How to start an IDD waiver provider in Wyoming

Wyoming requires a DD Waiver provider certification (Wyoming Department of Health, Division of Healthcare Financing, HCBS Section) from Wyoming Department of Health, Division of Healthcare Financing - Home and Community-Based Services (HCBS) Section, Credentialing Team to operate an IDD waiver provider.

License required

Yes

License

DD Waiver provider certification (Wyoming Department of Health, Division of Healthcare Financing, HCBS Section)

Issuing agency

Wyoming Department of Health, Division of Healthcare Financing - Home and Community-Based Services (HCBS) Section, Credentialing Team

Renewal

Wyoming Medicaid enrollment and provider agreement are separate from HCBS certification and must be renewed every 5 years.

Regulation

Wyoming Medicaid Rules Chapter 45 (Comprehensive and Supports Waivers)

1. Request access to the Wyoming Health Provider (WHP) portal (approval within about 48 hours) and set up the account
2. Review the DD Waiver Service Index and rules and the Initial DD Certification Required Documents checklist
3. Complete the required provider training modules (with a Training Summary form for each), CPR/First Aid with a hands-on component, and Medication Assistance Training if assisting with medications
4. Pass all parts of the DD background screening
5. Submit the application in the WHP portal within 90 days (unsubmitted applications are canceled)
6. When notified, complete Wyoming Medicaid enrollment and sign the Medicaid Provider Agreement

Training

• Initial DD provider training modules
• CPR/First Aid (hands-on, nationally recognized curriculum)
• Medication Assistance Training (MAT) for anyone assisting with medications

Program

Wyoming Medicaid and Kid Care CHIP (Wyoming Department of Health, Division of Healthcare Financing, Office of Medicaid)

Enrollment portal

Discover Your Provider (DyP) provider enrollment portal, run by HHS Technology Group (HTG)

Fiscal agent

CNSI (operates the Benefits Management System claims processing); provider enrollment is contracted to HHS Technology Group (HTG)

Application fee

Under the federal rule (42 CFR 455.460), institutional providers pay the CMS application fee when they first enroll, re-enroll or revalidate. The fee is $750 for calendar year 2026. Individual physicians and non-physician practitioners do not pay it. A fee already paid to Medicare or to another state's Medicaid program counts. WDH's enrollment page does not list a separate state fee.

Fingerprinting

WDH says enrolling under a taxonomy considered high-risk can add steps, and a provider specialist will reach out. Under federal rules (42 CFR 455.434 and 455.450), the state places provider types in 'limited', 'moderate' or 'high' risk levels. High-risk providers, and anyone who owns 5% or more of one, must submit fingerprints for a criminal background check.

Site visit

Under federal rule (42 CFR 455.432), the state must visit moderate- and high-risk providers before and after enrollment. Every enrolled provider must allow unannounced on-site inspections. WDH's enrollment page does not describe a separate state site visit process.

Revalidation

Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled provider at least once every 5 years. After an April 2026 CMS request, WDH sent CMS a two-year off-cycle revalidation plan on June 5, 2026. Under an August 17, 2026 notice, high-risk providers must revalidate in the DyP portal by October 31, 2026. Every enrolled provider must also report an NPI by then; providers without one are treated as high risk. Missing the deadline means payment suspension, then termination on February 1, 2027.

Full Wyoming Medicaid enrollment guide →

CON program

No

Wyoming certificate of need details →

Model

hybrid

State vendor

CareBridge

Services in scope

• personal care
• companion
• personal support
• respite
• home health aide
• skilled nursing

Alternate EVV allowed

Yes

Program

https://health.wyo.gov/healthcarefin/wyoming-integrated-next-generation-system-wings-project/electronic-visit-verification-evv/

Wyoming EVV requirements →

State minimum wage

$7.25 an hour

Effective

2009-07-24

Scheduled increases

No scheduled change found in the official sources reviewed.

HCBS 80/20 rule

Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.

Intellectual/developmental disability residential facilities — active organization NPIs (NPPES)

15 (as of Sep 13, 2026)

Total Medicaid and CHIP enrollment (latest reported month)

59,335 (as of Jun 1, 2026)

All Wyoming IDD / waiver Medicaid rates, ranked →

• WY Children's Mental Health Waiver (1915(c))
• WY Community Choices Waiver (CCW) (1915(c))
• WY Comprehensive Waiver (1915(c))
• WY Supports Waiver (1915(c))

Wyoming waivers and waiting lists →