Provider FAQs

Provider Frequently Asked Questions (FAQs)

Q: What Information is available on the Wyoming Medicaid website?

A: The Wyoming Medicaid website is the publicly-accessible portion of online communications, information and materials available to providers, members, stakeholders, and the general public. The website provides easy access to information about the Wyoming Medicaid program and gives providers and members access points to their respective secure portal logins. Documents like Provider Manuals and Provider Bulletins, Trainings and Tutorials are also all available on the website. No ID or password is required to access this information.

Q: What are the main features?

A: The Wyoming Medicaid website Home page features three (3) Primary Navigation Tabs: Home, Provider and Member. The Home page also features a Search Bar, a newly designed Footer, and six (6) Quick Access Icons. The Quick Access Icons are as follows:

  • Providers – Leads directly to the Provider Home page
  • Members – Leads directly to the Member Home page
  • Provider Enrollment – Leads directly to the HHS Technology website
  • Provider Publications – Leads directly to Provider Manuals ad Bulletins
  • Provider Training – Leads directly to the Provider Training, Tutorials and Workshops main page
  • Fee Schedules – Leads directly to the Fee Schedules main page and Licensing Agreement

Q: What menu items are available within each of the three (3) Primary Navigation Tabs?

A: Home tab returns a user back to the website's home page, while the Provider tab offers 12 total sub-listings as follows:

  • Provider Home
  • Provider Portal Login
  • Provider Locator
  • Provider Dental
  • Provider Publications and Trainings
  • Contact Us
  • Downloadable Forms
  • Fee Schedules
  • References
  • Resources
  • BA/CH Enrollment
  • Web Registration

Note: Three (3) of these sub-listings, specifically Provider Publications and Trainings, References and Resources contain additional areas. Once a user hovers over any of these sub-listings, additional offerings will be displayed. For example, hovering over Provider Publications and Trainings will display What's New, Provider Manuals and Bulletins, Provider FAQs, and Provider Training, Tutorials and Workshops.

Lastly, the Member tab offers 6 total sub-listings as follows:

  • Member Home
  • myHealthPortal Login (secure Member Portal)
  • Find a Doctor, Hospital or Clinic
  • Member Publications and Trainings
  • Contact Us
  • Resources

Note: Similar to the Provider tab, the Member tab also contains sub-listings with additional content areas indicated by arrows. There are two (2) total, those being Member Publications and Trainings, and Resources.

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 involve a login.
  • The website's content is publicly-accessible and is made available to all website visitors (providers, members, stakeholders, general 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 types of content, information, and documents are available on the Wyoming Medicaid website?

A: On the website, visitors will find the following types of information and documents:

  • Browser Compatibility
  • Frequently Asked Questions (FAQs) for Providers
  • Frequently Asked Questions (FAQs) for Members
  • Provider Dental
  • Provider Locator
  • Find a Doctor, Hospital or Clinic
  • Wyoming Medicaid website Search (content based)
  • Links to both the secure Provider Portal and also secure Member Portal (myHealthPortal)
  • Provider Manuals and Provider Bulletins
  • Member Newsletters and Other Member Notices
  • Contact Us for Providers
  • Contact Us for Members
  • Fee Schedules
  • Downloadable Forms
  • Provider Training, Tutorials and Workshops
  • Member Training and Tutorials
  • Related Links for Providers
  • Helpful Links for Members
  • COVID-19 information
  • HIPAA 5010 information
  • Outpatient Prospective Payment System (OPPS) information
  • BA/CH Enrollment
  • Web Registration
  • Wyoming Medicaid Handbook
  • Wyoming Medicaid Travel Assistance Guide

Q: What versions of the Provider Manuals are on the Wyoming Medicaid website?

A: The most current version of each Provider Manual is updated and posted to the Wyoming Medicaid website. Previous manual updates are available within the Archives feature. This page can be accessed by selecting Provider Manuals and Bulletins from the Provider Publications and Trainings submenu under Provider tab. It can also be accessed by clicking on the Provider Publications Quick Access Icon located on the website's Home page.

Q: How do I find a Provider?

A: The Provider Locator is located within the Provider tab. In addition, the Find a Doctor, Hospital or Clinic search is located within the Member tab.

Q: How do I find Provider Training, Tutorials and Workshops?

A: The Provider Training, Tutorials and Workshops are located within the Provider tab under Provider Publications and Training submenu.

Q: What does the newly designed Footer offer to website visitors?

A: The newly designed Footer now offers a series of links, organized into four (4) different sections. Each section offers links to key areas and information located on the Wyoming Medicaid website.
The four (4) sections are About, Accessibility, Contact Us, and Site Map.

Note: The Site Map offers a complete listing of all available areas and web pages located on the Wyoming Medicaid website.

Secure Provider Portal FAQs

Q: How can I change my information on file (i.e., address, phone number)?

A: Updates to provider information can only be made through HHS, Technology (DYP – Discover Your Provider) Portal located at: For DYP questions, please contact HHS Technology, Provider Enrollment, M-F, 8 am - 5 pm MST, (877) 399-0121 or via email at:

Q: How many office visits are allowed for members over 21 years of age?

A: Thresholds for members over 21 years of age include 12 combined office and outpatient visits. For the complete list of service thresholds or limits refer to the Provider Manual, Chapter 6, Service Thresholds section.

Q: How do I waive a threshold limit for a particular member?

A: This is dependent upon which threshold (office visits, therapies, behavioral health, etc.) and date of service. Please refer to the current policy in the Provider Manual, Chapter 6, Service Thresholds section for the complete policy by threshold type.

Q: Does Wyoming Medicaid provide adult dental services?

A: Adult (21 years of age and older) dental coverage is limited to two preventative visits per year (including basic cleaning and x-rays) and emergency services and extractions.

Q: What is the timely filing limit for claims submissions/adjustments?

A: Providers have 12 months from the date of service for claims submissions or within 6 months from the payment date on the Medicare Explanation of Medical Benefits (EOMB), or 90 days from the Third Party Liability (TPL) payment date. Adjustments must be received within 6 months of the claim payment date.

Q: What modifiers are allowed with which procedure codes?

A: Providers can review the online fee schedule ( to search for valid or invalid modifiers by procedure codes. Providers can also contact Provider Services at (888) WYO-MCAD or (888) 996-6223, M-F, 7 am – 6 pm MST for this information.

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.

Q: What is the payment cycle?

A: Claims are typically processed on Wednesday evening and checks or EFTs are generated on Friday. Please note that for EFT payments, the banks have three business days to post these payments to your account. There are some exceptions to these processing dates which can be found on the Provider Welcome page titled Payment Exceptions.

Provider Enrollment Questions

Q: How are general Provider Enrollment/Re-Enrollment questions addressed?

A: Provider Enrollment/Re-Enrollment questions may be addressed by reviewing Chapter 3: Enrollment/Re-Enrollment section, within the Provider Manuals.

Q: Where are Provider Enrollment/Re-Enrollments completed?

A: Provider Enrollment/Re-Enrollments are to be completed on the HHS, Technology (DYP – Discover your Provider) Portal at

Q: How and when can HHS Technology (DYP) be contacted regarding Provider Enrollment questions?

A: HHS Technology (DYP) can be contacted M-F, 8 am – 5 pm MST, either by phone at (877) 399-0121 or via email at: