Here you will find information about working with Wyoming’s Medicaid Utilization and Health Management program.
WYhealth - Provider Resources
Medical and Behavioral Health Services
Access our new automated authorization tool to support the direct submission and processing of healthcare transactions including inpatient and outpatient pre-certifications and attachments related to WYHealth by Optum, 24 hours a day, seven days a week – with the exception of every third Sunday of the month when the system will be unavailable from: 12 a.m. to 4 p.m. (EST).
Access the iExchange Portal for online authorization submission of Medical or Behavioral services. If you are having difficulty with iExchange, you can fax Medical or Behavioral services authorizations to 1-888-245-1928.
For additional information and training materials about using iExchange for online authorization submission of Medical or Behavioral services, go here.
Advanced Radiology, Cardiology, and Radiation Therapy Services
Access HealthHelp for online authorization submission of Advanced Radiology, Cardiology and Radiation Therapy Services.
For additional information about Advanced Radiology, Cardiology and Radiation Therapy Services, go here.
- Behavioral Health Forms
- Medical Forms
- Care Management
- Census Reports
- Baby Shower Toolkit
- Training Materials
- Level of care guidelines
- Authorization Guidelines
- Provider Newsletter
WYhealth is committed in its support of Patient Centered Medical Homes across the state of Wyoming. For those providers who have successfully received Wyoming Department of Health Patient Centered Medical Home certification, please see your assigned WYhealth team.
For those of you interested in achieving Patient Centered Medical Home certification, please feel free to reach out to any member of the WYhealth team listed below. We are happy to assist you in your patient care transformation efforts.
Wyoming Medicaid Info
- Client Reward Programs
- Health Screenings
- Total Health Record
- Medicaid Enrollment
Other Provider Resources
- Get information about Wyoming’s Medicaid program from the Wyoming fiscal agent
- OptumHealth Education – Earn Free CME credits from your office
- Provider Events – A resource list of provider related events and conferences
- Report Suspected Fraud – Medicaid fraud harms us all. Call 1-855-846-2563 to report potential cases
The programs and services available with WYhealth can help you get healthy, stay healthy, and learn about your medical conditions.
WYhealth - Client Resources
Find a Provider
Find a Medicaid provider or specialist in your area
Ask a Nurse
Information about WYhealth and access to registered nurses 24 hours a day, 7 days a week, 365 days
Baby on the way?
Get the app to track your pregnancy milestones and more
Ready to make a change? Now is the perfect time. You have access to a no-cost program that can help you lose weight, quit smoking, get more active, start eating better or lower stress. Here’s how it works.
- Answer Questions: You’ll be asked a few questions about your current health.
- Set a Goal: Tell us what you want to achieve.
- Take Action: We’ll give you an Action Plan with simple steps to move towards your goal.
- Track Progress: Easy-to-use trackers can help you see your progress from anywhere.
All of this is available to you right now, either on your computer or smartphone.
Get started today! Enter keycode WYhealth (case sensitive).
Choice Rewards: Diabetes Program
WYhealth offers a special reward program to people who take steps to manage their diabetes. If you have diabetes and are over 18, you may be able to take part in the rewards program. In this program, you work to get better control of your diabetes. You will do things like track your blood sugar, blood pressure and weight every month. You will also monitor your monthly progress with a care manager. Each quarter you complete the required activities you get a $25 reward from the Wyoming Department of Health.
Community Baby Showers
Are you pregnant with your first child or adding to a growing home? The Wyoming Department of Health hopes you will attend a community baby shower. These free events give expectant and new parents the chance to meet with local organizations and baby-related businesses. They can give useful information about prenatal care, reducing the risk of infant death and premature birth, parenting routines and more.
Other Client Resources
There are many client Resources through WYhealth
- Customer Service Center (CSC)
- Client Relations
- Insurance Coverage
- Accidents and Legal Cases
- Public Health Nursing (PHN)
- Pharmacy Help Desk
- Transportation Call Center