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Home care programs · Wyoming

Wyoming home care programs

Wyoming pays for care at home through 6 programs. Consumer-directed care is available through Community Choices Waiver — Participant-Directed Services. Family members can be paid caregivers in 4 of them.

Verified Oct 9, 2026Sources: official state and federal agencies

Every state
Programs
6
Consumer-directed
Yes
Family can be paid
Yes
Structured family caregiving
No
On this page
Programs

Every way Wyoming pays for care at home

Wyoming pays for care at home through 6 programs. Consumer-directed care is available through Community Choices Waiver — Participant-Directed Services. Family members can be paid caregivers in 4 of them.

ProgramTypeCan family be paidHow it differs
Home Health ServicesState Plan home health (Wyoming Medicaid Rules Chapter 12; 42 CFR 440.70)Home healthNot statedSkilled home health: nursing, therapy and aide visits under a plan of care from a licensed home health agency; run as a Medicaid State Plan benefit, paid fee-for-service.
Community Choices Waiver — Participant-Directed Services1915(c) waiver WY.0236 (Appendix E, employer and budget authority)Consumer-directedYesConsumer-directed care: the participant hires and directs their own aide, with payroll handled for them; run as a 1915(c) home and community-based services waiver, paid fee-for-service.
Community Choices Waiver (CCW)1915(c) waiver WY.0236Waiver in-homeYesWaiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.
Comprehensive Waiver1915(c) waiver WY.1061Waiver in-homeYesWaiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.
Supports Waiver1915(c) waiver WY.1060Waiver in-homeYesWaiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.
Wyoming Home Services Program (WyHS)state-fundedState-fundedNot statedState-funded home care: paid outside Medicaid, usually for people who do not qualify for it; run as state funds outside Medicaid, paid fee-for-service.
Guide

Home health vs home care vs consumer-directed care in Wyoming

What each kind of program is, who employs the caregiver and when a family member can be paid.

Home health: the medical benefit

In Wyoming, skilled home health is Home Health Services. It is a medical benefit: a doctor or other practitioner orders nursing, therapy or home health aide visits under a written plan of care, and the visits stop when the skilled need ends.

Only a licensed home health agency enrolled with Wyoming Medicaid can bill it, and the agency's own nurses, therapists and aides make the visits.

Home care: non-medical personal care through an agency

Help with bathing, dressing, eating and household tasks is "home care" or personal care. In Wyoming it is paid through the programs below rather than a separate agency personal care benefit.

Consumer-directed care: the person hires their own aide

Wyoming's consumer-directed option is Community Choices Waiver — Participant-Directed Services. The person receiving care, or a representative, recruits, hires, trains, schedules and supervises the aide, and can let go of one. A fiscal intermediary runs payroll, taxes and background checks, so the person never handles wages directly.

This is the route most families use to be paid: Community Choices Waiver — Participant-Directed Services allows a relative to be hired as the paid aide. Which relatives qualify (adult children, parents of adults, spouses, legal guardians) and how a live-in caregiver is treated are set program by program.

Structured family caregiving: a paid live-in family caregiver

Wyoming has no structured family caregiving program. A family caregiver is paid instead through consumer-directed care (Community Choices Waiver — Participant-Directed Services), by the hour, as the participant's chosen aide.

Other ways Wyoming pays for care at home

Waiver in-home services: Community Choices Waiver (CCW), Comprehensive Waiver, and Supports Waiver. These pay for in-home supports for people who meet a nursing-home or similar level of care, often with more services than state plan personal care and, in some programs, a waiting list or enrollment cap.

State-funded: Wyoming Home Services Program (WyHS). Paid from state funds outside Medicaid, for people who do not qualify for Medicaid or are waiting for it.

Which one fits

  • Needs nursing, wound care, injections or therapy at home: home health (Home Health Services).
  • Wants to choose the aide, including a relative where allowed: Community Choices Waiver — Participant-Directed Services.
  • Meets nursing-home level of care and needs more than personal care: Community Choices Waiver (CCW), Comprehensive Waiver, and Supports Waiver.
In the workspace

Wyoming program rules, side by side

Eligibility, the family caregiver rules (spouses, parents, live-in caregivers), employer of record, fiscal intermediary, caregiver training, provider requirements, how to enroll, published pay, EVV and waiting lists: 67 details across 6 programs.

ProgramFamily rulesEmployerEligibilityPay
See Wyoming's program rules — start free

Who can be paid, who employs the caregiver, what each program requires of agencies and caregivers, how to become a provider and what it pays, for all 6 programs.

  • Family caregiver rules
  • Provider requirements
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Program by program

Wyoming's programs

What each program is and how it differs from the others. Locked details open in the workspace.

Home Health Services

Home health

State Plan home health (Wyoming Medicaid Rules Chapter 12; 42 CFR 440.70) · Wyoming Department of Health, Division of Healthcare Financing

Skilled home health: nursing, therapy and aide visits under a plan of care from a licensed home health agency; run as a Medicaid State Plan benefit, paid fee-for-service.

