Wyoming Medicaid pays for in-home personal care and related services through 3 programs, including the Community Choices Waiver (CCW) and the Supports Waiver (DD). The Wyoming Department of Health, Division of Healthcare Financing, HCBS Section administers all three 1915(c) waivers; CCW applicants must choose a case manager when applying. Confirm Supports and Comprehensive waiver services, EVV requirements and any state plan personal care benefit with the Wyoming Department of Health.
Which Wyoming waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Community Choices Waiver (CCW)
Population
Wyoming residents 65 or older, or adults 19-64 with an SSA-criteria disability, who need nursing facility level of care (LT-101 assessment) and are Medicaid-eligible or in the Special HCBS Waiver Group (income generally at or below 300% of the Federal Benefit Rate).
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
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