Medicaid

How to Get Credentialed with Wyoming Medicaid in Wyoming

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Wyoming-Specific Requirements

Wyoming Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Wyoming DHF (Department of Health and Family Services) Medicaid provider enrollment portal. (3) Submit application with WY state license, proof of malpractice insurance, and required documentation. (4) Background check including DCI and federal criminal history is required for all providers. Wyoming operates primarily fee-for-service with no managed care organizations. Behavioral health providers accepted include LPC and LCSW with active Wyoming licensure. Revalidation is required every 5 years.

Medicaid Information: Wyoming

Agency: Wyoming Department of Health

Program: Wyoming Medicaid

Portal: https://health.wyo.gov/healthcarefin/medicaidproviders/

Phone: 1-866-571-0944

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Wyoming.

2

Prepare Your Application

Complete Wyoming Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Wyoming Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Wyoming Medicaid?

Our specialists handle the entire Wyoming Medicaid enrollment process: applications, follow-ups, and approvals in Wyoming.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Wyoming Medicaid Provider Enrollment

Required
Online Open →

Key Credentialing Terms

Capitation
A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Managed Care
A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
Network Adequacy
The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Wyoming Medicaid.

View Physician Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-866-571-0944

Mon-Fri 8am-5pm

Provider Services

National

1-866-571-0944

Claims & Billing

National

1-866-571-0944

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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