Can family be paid?Not stated
How to get set up
Provider track · 7 steps
  1. Form the business
  2. 6 more steps: forms, fees, timelines and links
Family / participant track · 5 steps
  1. Apply for Medicaid
  2. 4 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredHours or budgetEmployer of recordProvider requirementsHow to become a providerEVVHow it differs, in detailSetup checklistUnlock the details →

Community Choices Waiver — Participant-Directed Services

Consumer-directed

1915(c) waiver WY.0236 (Appendix E, employer and budget authority) · Wyoming Department of Health, Division of Healthcare Financing

Consumer-directed care: the participant hires and directs their own aide, with payroll handled for them; run as a 1915(c) home and community-based services waiver, paid fee-for-service.

Can family be paid?Yes
How to get set up
Provider track · 3 steps
  1. Single contracted FMS
  2. 2 more steps: forms, fees, timelines and links
Family / participant track · 12 steps
  1. Apply for Medicaid
  2. 11 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredHours or budgetFamily caregiver rulesEmployer of recordFiscal intermediaryCaregiver requirementsProvider requirementsHow to become a providerPay rateEVVHow it differs, in detailSetup checklistUnlock the details →

Community Choices Waiver (CCW)

Waiver in-home

1915(c) waiver WY.0236 · Wyoming Department of Health, Division of Healthcare Financing (HCBS Section)

Waiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.

Can family be paid?Yes
How to get set up
Provider track · 8 steps
  1. Form the business
  2. 7 more steps: forms, fees, timelines and links
Family / participant track · 8 steps
  1. Apply for Medicaid
  2. 7 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredHours or budgetFamily caregiver rulesFiscal intermediaryCaregiver requirementsProvider requirementsHow to become a providerEVVWaiting list or capRecent changesHow it differs, in detailSetup checklistUnlock the details →

Comprehensive Waiver

Waiver in-home

1915(c) waiver WY.1061 · Wyoming Department of Health, Division of Healthcare Financing

Waiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.

Can family be paid?Yes
How to get set up
Provider track · 9 steps
  1. Form the business
  2. 8 more steps: forms, fees, timelines and links
Family / participant track · 14 steps
  1. Contact a Benefits and Eligibility Specialist
  2. 13 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredHours or budgetFamily caregiver rulesFiscal intermediaryCaregiver requirementsProvider requirementsHow to become a providerEVVWaiting list or capRecent changesHow it differs, in detailSetup checklistUnlock the details →

Supports Waiver

Waiver in-home

1915(c) waiver WY.1060 · Wyoming Department of Health, Division of Healthcare Financing

Waiver in-home services: supports at home for people who meet a nursing-home or similar level of care; run as a 1915(c) home and community-based services waiver, paid fee-for-service.

Can family be paid?Yes
How to get set up
Provider track · 9 steps
  1. Form the business
  2. 8 more steps: forms, fees, timelines and links
Family / participant track · 14 steps
  1. Contact a Benefits and Eligibility Specialist
  2. 13 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredHours or budgetFamily caregiver rulesFiscal intermediaryCaregiver requirementsProvider requirementsHow to become a providerEVVWaiting list or capRecent changesHow it differs, in detailSetup checklistUnlock the details →

Wyoming Home Services Program (WyHS)

State-funded

state-funded · Wyoming Department of Health, Aging Division, Community Living Section

State-funded home care: paid outside Medicaid, usually for people who do not qualify for it; run as state funds outside Medicaid, paid fee-for-service.

Can family be paid?Not stated
How to get set up
Provider track · 2 steps
  1. Contact the Community Living Section
  2. 1 more step: forms, fees, timelines and links
Family / participant track · 5 steps
  1. Contact a WyHS provider or the Community Living Section
  2. 4 more steps: forms, fees, timelines and links
Open the full checklist →
EligibilityServices coveredProvider requirementsHow to become a providerHow it differs, in detailSetup checklistUnlock the details →
FAQ

Frequently asked questions

Can family members get paid to be caregivers in Wyoming?

Yes. Community Choices Waiver — Participant-Directed Services, Community Choices Waiver (CCW), Comprehensive Waiver, and Supports Waiver let a family member be the paid caregiver. Which relatives qualify, including spouses and parents of minor children, is set program by program.

Does Wyoming have consumer-directed care?

Yes: Community Choices Waiver — Participant-Directed Services. The person receiving care hires and directs their own aide, and a fiscal intermediary handles payroll.

Does Wyoming have structured family caregiving?

No. Wyoming does not run a structured family caregiving program. Family caregivers are paid through consumer-directed care instead.

What is the difference between home health and home care in Wyoming?

Home health (Home Health Services) is medical: nursing, therapy and aide visits ordered by a practitioner and delivered by a licensed home health agency. Home care is non-medical help with daily activities, based on functional need.

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