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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

 The Benefit Management System and Services (BMS) for Wyoming Medicaid will transition to a new fiscal agent, CNSI.

IMPORTANT! In preparation for this transition there will be a blackout period were claims will not be processed.  Conduent will cease accepting claims on 10/5/2021.  For more information see the Conduent BMS Claims Blackout Communication document below.

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.

NEW!!!

Communications
Important! Claims Blackout Period in Effect
Important! Claims Blackout Period in Effect Tonight
Conduent Prior Authorization Changes and Transition
Conduent BMS Claims Blackout Communication

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 10/15/21
     
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?