Wyoming Medicaid Waivers & Home and Community Based Programs Overview
- Waiver Policy Analyst
- Jan 30
- 2 min read
Wyoming, known as The Equality State, has a well-structured Medicaid Waiver and Home and Community-Based Services (HCBS) system designed to provide long-term care alternatives for seniors, individuals with disabilities, and those with chronic health conditions.
Administered by the Wyoming Department of Health (WDH), Division of Healthcare Financing (DHCF), and the Behavioral Health Division (BHD), the state’s Medicaid waiver programs allow eligible individuals to receive services in their homes or community settings rather than institutional care.
Key waiver programs include the Community Choices Waiver (CCW), which provides personal care, respite, and home modifications for seniors and adults with physical disabilities, and the Comprehensive and Supports Waivers, which offer residential, employment, and behavioral health services for individuals with intellectual and developmental disabilities (IDD).
Other major programs include the Acquired Brain Injury (ABI) Waiver, which supports individuals recovering from traumatic brain injuries, and the Self-Direction Option, which allows waiver participants to manage their own care by selecting and hiring caregivers.
Regulatory oversight in Wyoming is managed through WDH, DHCF, and BHD, with additional provider licensing and compliance enforcement handled by the Office of Healthcare Licensing and Surveys (HLS). The state operates under both fee-for-service and managed care models, ensuring HCBS services are accessible across Wyoming’s rural communities.
Wyoming has also implemented Electronic Visit Verification (EVV) for personal care services, reinforcing compliance and service integrity in home-based care programs. Providers must navigate Medicaid enrollment, waiver-specific service authorizations, and rigorous quality assurance measures to participate successfully in the state’s HCBS system.
With a strong emphasis on rural healthcare access, self-directed care, and community integration, Wyoming’s Medicaid waiver programs ensure that individuals receive high-quality, sustainable long-term care while maintaining independence, dignity, and inclusion in their communities.
Explore Policy and Procedure manual for licensing and certification for your state Medicaid Waiver and HCBS programs here.
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