Other service vendor websites are below.

Provider Enrollment HHS Technology Group: https://wyoming.dyp.cloud/landing

 

Utilization Review WYhealth (Optum): https://www.wyhealth.net/tpa-ap-web/?page=defaultRoot Optum is the vendor responsible for medical Prior Authorizations, Threshold Authorizations, and Utilization Review of services billed to Wyoming Medicaid.

 

Pharmacy Change Healthcare: http://www.wymedicaid.org/ Change Healthcare is the vendor responsible for pharmacy claims and Prior Authorizations.

 

Client Member Inquires For all inquiries call the Client Service Center (CSC) between the hours of 7AM – 6PM MST Monday-Friday at: (855) 294-2127 TTY/TDD (855) 329-5205

 

State Agency Responsibilities

PThe Division of Healthcare Financing administers the Medicaid Program for the Department of Health. They are responsible for financial management, developing policy, establishing benefit limitations, payment methodologies and fees, and performing utilization review.

 

Fiscal Agent Responsibilities

CNSI is the fiscal agent for Wyoming Medicaid. They process all claims and adjustments. They also answer provider inquiries regarding claim status, payments, client eligibility and known third party insurance information. They provide on-site visits to train and assist your office staff on Wyoming Medicaid billing procedures or to resolve claims payment issues.