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Links to Related Sites

General Information

CMS Medicaid Program Integrity Education
EDI Solutions
American Academy of Pediatrics - Immunization Initiatives
Centers for Medicare & Medicaid Services (CMS) [formerly HCFA]
Clinical Laboratory Improvement Amendments (CLIA)
Change Healthcare PBM Vendor
Medicaid Recovery Audit Contract (RAC)
Division of Healthcare Financing
State of Wyoming Government
Wyoming Psychological Association
Wyoming State Auditor's Office

Wyoming Cancer Program (WCP) - Access this website for detailed provider information, including covered Diagnosis (DX) Codes and CPT Codes, for the Breast & Cervical Cancer (BCC) and Colorectal Cancer (COLR) Screening Programs.


WYhealth (Optum) - WYhealth is contracted by the Department of Health, Division of Healthcare Financing, Medicaid program to provide services to over 55,000 Medicaid clients. Services provided by Optum  include:

  • Total Population Health Management services for all Medicaid Clients
  • Utilization Management (UM) services for select medical and behavioral health admissions and procedures that require authorization:
    • Acute Psych
    • Extended Psych
    • Extraordinary heavy care
    • Gastric Bypass
    • Psychiatric Residential Treatment
    • Facility (PRTF)
    • Transplants
    • Vagus Nerve Stimulator
    • Unlisted Procedure Codes with dates of service on or after 2/1/20
    • Surgeries that require authorization with dates of service on or after 2/1/20
    • Vision services that require authorization with dates of service on or after 2/1/20.
     

Comagine (previously Qualis) - Comagine oversees Prior Authorizations for Medicaid clients for the following services:

  • Behavioral Health Services
  • Durable Medical Equipment or Prosthetic/Orthotic Services
  • Home Health
  • Therapy Services (PT, OT, ST)

 

External Linking Policy

This page contains external links that are not the responsibility of, or under the control of the Wyoming Medicaid Program. Wyoming Medicaid does not endorse any commercial products, services or web sites. The Wyoming Medicaid Program may not be held liable for the informational content or services provided on any external web sites which link from the Wyoming Medicaid web site.