RESIDENTIAL HABILITATION SERVICES PROVIDER IN WYOMING
SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN HOME-LIKE SETTINGS THAT FOSTER INDEPENDENCE, COMMUNITY INCLUSION, AND DAILY LIFE SKILLS

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Residential Habilitation Services in Wyoming provide 24-hour support and supervision in structured home or group living environments for individuals with intellectual or developmental disabilities (I/DD). These services focus on helping individuals build daily living skills, improve personal autonomy, and engage meaningfully in community life while receiving the safety and consistency of residential support.

Residential habilitation is a core service under Wyoming’s Comprehensive Waiver administered by the Wyoming Department of Health’s Developmental Disabilities Division (DDD). Services are highly individualized and delivered in accordance with a person-centered Individualized Plan of Care (IPC).

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health (WDH) – Developmental Disabilities Division (DDD)
Role: Establishes standards, service definitions, provider enrollment requirements, and ongoing monitoring for Residential Habilitation.

Agency: Medicaid Provider Services – Division of Healthcare Financing
Role: Manages billing, claims processing, and reimbursement for waiver services.

Agency: Case Management Agencies
Role: Develop and monitor the Individualized Plan of Care (IPC), coordinate service authorizations, and track outcomes.

2. RESIDENTIAL HABILITATION SERVICES OVERVIEW

Residential habilitation offers 24/7 supports in certified settings designed to enhance independence while ensuring health, safety, and daily structure.

Covered services may include:

Support with activities of daily living (ADLs) such as bathing, dressing, toileting, and mobility

Meal planning and preparation

Medication assistance and health monitoring (under nurse delegation if needed)

Skill-building in budgeting, hygiene, home care, and communication

Community participation and recreation

Behavioral support (as needed and outlined in the care plan)

Overnight supervision and emergency response readiness

Assistance with developing routines and autonomy

Services must be tailored to each individual’s goals and outlined in the IPC with specific outcomes and documentation requirements.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply to become a DDD-certified Residential Habilitation provider

Complete the DDD provider certification process, including pre-service training

Develop a Residential Habilitation Policy & Procedure Manual per WDH guidelines

Ensure that all staff pass background checks and are trained in required health and safety protocols

Maintain residential safety standards, including emergency evacuation and medication storage procedures

Secure liability and property insurance

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain EIN/NPI
Step 2: Apply for DDD provider certification as a Residential Habilitation provider
Step 3: Complete required pre-service orientation and submit your P&P Manual
Step 4: Arrange for home inspection and compliance review
Step 5: Receive Medicaid enrollment credentials and billing ID
Step 6: Accept referrals from case managers and begin services upon IPC approval

5. REQUIRED DOCUMENTATION

DDD Provider Certification documents

Residential Habilitation Services Policy & Procedure Manual including:

Admission, transition, and discharge protocols

Daily schedule and service delivery routines

Medication assistance and health tracking procedures

Safety drills, emergency planning, and staff communication tools

Participant rights and grievance policy

Behavior intervention and de-escalation practices

Staff supervision logs and training records

IPC alignment with daily progress notes and monthly summaries

Facility safety plans, cleaning checklists, and incident reports

House rules and consent documentation

6. STAFFING REQUIREMENTS

Role: Direct Support Professional (DSP)
Requirements:

Minimum age 18

Background check and abuse registry clearance

CPR/First Aid certification

Completed pre-service training through DDD

Ongoing in-service training (including fire safety, rights, and HIPAA)

Role: Program Manager / House Manager (recommended)
Requirements:

Supervises staff schedules, training, and client outcomes

Ensures compliance with care plans and agency procedures

All staff must complete:

Abuse and neglect prevention

Emergency preparedness and behavior intervention

Documentation and confidentiality protocols

Person-centered practices and disability rights

7. MEDICAID PROGRAMS THAT COVER RESIDENTIAL HABILITATION SERVICES

Comprehensive Waiver: Covers 24/7 residential habilitation services for individuals with I/DD who meet level-of-care criteria. Supports may be provided in provider-owned or -operated homes with 1–3 residents.

