Wyoming Medicaid waiver guide
Learn how Wyoming Medicaid waiver services work, which state agency to start with, how the application process usually begins, and where to search for home and community-based services.
Last reviewed July 2026. See something out of date? Use the “Suggest an edit” button to let us know.
Wyoming runs two developmental disability waivers through the Home and Community-Based Services Section of the Department of Health. The Supports Waiver provides a limited budget for purchasing personalized services. The Comprehensive Waiver covers more, but access to it is gated: individuals must meet additional emergency criteria to receive services under it. You cannot be served on both at once, so understanding which one you can realistically access — and on what basis — is the first thing to sort out.
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People of all ages with intellectual disabilities, and people 21–64 with acquired brain injuries — with a limited budget for purchasing services
People of all ages with intellectual disabilities or acquired brain injuries who also meet emergency criteria
Both waivers require Medicaid eligibility, criteria related to where you live and your medical needs, and financial eligibility. The Supports Waiver serves people of all ages with intellectual disabilities, and people aged 21 to 64 with acquired brain injuries. The Comprehensive Waiver is available to people of all ages with intellectual disabilities or acquired brain injuries, but additionally requires meeting emergency criteria. Wyoming publishes an application guide setting out the detailed requirements.
You must be eligible to receive Medicaid. Financial eligibility questions go to the Long-Term Care Eligibility Unit at 1-855-203-2936.
Eligibility rests on a diagnosis of an intellectual disability or a developmental disability due to a related condition. Acquired brain injury is also a qualifying route, with an age range of 21 to 64 on the Supports Waiver.
This is the key distinction. The Comprehensive Waiver provides more, but you must meet additional emergency criteria to receive services under it. If your situation is urgent, document it — that is what opens this door.
You cannot be served on both waivers simultaneously. Which one you are on determines what is available to you.
Wyoming does not publish a simple date-ordered queue. Access to the Comprehensive Waiver depends on meeting emergency criteria alongside the standard eligibility requirements, while the Supports Waiver provides a limited budget without that emergency threshold. Because you cannot be on both at once, the practical question is which waiver you qualify for now and what would change that.
Wyoming publishes an application guide for the Supports Waiver setting out the requirements. Reading it before you start saves rounds of correction later.
Open linkA Benefits and Eligibility Specialist works through Medicaid and waiver eligibility with you. Financial eligibility questions go to the Long-Term Care Eligibility Unit at 1-855-203-2936.
Choosing a case manager is a formal step in Wyoming's process, not something that happens automatically after approval. Your case manager helps with paperwork and builds your plan of care.
You can apply through Wyoming's Participant Portal at wyowaiverparticipants.com, or use paper applications if you prefer.
Open linkYou work with your case manager to develop the plan. On the Supports Waiver this matters especially, because you are purchasing personalized services within a limited budget — how the plan is built determines what that budget buys.
Exact covered services depend on the waiver, assessed need, Medicaid rules, funding, and state program requirements. Confirm services, availability, and payment acceptance with the state, support coordinator, and provider.
The Supports Waiver is built around a limited budget you use to purchase personalized services, which makes it inherently participant-directed in character. Ask your case manager how the budget is set, what it can be used for, and which services can be self-directed under whichever waiver you enroll in.
Approved waiver services are paid by Wyoming Medicaid. Once enrolled, there is generally little or no direct cost for covered services.
It provides a limited budget for purchasing personalized services rather than an open-ended service package. Plan around that constraint deliberately with your case manager, since the plan determines what the budget actually buys.
In residential settings the waiver pays for services, not room and board, which is typically covered by the person's own income such as SSI.
Wyoming's early intervention system and school special education serve children separately. The DD waivers serve all ages, so a waiver application does not have to wait for adulthood.
The Supports Waiver covers acquired brain injury for people aged 21 to 64. If a brain injury is the qualifying condition, confirm which waiver and age rules apply to your situation.
Because the Comprehensive Waiver requires meeting emergency criteria, a deterioration in the caregiving or living situation is precisely what can change which waiver is available. Tell your case manager rather than waiting.
You cannot be served on both waivers at once, so any move between them is a transition to plan with your case manager rather than something that happens automatically.
If eligibility or a waiver service is denied, reduced, or ended, you have the right to appeal within the deadline printed on your notice. Wyoming's Protection and Advocacy System is the state's designated protection and advocacy agency, reachable weekdays 8:00 a.m. to 4:00 p.m. with a closure over the noon hour.
Protection & Advocacy agency for Wyoming
307-632-3496Visit siteDD waiver program information and applications
1-800-510-0280Visit siteFinancial eligibility for the waiver programs
1-855-203-2936Visit siteApply online and manage your waiver participation
Visit siteFree advocacy — 7344 Stockman Street, Cheyenne; info@wypanda.com
307-632-3496Visit siteLocal help & referrals — dial 211
Visit siteThe Supports Waiver gives you a limited budget to purchase personalized services. The Comprehensive Waiver covers more — including residential habilitation — but you must meet additional emergency criteria to receive services under it. You cannot be served on both at the same time.
It is the additional threshold gating the Comprehensive Waiver. If your circumstances are urgent — a caregiving situation breaking down, a housing loss, escalating needs — document that and raise it with your case manager, because it is what determines access to the larger waiver.
Review the eligibility guidelines, then contact a Benefits and Eligibility Specialist. Call the HCBS Section at 1-800-510-0280 for program questions, or the Long-Term Care Eligibility Unit at 1-855-203-2936 for financial eligibility.
No. You can apply through Wyoming's Participant Portal at wyowaiverparticipants.com, or use paper applications if you prefer.
It provides a limited budget for purchasing personalized services rather than an open-ended package. Because your plan of care determines what that budget buys, build it carefully with your case manager rather than treating it as paperwork.
Both waivers require Medicaid eligibility, criteria related to where you live and your medical needs, and financial eligibility. The Supports Waiver serves people of all ages with intellectual disabilities, and people aged 21 to 64 with acquired brain injuries. The Comprehensive Waiver is available to people of all ages with intellectual disabilities or acquired brain injuries, but additionally requires meeting emergency criteria. Wyoming publishes an application guide setting out the detailed requirements.
review the eligibility guidelines first, contact a benefits and eligibility specialist, select a case manager, complete the paperwork — online or on paper, then enroll and choose providers. Start with Wyoming Department of Health, Home and Community-Based Services Section.
Covered services vary by waiver and assessed need, and commonly include in-home supports, respite, supported employment, day services, behavior support, residential supports. Confirm specifics with the state and provider.
Wyoming does not publish a simple date-ordered queue. Access to the Comprehensive Waiver depends on meeting emergency criteria alongside the standard eligibility requirements, while the Supports Waiver provides a limited budget without that emergency threshold. Because you cannot be on both at once, the practical question is which waiver you qualify for now and what would change that.
Approved waiver services are generally covered by Medicaid at little or no direct cost once enrolled, though some enrollees may owe a monthly patient responsibility based on income.
Wyoming's DD waiver programs, eligibility, and how to apply.
WyomingThe detailed step-by-step guide to eligibility and applying.
WyomingApply online and manage your waiver participation.
WyomingFree protection and advocacy services, including appeals help.
WyomingFind waiver providers and services in Wyoming on Waiverly.
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