Jeffrey Wade
Wyoming's Medicaid program provides long-term care services for low-income and medically needy individuals and families, including seniors, pregnant women, children, and disabled individuals. The program is jointly funded by the federal and state governments. While you can have insurance and use Medicaid in Wyoming, there are some exceptions, such as insurance through the Federally Facilitated Marketplace. Wyoming offers various assistance programs, and eligibility is determined by income, assets, and medical needs.
| Characteristics | Values |
|---|---|
| Can you have insurance and use Medicaid in Wyoming? | Yes, with the exception of insurance through the Federally Facilitated Market Place. You cannot have both Medicaid and Market Place insurance. For other insurance, Medicaid pays amounts that are still owed after your primary insurance pays. |
| Who can apply for Medicaid in Wyoming? | Low-income and medically needy individuals and families, including children from birth through age 18, former foster youth up to the age of 26, and seniors who meet strict eligibility criteria. |
| What are the eligibility criteria for Wyoming Medicaid? | Applicants must be Wyoming residents and either U.S. citizens or lawful permanent residents who have lived in the U.S. for at least five years. They must also meet specific income and asset limits, and medical requirements for the level of care needed. |
| How to apply for Wyoming Medicaid? | Online through the Wyoming Medicaid Portal, by contacting the Wyoming Department of Health's Aging Division, or by mailing a completed application form to the WDH Customer Service Center in Cheyenne, WY. |
| What is the processing time for Wyoming Medicaid applications? | Applications have 45 days to approve or deny, extended to 60 days if more information is needed, and 90 days if the application is pending a disability determination. |
| What is the Customer Service contact for Wyoming Medicaid? | Phone: 1-800-251-1269, Email: [email protected] |
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What You'll Learn
You can have insurance and use Medicaid in Wyoming
In Wyoming, it is possible to have insurance and still qualify for Medicaid. The state's Medicaid program provides medical care for low-income and medically needy individuals and families. It is a joint federal and state government program. The Wyoming Department of Health offers various assistance programs under Medicaid, and individuals can apply to find out which programs they are eligible for.
Wyoming residents can apply for Medicaid online through the Wyoming Medicaid Portal or by contacting the Wyoming Department of Health. The process can also be started online through HealthCare.gov or by calling their helpline. Applicants must be Wyoming residents and either U.S. citizens or lawful permanent residents who have lived in the U.S. for at least five years.
Medicaid eligibility in Wyoming depends on specific income and asset limits. Applicants exceeding the income limit can establish a Qualified Income Trust (QIT) or Miller Trust to qualify. Wyoming divides assets into exempt and countable categories. Exempt assets are not considered when determining eligibility, while countable assets must be liquidated and applied toward care costs. One home, one vehicle, household goods, personal effects, and irrevocable burial trusts are among the assets that can be exempt.
Wyoming offers the Children's Health Insurance Program (CHIP), which provides free or low-cost medical and dental care for uninsured children and teens up to the age of 19. There is also a Kid Care CHIP program that offers affordable health coverage for the children of working parents in Wyoming. Additionally, the Wyoming Women, Infants & Children (WIC) Program provides benefits to low-income women who are pregnant, breastfeeding, or who have recently given birth, as well as families with children under the age of five.
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Medicaid covers long-term care for seniors
In Wyoming, Medicaid is a joint federal and state government program that pays for medical care for some low-income and medically needy individuals and families. It is possible to have insurance and still qualify for Medicaid in Wyoming, except for insurance through the Federally Facilitated Marketplace. Wyoming Medicaid will pay the amounts still owed after the primary insurance pays.
Wyoming's Medicaid program provides long-term care services for seniors who meet strict eligibility criteria. These benefits can include in-home personal care, adult day care, meal delivery, home modifications, and Personal Emergency Response Systems (PERS). Wyoming Medicaid divides assets into exempt and countable categories. Exempt assets are not considered when determining eligibility, while countable assets must be liquidated and applied toward care costs. One home, one vehicle, household goods and personal effects, and irrevocable burial trusts of up to $1,800 are considered exempt assets.
Wyoming offers three programs that provide long-term care for seniors: Nursing Home Medicaid, Home and Community-Based Services (HCBS) Waivers, and Aged, Blind, and Disabled (ABD) Medicaid. ABD Medicaid provides healthcare coverage and long-term care services to financially limited Wyoming residents who are aged (65 and over), blind, or disabled and live in the community. ABD Medicaid is an entitlement, meaning that anyone who meets the requirements is guaranteed by law to receive healthcare coverage without waiting. Access to long-term care benefits via ABD Medicaid depends on the availability of funds, programs, and caregivers in the beneficiary's area.
Nursing Home Medicaid covers the cost of long-term care in a nursing home for financially limited Wyoming seniors who require a Nursing Facility Level of Care. Wyoming's HCBS Waivers will pay for long-term care services and supports that help Wyoming Medicaid recipients who require a Nursing Facility Level of Care to remain living in the community instead of residing in a nursing home. The Community Choices Waiver (CCW) is the HCBS Waiver relevant to Wyoming seniors. CCW covers long-term care services and supports for Wyoming Medicaid recipients who require a Nursing Facility Level of Care and live in their own homes, the home of a loved one, an assisted living residence, or an adult foster care home. While Wyoming's HCBS Waivers may cover long-term care benefits in these settings, they will not pay for room and board costs.
