Wyoming Medicaid Health Management (WYhealth)

What is WYhealth?

WYhealth Health Management is a benefit you have through Wyoming Medicaid. The program focuses on wellness for the Wyoming Medicaid population as well as those with complex medical conditions.

The WYhealth Care Management Program can help if you need some extra support to meet your health goals, understand your health condition(s), and get help with other needs you may have like food or transportation. We have nurses who would love to connect with you! Once you agree to participate, a nurse will contact you and work with you each month on your health goals.

A healthy reminder – if you haven’t seen your doctor for routine and preventive care checkups in a while, please schedule a visit today! If you don’t have a primary care physician or need help finding a doctor, please use our “Find a Doctor” search tool.

What does WYhealth Care Management look like?

Each individual is assigned a Nurse Care Manager. To begin, your Nurse Care Manager will perform a clinical health assessment, which asks you questions about your health and other needs.

Ongoing, your Nurse Care Manager will call you monthly to discuss your chronic condition(s), medication(s), establish health goals with you and document them in a plan of care. Each month, you will work through your plan of care goals until they are all completed and you’re happy with the progress you’ve made!

A plan of care usually lasts from 3-6 months but could be longer depending on your health condition(s) and how quickly you learn to make healthy improvements. Periodically, your Nurse Care Manager will do a clinical health assessment to monitor your needs. 

Ready to connect with a Nurse Care Manager?

If you would like to participate in our WYhealth Care Management Program, please click the button below, answer a few questions, and we will contact you shortly!

Care Management Referrals?

If you know someone who would benefit from connecting with a nurse and setting healthy goals, please refer them to WYhealth! The WYhealth Program touches members across the care continuum to promote healthy behaviors and self-management, as well as care coordination and intense care management when needed.

WYhealth takes referrals from any source to address member needs through care management. Please complete the questions in the referral form using the button below:

Plan of Safe Care Referrals to WYhealth

A Plan of Safe Care (PoSC) is meant to be a community safety net for families impacted by prenatal substance use. Once an individual is identified as needing a PoSC, it is developed to include referrals for services and supports to provide for the safety and well-being of an infant prenatally substance exposed. Although each PoSC varies depending on the needs of the family, providers are welcome and encouraged to make a referral to WYhealth for any Wyoming Medicaid member so assistance and support can be provided.

Once enrolled in WYhealth and connected with a registered nurse care manager, the member will be screened for social needs. Nurses will gather more information about their situation and any health condition(s) they might have. In addition to the “regular” health management support from WYhealth, those referred with a PoSC can also expect WYhealth to:

• Help the parent get their child enrolled into a Stride/Headstart program
• Promote the importance of attending all prenatal visits and receiving postpartum care
• Educate on postpartum healing, management of complications, and when to seek treatment
• Assist with making an appointment(s) with a community substance use treatment provider
• Promote the importance of well child check-ups and receiving immunizations
• Provide education regarding infant care, safe sleep, risks of second hand smoke, etc.
• Provide breastfeeding support and referrals
• Encourage tobacco cessation, if applicable
• Help the member get connected to the Wyoming Hand in Hand Program (home visitation)
• Help the member connect with the Parents as Teachers Program
• Educate on fetal, infant and maternal risks of drug/alcohol postpartum
• And more!

For more information on Plans of Safe Care, screening, templates, or provider training, please visit the Wyoming Department of Health’s Public Health Division or the Department of Family Services.

To make a PoSC referral to WYhealth, please complete the questions in the referral form using the button below:

You have even more benefits!

WYhealth is here to support your health – we want you to be healthy and stay healthy! Here are some Wyoming Medicaid resources as well as other programs that want you to reach out to see if you’re eligible. You might find these additional benefits and resources useful.

A great way to check out even more resources is to visit the Wyoming 2-1-1 website.

Participating in the WYhealth Program, you have the right to:

• be treated with respect and kindness
• be told what your rights are
• know how to contact your care manager
• know your options for health care services
• take part in all decisions about your healthcare or be represented by family or a guardian if you cannot make your own decisions
• have a say and collaborate with your nurse care manager in your health and wellness action or care management plan
• opt out of care any time without affecting Medicaid eligibility
• use end-of-life and advance care directives
• be told if care management services change and why
• contact us if your case was closed
• make a formal complaint about program services
• protect your health information

By using this website, you acknowledge that the State of Wyoming does not endorse any of the sites or services that may be referenced on or linked to on this site. The State of Wyoming will not be responsible or liable for those sites’ content or any loss occasioned by any such content. Other Internet sites or services may have privacy policies or security that differ from the privacy policy or security of the State of Wyoming.

This page was last updated on July 15, 2024.