What is a Service Provider: Any individual or entity that has a current provider agreement, is licensed and/ or certified to provide services, and is enrolled to provide services for the Community Choice Waiver and PACE programs.
How to Become a Provider: Providers must be approved by the State of Wyoming to provide 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 and is enrolled. Prior authorization for services must be approved by the Community-Based Services Unit before services begin. A service provider’s participation may be terminated. See Wyoming Department of Health, Wyoming Medicaid Rule, Chapter 3, Section 4.
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