Home and Community Based Services (HCBS) Section logo

Home and Community Based Services (HCBS) Section

Part of Wyoming Medicaid, the Home and Community Based Services (HCBS) Section oversees waiver programs for individuals with developmental disabilities, acquired brain injuries, and who are ages 19-64 with a physical disability or ages 65+ who need nursing facility level of care.  We strive to provide excellent customer service and up-to-date information to participants, families, providers and other stakeholders.

Contact Info:

122 W. 25th Street, 4 West
Cheyenne, WY 82002
(307) 777-7531
(800) 510-0280
Fax: (307) 777-8685

DD Providers and Case Managers

Comprehensive and Supports Waiver (DD Waiver) case managers and providers must be approved by the State of Wyoming to deliver waiver services. The application process requires providers to submit documentation of eligibility and in some cases may require a site visit.  No person or entity that provides services to a recipient shall receive Medicaid funds unless the person or entity is a party to a fully executed provider agreement, is enrolled, and has fulfilled all waiver program expectations.

To receive DD case manager or provider communications, please email your request to dawn.walsh@wyo.gov

Click here for more information on becoming a DD Waiver provider
Case Manager and Provider References

Durable Medical Equipment (DME) Manual and Bulletins – Click Here

Provider Credentialing – wdh-hcbs-credentialing@wyo.gov

EMWS Help Desk – emws-helpdesk@wyo.gov

HCBS Provider Communication and Resources Quick Reference – 5/2024

Case Manager Support Call Notes

2024 Dates:
January 8 | March 11 | May 13 | July 8 | September 9
2:00 PM

Click here to Join Zoom
Meeting ID: 634 742 940
or call in (669) 900-6833

Provider Support Call Notes

2024 Dates:
February 26 | April 29 | June 24 | August 26 | October 28
2:00 PM

Click here to join Zoom
Meeting ID: 488 802 503
or call in (669) 900-6833

 

Program Bulletins

Important

Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is a federal requirement of the 21st Century Cures Act, which outlines the system requirements for compliance and uses technology to electronically capture information about when and where home and community-based services (HCBS) of the Medicaid waivers begin and end. The Wyoming Department of Health has partnered with CareBridge EVV as a solution, free of charge for DD Waiver providers. 

DD waiver services requiring EVV data:

  • Personal Care
  • Child Habilitation
  • Companion
  • Respite
  • Skilled Nursing

 For more Information:

Email: wyevv@carebridgehealth.com
Call: (855) 912-3301

Visit:
Wyoming EVV Overview
Wyoming EVV Training Resources
Provider Organizations EVV Training Registration

 CareBridge EVV Reference Materials

Claim Cycle Reference 

Background Screening Information

 New Processes

Effective April 1, 2024 – Traditional Providers

Background screening processes have changed for traditional DD Waiver providers. Screenings submitted to the Wyoming Department of Health for processing will be returned to the provider, along with any payment(s) received. The new screenings (see below) replace the previously required fingerprinted criminal background screenings.

 

Effective August 1, 2024 – Participant-Directed Employees

The background screening process for NEW Participant-Directed Employees has changed. Participant-Directed Employers are asked to follow the instructions provided by ACES$ in their FMS enrollment packet to ensure that screening costs can be paid by the Division. 

ACES$ will accept new employee enrollment packets that include completed screening results from either process (screenings done by ACES$ or by the Wyoming Department of Health) through the end of the year (December 31, 2024). However, beginning October 1, 2024, any Participant-Directed screening requests received by the Wyoming Department of Health will be returned to the Participant-Directed Employer with instructions to contact ACES$ and use the updated process.

Please contact ACES$ for additional information or support at 1-844-500-3815 or supportWY@mycil.org. 

As outlined in Wyoming Medicaid Rule Chapter 45, Section 14, a complete background screening is required, for the following individuals:

    • All persons providing waiver services including: managers, supervisors, and direct care staff
    • Other individuals who, on behalf of the provider, have unsupervised access to participants
    • All adults (18+) residing in a location where services are provided (excluding participants)
A complete background screening includes:
    1. Criminal Background Screening based on Name and Social Security Number 
      • Providers may use any screening agency which uses a name and social security based database to confirm that individuals subject to background screenings have not been convicted of, or plead “no contest” to, any barrier crimes listed in Wyoming Statute Title 6, Chapters 2 and 4.  
      • The HCBS Section does not support or recommend a specific agency to conduct background screenings. Some popular background screening agencies include: Direct Screening, Good Hire and Sentry Link.
    2. Search of the United States Department of Health and Human Services, Office of Inspector General (OIG), List of Excluded Individuals/Entities
      • Any provider that hires an individual or entity listed on the OIG Exclusions Database may be subject to civil monetary penalties. To avoid these penalties, providers are required to routinely check the database – at least annually – to ensure that new hires and current employees are not listed.
    3. Wyoming Department of Family Services (DFS) Central Registry Check
      • DFS Central Registry – complete and submit the electronic form to start this portion of the background screening process.
Subsequent Background Screenings

Circumstances can change over time; therefore, all providers and associated staff are required to complete a full subsequent background screening every five years. The five years is calculated based on the date the last background screening results were issued.