Supports Waiver: Does not cover 24/7 residential habilitation. Individuals needing full-time care must be served under the Comprehensive Waiver.

Note: Residential Habilitation is subject to service limits, staffing ratios, and WDH regulations. Services must align with the IPC and include documented outcomes and participant feedback.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Training
Timeline: 30–60 days

Phase: DDD Certification & Medicaid Enrollment
Timeline: 2–4 months

Phase: Facility Inspection & Initial Referrals
Timeline: Upon successful certification and contracting

9. CONTACT INFORMATION

Wyoming DDD Provider Resources
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Medicaid Provider Portal
Website: https://wymedicaid.portal.conduent.com

Wyoming Secretary of State – Business Registration
Website: https://sos.wyo.gov

Community Services Certification Contact
Email: wdh-dd-certification@wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING RESIDENTIAL HABILITATION PROVIDER

WCG helps providers launch and sustain high-quality residential habilitation programs that meet Wyoming’s standards and deliver life-enriching supports to individuals with I/DD.

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Scope of Work:

DDD Certification and Medicaid provider enrollment

Residential Habilitation Policy & Procedure Manual

Staffing plan, shift log, and IPC documentation templates

Facility inspection readiness and emergency protocols

Staff training materials and DSP onboarding packets

Compliance checklists and internal audit tools

SUPPORTED EMPLOYMENT SERVICES PROVIDER IN WYOMING
EMPOWERING INDIVIDUALS WITH DISABILITIES TO GAIN AND MAINTAIN COMPETITIVE, INTEGRATED EMPLOYMENT WITH THE SUPPORTS THEY NEED TO SUCCEED

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Supported Employment Services in Wyoming help individuals with intellectual, developmental, or physical disabilities find and maintain meaningful, competitive employment in the community. These services are designed to promote independence, self-sufficiency, and inclusion by providing customized supports in real-world work environments.

Supported Employment is a covered service under Wyoming’s Comprehensive and Supports Waivers, managed by the Developmental Disabilities Division (DDD) within the Wyoming Department of Health. Services must be reflected in the participant’s Individualized Plan of Care (IPC) and aligned with their employment goals.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health (WDH) – Developmental Disabilities Division (DDD)
Role: Certifies providers, defines service standards, and monitors compliance for waiver-funded employment supports.

Agency: Wyoming Department of Workforce Services – Division of Vocational Rehabilitation (VR)
Role: Provides short-term employment supports prior to long-term waiver-funded Supported Employment and must be accessed first.

Agency: Medicaid Provider Services – Division of Healthcare Financing
Role: Handles Medicaid provider enrollment and billing.

Agency: Case Management Agencies
Role: Assess individual needs and coordinate employment services as part of the participant’s IPC.

2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW

Supported Employment helps participants achieve their employment goals by offering assistance before and after job placement. It focuses on competitive, integrated employment where the participant earns a wage and works alongside individuals without disabilities.

Covered supports may include:

Job development and exploration

Assistance with job applications and interviews

On-the-job coaching and training

Support with workplace accommodations and task modifications

Employer outreach and advocacy

Transportation training related to employment

Ongoing job retention support

Coordination with Vocational Rehabilitation and employer partners

All services must be tailored to the individual’s goals and documented in the IPC. Waiver-funded services may begin after VR services have been exhausted or declined.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for DDD certification as a Supported Employment provider

Complete the provider orientation and training required by DDD

Develop a Supported Employment Policy & Procedure Manual

Hire Employment Support Specialists or Job Coaches with appropriate training

Maintain general liability insurance and track staff background checks

Supported Employment does not require a separate business license but must meet DDD certification standards.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for certification with Wyoming DDD for Supported Employment
Step 3: Complete provider orientation and submit required documentation (manuals, training plans, resumes)
Step 4: Enroll with Medicaid through the Provider Portal
Step 5: Begin receiving participant referrals from case managers once included in IPC
Step 6: Deliver services in accordance with VR coordination and waiver billing timelines

