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State HealthCare Telephone Numbers

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Agency Name & Address Telephone/Fax Numbers Website URL Contact For
CareBridge Health
Electronic Visit Verification (EVV)

926 Main Street
Nashville, TN, 37206
Email: wyevv@carebridgehealth.com		 Tel: (855) 912-3301
8 AM – 5 PM MST M-F		 https://www.carebridgehealth.com/wyevv

https://carebridgehealth.zendesk.com/hc/en-us/categories/360005829893-WYOMING
  • General questions about electronic visit verification
  • EVV provider portal & mobile app technical support
  • EVV claims submission
Change Healthcare Tel: (877) 209-1264 (Pharmacy Help Desk)

Tel: (877) 207-1126 (PA Help Desk)		 http://www.wymedicaid.org/
  • Pharmacy Prior Authorizations (PA)
  • PAs for physician administered injections
  • Pharmacy manuals
  • Frequently Asked Questions (FAQs)
Claims Department
Wyoming Department of Health

PO Box 547
Cheyenne, WY 82003-0547		 Fax: 307-460-7408 www.wyomingmedicaid.com
  • Claim Adjustment Submissions
  • Hardcopy Claims Submissions
  • Returning Medicaid Checks
Communicable Treatment Disease Program

Email: CDU.treatment@wyo.gov		 Tel: (307) 777-5800
Fax: (307) 777-7382

For Pharmacy Coverage:
Contact ScriptGuideRX
Tel: (885) 357-7479		 N/A
  • Prescription medications
  • Program Information
Customer Service Center (CSC)
Wyoming Department of Health

3001 E. Pershing Blvd, Suite 125
Cheyenne, WY 82001		 Tel: (855) 294-2127
TTY/TDD: 1-(855)-329-5205

Members Only
(CSC cannot speak to providers)

7 am - 6 pm MST M-F

Fax: (855) 329-5205		 https://www.wesystem.wyo.gov/
  • Member Medicaid applications
  • Travel Assistance
  • Member Eligibility questions regarding these programs:
    • Family and Children’s
    • Tuberculosis Assistance
    • Medicare Savings
    • EID
DHCF Pharmacy Program

122 West 25th St,
4th Floor West
Cheyenne, WY 82002		 Tel: (307) 777-7531

Fax: (307) 777-6964		 N/A
  • General Questions
DHCF Program Integrity

122 West 25th St,
4th Floor West
Cheyenne, WY 82002		 Tel: (855) 846-2563

NOTE: Callers may remain anonymous		 N/A
  • Member or Provider Fraud, Waste and Abuse
Division of Healthcare Financing (DHCF)

122 West 25th St,
4th Floor West
Cheyenne, WY 82002		 Tel: (307) 777-7531
Tel: (866) 571-0944

Fax: (307) 777-6964		 https://health.wyo.gov/healthcarefin/
  • Medicaid State Rules
  • State Policy and Procedures
  • Concerns/Issues with State Contractors/Vendors
HHS Technology Group
(PRESM) Provider Enrollment

Email: WYEnrollmentSvcs@HHSTechGroup.com		 Tel: (877) 399-0121

8 am - 5 pm MST M-F
(call center hours)		 https://wyoming.dyp.cloud
(Discover Your Provider)
  • Provider Enrollment/Re-enrollment
  • Provider Updates
  • Email Maintenance
Home and Community Based Services (HCBS) Tel: (800) 510-0280
Tel: (307) 777-7531

Fax: (307) 777-8685		 https://health.wyo.gov/healthcarefin/hcbs/
  • Community Choice Waiver (CCW) Services
  • Comprehensive and Supports Waiver Services
    • Developmental Disability (DD)
HMS (Health Management Services)
Third Party Liability (TPL) Department

5615 High Point Drive, #100
Irving, Texas 75038		 Provider Services
(1-888-996-6223)

7 am - 6 pm MST M-F
(call center hours)

24/7 IVR Availability

NOTE: Within IVR, either say Report TPL, update insurance - to be transferred to TPL.		  
  • Member accident covered by liability or casualty insurance or legal liability is being pursued
  • Estate and Trust Recovery
  • Reporting Member TPL
  • New/Update Insurance Policy
  • Problems getting insurance information needed to bill
  • Problems regarding third party coverage or payers
  • WHIPP/EID Program
  • TPL Disallowance Portal
Magellan Healthcare, Inc. Tel: (307) 459-6162
8 am - 5 pm MST M-F

