Wyoming Medicaid Office

Wyoming Medicaid office (Healthcare Financing Division)

Wyoming Medicaid sits inside the Healthcare Financing (HCF) Division at the state Department of Health, which uses a single umbrella for three programs: Wyoming Medicaid, Kid Care CHIP, and the Medication Donation Program. The HCF Division's administrative office is in Cheyenne, but applications and member services are routed through a separate Customer Service Center across town — two different addresses, two different roles.

Two distinct Cheyenne addresses

Customer Service Center channels

• Phone — 1-855-294-2127. TTY/TDD users call 1-855-329-5204.
• Email — wesapplications@wyo.gov for applications, renewals, and document submission.
• Fax — 1-855-329-5205.
• Online portal — wesystem.wyo.gov handles applications and renewals.

Two recent federal-rule changes Wyoming members should know

• Retroactive coverage shrinks January 1, 2027 — the agency announced that retroactive Medicaid coverage will be limited to 2 months for individuals who qualify, down from the standard 3 months under the federal H.R. 1 reconciliation bill.
• Wyoming opted out of work requirements — the agency states that Wyoming will not be impacted by work requirements, sometimes referred to as Community Engagement requirements.

Renewal scams

HCF has issued a public scam alert: Wyoming Medicaid and Kid Care CHIP never charge or ask for money from anyone to enroll or re-enroll, and the renewal process has not changed despite text messages and calls claiming otherwise. Report demands for payment to the Wyoming Attorney General's Consumer Protection Unit at 307-777-8962 or 1-800-438-5799.

Who qualifies for Wyoming Medicaid?

Wyoming has not adopted Medicaid expansion. Adults age 19–64 without dependent children, a disability, or pregnancy do not qualify on income alone — they fall into the federal coverage gap. HCF instead operates a long list of narrowly defined categories, each with its own income standard and rules. The cleanest way to navigate this is by population.

Children and youth

• Children 0–5 — Child MAGI Medicaid at family income ≤154% FPL.
• Children 6–18 — Child MAGI Medicaid at family income ≤133% FPL.
• Kid Care CHIP — for children whose family income is above the Medicaid line but ≤200% FPL.
• Foster care children in DFS custody — automatic Medicaid eligibility.
• Former Foster Youth up to age 26 — kept on Medicaid if they were in DFS custody and on a federally funded Medicaid program at age 18.
• Children receiving an adoption subsidy — automatic eligibility.
• Newborns — automatically eligible for the first year if born to a Medicaid-eligible mother.
• Children's Mental Health Waiver — short-term HCBS program for youth with serious emotional disturbance, designed in part to prevent custody relinquishment.

Pregnancy coverage

• Pregnant Women — coverage at family income ≤154% FPL, continuing 12 months postpartum.
• Presumptive Eligibility for Pregnant Women — up to 60 days of outpatient coverage through a Qualified Provider while the full application is processed; apply at a local Public Health Nursing office.
• Pregnant by Choice — pregnancy-planning coverage at ≤159% FPL during the 12 months postpartum for members who received Medicaid through the Pregnant Women program.

Parents and adult categories

• Family Care — parents or caretaker relatives of a Medicaid-eligible child under 18 at the state's Family Care income guidelines (a lower standard than the children's limit).
• SSI recipients — automatically eligible for Medicaid; apply through the Social Security Administration.
• Employed Individuals with Disabilities (EID) — ages 16–64 with verified SSA disability, monthly premium based on earned and unearned income; income at or below 300% of the Federal Benefit Rate (FBR).
• Emergency Services Program — emergency healthcare only for Wyoming families and children who are undocumented or ineligible immigrants, when all other Medicaid factors except citizenship are met.

Long-term services and supports

• Nursing Home / Swing Bed / Inpatient Hospital Care — for residents 65+, blind, or disabled who require a level of care and have income at or below 300% FBR; must be hospitalized for at least 30 consecutive days or be SSI-eligible.
• Comprehensive and Supports (DD) Waivers — Section 1915(c) Home and Community-Based Services waivers for people with intellectual or developmental disabilities and acquired brain injuries; 1-800-510-0280, financial eligibility via the Long-Term Care Eligibility Unit at 1-855-203-2936.
• Community Choices Waiver (CCW) — HCBS alternative to nursing-facility care.

Specialized programs

• Breast and Cervical Cancer Treatment (BCCT) — for uninsured women identified through the Breast and Cervical Cancer Early Detection Program (BCCEDP), with family income ≤250% FPL.
• Tuberculosis Assistance — gross monthly income ≤$967 (individual) or ≤$1,450 (couple) plus resources ≤$2,000 / $3,000.
• Medicare Savings Programs (QMB / SLMB / QI) — see the income table below for tiers.
• Wyoming Health Insurance Premium Payment (WHIPP) — pays employer-sponsored insurance premiums when cost-effective for the state; HMS WHIPP Unit, 1-844-512-2672.

