Health Insurance for Low-Income
The Wyoming Medical Assistance Program, also known as "Medicaid", is a federal and state funded program providing medical and health-related services for eligible Wyoming residents.
The Executive Office of Health and Human Services (EOHHS) administers the Medicaid program to provide health insurance for low-income families with children, pregnant women, senior citizens, people with disabilities or special needs, and other residents struggling to access affordable healthcare.
Wyoming Medicaid Plan Options
Wyoming Medicaid Children Age 18 and younger
Wyoming Medicaid Children program provides health coverage for children 0 - 18 years whose household income is below 154% of the Federal Poverty Limit.
Kid Care CHIP
Kid Care CHIP provides affordable health coverage for children whose household income is below 200% of the Federal Poverty Level and are ineligible for Medicaid.
Children’s Mental Health Waiver
The Children’s Mental Health Waiver provides a short-term home and community-based program for individuals with serious emotional disturbances that might be hospitalized in order to receive needed mental health treatment and services.
Pregnant Women
Wyoming’s Pregnant Women program provides coverage to eligible pregnant women for up to 60 days post-partum.
Pregnant by Choice
The Pregnant by Choice program provides pregnancy planning services to women that received Medicaid benefits through the Pregnant Women program.
Assisted Living Facility Waiver
The Assisted Living Facility Waiver provides an option for individuals who need nursing home level of care that wish to remain in the community in an assisted living facility and receive specialized services that may delay or prevent admission to a nursing home.
Long Term Care Waiver
The Long Term Care Waiver provides an option for individuals who need nursing home level of care, but wish to remain in their home and receive specialized services that could delay or prevent admission to a nursing home
Medicare Costing Savings programs
The purpose of Medicare Costing Savings programs is to assist individuals in paying their Medicare premiums and by making payments to medical providers for coinsurance and deductibles for Medicare services.
The Qualified Medicare Beneficiary (QMB) program pays for Medicare Part B premiums, coinsurance, and deductibles for those eligible and enrolled in Medicare Part A.
The Specified Low Medicare Beneficiary (SLMB) program provides payment of Medicare Part B premiums only for individuals who would be eligible for the QMB program except for excess income.
The Qualified Individual (QI-1) program provides payment of Medicare Part B premiums only for individuals who would be eligible for the SLMB program except for excess income.
The Qualified Disabled Working Individual (QDWI) program provides payment of Medicare Part A premiums only for individuals meeting income limits.
Program of All-Inclusive Care for the Elderly (PACE)
The Program of All-inclusive Care for the Elderly (PACE) is a care model for acute and long-term care individuals age 55 and older that meet state specific criteria for nursing home care placement. The goal of PACE is to maximize the participant’s autonomy and ability to reside in their community, while receiving quality care at lower cost relative to the Medicare, Medicaid, and traditional private pay programs.
Breast and Cervical Cancer
Women’s Cancer Screening Programing covers uninsured or underinsured women at specific income levels who need screenings for breast or cervical cancer. The program also provides diagnostic services and follow-up when an abnormality is found.
WHIPP (Wyoming Health Insurance Premium Payment) Program
Wyoming Health Insurance Premium Payment (WHIPP) Program requires individuals that are eligible for Medicaid and have other health insurance and significant medical expenses complete a WHIPP application. If the other insurance is found to be cost-effective, the applicant is required to maintain his or her health insurance, while Medicaid pays for the cost of the policy’s premium, co-insurance, and deductible.
Medicaid FAQs
- What is Medicaid?
Medicaid is a state funded insurance that that provides coverage to low income families, pregnant women, newborns, and children that may not be able to afford to purchase their own care.
- Who is eligible for Medicaid?
The following individuals are eligible for Wyoming Medicaid:
- Children 0 - 18 years with a household income less than 200% of the Federal Poverty Limit FPL
- Pregnant women with a household income less than 154% of the FPL
- Parents with dependents and a household income less than 56% of the FPL
- How do I find out if I am eligible for Medicaid?
To find out if you are eligible for Medicaid, you must fill out an application for Medicaid or CHIP. You may fill out an application at any time of the year. See more on Medicaid.
- Will Medicaid cover my children?
Your household income level will determine if your child or children can be covered by Medicaid.
- What is CHIP?
CHIP is a program that supports children in families that cannot afford private health insurance, but whose household income is too high to qualify for Medicaid.
- Does Medicaid satisfy the health insurance requirement?
Yes, Medicaid will satisfy the Affordable Care Act (Obamacare) health insurance requirement for the covered individuals.
- What information and documents should I have when I'm signing up for Medicaid?
Depending on the Medicaid program being applied for, you will need the following: Identity, Social Security, proof you live in Wyoming, proof of income, proof of medical costs, and bank account information.
- How does Obamacare work with Medicaid?
Because of Wyoming's Medicaid eligibility requirements, Obamacare does not impact people who qualify for Medicaid and vice versa. As such, tax credits are only available for people who are not eligible for other plans.
- What is Kid Care CHIP?
Kid Care CHIP provides affordable health coverage for the children of working parents in Wyoming. Kid Care CHIP is available to the children of parents
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