(855) 883-8740
After Hours		 https://www.magellanofwyoming.com
  • Care Management Entity Services that require PA
Maternal & Child Health (MCH)/Children Special Health (CSH)

Public Health Division
122 West 25th Street
3rd Floor West
Cheyenne, WY 82002		 Tel: (307) 777-7941
Tel: (800) 438-5795

Fax: (307) 777-7215		 N/A
  • High Risk Maternal
  • Newborn intensive care
  • Program information
Medicare Tel: (800) 633-4227 N/A
  • Medicare Information
Provider Services
Wyoming Department of Health

PO Box 1248
Cheyenne, WY 82003-1248
Email: Wyprovideroutreach@cns-inc.com 		Tel: 1-888-WYO-MCAD
      (1-888-996-6223)

7 am - 6 pm MST M-F
(call center hours)

Fax: 307-460-7408

24/7 IVR Availability		 www.wyomingmedicaid.com
  • Bulletin/Manual inquiries
  • Claim inquiries/Claim submission problems
  • Member eligibility
  • Documentation of Medical Necessity
  • How to complete forms
  • Payment Inquiries
  • Request Field Representative visit
  • Training seminar questions
  • Timely filing inquiries
  • Provider Portal assistance/training
  • Wyoming Medicaid EDI Companion Guide
  • Trading Partner Registration
  • Technical support for vendors, billing agents/clearinghouses
  • Web Registration
Social Security Administration (SSA) Tel: (800) 772-1213 N/A
  • Social Security Benefits
Stop Medicaid Fraud NOTE: Remain anonymous when reporting https://health.wyo.gov/healthcarefin/program-integrity/
  • Information, education, and to report fraud, waste, and abuse in the Wyoming Medicaid program
Telligen
(Utilization Management)

1776 West Lakes Pkwy
West Des Moines, IA 50266		 Tel: (833) 610-1057 https://wymedicaid.telligen.com/
  • DMEPOS Covered Services manual
  • Questions related to documentation or clinical criteria for DMEPOS
  • Preadmission Screen and Resident Review (PASRR Level II)


Prior Authorization for:
  • Acute Psych
  • Dental services (limited)
  • Severe Malocclusion
  • Durable Medical Equipment (DME) or Prosthetic/Orthotic Services (POS)
  • Extended Psych
  • Extraordinary heavy care
  • Gastric Bypass
  • Genetic Testing
  • Home Health
  • Psychiatric Residential Treatment Facility (PRTF)
  • PT/OT/ST/BH after threshold
  • Surgeries (limited)
  • Transplants
  • Vagus Nerve Stimulator
  • Vision Services (limited)
  • Unlisted Procedures
WYhealth
(Utilization and Care Management)

122 W 25th St
4th Floor
Cheyenne, WY 820002		 Tel: (888) 545-1710

Nurse Line:
(OPTION 3)
 		 https://health.wyo.gov/healthcarefin/medicaid/wyoming-medicaid-health-management/
  • Diabetes Incentive Program
  • Educational Information about WYhealth Programs
  • ER Utilization Program
  • Medicaid Incentive Programs

 
Wyoming Department of Health
Long Term Care Unit (LTC)		 Tel: (855) 203-2936

8 am - 5 pm MST M-F

Fax: (307) 777-8399		 N/A
  • Nursing Home Program Eligibility Questions
  • Patient Contribution
  • Waiver Programs
  • Inpatient Hospital
  • Hospice
Wyoming Medicaid Website N/A www.wyomingmedicaid.com
  • Provider Manuals/Bulletins
  • Wyoming Medicaid EDI Companion Guide
  • Fee Schedules
  • Frequently Asked Questions (FAQs)
  • Forms (e.g., Claim Adjustment/Void Request Form)
  • Contacts
  • What's New
  • Remittance Advice Retrieval
  • Trading Partner Registration
  • Secure Provider Portal
  • Training Tutorials
  • Web Registration