Institutional Provider Manual (Effective 7.1.25)

Billing Wyoming Medicaid for Dually Eligible Members (6.11.2025)

Conversion Factor for All Anesthesia Services Update (5.27.2025)

Home Health Services – Rates Updates (5.21.2025)

Attention ESRD Providers: Update to CY2025 Rate (3.27.2025)

Payment Posting to Incorrect Line on Claims (2.11.2025)

Provider Training Survey - Training Options (2.4.2025)

Wyoming’s Third-Party Liability Disallowance Supports Proper Billing of Medicaid Claims (1.29.2025)

Optional State Assessment Discontinued (1.27.2025)

Urgent - Provider Revalidation (1.13.2025)

Wyoming Medicaid 2025 Payment Exception Calendar

Procedure Code Denials (1.2.2025)

1099 Forms – Verification of Mailing Addresses (12.23.2024)

Changes to Remittance Advice (12.19.2024)

Web Browsers, Pop-Ups and Settings (12.16.2024)

Quarter 4 Virtual Hospital Meeting (10.24.2024)

Updated Wyoming Medicaid Provider Contact Email Addresses (10.23.2024)

Quarter 3 Virtual Hospital Meeting (7.11.2024)

Updated Home Health Commercial Insurance (TPL) Billing Requirements (7.3.2024)

Important! All Providers – PA Claim Denials & Waiver Denials for Medicare (Effective 5.17.2024)

Important! FQHC/RHC/IHS Encounter Claim Denials (Effective 5.17.2024)

Interpreter Services Update (Effective 4.5.2024)

Partial Units and Claims DDE Warning Message (Effective 3.22.2024)

Immediate Action Needed – EVV Usage Required (Effective 2.23.2024)

Attention ESRD Providers : Update to Rate for January 1, 2024

Wyoming Medicaid’s 2024 Payment Exception Calendar (Effective 1.16.2024)

Updated Coverage of Cologuard (Effective 8.21.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

Reprocessing of Paid Outpatient Claims (OPPS) (Effective 5.25.2023)

January 2023 WY Medicaid Mandating Use of Value Codes 80 and 81 (Effective 12.30.2022)

Wyoming Cancer Program (WCP) - Access this website for detailed provider information, including covered Diagnosis (DX) Codes and CPT Codes, for the Breast & Cervical Cancer (BCC) and Colorectal Cancer (COLR) Screening Programs.

Provider Medicaid and State Health Care Benefit Plan

APR-DRG Navigant Presentation

DRGs Requiring Prior Authorization

Fee Schedule - Access this page for Standard Fee Schedule information, the Procedure Code Search, and the Genetic Testing Fee Schedule.

OPPS Fee Schedule - Access this page specifically for the APC-based Fee Schedules for the Outpatient Prospective Payment System (OPPS).

LOC Diagnosis and Procedure Codes

Medicaid Pregnancy and Post-Partum Care Billing Infographic

PASRR Level 2 Diagnosis List

TPL Priority Diagnosis List - This is a list of diagnosis codes that must be billed with external cause code(s).  This list includes diagnoses for burns, corrosion, abrasions, contusions, hematomas, crushing injuries, fractures, head injuries, other injuries, spinal injuries, wounds, and lacerations.

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