your provider payments after implementation. Claims with ICD-9 codes for services provided on or after the compliance deadline cannot be paid.

Health Check - This link directs you to our Health Check page which lets you know what Health Check is, a Health Check brochure, the Health Check newsletter and other publications.

Home Care Services - This link directs you to a Medicaid program that provides nursing or therapy services to persons in their homes under a physician's plan of care. 

Partnership Access Line (PAL)  - Resources for clinicians providing care to our children clients with Developmental Disabilities.  Please go to www.wyomingpal.org where you will find information regarding free consultation with a Child/Adolescent psychiatrist on any patient you may be seeing, and a valuable link to Resources for Wyoming providers in the Primary Care Principals for Child Mental Health. 

Healthcare Provider

  • Enroll as a Wyoming Medicaid Provider 
  • Provider FAQ 
  • In June 2009 Medicaid moved to a new AVR/IVR Automated Voice Response/Interactive Voice Response System.  See the following bulletin for detailed information on this system:  AVR/IVR System Improvements
  • WYhealth...Get Plugged In - Information on clinical guidelines for procedures, processes, utilization management and Health Management.
  • Pulse of CMS  
  • The Division of Healthcare Financing has established a new email address specifically for Medicaid providers to use to submit comments, concerns, complaints and compliments.  Emails may be sent to:  HCFProviders@wyo.gov
    • The purpose of this process is to solicit input on everything that happens in our program, and more specifically, current concerns.

Provider Information - Updates

         Proposed Medicaid Rules Changes 

 

         Recovery Audit Contract (RAC) Training Materials

Publications

Publication Archives