Wyoming Medicaid for Seniors & Long-Term Care

Updated August 2026

Wyoming Medicaid covers nursing facility care and home and community-based services through two waiver programs for people who qualify financially and clinically. Wyoming has relatively limited nursing facility capacity compared to some states, and many residents use out-of-state facilities when appropriate local placement is unavailable.

$2,000

Individual resource (asset) limit

~$2,982/mo

Nursing home income limit (300% FBR)

Community Choices Waiver

Primary HCBS alternative to nursing facility care

Wyoming long-term care Medicaid: $2,000 asset limit; apply through the Long-Term Care Eligibility Unit

Wyoming Medicaid covers nursing facility care and HCBS waiver services for eligible seniors and adults with disabilities. The individual resource limit is $2,000. Apply through Wyoming WDH and contact the Long-Term Care Eligibility Unit at 1-855-203-2936. Use the LTC Eligibility Checklist at health.wyo.gov before starting the process.

Long-term care coverage in Wyoming Medicaid

Skilled nursing facility care
Community Choices Waiver (CCW) — HCBS alternative to nursing facility for eligible adults
Comprehensive Waiver and Supports Waiver — together known as Wyoming's DD Waivers, for individuals of all ages with intellectual/developmental disabilities or acquired brain injuries
Home health services (physician-ordered nursing or therapy in the home)
Personal care services
Employed Individuals with Disabilities (EID) program — allows working disabled adults to buy into Medicaid
Hospice care
Non-emergency medical transportation

Community Choices Waiver — HCBS for Wyoming seniors and adults with disabilities

The Community Choices Waiver (CCW) is Wyoming's primary HCBS alternative to nursing facility placement. The CCW provides an array of community-based services for eligible individuals who need nursing-facility-level care but choose to remain at home or in a community setting.

Financial eligibility for CCW waiver participation is determined by the Long-Term Care Eligibility Unit at 1-855-203-2936. Clinical eligibility requires a needs assessment by a public health nurse.

Financial eligibility for Wyoming long-term care Medicaid

Wyoming applies an income limit of 300% of the Federal Benefit Rate (FBR) for nursing home Medicaid and a $2,000 individual resource limit. Wyoming also enforces the federal 60-month asset transfer lookback period, and community spouse resource protection follows federal spousal impoverishment rules.

Financial figure	Amount (2026)
Income limit (nursing home)	~$2,982/mo (300% of Federal Benefit Rate)
Individual resource limit	$2,000
Community spouse resource protection	Federal range of $32,532–$162,660 — contact WDH for Wyoming's specific standard
Asset lookback period	60 months (5 years)

Income limit (nursing home)

Amount (2026): ~$2,982/mo (300% of Federal Benefit Rate)

Individual resource limit

Amount (2026): $2,000

Community spouse resource protection

Amount (2026): Federal range of $32,532–$162,660 — contact WDH for Wyoming's specific standard

Asset lookback period

Amount (2026): 60 months (5 years)

Wyoming Medicaid estate recovery

Wyoming operates an estate recovery program. WDH may seek reimbursement from the estates of members who received Medicaid-funded long-term care services at age 55 or older. The home is generally exempt while a surviving spouse or dependent child resides in it. Consult a Wyoming elder law attorney before making asset transfers if a family member may need LTC Medicaid.

Spousal protections

When one spouse needs nursing home care, federal law protects the other spouse from complete impoverishment. The community spouse (the one still at home) is entitled to keep a minimum amount of assets — the Community Spouse Resource Allowance (CSRA) — and a minimum monthly income. If the community spouse has insufficient income, a portion of the institutionalized spouse's income may be allocated to them — the minimum monthly maintenance needs allowance (MMMNA).