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Serving Wyoming Medicaid Providers

Welcome Medicaid Providers!

Cybersecuirty Awareness

This is an important message from Wyoming Department of Health for Wyoiming Hospitals, public health nursing offices, healthcare facilities and Medicaid providers.

At approximately 3:00 a.m. today, Campbell County Hospital (CCH) experienced serious computer issues due to possible malicious online activity. This has resulted in a service disruption at the hospital. An investigation is currently underway.

At this time, (1:30 pm on Friday) phone systems at CCH are operational. However, there will be no new inpatient admissions and no outpatient lab, respiratory therapy, and radiology exams or procedures. CCH is currently under full diversion status. Patients who need to seek treatment at the emergency room and the Walk-In Clinic will be triaged and transferred to an appropriate care facility as needed.

At this time, we have no additional information on the nature of the service disruption or a timeline for CCH to return to full operations.

Contact your agency IT department and the See Something Say Something line at 833-446-4188 if you have any suspicious activity on your computer.

Please make sure your computers and servers have up-to-date antivirus protection.

Please see the following website for additional information regarding ransomware.

Protecting Against Ransomeware https://www.us-cert.gov/ncas/tips/ST19-001

Wyoming AMRP Draft 6.2019

Payment Exceptions 2019

Active Medicaid Provider Listing

THIS LISTING INCLUDES PROVIDER NAME, NPI, AND MEDICAID RECERTIFICATION/RE-ENROLLMENT DATE FOR ACTIVE ENROLLED PROVIDERS ONLY THE LISTING PROVIDES INITIAL RECERTIFICATION DATE PLUS FIVE (5) YEARS.
Active Provider NPI List as of 11/29/19

Note: This listing does not include atypical providers, providers without a NPI

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?