Institutional / UB Manual and Bulletins


Institutional/UB Manuals

Institutional Provider Manual (Effective 7.3.23)

Tribal Provider Manual (Effective 7.3.23)

Medicaid & United Healthcare (UHC) Advantage Plan Part B Claim Denials (Effective 8.24.2023)

Updated Coverage of Cologuard (Effective 8.21.2023)

Implementation of 277CA Functionality in BMS (Effective 7.27.2023)

New ESRD Payment Methodology and Billing Requirements (Effective 7.24.2023)

Interpreter Services Billing Changes (Effective 6.2.2023)

New Requirements for Nursing Homes Providers (Effective 5.30.2023)

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

Provider Taxonomy Requirements when Billing Medicare for Dually Eligible Members (Effective 5.9.2023)

Discontinuance of Call Center Services for Billing Agents/Clearinghouses and their Third-Party Vendor Calls (Effective 3.14.2023)

Adverse Childhood Experiences (Effective 3.8.2023)

Condition Code Update (2.13.2023)

Billing Provider Taxonomy Requirements (Effective 1.6.2023)

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

Wyoming Medicaid 2023 January & February Payment Exception Calendar (Effective 12.30.2022)

Wyoming Medicaid Requirement for ALL Providers! (Effective 12.22.2022)

Hospice Routine Home Care 61-Days & Beyond and SIA Reimbursement Update (Effective 12.20.2022)

Attention Hospital, Nursing Home and Swing Bed Providers (Effective 12.8.2022)

Wyoming Medicaid Provider Services Mailing Address (Effective 12.5.2022)

Submit a Referral To Project Juno (10.28.2022)

How to Submit a Referral To Wyoming Medicaid’s Health Management Program, WYhealth (10.14.2022)

Update: Electronic Claims Submission Policy (9.19.2022)

Wyoming Medicaid – Tired of Holding for the Next Available Representative? (9.5.2022)

Keeping Your Provider Number Active and Accurate (8.17.2022)

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 (10.19.21)

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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