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Healthcare Facility Licensure and Certification:
New Facility or Change in Ownership


Several healthcare facility types are required to be licensed in Wyoming prior to operation.  (Information on each facility type is listed below.)

A completed application, with appropriate signatures, must be submitted to Healthcare Licensing and Surveys, along with the applicable fee.  If you are licensing more than one healthcare facility, a separate application and separate fee must be submitted for each facility.

An application and written notice must also be provided, at a minimum of 60 days in advance, if any of the following changes occur during the license period:

For a Flow Chart describing the general process for Healthcare Facility Licensure, click here.


Important Notice for New Facilities Seeking Federal Medicare Certification:

The Centers for Medicare & Medicaid Services (CMS) has issued revised survey priorities due to very substantial federal resource limitations. In light of the federal Medicare resource constraints, initial surveys for most provider and supplier types have been classified at the lowest priority level. For facilities that qualify for deemed status there is an alternate route to obtain certification and this may well be the fastest way to obtain certification this year. However, there are other types of facilities for which deemed status is not an option. The Survey and Certification Letter S&C-08-03 can be accessed for additional information.

Change of Ownership (CHOW): General Guidelines for Medicare/Medicaid-Certified Facilities: Click Here

Click on facility type below for information regarding state licensing and/or federal certification requirements:

Adult Day Care Facility - The definition of an Adult Day Care Facility is any facility not otherwise certified by the Wyoming Department of Health, engaged in the business of providing activities of daily living support and supervision services programming based on a social model, to four (4) or more persons eighteen (18) years of age or older with physical and mental disabilities.

Adult Foster Care Home - Adult Foster Home is a home where care is provided for up to five (5) adults who are not related to the provider by blood, marriage or adoption in need of long term care in a home like atmosphere. Resident clients in the home shall have private rooms which may be shared with spouses and shall have individual handicapped accessible bathrooms. "Adult foster homes" does not include any residential facility otherwise licensed or funded by the state of Wyoming. 

Ambulatory Surgical Center - The definition of Ambulatory Surgical Center is a facility which provides surgical treatment to patients not requiring hospitalization and is not part of a hospital or an office of private physicians, dentists, or podiatrists.
Assisted Living Facility - The definition of an Assisted Living Facility is a dwelling operated by any person, firm, or corporation engaged in providing limited nursing care; personal care; and boarding home care, but not habilitative care, for persons not related to the owner of the facility. This definition may include facilities with secured units and facilities dedicated to the special care and services for people with Alzheimer's disease or other dementia conditions.

Birthing Center - The definition of a Birthing Center is any health facility, place, professional office, or institution which is not a hospital or in a hospital and where births are planned to occur away from the mother's residence following normal uncomplicated pregnancy.

Boarding Home - The definition of a Boarding Home is a dwelling or rooming house operated by any person, firm or corporation engaged in the business of operating a home for the purpose of letting rooms for rental, and providing meals and personal daily living care, but not habilitative or nursing care, for persons not related to the owner.  Boarding home does not include a lodging facility or apartment in which only room and board is provided.

Community Mental Health Center

Comprehensive Outpatient Rehabilitation Facility

Critical Access Hospital - The definition of a Critical Access Hospital is a hospital which meets the criteria required by the Wyoming State Rural Health Plan and rules for designation of critical
access hospitals.

End Stage Renal Dialysis Center - The definition of an End Stage Renal Dialysis Center is a freestanding facility for treatment of kidney diseases
Federally Qualified Health Center

Freestanding Diagnostic Testing Center - The definition of a Freestanding Diagnostic Testing Center is a mobile, re-locatable, or transportable facility which is capable of providing a wide array of outpatient diagnostic testing services and minimally invasive procedures.

Home Health Agency - an agency primarily engaged in arranging and directly providing nursing or other healthcare services to persons at their residence.

Home Health Agency-Branch

Hospice Program - a program of care for the terminally ill and their families given in a home or health facility which provides medical, palliative, psychological, spiritual, and supportive care and treatment.

Hospital - an institution or a unit in an institution providing one or more of the following to patients by or under the supervision of an organized medical staff: (1) Diagnostic and therapeutic services for medical diagnosis, treatment and care of injured, disabled or sick persons; (2) Rehabilitation services for the rehabilitation of injured, disabled or sick persons; (3) Acute care; (4) Psychiatric care; (4) Swing beds.

Intermediate Care Facility for the Mentally Retarded (ICF/MR) - a facility which provides on a regular basis health-related care and training to mentally retarded individuals or persons with related conditions, who do not require the degree of care and treatment of a hospital or nursing facility and services above the need of a boarding home.

Medical Assistance Facility - a facility which provides inpatient care to ill or injured persons prior to their transportation to a hospital, or provides inpatient care to persons needing care for a period of no longer than 60 hours, and is located more than 30 miles from the nearest Wyoming hospital.

Nursing Care Facility (Nursing Home) - an institution which is a skilled nursing facility (SNF) or a nursing facility (NF) which is currently licensed and meets the requirements of the rules and regulations.

Outpatient Physical Therapy/Speech Pathology Facility

Psychiatric Hospital

Rehabilitation Facility - an outpatient facility which is operated for the primary purpose of assisting the rehabilitation of disabled persons by providing comprehensive medical evaluations and services, psychological and social services, or vocation evaluations and training or any combination of these services and in which the major portion of the services is furnished within the facility.

Rehabilitation Hospital

Rural Health Clinic