How to Get Wyoming Medicaid Benefits | Best Answers

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We scoured the internet to bring you everything you need to know about Wyoming’s Medicaid Benefits.

Medicaid is a joint federal-state program that provides health insurance to low-income people who satisfy specific criteria, such as children, pregnant women, the elderly, and people with disabilities. It is simple to apply for Medicaid in person, by phone, or online.

This article will tell you all you need to know about Medicaid in Wyoming.

What is the Wyoming Medical Program?

Wyoming Medicaid is a service for adults and families that meet specific income and resource requirements. Within the confines of stated laws, resources broadly apply to the elderly, blind, or crippled population.

Who is eligible for the Wyoming Medical Program?

Through the Medicare Savings Plan, Wyoming Medicaid provides some financial assistance to select limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package.

  • Expectant mothers
  • People who are blind or disabled or who have a spouse who is blind or disabled; 
  • People whom someone adopts;
  • People whom someone adopted; 
  • People who are blind or disabled or have a spouse who is disabled.

The Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$18,075
2$24,353
3$30,630
4$36,908
5$43,186
6$49,463
7$55,741
8$62,018

*Add $6,277 per additional person for households with more than eight people.

How do I contact Medicaid in Wyoming?

Phone

1-855-294-2127, or 1-855-329-5204

Mailing Address

Member Services, Wyoming Department of Health. 

P.O. Box 1248, Cheyenne, WY

Fax: (307) 777-7439

What are the Medicaid plans in Wyoming?

Medicaid State Plan Amendments (SPAS)

A state and federal government agreement outlining how the state manages its Medicaid and CHIP programs is known as a Medicaid and CHIP state plan. It ensures that a state will follow federal regulations and be eligible to receive federal matching funds for its program activities. 

The state plan outlines the categories of people who will be covered, the services offered, the procedures for paying providers, and the administrative actions that will be taken in the state.

CHIP State Plan Amendments

CHIP is administered by the states, much like Medicaid, but it is funded equally by the federal government and the states. The federal perfectly matched rate for state CHIP initiatives is generally about 15% higher than the Medicaid perfectly matched rate for that state. 

Demonstrations & Waivers

States may use the Social Security Act’s section 1915 waiver authority and section 1115 demonstrations as testing grounds for new or existing Medicaid and Children’s Health Insurance Program health care delivery and payment models (CHIP). 

Using the dynamic list below, you can access all ongoing and finished state programs permitted by these powers.

How do I apply for Wyoming Medicaid?

Call 1-855-294-2127, or 1-855-329-5204 to enroll. 

Apply in person at Member Services, Wyoming Department of Health.

Online:  Download and print the application.

Mail: To P.O. Box 1248. Cheyenne, WY

Fax: (307) 777-7439

What is covered by Wyoming Medicaid?

Wyoming Medicaid covers the following services:

Ambulatory surgeryHospital stays
Audiology servicesLaboratory tests
Behavioral health servicesVision care
Women’s health careNon-emergency transportation
DialysisOrthotic and prosthetic devices
Doctor visitsOccupational therapy
Smoking cessation servicesPharmacy (medications)
Emergency carePhysical rehabilitation
Family planning servicesPreventive care
Hearing aidsHospital outpatient care
Home health careX-rays and other radiology services

Can I have both Wyoming Medicaid and Medicare?

You may receive benefits from both Medicaid and Medicare at the same time if you are qualified for both programs. Enrolling in both programs may result in increased savings, a larger network, and more advantages.

Wyoming Waiver

  • LTC / HCBS Waiver:
  • Assisted Living Facility HCBS;
  • Adult Developmental Disabilities;
  • Acquired Brain Injury;
  • Children’s Mental Health;
  • Children with DD
  • Community Choices Waiver

Copayments?

They do not have to pay a copayment. When a member is 

  • under 21 years old; 
  • pregnant; 
  • Held by the state
  • Placed under government supervision
  • Native American participants who qualify for Contract Health funding
  • Services or Tribal Union of Indian Health Services
  • The hospital (inpatient)
  • A facility for skilled nursing
  • A nursing home

What is not covered by Wyoming Medicaid?

In Wyoming, Medicaid is not required to provide in-home care or private nursing coverage. Bandages, adult diapers, and other disposable products, as well as cosmetic surgery and other elective operations, are routinely excluded from insurance coverage.

What is the highest income limit for Wyoming  Medicaid?

Wyoming Medicaid’s highest annual income threshold is $24,353 for a family of two and $18,075 for an individual.

What if a person’s income is too high to qualify for regular Medicaid benefits?

Even if your income is too high, thanks to the asset spend-down option; you may still be qualified for Wyoming Medicaid.

What documents do I need to apply for Medicaid?

The following documents are required with the application:

  • The Social Security Number;
  • Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
  • Evidence of all income sources, both legal and illegal 
  • Proof of origin 
  • Proof of residency 
  • Including the Medicare card, any insurance cards
  • Pregnancy;
  • When non-parents apply for Medicaid on their behalf, they must provide evidence of their financial position.

What is the best Medicaid in Wyoming?

Because it differs from person to person, the best plan for you is the one that satisfies your requirements and provides the most advantages in terms of health insurance and financial assistance.

Where do I find the letter showing the reason(s) for denial or discontinuance from Wyoming Medicaid?

By signing into your account at Portal, you can see the progress of your Wyoming Medicaid application.


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Editor
Sabrina is a former campaign manager who has decided to focus her effort to help people contact senators and get help. She leads our Editorial Team with Ronald and Lawrence to curate content and resources that help us navigate the system.

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