Therapy Medicaid rates in Wyoming rank in the national top ten for physical therapy and above the median on every ranked service. Wyoming Medicaid pays $115.00 an hour for its ranked PT code, 97112, which places the state 8th of 49 and 19.7% above the national median of $96.04.
Occupational therapy and all three evaluations are also above median, and they meet therapist wages that are below national levels. With no managed-care plans repricing therapy, the published schedule is the rate a Wyoming practice is paid. Every rate below is compiled from official Wyoming Medicaid publications, and each one links to its source document.
Wyoming's ranked PT figure is code 97112, at $28.75 per 15-minute unit with no modifier, effective July 1, 2026. Four units make $115.00 an hour. Practices billing code 97110 for therapeutic exercise should check that code's rate on the Wyoming Medicaid rates hub too.
A top-ten PT rate gives a Wyoming clinic room to absorb scheduling gaps, travel time and cancellations, the unbilled hours that decide whether a Medicaid caseload pays its way. The states above Wyoming are led by Alaska, New Mexico and Montana, with Texas and North Dakota completing the top five.
| Service | Code | Wyoming rate | Rank | vs national median |
|---|---|---|---|---|
| Physical therapy | 97112 | $115.00 / hour | 8 of 49 | +19.7% |
| Occupational therapy | 97530 | $124.32 / hour | 16 of 48 | +12.4% |
| PT evaluation | 97161 | $87.91 | 14 of 46 | +7.6% |
| OT evaluation | 97165 | $90.24 | 13 of 46 | +9.5% |
| Speech-language evaluation | 92522 | $97.37 | 17 of 44 | +6.6% |
All of these carry the July 1, 2026 effective date. Treatment ranks higher than evaluation, but nothing on the list falls below the national median.
Wyoming publishes its rates through the Wyoming Medicaid Downloadable Fee Schedule and dated provider fee schedules, with a provider bulletin announcing each round of changes. The bulletin on rate changes effective July 1, 2026 was issued September 23, 2026, and an earlier public notice updated fee schedule effective dates.
Timed treatment codes
97110, 97112 and 97530 pay per 15-minute unit, so revenue follows documented treatment time.
Per-visit codes
Evaluations pay once per service, and Wyoming publishes speech treatment on 92507 as a per-visit rate. Hospital-based therapy is also listed under revenue codes, such as 0429 and 0434, which apply when therapy is billed on an institutional claim.
Occupational therapy on code 97530 pays $31.08 per unit, or $124.32 an hour, 16th of 48. Occupational therapists in Wyoming earn well below the national median, which makes OT the widest-margin line on the schedule.
For a practice deciding which discipline to add, that combination is the strongest case in the state. Pediatric OT, hand therapy and rehabilitation after injury all fit a schedule that pays OT treatment well above the median. Because the OT evaluation also ranks 13th of 46, a new OT service line does not lose ground on its intake visits either.
The 97161 PT evaluation pays $87.91 and the 97165 OT evaluation pays $90.24. The evaluations are less elevated than PT treatment, between 6.6% and 9.5% above median, but none falls below it.
For a clinic with steady intake, that means new-patient visits carry their share of the revenue. Short-episode practices are not penalized in Wyoming the way they are in states with weak evaluation rates. Re-evaluations, which keep a plan of care current and support authorization requests for codes such as 97110 and 92507, are worth scheduling on time rather than deferring, since a lapsed plan of care can put later treatment visits at risk.
Wyoming publishes speech treatment on code 92507 at $42.86 per visit, effective September 1, 2025. Because it is a per-visit figure, it is not part of the national speech ranking, whose median is $61.64 per published unit. A per-visit rate is simple to model: each speech visit pays the same amount regardless of session length.
The 92522 speech-language evaluation pays $97.37, 17th of 44 states and 6.6% above the national median of $91.32. Wyoming speech-language pathologists earn a median of $39.44 an hour, well below the US median of $47.05. Against a per-visit rate, the length of each session decides whether a visit covers the therapist's time, so session planning matters more for Wyoming speech practices than the rate alone suggests.
In practice, that means designing speech sessions around clear goals and consistent length, and pairing them with the evaluation, which pays well above the median. A pediatric speech practice that evaluates thoroughly, sets a realistic frequency and keeps sessions focused will get more from Wyoming's schedule than one that runs long, open-ended sessions on a per-visit rate. The prior authorization rule on 92507 adds one more reason to settle frequency and duration in the plan of care before treatment starts.
