Wyoming Medicaid

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 Wyoming Medicaid’s Care Management program and includes helpful information for members, families, stakeholders, and providers.

Prior Authorization & Utilization Management – This link directs you to Utilization Management activities for Wyoming Medicaid. Helpful information for providers and stakeholders.

Eligibility – This link directs you to information on who may be eligible for Medicaid and how to apply.

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.

Well Child Checkups! – This link directs you to our Well Child Checkup page with information on the importance of preventive screening for children and what to expect.

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 click here for information about free consultation with a child/adolescent psychiatrist on any patient, and a valuable link to Resources for Wyoming providers in the Primary Care Principles for Child Mental Health.

Healthcare Provider

• Enroll as a Wyoming Medicaid Provider
• Provider FAQ
• Accessing the IVR System
• Medicaid providers can use this email address to submit comments, concerns, complaints and compliments: HCFProviders@wyo.gov
• Submit a Psychiatric Rehabilitation Treatment Facility (PRTF) incident report – If you are a PRTF and need to report an incident.
• Pulse of CMS

The Wyoming Department of Health (WDH) provides public notice of a proposal meant to save state and federal dollars while also preventing or delaying nursing home stays for certain older Wyoming residents via an 1115 Waiver.

More information about the state’s proposal can be found at https://ltcexpansion.wyo.gov/.

• Pregnant by Choice Public and Tribal Notice – Posted 1/23/2025
• Applied Behavioral Analysis (ABA) Services Public and Tribal Notice – Posted 4/29/2024
• Medicaid Waiver Renewals for the Care Management Entity 1915(b) & (c) Waivers Public and Tribal Notice – Posted 4/2/2024
• Pregnant by Choice Public and Tribal Notice – Posted 2/2/2024
• Pregnant by Choice Public and Tribal Notice – Proposed Eligibility Change – Posted 3/31/2023
• Pregnant by Choice Public and Tribal Notice – Posted 2/1/2023
• SFY22_Magellan Statement of Work_Amendment One
• SFY22_Magellan Contract _Amendment _One
• Public Notice – Pregnant by Choice Public Feedback – posted 1/31/2022
• Required notice per 42 CFR  § 438.332(c) – Posted 11/21/21
• Public Notice – 1915(c) Children’s Mental Health Waiver
• Public Notice – Pregnant by Choice Public Feedback & Notice of Updated Public Forum Teleconference Info – posted 3/8/2021
• CME Facts & Figures – posted 02/03/2021
• Appendix B. EQR Protocol 1 Review Tool
• Appendix D. Operational Requirements Review Tool
• Appendix E. Outcome Measures Review Tool
• Appendix H. Network Adequacy Review Tool
• Care Management Entity Program
  SFY 2019 External Quality Review
  Technical Report
• WY CME Quality Review Strategy Draft-posted 10/5/20 – Draft QRS

Wyoming Provider Exclusion List – please contact 777-7531 or WDH-EXCLUSIONLIST@wyo.gov

Public Notices for Pending State Plan Amendments

Medicaid Publications

• SFY2024 Wyoming Medicaid Per Member Per Month Report
• 2024 Child Medicaid CAHPS Summary Report
• SFY 2024 Annual Report
• SFY2023 Benchmarking Report
  • Appendices A-K
    • Appendix A: Methodology and Data Sources
    • Appendix B.1: Comparison of Wyoming Medicaid Rates to Benchmarks, by Service Area
    • Appendix B.2: Total SFY 2023 Medicaid Expenditures for Top Procedures Used in Analysis, By Service Area
    • Appendix C: Hospital Cost Benchmarks
    • Appendix D: Medicare Reimbursement Methodology
    • Appendix E: Summary of Health Care Inflation Indices
    • Appendix F: Wyoming Medicaid Rate History
    • Appendix G: Glossary
    • Appendix H: Acronyms
    • Appendix I: Reimbursement Trends
    • Appendix J: Upper Payment Limit
    • Appendix K: Value Based Purchasing
• SFY2023 Wyoming Medicaid Per Member Per Month Report
• 2023 Wyoming Medicaid Birth Report
• Well Child Checkups!
• Medicaid Member Handbook for Adults
• Medicaid and Kid Care CHIP Member Handbook for Children
• Medicaid Member Handbook for Pregnant Women
• Medicaid Member Handbook -Spanish
• Estate Recovery Pamphlet
• Medicaid Bulletins and Manuals
• Pregnant By Choice Brochure

Publication Archives

Electronic Medicaid Waiver System (EMWS) Training

Click on the link below to open the EMWS training instructions.

Training Agenda

Computer Instruction Guide

EMWS Training Instructions

Training Evalution

Microsoft Lync Conferencing Instructions

Women, Infants & Children (WIC) Information Sharing and Opting Out

The Wyoming Women, Infants & Children (WIC) Program offers benefits to low-income women who are pregnant, breastfeeding, or who just had a baby, and families with children under the age of 5. Nutritious food items, as well as many other benefits, are available for many Wyoming families through WIC.  In order to facilitate eligibility of Wyoming families for WIC services, Wyoming Medicaid automatically shares Medicaid application information with state or local WIC offices.

Anyone who wishes for their Medicaid application information not to be automatically shared with WIC can complete the Medicaid-WIC Online Opt-Out Form at this link.