1. Program Definition and Services

Assistive Technology Services under the Wyoming Medicaid Home and Community-Based Services (HCBS) waivers provide specialized or adaptive devices, equipment, and technological controls designed to help participants increase their functional capabilities, promote self-care, and maximize independence in their homes and communities.

• Device Acquisition & Customization: Evaluation of technical needs, custom fabrication, adaptation, maintenance, and repair of assistive devices not covered by the standard Medicaid State Plan
• Participant & Caregiver Training: Individualized training for the participant, family members, or direct support professionals on how to safely operate, interface with, and maintain specialized devices

2. Regulations

The program is strictly governed by the following state and federal administrative frameworks:

• Wyoming Medicaid Rules
• Federal Home and Community-Based Services (HCBS) Final Settings Rule 
• Wyoming Department of Family Services (DFS) Screening Statutes

3. Licensing or Certification

Providers must secure Initial Provider Certification from the Wyoming Department of Health, Behavioral Health Division, Home and Community-Based Services Section. Providers must satisfy specialized training requirements and register as an enrolled Wyoming Medicaid Provider, re-verifying their credentials every 5 years.

4. Responsible State Agency

• Wyoming Department of Health (WDH), Division of Healthcare Financing & Behavioral Health Division: Primary administrative authority overseeing waiver compliance and credentialing
• Wyoming Secretary of State (SOS): Processes corporate registrations and active business formation filings

5. Application Process

Application Process include :

• Corporate Registration
• Portal Access Request
• Background Screening
• Application Submittal
• Medicaid Provider Enrollment

6. Required Documentation

• Verified business formation records (Articles of Organization/Incorporation) and active Federal EIN
• National Provider Identifier (NPI) mapped to relevant adaptive equipment or specialized habilitation taxonomies
• Provider Training Summaries (Form EX24) for all mandatory baseline training modules
• Agency Policies and Procedures 
• Certificates of commercial general liability insurance and active commercial auto insurance (if transporting equipment or clients via Form CERT05).

7. Timeline for Approval

The combined screening, training verification, application processing, and final Wyoming Medicaid provider enrollment pipeline typically averages 2 to 3 months. Applications left unsubmitted in the portal for more than 90 days are automatically canceled by the state.

8. Pre-Application Process

Before initiating the state application, prospective business owners must establish an active Wyoming corporate entity through the Secretary of State, obtain an EIN from the IRS, secure a Type 2 corporate NPI, and source all necessary background screening clearance packets for key personnel.

9. Pre-Application Training

Before final submittal, agency management must complete the mandatory WDH Initial Training Modules online and generate signed EX24 Training Summaries.

10. Additional Notes

• Every assistive device or training sequence must be explicitly justified within the participant’s Individualized Plan of Care (IPC), documenting how it addresses specific safety, health, or accessibility risks
• Under the current waiver frameworks, Assistive Technology utilizes an annual limit (typically $3,000) rather than a lifetime cap, with exceptions reviewed by the state for complex needs
• Providers are legally required under Chapter 45 to train at least one employee from each support team on the participant's specific tech devices and log verification in internal files before billing

Why Choose Waiver Consulting Group?

Starting or expanding your Medicaid waiver-funded agency can feel overwhelming, but it doesn't have to be. At Waiver Consulting Group, we simplify the process by guiding you through licensing, compliance, provider enrollment, policies & procedures, and regulatory approvals in any state.

With proven expertise, a structured process, and ongoing support, we take the guesswork out of launching your healthcare business. Whether you're a first-time entrepreneur or an established provider looking to expand, our team ensures you stay compliant, competitive, and fully operational.

To get started, click the link to request portal access