Federal occupational data for May 2025 gives these Wyoming median hourly wages, with US medians in parentheses:
- Physical therapist: $48.27 ($49.40)
- Occupational therapist: $41.43 ($48.24)
- Speech-language pathologist: $39.44 ($47.05)
- Physical therapist assistant: $30.56 ($32.88)
- Occupational therapy assistant: $30.17 ($34.76)
Every role earns below its national median, which is what turns above-median rates into wide margins.
Against the hourly rates:
- Physical therapy. The PT wage is 59.7% of the $115.00 rate, leaving a margin of $46.39 an hour after a loaded wage.
- Occupational therapy. The OT wage is only 47.4% of the $124.32 rate, leaving $65.44 an hour.
Assistant wages are also below national levels, so assistant-delivered therapy, where allowed, adds further room.
Where the margin goes
In a state with long distances between patients, those margins are what pay for travel time, and they leave room to pay above the local median to recruit therapists into rural areas. A therapist who spends part of each day driving between home visits bills fewer units per hour on the road, and Wyoming's rate is high enough to absorb some of that without turning the line negative.
Recruiting
Below-median wages can make recruiting harder, especially for occupational therapists and speech-language pathologists, whose wages sit furthest below the national medians. A Wyoming practice can use part of its margin as a recruiting and retention budget, such as sign-on support, continuing education or flexible scheduling, and still keep its Medicaid line comfortably positive.
The Wyoming schedule attaches one prior authorization rule each to 92507, 92508, 97110 and 97139. The speech evaluation codes 92521 and 92522 carry none, and neither do the revenue codes 0429, 0434, 0439 and 0449 listed for therapy. No therapy code has a published unit limit.
The rule on 97110 matters for PT clinics that bill it alongside 97112. Building authorization into intake for any plan of care that relies on 97110 or on speech treatment keeps those visits from going unpaid. Because 97112, Wyoming's ranked PT code, carries no rule on the schedule while 97110 does, PT clinics should be deliberate about which code best describes each intervention and document accordingly.
Wyoming's therapy rates come from Wyoming Medicaid (fee-for-service, Department of Health). The state's coverage data names 18 plans and program arrangements, most of them Wyoming Medicaid coverage groups, plus the WYhealth Health Management care management program, Magellan Healthcare as a care management entity and Wyoming Kid Care CHIP. These organize care and eligibility rather than reprice therapy claims, so the published rate is the rate a practice bills.
People with developmental disabilities may also be served through the Wyoming DD waivers (Comprehensive and Supports), and older adults and people with physical disabilities through the Community Choices Waiver. These carry their own fee schedules. See the Wyoming managed care page for details.
CMS approved Wyoming SPA WY-26-0007-A on October 1, 2026, with a July 1, 2026 effective date. That date matches the effective date on Wyoming's current PT, OT and evaluation rates, so practices should confirm that claims for dates of service from July 1 forward priced at the current schedule. The 2026 budget session also addressed DD, ID and ABI provider rates from July 1, 2026, which matters to therapists serving waiver participants.
Wyoming trails the leaders on PT: Alaska pays $176.68 an hour for 97110, New Mexico $165.64 and Montana $147.04. It is far above the bottom, where New Jersey pays $58.80, California $48.88 and Maine $46.64. Among Mountain neighbors, Utah and Nevada are the closest comparisons.
- Budgeting. Use the July 2026 rates for PT, OT and evaluations, and plan speech revenue per visit rather than per hour.
- Authorization. Track authorizations for 92507, 92508, 97110 and 97139 from intake.
- Reconciliation. Compare remittances back to July 1, 2026 against the September 2026 bulletin.
- Benchmarking. Compare your blended revenue per therapist hour with the $115.00 PT and $124.32 OT figures; a gap usually points to low units per visit or travel time.
The full dataset covers all 47,114 current Wyoming Medicaid rates, with history back to 1994. See pricing for access.
Rates on this page are compiled from official Wyoming Medicaid publications, including the Wyoming Medicaid Downloadable Fee Schedule, and each rate links to its source document. For the national overview, see therapy Medicaid rates by state, and our methodology for how units are converted to hourly rates.