 
 
“Does Not Meet” Determinations

Pursuant to Wyoming Medicaid Rules, an individual does not meet the background screening requirements: 

  • If listed on the Department of Health and Human Services Exclusions Database; 
  • If listed on the DFS Central Registry; 
  • If a criminal background screening reveals that the individual has been convicted, plead guilty, no contest, or is currently under investigation for an Offense Against the Person (Wyoming Statute Title 6, Chapter 2), or an Offense Against Morals, Decency and Family (Wyoming Statute Title 6, Chapter 4), or any similar law of any other state. This includes but is not limited to:
          • Homicide (W.S. 6-2-101);
          • Kidnapping (W.S. 6-2-201);
          • Sexual assault (W.S. 6-2-301);
          • Robbery and Blackmail  (W.S. 6-2-401);
          • Assault and Battery (W.S. 6-2-501);
          • Human trafficking (W.S. 6-2-701);
          • Bigamy  (W.S. 6-4-401);
          • Incest  (W.S. 6-4-402);
          • Abandoning or endangering children  (W.S. 6-4-403);
          • Violation of an order of protection (W.S. 6-4-404);

        Because criminal offense definitions vary by state and participant safety is paramount, providers should seek legal advice when interpreting background screening results.

Important Links and Resources

Printable HCBS Sites and Emails Quick Reference

  • Wyoming Health Provider Portal (WHP)- This website is used for official communication between the Division and providers. This portal will facilitate the submission of both initial and renewal applications, critical incidents, as well as complaints. Multiple employees under one agency may have access to the WHP, but it is the responsibility of the agency to assign each person’s role and permissions. For additional information on assigning roles, please see this guidance document.

Site: https://www.wyoproviderportal.com/
Tips, Best Practices, and FAQs

  • Wyoming Medicaid Provider Portal-  This Portal is used for billing (also referred to as CNSI or BMS). If you have questions about claims, payment inquiries, member eligibility, or other claim submission questions, please contact:

Site: https://www.wyomingmedicaid.com/portal/
Contact: Wyprovideroutreach@cns-inc.com

  • HHS Technology Group (PRESM) Provider Enrollment- This site is used for your provider updates, including email and physical address changes and banking information, as well as provider Medicaid enrollment and re-enrollment. Please note if you are updating your contact information (excluding banking information), you will need to contact HHS and the Credentialing Team to ensure your information is updated with both entities.

Site: https://wyoming.dyp.cloud
Contact: WYEnrollmentSvcs@HHSTechGroup.com

  • CareBridge Health Electronic Visit Verification (EVV)- Some services* require EVV, if you have questions regarding EVV, EVV claim submissions, or need technical assistance with EVV, please contact:

Site: https://www.carebridgehealth.com/wyevv
Contact: wyevv@carebridgehealth.com
*DD Waiver- Personal Care, Child Habilitation, Companion, Respite, Skilled Nursing

  • Electronic Medicaid Waiver System (EMWS)- For Case Managers Only, if you do not provide Case Management, you do NOT need access to this system.

Site: https://www.wyowaivers.com/
Contact: emws-helpdesk@wyo.gov– Contact this email for Technical Assistance within EWMS. For any other questions, please contact your Benefits and Eligibility Specialist (BES)

  • Telligen Help Desk- Contact Telligen for assistance or questions regarding the approval of skilled nursing services – (833) 610-1057.                                                                                                                              Site: https://www.telligen.com

Important Email Addresses:
Please add the following email addresses to your contacts to ensure emails are not sent to your Spam/Junk folder.

  • wyohealth@public.govdelivery.com – Wyoming Department Emails will come from this email address. It will include relevant information about the Waiver(s), meeting dates and times for Provider calls, etc.
  • improvproviderportal@wyo.gov – Emails regarding your Agency will be sent from this email address. The emails include any tasks, renewals/expirations, incidents, or other Division requests.
  • wdh-hcbs-credentialing@wyo.gov – The Credentialing Team email can be used to ask questions around your agency certifications, renewals, services, etc.
  • providerportal@gannettpeaktech.com – Contact this email for Technical Assistance within the WHP. Questions around your application or the process should be directed to your assigned Credentialing Specialist or the Credentialing Team email.
  • dawn.walsh@wyo.gov – Contact this email if you would like to add an email address for Division communications.