Provider Manuals and Bulletins
Provider Manual updates and Provider Bulletins are published each quarter during the calendar year. Providers are encouraged to review all manual updates and bulletins aligned to the specific provider types and specialties they furnish benefits and services through as a provider in the Wyoming Medicaid program.
This page organizes the full spectrum of provider types and specialties within three (3) claim types: CMS-1500, Dental, and Institutional/UB.
The most recent version of each Provider Manual is available under the "Provider Manual" dropdown. Previous versions can be accessed under "Archives".
To download the entire Provider Manual, select a topic under the heading for your provider type. To access sections of a Provider Manual, use the "Provider Manual" dropdown to open specific chapters of each manual.
Important Medicaid Integrity Information
Medicaid Integrity Program A to Z
Medicaid Integrity Program (MIP), Provider Audits FAQs
Please select the appropriate manual for your provider type.
- Provider Manuals
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- CMS-1500 Provider Manual
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Chapter 1 – General Information
Chapter 2 – Getting Help When Needed
Chapter 3 – Provider Responsibilities
Chapter 4 – Utilization Review
Chapter 5 – Member Eligibility
Chapter 6 – Common Billing Information
Chapter 7 – Third Party Liability
Chapter 8 – Electronic Data Interchange and Provider Portal
Chapter 9 – Important Information
Chapter 10 – Covered Services – Ambulance
Chapter 11 – Covered Services - Audiology
Chapter 12 – Covered Services – Behavioral Health
Chapter 13 – Covered Services – Care Management Entity and Children’s Mental Health Waiver Services
Chapter 14 – Covered Services – Chiropractic Services
Chapter 15 – Covered Services – Clubhouse Services
Chapter 16 – Covered Services – Developmental Centers
Chapter 17 – Covered Services – Dietitian Services
Chapter 18 – Covered Services – Durable Medical Equipment Billing
Chapter 19 – Covered Services – Family Planning
Chapter 20 – Covered Services – Health Check
Chapter 21 – Covered Services – Interpreter Services
Chapter 22 – Covered Services – Laboratory Services
Chapter 23 – Covered Services – Non-Emergency Medical Transportation
Chapter 24 – Covered Services – Practitioner Services
- Behavioral Health Centers Provider Manual
- Dental Provider Manual
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Chapter 1 – General Information
Chapter 2 – Getting Help When Needed
Chapter 3 – Provider Responsibilities
Chapter 4 – Utilization Review
Chapter 5 – Member Eligibility
Chapter 6 – Common Billing Information
Chapter 7 – Third Party Liability
Chapter 8 – Electronic Data Interchange
- Institutional Provider Manual
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Chapter 1 – General Information
Chapter 2 – Getting Help When Needed
Chapter 3 – Provider Responsibilities
Chapter 4 – Utilization Review
Chapter 5 – Member Eligibility
Chapter 6 – Common Billing Information
Chapter 7 – Third Party Liability
Chapter 8 – Electronic Data Interchange
Chapter 9 – Important Information
Chapter 10 – Outpatient Services
Chapter 11 – Critical Access Hospital and General Hospital Inpatient
Chapter 12 – Comprehensive Outpatient Rehabilitation Facility
Chapter 13 – End Stage Renal Disease
Chapter 14 – Federally Qualified Health Centers
Chapter 17 – Indian Health Services
Chapter 18 – Skilled Nursing Facility and Swing Bed Services
- School Based Services Provider Manual
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Chapter 1 – General Information
Chapter 2 – Steps to Becoming a School-Based Services Program Provider
Chapter 3 – Billing for Medical Services
- Title 25 Provider Manual
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Chapter 1 – General Information
Chapter 2 – Getting Help When Needed
Chapter 3 – Provider Responsibilities
Chapter 4 – Common Billing Information
Chapter 5 – Third Party Liability
Chapter 6 – Important Information
Chapter 7 – Critical Access Hospital and General Hospital Inpatient
Chapter 8 – Covered Services – Ambulance
Chapter 9 – Covered Services – Non-Emergency Medical Transportation
- Behavioral Health Centers Manual and Bulletins
- CMS 1500 Manual and Bulletins
- Dental General Manual, Covered Services and Bulletins
- Institutional / UB Manual and Bulletins
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Comprehensive Outpatient Rehabilitation Facility
- School Based Services Manual and Bulletins
- Wyoming Medicaid EDI Companion Guide