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Wyoming Medicaid


Our work advances healthcare and improves health for people in Wyoming through our expertise in utilization management review, in partnership with Wyoming Medicaid.

We are staffed by qualified healthcare professionals who provide utilization management tailored to the needs of enrolled Wyoming residents. We are privileged to perform this vital work.


Services We Provide for Wyoming Medicaid

  • Utilization management of durable medical equipment and home health services
    • Prior authorization review
    • Retrospective review


Announcements

Please check this page regularly for updates.

August 5, 2019: Slides Available for July 31 Behavioral Health Webinar
Slides from our July 31 webinar for behavioral health providers are now available on the Provider Education page. The presentation included an overview of our website, as well as instructions on registering for and using the Comagine Health Provider Portal.

March 27, 2019: Skilled Nursing Review Services for Waivers Webinar Online
On March 12 and 13 we presented webinars on using the Qualis Health Provider Portal to request skilled nursing services. To view the recordings and slides from those presentations, go to the Provider Education page and scroll down to “Webinar Archives.”

March 21, 2019: PA Status Now Available Online 24/7
Prior authorization inquiry and print functionality is now available on the Wyoming Medicaid Secure Provider Portal. Providers currently with "Claims Submitter" security rights may access PA information. Please see the February 13, 2019, Provider Bulletin for instructions.

March 21, 2019: First Series of Skilled Nursing Review Webinars Online
On March 6 and 7 we presented webinars on how to register for the Qualis Health Provider Portal. To get the recordings and slides from these presentations, go to the Provider Education page and scroll down to “Webinar Archives.”

February 25, 2019: Skilled Nursing Services Review Begins April 1. Join Us for Training in March.
On April 1, 2019, Qualis Health will begin performing prior authorization review of skilled nursing services for Wyoming Medicaid waiver participants. We process reviews through our secure online system, the Qualis Health Provider Portal. We invite skilled nursing providers to learn how to use the QHPP at our March training sessions. Visit the Provider Education page for complete details.

January 28, 2019: Revised DME Provider Manual Now Available
The Medical Supplies and Equipment Covered Services and Limitations Module has been updated. You can also find a link to this document on the Provider Resources page under “Provider Manual.”

December 28, 2018: Prior Authorization Code List Updated
We have updated the Codes Requiring Prior Authorization document, effective January 1, 2019. You can also find a link to this file on the Provider Resources page under the heading “Prior Authorization Materials.”

August 28, 2018: DME Prior Authorization Code List Updated
We have updated the DME Prior Authorization List in the Codes Requiring Prior Authorization document. You can also find a link to this file on the Provider Resources page under the heading “Prior Authorization Materials.”

 

 

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Contact Us

Phone:
(800) 783-8606

Fax:
(877) 810-9265

»Qualis Health Provider Portal

Contact Wyoming Medicaid

Amy Buxton
Provider Services Manager
Wyoming Medicaid
Department of Health
Division of Healthcare Financing
Phone: (307) 777-5081
Fax: (307) 777-6964
amy.buxton@wyo.gov

wymedicaid.portal.conduent.com


»more contact info