Provider FAQs

Provider Frequently Asked Questions (FAQs)

Q: How do I add an additional user?

A: Adding an additional user is done through the Provider Portal from the Provider Domain Access profile. There is a Quick Reference Guide (QRG) listed below for reference. The user being added must have a Provider Portal (OKTA) account.

Creating New Profiles and Adding Users to the Provider Portal

Q: I need to update my phone number/email/mailing address, how do I do that?

A: This type of information is updated with the Enrollment vendor, HHS. It is done with a Change of Circumstance (CoC). This is a different website from and listed here:

HHS Enrollment Vendor

Q: Who can I contact for help?

A: The Provider Services Call Center is available Monday – Friday, 7 am- 6 pm MST, and can be reached at 1-888-996-6223 (1-888-WYO-MCAD). This is your first contact for claim trouble shooting and issues.

The Field Representatives for Wyoming Medicaid monitor This is used for complex claim denials, issues, and provider support.

Q: How long do I have to file a claim?

A: Timely filling is 365 days (1 year) from Date of Service. If an adjustment is needed the adjustment must be made within 6 months of the Date of Service. Wyoming Medicaid will accept a void at any time without timely filing limits. The Quick Reference Guide can assist with this process and is located here:

Adjustments and Voids

Q: What is the difference between the Wyoming Medicaid website and the secure Provider Portal?

A: The differences between the website and the secure Provider Portal are as follows:

  • The website does not require login.
  • The website's content is publicly accessible and is made available to all website visitors (providers, members, stakeholders, the public).
  • The Provider Portal is a secure, transactions-based gateway that requires a user to log-in using established credentials (User ID and password) to access the available information, transactions, and additional options within the secure portal.

Q: What modifiers can be used in billing claims?

Q: What procedure codes require Prior Authorization?

A: Providers can review the online fee schedule ( to determine if a procedure code requires prior authorization. Providers can also contact Provider Services at (888) WYO -MCAD or (888) 996-6223, M-F, 7 am – 6 pm MST for this information When validating member eligibility, Prior Authorization requirements are viewable under indicators.

Q: What is the payment cycle?

A: Claims are processed on Wednesday evening, EFTs, are generated on Thursday and Remittance Advices are available Friday. Please note that for EFT payments, the banks have three (3) business days to post these payments to your account. There are some exceptions to these processing dates, which can be found on the link Payment Exceptions. This can change each year due to holidays.