Wyoming Medicaid

Updated August 2026

Wyoming Medicaid is administered by the Wyoming Department of Health, Healthcare Financing Division. Wyoming is one of the smallest Medicaid programs in the country by enrollment — approximately 70,000 Wyomingites are enrolled, reflecting both the state's small population and its non-expansion status.

Wyoming has not expanded Medicaid — adults without children or disabilities generally do not qualify

Wyoming is one of the remaining states that has not expanded Medicaid under the ACA. Adults ages 19–64 without dependent children and without a qualifying disability cannot enroll in Wyoming Medicaid regardless of income. This coverage gap affects thousands of low-income Wyoming adults. Visit health.wyo.gov/healthcarefin/medicaid or call 1-855-294-2127 to check if you qualify.

What is Wyoming Medicaid?

Wyoming operates Medicaid on a fee-for-service basis. There is no statewide managed care organization requirement. WYhealth is Wyoming Medicaid's voluntary care management program for members with complex needs — it provides coordination support rather than managed care plan enrollment.

Wyoming's Medicaid program is targeted at specific populations: children, pregnant women, people with disabilities, and low-income elderly individuals. It does not provide a general coverage pathway for working-age adults without dependents or disabilities, even at very low incomes.

Who qualifies for Wyoming Medicaid?

Wyoming's eligibility groups are more limited than those in expansion states. The key restriction: adults without dependent children and without a qualifying disability have no income-based Medicaid pathway in Wyoming.

Children ages 0–5: at or below 154% FPL
Children ages 6–18: at or below 133% FPL
Pregnant women: at or below 154% FPL (12 months postpartum coverage)
Parents and caretaker relatives: limited Family Care income guidelines
Aged, blind, or disabled individuals: separate financial eligibility rules
SSI recipients: automatically eligible
Former foster care youth through age 26
Emergency-only Medicaid for non-citizens meeting other criteria

Source: Wyoming Department of Health — Programs and Eligibility page (health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/). Call 1-855-294-2127 to check your eligibility.

The Wyoming coverage gap

Wyoming's decision not to expand Medicaid creates a coverage gap documented by KFF and MACPAC. Wyoming adults without dependent children who earn below the ACA marketplace subsidy threshold (100% FPL) are ineligible for both Medicaid (no expansion) and marketplace subsidies (subsidies start at 100% FPL). They face uninsured status with no subsidized coverage option.

Wyomingites in this gap can look to community health centers (FQHCs), which provide sliding-scale primary care regardless of insurance status. The Wyoming Primary Care Association (wypca.org) maintains a list of FQHC sites across the state. Some Wyoming residents in the gap also access care through the Indian Health Service if they are eligible as members of federally recognized tribes.

How to apply for Wyoming Medicaid

Apply online at wesystem.wyo.gov, by calling 1-855-294-2127 (TTY: 1-855-329-5204), or by downloading a paper application at health.wyo.gov/healthcarefin/apply. Wyoming Medicaid's contact address is 122 W 25th St., 4th Floor West, Cheyenne, WY 82001. The WES online system also handles Kid Care CHIP applications.