5. REQUIRED DOCUMENTATION

DDD provider certification

Supported Employment Policy & Procedure Manual including:

Job coaching and support delivery models

Coordination with VR and employer partners

Documentation of hours, outcomes, and progress

Staff training and supervision plans

Participant rights, safety protocols, and HIPAA compliance

Job matching and assessment procedures

Transportation safety (if applicable)

Service delivery logs and employer communication forms

Monthly progress reports tied to IPC goals

6. STAFFING REQUIREMENTS

Role: Employment Support Specialist / Job Coach
Requirements:

High school diploma or GED required; bachelor’s in human services preferred

Experience supporting individuals with disabilities in employment or community settings

Background check and abuse registry clearance

CPR/First Aid (recommended)

Must complete DDD-mandated employment support training modules

All staff must complete:

Disability sensitivity and workplace inclusion training

Vocational support documentation and billing procedures

Rights and safety training for community-based work environments

7. MEDICAID PROGRAMS THAT COVER SUPPORTED EMPLOYMENT

Comprehensive Waiver: Full array of employment supports for individuals with high levels of need

Supports Waiver: Limited employment services for individuals with lower support needs

Vocational Rehabilitation (VR): Required as the first payer before waiver funding begins

Note: Supported Employment services must not duplicate VR-funded services. Providers must document VR denial, closure, or ineligibility before waiver billing begins.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Policy Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Training
Timeline: 30–45 days

Phase: DDD Certification & Medicaid Enrollment
Timeline: 2–3 months

Phase: Begin Services
Timeline: After inclusion in the participant’s IPC and post-VR referral

9. CONTACT INFORMATION

Wyoming Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Medicaid Provider Enrollment
Website: https://wymedicaid.portal.conduent.com

Wyoming Department of Workforce Services – VR Program
Website: https://dws.wyo.gov/vr/

Wyoming Secretary of State – Business Registration
Website: https://sos.wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING SUPPORTED EMPLOYMENT PROVIDER

WCG helps agencies and job coaches launch high-impact supported employment programs in Wyoming that connect individuals with disabilities to meaningful, competitive work opportunities.

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Scope of Work:

DDD certification and Medicaid enrollment

Supported Employment P&P Manual creation

Job development, coaching, and tracking templates

Coordination workflow for VR and waiver integration

Staff training plans and onboarding documentation

Documentation and outcome monitoring tools for IPC compliance

PERSONAL CARE SERVICES PROVIDER IN WYOMING
ASSISTING INDIVIDUALS WITH DAILY LIVING TASKS TO MAINTAIN HEALTH, DIGNITY, AND INDEPENDENCE IN THEIR HOMES AND COMMUNITIES

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Personal Care Services (PCS) in Wyoming provide hands-on assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) for individuals who are elderly, chronically ill, or have physical or developmental disabilities. These services are designed to support individuals in remaining safely in their homes and avoiding institutional placement.

PCS is covered under Wyoming Medicaid’s State Plan and through the Community Choices Waiver (CCW) and Developmental Disabilities Waivers. All services must be deemed medically necessary, authorized in a care plan, and provided by qualified caregivers under the supervision of a registered nurse (RN).

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health (WDH) – Division of Healthcare Financing
Role: Oversees Medicaid programs, including PCS and waiver-based services.

Agency: Public Health Nursing (PHN) or local Case Management entities
Role: Assess participant needs, develop care plans, and monitor PCS delivery (especially for Community Choices Waiver).

Agency: Wyoming Medicaid Provider Services
Role: Handles provider enrollment, billing support, and claims processing for Medicaid services.

2. PERSONAL CARE SERVICES OVERVIEW

Personal Care Services are non-medical supports provided in an individual’s home or community to assist with functional needs.