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Medicaid covers pregnancy and postpartum
In Wyoming, Medicaid is a joint federal and state government program that pays for medical care for some low-income and medically needy individuals and families. The state may pay the premiums, deductibles, and co-insurance for pregnant women while they are pregnant, provided the health insurance covers the pregnancy and it is determined to be cost-effective.
Wyoming Medicaid's Pregnant Women programs provide health coverage for eligible pregnant women for up to 12 months postpartum. Presumptive Eligibility (PE) for Pregnant Women is a Medicaid option designed to improve an applicant's access to temporary Medicaid while their eligibility for full benefits is being determined. Eligible pregnant women are limited to outpatient services through a Medicaid provider for up-to 60 days after completing a application for Medicaid.
Wyoming Medicaid offers a Pregnancy and Postpartum Cessation Program, which includes incentives for coaching calls completed while pregnant and after pregnancy. The program also covers dental care for adults age 21 and up, including preventive and emergency services, as well as most prescription medications and some over-the-counter drugs. Medicaid will also cover the cost of a prenatal pediatric provider visit once during a pregnancy.
Wyoming Medicaid's Care Management program includes helpful information for members, families, stakeholders, and providers. The program provides nursing or therapy services to persons in their homes under a physician's plan of care. The Wyoming Women, Infants & Children (WIC) Program offers benefits to low-income women who are pregnant, breastfeeding, or who have recently given birth, including nutritious food items. The Healthy Babies, Happy Moms Program supports moms who want to breastfeed by offering electric breast pumps.
Wyoming Hand in Hand is a home visitation program sponsored by the Public Health Division, where a nurse comes to your home to visit about your pregnancy and after delivery. The nurse will support you and your family through the baby's second birthday, helping with understanding, bonding, and attachment, as well as healthy topics like nutrition, social support, and physical activity.
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CHIP provides affordable health coverage for children
In Wyoming, individuals can have insurance and still be eligible for Medicaid. The Social Security Act allows Wyoming to pay the insurance premiums, co-insurance, and deductibles for Medicaid recipients to keep their health insurance. However, it is important to note that this does not apply to insurance through the Federally Facilitated Marketplace.
Now, focusing on the topic of children's health coverage, the Kid Care CHIP program in Wyoming provides affordable health coverage for children from families with incomes below 200% of the federal poverty level. CHIP is the Children's Health Insurance Program, a federal-state initiative that provides low-cost health coverage to children in families who earn too much to qualify for Medicaid but too little to afford private coverage. CHIP is available in all states, and each state program determines its eligibility requirements.
CHIP in Wyoming offers free preventive dental and health care, with other health services available for a small co-pay. This includes routine "well child" doctor and dental visits, which are free under CHIP. Wyoming also has the Children's Mental Health Waiver, a short-term, community-based program for youth with serious emotional disturbances who might otherwise require hospitalization.
Additionally, Wyoming offers the Wyoming Women, Infants & Children (WIC) Program, which provides benefits to low-income pregnant women, breastfeeding women, women who have recently given birth, and families with children under five. This program offers nutritious food items and other benefits to eligible Wyoming families.
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Medicaid eligibility depends on income and assets
Medicaid eligibility is determined by both income and assets, with each state employing different criteria. The amount of income one can have varies by state and the eligibility group. For instance, in Wyoming, Medicaid is available to low-income and medically needy individuals and families. The state may also pay the premiums, deductibles, and co-insurance for pregnant women if it is cost-effective.
The Modified Adjusted Gross Income (MAGI) is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. MAGI considers taxable income and tax filing relationships to determine financial eligibility. However, MAGI does not allow for income disregards that vary by state or eligibility group, nor does it permit an asset or resource test.
When determining financial eligibility for Medicaid, states consider some income and exclude the rest. Income includes regular benefit payments such as Social Security retirement or disability payments. All earnings, including amounts withheld for taxes, are counted. If you have joint payments with a spouse, the state allocates half to each individual.
Additionally, some assets are counted, while others are excluded. Common assets that are usually counted for eligibility include cash savings, checking and savings accounts, life insurance policies, investments, houses, land, and additional motor vehicles. On the other hand, assets like those held in specific trusts and one's primary residence are typically excluded from consideration.
Medicaid eligibility requirements for the elderly consist of functional and financial criteria. Functionally, individuals must have a medical need and require the level of care provided in a nursing home or an intermediate care facility. Financially, both the applicant's and, sometimes, their spouse's income and resources (assets) are taken into account.
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Frequently asked questions
Yes, you can have insurance and use Medicaid in Wyoming. However, you cannot have insurance through the Federally Facilitated Marketplace as well as Medicaid. For other insurance, Medicaid pays what is still owed after your primary insurance pays.
You can apply for Medicaid in Wyoming by calling the Customer Service Center at 855-294-2127, online at www.wesystem.wyo.gov, or by filling out an application and mailing it to: WDH Customer Service Center 3001 E. Pershing Blvd., Suite 125 Cheyenne, WY 82001.
There is no single income limit for Medicaid eligibility in Wyoming. As an income-cap state, Wyoming requires applicants to meet specific income and asset limits to qualify. Applicants exceeding the income limit can establish a Qualified Income Trust (QIT) to qualify.
