The State Plan is a contract between a State and the Federal government, enabling the delivery of health care. It ensures that a State abides by Federal rules and gets FFP. The State Plan sets out groups to be covered, services provided and limitations, reimbursement methodologies, and administrative requirements.
To view the process on getting a State Plan Amendment approved click on the flow chart link.
Region 8 Medicaid SPA Process Flow Chart
Public Notices for Pending State Plan Amendments
Public and Tribal Notice
Wyoming Department of Health, Medicaid
Proposed Amendment to the Wyoming Medicaid State Plan
Fee Schedule Frontispiece
December 19, 2025
Public and tribal notice is hereby given that the Wyoming Department of Health intends to submit a State Plan Amendment (SPA) to the United States Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS).
Nature of the Proposed Change
Wyoming Medicaid proposes to adopt a single consolidated “Fee Schedule Frontispiece” within Section 4 of the Wyoming Medicaid State Plan. This frontispiece will serve as the authoritative index listing all Medicaid fee schedules, their effective dates, and the public URLs where those schedules are posted. This change does not change reimbursement methodologies; does not add, remove, or modify covered services; and does not impact member eligibility or benefits. As part of this change, existing State Plan pages that currently contain embedded fee schedule links or effective dates will be updated to reference the new frontispiece instead.
Estimated Fiscal Impact
This amendment is anticipated to be cost neutral and is not expected to result in any change to aggregate Medicaid expenditures.
Rationale for the Change
This amendment is proposed to establish a centralized and authoritative reference for all Wyoming Medicaid fee schedules, and ensure all references to fee schedules are accurate and current. A background and summary of this proposed amendment can be viewed at: https://health.wyo.gov/wp-content/uploads/2025/12/Proposal-for-Implementation-of-Fee-Schedule-Frontispiece-in-State-Plan.pdf
Proposed Effective Date
The proposed effective date of this amendment is January 1, 2026, contingent upon CMS approval.
Public Review and Comment
Copies of the Wyoming Medicaid State Plan will be available for public review at the Wyoming Department of Health, Division of Healthcare Financing. To provide comment or to obtain a copy of the proposed State Plan Amendment, contact:
Denzel Clifton
Wyoming Department of Health
122 West 25th Street, 4th Floor West
Cheyenne, WY 82002
Phone: 307-777-2554
Email: Denzel.Clifton1@wyo.gov
Public and Tribal Notice
Wyoming Department of Health, Medicaid
Proposed Amendment to the Wyoming Medicaid State Plan
Consolidated Appropriations Act of 2023: Sections 5121 & 5122
December 17, 2025
Public and tribal notice is hereby given that the Wyoming Department of Health intends to submit a State Plan Amendment (SPA) to the United States Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS).
Nature of the Proposed Change
The proposed amendment permanently attests to Wyoming’s mandatory compliance with Section 5121, which requires Medicaid coverage for screening, diagnostic services, and targeted case management (TCM) for eligible juveniles transitioning from a public institution. Medicaid must attempt to provide these services within 30 days before release and at least 30 days following release. If services cannot be provided before release, screenings and diagnostics may be delivered within one-week post-release or as soon as practicable.
This amendment applies to eligible juveniles under age 21, and eligible former foster care individuals ages 18-26 who have been adjudicated and are held in state, local, and tribal correctional institutions following a court-ordered disposition. Screening services include physical screenings, behavioral health assessments, and immunizations in accordance with EPSDT guidelines. TCM, as defined at 42 C.F.R. § 440.169, supports transition and healthcare coordination.
Wyoming has also elected to adopt non-mandatory provisions under Section 5122, allowing Medicaid to extend full benefits to eligible juveniles in correctional institutions pending disposition of charges. This amendment permits Medicaid-covered services for juveniles held pre-adjudication in public institutions. Wyoming Medicaid is also submitting a separate TCM SPA attesting to compliance with requirements related to the TCM service for the population described above.
Estimated Fiscal Impact
Wyoming expects a projected increase in federal annual aggregate expenditures of $35,510 in FFY 2026, and $35,510 in FFY 2027.
Rationale for the Change
This amendment is proposed to comply with mandatory and optional federal coverage requirements established under the Consolidated Appropriations Act of 2023.
Proposed Effective Date
The proposed effective date of this amendment is January 1, 2026, contingent upon CMS approval.
Public Review and Comment
Copies of this proposed amendment are available for review at https://health.wyo.gov/wp-content/uploads/2025/12/DRAFT-5121-SPA-Attestation-Attachment-3.1-M-Page-1-and-2.pdf. To provide comment or to obtain a copy of the proposed State Plan Amendment, contact:
Denzel Clifton
Wyoming Department of Health
122 West 25th Street, 4th Floor West
Cheyenne, WY 82002
Phone: 307-777-2554
Email: Denzel.Clifton1@wyo.gov
Public and Tribal Notice
Wyoming Department of Health, Medicaid
Wyoming Nursing Home Reimbursement System
September 5, 2025
Public and Tribal notice is hereby given that the Wyoming Department of Health intends to submit a State Plan Amendment (SPA) to the United States Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS).
The proposed amendment is to transition the nursing home reimbursement methodology from the Resource Utilization Group (RUG) system to the Patient Driven Payment Methodology (PDPM). This amendment updates rate-setting processes, clarifies requirements for provider notifications of major facility updates, requirements for changes in ownership, and distressed facilities. Copies of the Wyoming Medicaid State Plan will be available at the Department of Health, Division of Healthcare Financing. To obtain a copy of the State Plan Amendment, contact:
Amy Guimond
122 W. 25th St., 4th Floor West
Cheyenne, WY 82002
307-777-3427
Amy.Guimond@wyo.gov
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Page Updated 12/17/2025