Covered services include:

Bathing, grooming, and personal hygiene

Dressing and undressing assistance

Mobility support and transfers

Toileting and incontinence care

Feeding assistance

Meal preparation and cleanup

Light housekeeping related to care

Medication reminders (not administration)

Escorting to medical appointments (non-transport)

PCS must be documented in a care plan, and service delivery must reflect individualized goals and safety protocols.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for enrollment with Wyoming Medicaid as a Personal Care or Home & Community-Based Services (HCBS) provider

Employ or contract qualified caregivers

Develop a Personal Care Services Policy & Procedure Manual aligned with WDH guidelines

Maintain liability insurance and comply with caregiver training standards

Conduct background checks and abuse registry screenings

Wyoming does not require home care agencies to be separately licensed unless providing clinical or skilled care.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and secure an EIN and NPI
Step 2: Apply for Medicaid enrollment through the Provider Enrollment Portal
Step 3: Submit required documentation (manuals, insurance, staff credentials)
Step 4: Coordinate with PHN or case managers for care plan implementation
Step 5: Complete state-required training or orientation for waiver programs
Step 6: Begin providing services upon service plan approval

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment confirmation

Personal Care Services Policy & Procedure Manual covering:

ADL/IADL task protocols and supervision

Participant rights and consent documentation

Daily service logs and shift notes

Staff training requirements and supervision

Abuse prevention and reporting procedures

HIPAA compliance and confidentiality safeguards

Infection control and universal precautions

Emergency protocols and escalation steps

Staff files including background checks, CPR/First Aid, and annual evaluations

6. STAFFING REQUIREMENTS

Role: Personal Care Aide (PCA) / Direct Support Staff
Requirements:

Must be at least 18 years old

High school diploma or GED (recommended)

CPR/First Aid certified

Background check and abuse registry clearance

Completed orientation and competency verification

Role: RN Supervisor (if required by waiver or agency policy)
Requirements:

Licensed Registered Nurse (RN) in Wyoming

Oversees care plans, performs assessments, and supervises staff as needed

All staff must complete:

Universal precautions and infection control

Abuse and neglect prevention

Client dignity, privacy, and person-centered care training

7. MEDICAID PROGRAMS THAT COVER PERSONAL CARE SERVICES

Wyoming Medicaid State Plan PCS: For eligible adults and children requiring hands-on support at home

Community Choices Waiver (CCW): Provides personal care, homemaking, respite, and more for adults aged 65+ or with physical disabilities

Comprehensive and Supports Waivers (for I/DD): Personal care as part of a broader service array for individuals with intellectual or developmental disabilities

EPSDT (Early and Periodic Screening, Diagnostic, and Treatment): Covers PCS for children and youth under 21 based on medical necessity

Note: Services must be authorized in a care plan and tracked with clear documentation. Some programs may require prior authorization.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Staff Recruitment & Training
Timeline: 30–45 days

Phase: Medicaid Enrollment & Waiver Contracting
Timeline: 1–3 months

Phase: Start of Services
Timeline: After participant care plan approval and credentialing

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Community Choices Waiver Information
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Medicaid Provider Portal (Enrollment)
Website: https://wymedicaid.portal.conduent.com

Wyoming Secretary of State – Business Registration
Website: https://sos.wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING PERSONAL CARE PROVIDER

WCG helps providers launch fully compliant personal care agencies that serve individuals across Wyoming’s Medicaid and waiver systems with compassion and quality.

