State Agency Responsibilities

The 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

Conduent 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. They also answer client inquiries regarding eligibility, benefits, Wyoming Medicaid Client ID Cards and the Transportation Program.

Later this year, the Benefits Management System and Services (BMS) for Wyoming Medicaid will transition to a new fiscal agent, namely CNSI. As part of this transition, a new Wyoming Medicaid website has launched an informational webpage located at wyomingmedicaid.com.

Providers and members are encouraged and invited to visit the new webpage regularly for important information and status updates regarding Wyoming Medicaid's transition to the new fiscal agent.

For Provider specific information select

If you are an individual receiving Wyoming Medicaid services select

For Information on Utilization and Care Management select