Wyoming Medicaid income requirements

Wyoming publishes a single combined Medicaid Income Requirements chart that shows every program's monthly income threshold by family size in dollars. The percentage anchors (133%, 154%, 159%, 200%, 250%) come from the federal poverty level, which updates each January — the dollar figures below shift with that update. These are the standards currently published by HCF.

Family and Children programs — monthly gross income

For households of 9 or 10, Wyoming publishes additional rows on the same chart (Family 9 Family MAGI $1,843; Family 10 Family MAGI $1,972).

Medicare Savings Programs — monthly income

Supplemental Security Income (SSI) standard

The SSI standard, used in several non-MAGI categories, is $994/month for an individual and $1,491/month for a couple. Adults who receive SSI are automatically eligible for Wyoming Medicaid.

Reading the chart

The "Family MAGI" column reflects Wyoming's Family Care category (parents and caretaker relatives) — much lower than the children's threshold. The columns to the right of it grow as you move through pregnancy coverage, CHIP, and breast/cervical cancer treatment. Long-term care, EID, and Tuberculosis Assistance use separate standards described in the eligibility section.

How to apply for Wyoming Medicaid or Kid Care CHIP

Wyoming uses one combined application for Medicaid and Kid Care CHIP — the same form serves both programs. Online is the fastest channel; paper, phone, and in-person submissions also work and use the same Customer Service Center for processing.

Four application channels

• Online — apply or renew at wesystem.wyo.gov. The portal handles applications, renewals, address changes, and document uploads.
• By phone — call 1-855-294-2127 to start an application or renewal. TTY/TDD users dial 1-855-329-5204.
• On paper — download the Application for Health Coverage & Help Paying Costs (PDF available in both English and Spanish on the Apply page) and return it to the Customer Service Center.
• In person / mail / fax / email — return completed paper applications or renewals to the Wyoming Department of Health Customer Service Center, 3001 E. Pershing Blvd., Suite 125, Cheyenne, WY 82001. Fax to 1-855-329-5205 or email to wesapplications@wyo.gov.

How long does it take?

The agency states applications can take up to 45 days to process — the standard federal Medicaid deadline for non-disability applications. Disability-based applications can take up to 90 days. Presumptive Eligibility for Pregnant Women is a faster track: a Qualified Provider at a Public Health Nursing office can authorize up to 60 days of outpatient coverage while the full application is reviewed.

Coverage start date

Wyoming Medicaid coverage starts on the first day of the month a person is found eligible. Federal rules allow retroactive coverage up to 3 months before the application month when the applicant met eligibility during that window — but beginning January 1, 2027, Wyoming will limit retroactive coverage to 2 months for individuals who qualify, per the federal H.R. 1 reconciliation bill.

What Wyoming Medicaid and Kid Care CHIP cover

Wyoming Medicaid runs as a fee-for-service program — HCF pays providers directly for covered services without contracting with managed care organizations. The covered services list is similar to most state Medicaid programs (doctor visits, hospital care, prescriptions, lab work, behavioral health, family planning, transportation). The Wyoming-specific detail to know is the Kid Care CHIP co-pay structure, which puts most preventive care at zero cost but charges small copays on Plans B and C.

Kid Care CHIP covered services

• Preventive Care Services and well-child exams
• Immunizations
• Prescription medications
• Mental health care
• Dental care
• Medically necessary orthodontics
• Vision care including eyeglasses
• Physical therapy
• Laboratory and X-ray services

Kid Care CHIP co-payments by plan

Wyoming Medicaid covered services (adults and children)

The covered service set spans hospital and clinic care, primary and specialty visits, prescriptions, lab and imaging, behavioral health and substance use disorder treatment, family planning, pregnancy care including 12 months postpartum, EPSDT for members under 21, and non-emergency medical transportation. Long-term services for members who qualify under the Long-Term Care, DD Waiver, or Community Choices Waiver categories add nursing-facility care, adult day services, and HCBS like personal care, respite, and assisted living. The Wyoming Medicaid and Kid Care CHIP Member Handbook for Children (PDF on the CHIP page) is the authoritative reference for what's covered service-by-service.

Annual renewals

After a three-year pandemic-related pause, Wyoming has restarted annual renewals for both Medicaid and Kid Care CHIP. Members may receive text messages and mail from the Wyoming Department of Health when it's time to renew; the renewal form must be completed, signed, and returned (online via wesystem.wyo.gov, by mail, fax, email, or phone). Members whose address has changed since March 2020 should update it immediately so renewal forms can reach them.

Other state Medicaid pages