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Scope of Work:

Medicaid and waiver enrollment support

PCS Policy & Procedure Manual creation

Care log templates, client intake forms, and supervision trackers

Staff onboarding packets and training compliance tools

HIPAA, abuse prevention, and emergency protocols

Billing documentation and audit readiness assistance

ADAPTIVE EQUIPMENT SERVICES PROVIDER IN WYOMING
ENABLING GREATER INDEPENDENCE, SAFETY, AND FUNCTIONAL ABILITY THROUGH CUSTOMIZED TOOLS AND DEVICES TAILORED TO INDIVIDUAL NEEDS

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Adaptive Equipment Services in Wyoming help individuals with disabilities or chronic conditions access the tools and assistive devices they need to live safely and independently in their homes and communities. These supports enhance mobility, communication, personal care, and environmental access—often reducing reliance on caregivers and institutional services.

Adaptive equipment is covered under Wyoming Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the Comprehensive and Supports Waivers through the Developmental Disabilities Division (DDD), and the Community Choices Waiver (CCW) for older adults and individuals with physical disabilities. Devices must be medically necessary, cost-effective, and aligned with the participant’s Individualized Plan of Care (IPC) or service plan.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health (WDH) – Developmental Disabilities Division (DDD) & Division of Healthcare Financing
Role: Defines equipment policies, eligibility, service limits, and monitoring for Medicaid waiver participants.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Identify needs, justify medical necessity, and coordinate authorization for adaptive equipment.

Agency: Medicaid Provider Services
Role: Processes provider enrollment, billing, and reimbursement for equipment purchases and related services.

2. ADAPTIVE EQUIPMENT SERVICES OVERVIEW

Adaptive Equipment refers to specialized tools, devices, or modifications that help individuals perform tasks they otherwise couldn’t complete independently due to disability or health limitations.

Examples of covered adaptive equipment include:

Wheelchairs (manual, powered, tilt-in-space)

Shower chairs, grab bars, and toileting systems

Adaptive eating utensils or cooking aids

Hospital beds, lifts, and transfer devices

Communication devices (e.g., speech output systems)

Sensory regulation equipment

Environmental control units (e.g., smart switches)

Adaptive recreation and learning tools

Safety modifications to support behavioral needs

Some equipment may require a professional evaluation (e.g., by an occupational therapist, physical therapist, or assistive technology specialist) and prior authorization depending on cost and complexity.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Enroll with Wyoming Medicaid as a Durable Medical Equipment (DME) provider or waiver-based vendor

Partner with licensed professionals (OTs, PTs, ATPs) for assessments and recommendations when needed

Develop an Adaptive Equipment Policy & Procedure Manual

Ensure product safety, ADA compliance, and warranty/return procedures

Maintain general liability insurance and product liability coverage

Some adaptive equipment providers also act as retail vendors or distributors with medical supply licensure.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for enrollment as a Medicaid DME or adaptive equipment provider
Step 3: Submit documentation including catalogs, warranty policies, and P&P Manual
Step 4: Complete required waiver or Medicaid orientation
Step 5: Begin service delivery once devices are authorized in the participant’s plan and prior authorization (if applicable) is approved

5. REQUIRED DOCUMENTATION

Medicaid enrollment confirmation

Adaptive Equipment Policy & Procedure Manual covering:

Intake and ordering process

Evaluation referral and coordination (if required)

Delivery, training, and setup protocol

Safety, maintenance, and return policies

Inventory tracking and warranty documentation

Participant rights, consent forms, and HIPAA compliance

Billing and justification templates for prior authorization

Repair and troubleshooting response procedures

Staff credentials, equipment catalogs, and service logs

6. STAFFING REQUIREMENTS

Role: Equipment Coordinator / Vendor Representative
Requirements:

Knowledge of adaptive devices and safety standards

Trained in HIPAA, device delivery, and documentation

Background check and abuse registry clearance

Role: Licensed Evaluator (e.g., OT, PT, ATP-certified specialist)
Requirements:

Wyoming state license (for therapists) or RESNA certification (for ATPs)

Conducts functional assessments and writes equipment justification reports

Collaborates with case managers and device vendors

All staff must complete:

Participant confidentiality and safety training

Documentation practices and order tracking

Infection control (for delivered items)

