Wyoming Medicaid Eligibility and Enrollment
- Wyoming Medicaid provides low or no-cost healthcare to financially needy residents. Find out how Wyoming Medicaid works and who is eligible to sign up.
Medicaid is a joint federal and state government program designed to pay for healthcare services for people with disabilities, individuals who are 65 years and older, children and their caretakers and pregnant women who meet the program’s financial requirements. Wyoming Medicaid provides support for an estimated 60,000 state residents who are aged, blind or disabled, based on financial and medical need.
There are currently about 9,000 providers — physicians, hospitals, pharmacies, dentists and nursing homes — that accept Medicaid in Wyoming who provide medically necessary treatment.
What Benefits Does Wyoming Medicaid Cover?
Wyoming Medicaid services cover a wide range of care including — but not limited to — ambulance services, children’s mental health, chiropractic services, comprehensive dental for those under 21, family planning, hearing services, hospice, labs and X-rays, prescription drugs, surgeries and vision services.
Health check exams are Wyoming Medicaid wellness exams for kids under the age of 21. These may include:
- Comprehensive physical exams
- Lab tests
- Lead screenings
- Nutrition checks
- Eye exams
- Mental health
- Hearing screenings
Wyoming Medicaid does not cover any services performed by a provider who is not contracted with Medicaid. The program does not cover any services that are not deemed medically necessary.
It’s important to note that the following are also not covered:
- Canceled and missed appointment fees
- Chronic pain rehabilitation
- Cosmetic procedures
- Glasses and contact lenses for adults over 21
- Infertility services
- Podiatry services
Medicaid in Wyoming also includes a prescription drug benefit as part of its standard coverage options and is mandatory for children who are enrolled. Although not every brand drug is available, and approval is often required, the most common types of medication are included in the Wyoming Medicaid drug list.
What Does Wyoming Medicaid Cost?
Many Medicaid enrollees in Wyoming access their health care free of charge, though a co-payment may be required according to beneficiaries’ ability to pay for services. There may be some exceptions: Adults over 21 who are not pregnant may owe co-payments for some services and disabled and employed members will pay a small monthly premium. Long-term care facility residents may be assessed a financial contribution, and assisted living facility residents will have to pay for their own room and board.
Who Is Eligible for Medicaid in Wyoming?
Residents of Wyoming are eligible for Medicaid if they meet all the federal standards, including income and asset limits that are adjusted for the state.
To be eligible, participants must be a U.S. citizen, state resident, or legal alien in need of healthcare or insurance coverage, and whose financial situation would be considered as low income or very low income. Enrollees must also be pregnant, responsible for a child 18 years of age or younger, blind, have a disability or a family member in the household with a disability, or be 65 years of age or older.
To qualify for Medicaid in Wyoming, applicants must earn less than the modified annual gross income (MAGI), which in 2021 is set to 154% of the federal poverty level. The federal numbers are $12,800 a year for individual adults and $26,500 for a family of four in 2021, and the maximum qualifying incomes in Wyoming are $16,971 and $34,846, respectively.
Children in Wyoming are eligible for Medicaid or the Kid Care Children’s Health Insurance Program (CHIP) if their family earns less than 200% of the federal poverty level, or $54,400 annually for a family of four. Otherwise, children ages 0-5 whose family income is at or below 154%, and children ages 6-18 whose family income is at or below 133% of MAGI may enroll in traditional Wyoming Medicaid.
Pregnant women may enroll in Medicaid with an income of 154% of MAGI, and must cooperate with Child Support Enforcement once the baby is born to continue eligibility.
How Do I Enroll in Medicaid in Wyoming?
If you are eligible for Medicaid in Wyoming, you can enroll in several ways. Applications are available online through the Wyoming Medicaid web portal. The website allows you to explore benefits and apply for Medicaid/CHIP benefits, which you can submit online.
The Wyoming Medicaid office is not accepting In person applications while offices remain closed due to COVID-19. Individuals and families can apply for Medicaid or Kid Care CHIP by phone at (855) 294-2127. Hours are Monday through Friday 7a.m. to 6p.m.
You can also submit your applications by email to email@example.com or fax to (855) 329-5205. Applications and documentation can be scanned or a picture taken of the document to email.
You may also submit your application by mailing it to the Wyoming Department of Health at:
Wyoming Department of Health
Customer Service Center
2001 E. Pershing Blvd.
Cheyenne, WY 82001
Note that it can take up to 45 days to process applications.
Contact Information for Wyoming Medicaid
The main office for Medicaid is located at the Wyoming Department of Health in Cheyenne. You can contact the office’s switchboard by calling (307) 777-7531. General correspondence and questions can be sent to the state Medicaid office at:
Wyoming Department of Health
401 Hathaway Building
Cheyenne, WY 82002
To report potential Medicaid fraud, please call (855) 846-2563, or call 911 in an emergency.