Institutional Provider Manual (Effective 7.1.2026)

Medicaid’s Pregnant by Choice Program (6.29.2026)

Payment Exception Week due to July 4 Holiday (6.18.2026)

Partnering with WYhealth to Support Your Medicaid Patients  (3.30.2026)

Attention:  Wyoming Medicaid Swing Bed Providers (1.29.2026)

Provider & Enrollment Vendor Action Required for 1099 Forms! (12.15.2025)

New Requirement – Attaching an Explanation of Benefits (EOB) to Secondary and Tertiary Claims (12.16.2025)

Home Health Commercial Insurance Claim Denials (9.23.2025)

Home Health Services to Include Licensed Practical Nurses (8.15.2025)

Important Update: IVR Access Changes to Protect Wyoming Medicaid Data (8.13.2025)

Web Browsers, Pop-Ups and Settings (12.16.2024)

Updated Wyoming Medicaid Provider Contact Email Addresses (10.23.2024)

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.

Note: To search for specific information within the PDF document, select Ctrl F on your keyboard and type your keyword in the find box.