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Serving Wyoming Medicaid Providers

Welcome Medicaid Providers!

Join Us! Health Department Listening Session in Wheatland

The Wyoming Department of Health (WDH) and Director Michael Ceballos invite you to share your thoughts and ideas on health-related issues and needs.

Join us for an April 26 structured listening session in Wheatland. The event will be held from 1-3:30 p.m. at the Platte County Library, which is located at 904 9th Street.

This is an opportunity for us to hear from our department's clients, local healthcare providers and community members about health-related issues.

We want to know what's working and what could be improved. A better understanding of local perspectives will help us make the most of our available resources to continue improving services and overall health in the state.

If you are not in the Wheatland area, please stay tuned for more opportunities. Similar listening sessions will likely be held in other Wyoming communities over the coming months.

To learn more about WDH and its programs, please visit https://health.wyo.gov.

If you have questions about listening session plans, please contact Stefan.Johansson@wyo.gov or Kim.Deti@wyo.gov.

Wyoming Medicaid Budget Reduction Plan

Payment Exceptions 2019

Active Provider NPI List as of 4/12/19

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)

Provider Billing Workshops (Professional, Vision, Nursing Home, Hospice, FQHC & RHC, Hospitals and ASC)

Providers MUST RSVP for the session they wish to attend. Please see bulletin for full details regarding workshops and how to RSVP.

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?