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What's New

Serving Wyoming Medicaid Providers

Welcome Medicaid Providers!

ALL COVID-19 INFORMATION HERE

Benefits Management System and Services (BMS) Transition

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.

Wyoming AMRP Draft 6.2019

Payment Exceptions 2021

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 4/09/21

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 What's 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)

2020 New and Experienced Billers Workshops coming soon

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?