NOTICE OF INTENT TO RENEW

Community Choices Waiver Program

Notice is hereby given that the Wyoming Department of Health, Division of Healthcare Financing (Division) intends to submit an application to renew the Community Choices Waiver program to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS).

The Community Choices Waiver program provides eligible individuals with a community-based alternative to the care provided in an institutional facility. The renewal involves an in-depth analysis of the entire program with updates in almost every appendix. Major areas of focus included new waiver services, waiver service definitions and limitations, service provider types, provider qualifications, and performance measures.

The renewal application will have a proposed effective date of July 1, 2026. The complete waiver application, as well as a detailed summary of the proposed changes is posted below. A 30-day public comment period will begin on November 14, 2025.

Official written comments will be accepted through December 19, 2025 by contacting:

Adrienne Rosenberg
HCBS Policy Analyst
Wyoming Department of Health
Division of Healthcare Financing
122 W. 25th Street, 4 West
Cheyenne, WY 82002
Phone: (307) 777-8230
Email: adrienne.rosenberg@wyo.gov

A public forum will be conducted via video conference on December 4, 2025 from 1:00pm – 2:00pm. Callers can join virtually or can call in to 1-253-215-8782 and use the Zoom Meeting ID # 925 6352 9951.

• Community Choices Waiver Application
• Summary of Changes

• Community Choices Waiver Amendment (ARPA) – 4/2023
• Comprehensive and Supports (DD) Waivers Implement High Needs Model Rate Increase – 8/2022
• Changes to Methods and Standards for Setting DD Provider Payment Rates – 10/2021