		Wyoming		Medicaid

Home

Provider Welcome

Provider Portal

Provider Manuals and Bulletins

Provider Enrollment

Browsers

FAQs

Fee Schedules

Forms

HIPAA 5010

ICD10

Initial Content Removed

Links

Medicare Part D

NDC Billing Requirement

OPPS Information

Provider Training

Patient Centered Medical Home

Service Content Removed

Vendor Services

Web Tutorials

WINASAP

What's New

Serving Wyoming Medicaid Providers

Welcome Medicaid Providers!

Public Comment Period

As required by fedreal law, Wyoming Medicaid has completed an update to its original 2016 Access Monitoring Review Plan (AMRP). This report provides an in depth review of Wyoming Medicaid provider enrollment, provider satisfaction, reimbursement benchmarks, service utilization and overall client satisfaction with Wyoming Medicaid. This is the final draft for public comment. Submit comments on this report via emal to Lindsey Schilling at lindsey.schilling@wyo.gov. The public comment period will close at 5 pm Wednesday, June 26.

Wyoming AMRP Draft 6.2019

Payment Exceptions 2019

Active Provider NPI List as of 6/21/19

For all the latest news and updates surrounding the Wyoming Medicaid program, please visit our Whats New page.

Thank you for your willingness to serve clients of the Wyoming Medicaid program and other medical assistance programs administered by the Division of Healthcare Financing.

Notice of Privacy Practices
This Notice of Privacy Practices describes how information about you may be used and disclosed and how you can gain access to this information. Please click on one of the links below to view/download the NPP documents.
Notice of Privacy Practices English (64K)
Notice of Privacy Practices Spanish (57K)

2019 New and Experienced Billers Workshop

Medical/Institutional

The Provider Relations Field Representative will be conducting workshops this summer regarding common billing issues such as attachments, TPL, crossovers, and more. The presentations will also include updates and changes, website and portal demonstrations and Q and A session. For more information regarding the workshop and how to RSVP, please review the Summer 2019 Workshops bulletin.

Dental

The Dental Field Representative will be conducting workshops this summer regarding common billing problems and claim examples. Topics will include a brief review of new 2019 codes, prior authorization requests, attachments, TPL, and more. For more information regarding the workshops and how to RSVP, please review the 2019 Dental Billing Workshops bulletin.

Secured Provider Web Portal

The secured portal is set up specifically for Wyoming Medicaid providers.
The following actions can only be processed within the portal:

Ask Wyoming Medicaid	Provider Warrant Summary
Claims Submission	Prior Authorization
Claim Status Inquiry	LT101 Inquiry
RA Retrieval	PASRR Level I*
Upload Files	Electronic Claim Attachments
Provider Update	EDI Application

* To allow time for PASRRs to be received, submit claims after the 4th business day to avoid denials.

Scheduled Web Portal Downtime
What is impacted	Functionality impact	Why	Downtime
Entire website (Provider/Client) Static web pages http://wymedicaid.portal.conduent.com/	Website not available	Regular scheduled maintenance	4 a.m. - 4:30 a.m. MST Saturdays 3 p.m. - 6 p.m. MST Sundays
Secured Provider Web Portal https://wymedicaid.portal.conduent.com/wy/general/home.do	Verification of claims submission will not be available	Regular scheduled maintenance	10 p.m. - 12 a.m. (midnight) Sundays

Prior to submitting 278 electronic files, contact EDI Services at 1-800-672-4959 to ensure your trading partner ID is set up to submit/receive 278s.

Note: Only those prior authorizations that are processed by Medical Policy can be submitted through the 278 Secure Provider Web Portal submission process. For all other authorizations, contact the authorizing agency/entity for options. Refer to Chapter 6 in the provider manual for a table of services requiring PA and appropriate contact information. For directions on submitting a prior authorization request through the Secure Provider Web Portal view the Web Portal tutorial page

Returning Providers
Click here to access the secured Provider Web Portal

New Providers
You will need your Trading Partner ID and Welcome Letter to complete the Web registration. You must register for the secured portal. How do I register for the Web Portal?