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Wyoming provider enrollment

How to Become a Medicaid Waiver Provider in Wyoming

What Wyoming requires before you can deliver home and community-based waiver services, in the order the state actually requires it. Every claim links to the official page it came from.

Provider rules change often — confirm fees and deadlines against the linked sources before you rely on them.

Overview

Becoming a waiver provider in Wyoming

Wyoming's process starts with an email and runs on a 90-day clock. You contact the HCBS credentialing team to initiate the application, request access to the Wyoming Health Provider portal — allowing up to 48 hours for approval — and then have 90 days to submit: applications that have not been submitted after 90 days are canceled. Two details save rework inside that window. Rename every file according to the DD WHP file naming conventions before uploading, because the portal is particular about it. And start the multi-step background screenings early, since each part must be completed and passed. The training requirement worth budgeting for is Medication Assistance Training: Chapter 45 of the Wyoming Medicaid rule, which governs the Comprehensive and Supports waivers, requires anyone providing medication assistance during waiver services to hold current MAT certification, and the course runs nine modules with a minimum score of 80 percent on each module quiz.

Who certifies you

The agencies that decide

Wyoming Department of Health, Division of Healthcare Financing — HCBS credentialing

Runs DD provider certification. Contact the credentialing team at wdh-hcbs-credentialing@wyo.gov to initiate an application.

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Wyoming Health Provider (WHP) portal

Where the certification application is completed and submitted, after an access request that takes up to 48 hours to approve.

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Wyoming Medicaid provider enrollment

The separate enrollment and provider agreement, with credentials renewing every five years.

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Before you apply

What has to be true first

Ninety days to submit, or the application is canceled

Applications that have not been submitted after 90 days will be canceled. Request portal access when you are ready to work, not before.

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Evidence per service, not per agency

An applicant must supply evidence that it meets the qualifications for each service in which it is seeking waiver certification, and complete the Division's initial provider certification process and all required trainings.

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Multi-step background screening

Applicants must complete and successfully pass each portion of the multi-step DD background screenings.

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File naming is a real requirement

Rename all files according to the DD WHP file naming conventions before uploading them to the portal.

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Enrollment

How to enroll in Wyoming

Email the credentialing team, request WHP portal access, pass the background screenings, complete the trainings, submit inside 90 days, then complete Wyoming Medicaid enrollment and sign the provider agreement.

Application system: Wyoming Health Provider (WHP) portal

  1. Contact the HCBS credentialing team

    A provider wishing to become a DD waiver provider contacts the credentialing specialist at wdh-hcbs-credentialing@wyo.gov to initiate the application process.

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  2. Request WHP portal access and set up the account

    Allow up to 48 hours for approval, and use the Division's guides to set the account up correctly the first time.

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  3. Complete and pass the background screenings

    Each portion of the multi-step DD background screening must be completed and passed.

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  4. Complete the training modules and submit the summary forms

    Provider training modules with their Training Summary forms, current CPR and first aid certifications with hands-on components, and — for case managers — an NPI number.

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  5. Submit the application within 90 days

    Rename all files per the DD WHP conventions and submit through the portal before the 90-day cancellation point.

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  6. Complete Medicaid enrollment when notified

    Complete Wyoming Medicaid enrollment and sign the provider agreement once you are notified to do so, selecting the correct PRESM provider type during enrollment.

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Fees, screening, and renewal

Medicaid credentials renew every five years

Wyoming Medicaid enrollment and the provider agreement require renewal every five years, and are separate from HCBS provider certification.

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Service types

What you can be approved to deliver

Comprehensive and Supports waiver services

Comprehensive WaiverSupports Waiver

Chapter 45 sets the provider standards

Chapter 45 of the Wyoming Medicaid rule governs DD waiver provider standards, certification, and sanctions for the Comprehensive and Supports waivers.

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Certification is sought service by service

The applicant supplies evidence of meeting the qualifications for each service in which certification is sought, so a narrower application is a simpler one.

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Case management

An NPI is required

Case managers must obtain a National Provider Identifier as part of the certification requirements.

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Screening

Background checks and staff eligibility

Multi-step, and each step must pass

The DD background screening is explicitly multi-step, and applicants must complete and successfully pass each portion before certification.

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Training

What your staff must complete

Medication Assistance Training: nine modules, 80 percent each

Chapter 45 requires anyone providing medication assistance during waiver services to be certified in Medication Assistance Training offered through the Division. The training runs nine modules, each requiring a minimum quiz score of 80 percent, and certification must be kept current.

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CPR and first aid with hands-on components

Current CPR and first aid certifications are required, and they must include hands-on components — online-only certificates do not satisfy this.

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Provider training modules and summary forms

Applicants complete the Division's provider training modules and submit the corresponding Training Summary forms as part of certification.

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Timeline & cost

What this actually takes

48 hours in, 90 days to finish

Portal access takes up to 48 hours to approve, and the application must be submitted within 90 days or it is canceled — so do the screenings and trainings before requesting access.

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After approval

Staying compliant

Two credentials, two renewal cycles

HCBS provider certification and Wyoming Medicaid enrollment are separate, and the Medicaid credentials renew every five years. Track them independently.

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MAT certification must stay current

Anyone providing medication assistance must maintain current Medication Assistance Training certification, not merely have completed it once.

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Confirm by phone

What the state does not publish

Wyoming does not publish these in a form we could verify, so we have not guessed at them. Ask directly — and if an answer here would help other providers, tell us and we will add it with its source.

  • How long does the Division take to review a submitted certification application, and is there a fee?

    Ask: HCBS credentialing team, wdh-hcbs-credentialing@wyo.gov

  • Which PRESM provider type applies to the services you are certifying for?

    Ask: Wyoming Medicaid provider enrollment

  • Which services and regions is the Division currently certifying new providers for?

    Ask: HCBS credentialing team, wdh-hcbs-credentialing@wyo.gov

  • How long is a DD provider certification valid, and what does recertification require?

    Ask: HCBS credentialing team, wdh-hcbs-credentialing@wyo.gov

Key contacts

Wyoming provider contacts

DD Initial Certification

The step-by-step: credentialing contact, background screenings, portal access, file naming, the 90-day rule, Medicaid enrollment, and MAT.

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Become a Service Provider

The Division's overview of the HCBS provider certification routes.

Visit site

Chapter 45 — DD Waiver Provider Standards, Certification, and Sanctions

The rule governing provider standards for the Comprehensive and Supports waivers.

Visit site

DD Providers and Case Managers

Resources for providers already certified.

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FAQ

Wyoming provider questions

How do I start?

Email the HCBS credentialing team at wdh-hcbs-credentialing@wyo.gov to initiate the application process, then request access to the Wyoming Health Provider portal.

How long do I have to finish the application?

Ninety days. Applications that have not been submitted after 90 days are canceled, so request portal access only when your screenings and trainings are underway.

What is MAT and who needs it?

Medication Assistance Training, offered through the Division. Chapter 45 requires anyone providing medication assistance during waiver services to be certified, and the course is nine modules with a minimum score of 80 percent on each module quiz.

Is certification the same as Medicaid enrollment?

No. HCBS provider certification and Wyoming Medicaid enrollment are separate, and the Medicaid enrollment and provider agreement renew every five years. You also need to select the correct PRESM provider type during enrollment.

Will an online CPR card do?

No. CPR and first aid certifications must be current and must include hands-on components.

Looking for the family-facing guide? Browse state waiver guides