7. MEDICAID PROGRAMS THAT COVER ADAPTIVE EQUIPMENT

Comprehensive Waiver (I/DD): Covers a wide range of adaptive equipment to support mobility, self-care, behavior, and communication

Supports Waiver (I/DD): Includes basic equipment for less intensive needs (with caps)

Community Choices Waiver (CCW): Provides medically necessary equipment to support aging in place or physical disability management

Early and Periodic Screening, Diagnostic and Treatment (EPSDT): May fund adaptive equipment for children under 21 when deemed medically necessary

Katie Beckett Program: Equipment coverage for medically fragile children who do not otherwise qualify for Medicaid

Note: All equipment must be justified in the plan of care, supported by professional recommendation (if required), and be the most cost-effective solution.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Medicaid Enrollment & Vendor Partnerships
Timeline: 1–2 months

Phase: Staff Hiring / Evaluator Network (if applicable)
Timeline: Ongoing

Phase: Begin Delivery of Equipment
Timeline: Once authorized by care plan and prior authorization is complete (if required)

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING ADAPTIVE EQUIPMENT PROVIDER

WCG helps vendors and disability-focused providers build successful adaptive equipment operations that meet Medicaid standards and improve participant safety and independence.

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Scope of Work:

Medicaid enrollment as DME or waiver vendor

Adaptive Equipment Policy & Procedure Manual creation

Evaluation coordination forms and delivery protocols

Billing templates, service logs, and warranty tracking

Staff training guides and intake documentation

Product compliance and audit readiness materials

SKILLED NURSING SERVICES PROVIDER IN WYOMING
DELIVERING CLINICALLY SUPERVISED CARE TO INDIVIDUALS WITH COMPLEX MEDICAL NEEDS IN HOME AND COMMUNITY SETTINGS

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Skilled Nursing Services in Wyoming provide essential, medically necessary care to individuals with chronic health conditions, disabilities, or post-acute medical needs. These services are performed by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) and are delivered in home or residential settings to help individuals avoid hospitalization or institutionalization.

Skilled nursing is covered under Wyoming Medicaid’s State Plan and through various Home and Community-Based Services (HCBS) Waivers, including the Community Choices Waiver (CCW) and the Children’s Developmental Disability Waivers. Services must be ordered by a physician, justified in a care plan, and documented in accordance with state and federal guidelines.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing
Role: Administers Medicaid State Plan and HCBS waiver nursing coverage policies and reimbursement.

Agency: Public Health Nursing (PHN) / Case Management Agencies
Role: Coordinate care plans, assess nursing needs, and authorize skilled nursing hours.

Agency: Wyoming Board of Nursing (BON)
Role: Licenses and regulates RNs, LPNs, and APRNs practicing in Wyoming.

Agency: Medicaid Provider Services
Role: Manages provider enrollment, billing processes, and prior authorization workflows.

2. SKILLED NURSING SERVICES OVERVIEW

Skilled Nursing refers to clinical services that require the professional expertise of a licensed nurse and are performed under physician orders.

Covered services may include:

Medication administration (oral, IM, IV, subcutaneous)

Wound care and dressing changes

Tracheostomy care and ventilator support

Tube feeding and catheter care

Vital sign monitoring and chronic disease management

Diabetes care and insulin injections

Patient and caregiver education

Delegation of tasks to unlicensed staff (under RN supervision)

Documentation of clinical progress and coordination with physicians

Services may be intermittent or continuous and must be delivered in accordance with a physician-ordered Plan of Care (POC).

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for Medicaid enrollment as a Skilled Nursing or Home Health provider

Employ or contract licensed RNs and/or LPNs with valid Wyoming BON licensure

Develop a Skilled Nursing Services Policy & Procedure Manual

Maintain general liability, malpractice, and workers’ compensation insurance

Establish RN supervision and documentation systems for LPNs (if used)

Medicare certification is optional but may be pursued for dual reimbursement under Medicare and Medicaid.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN and NPI
Step 2: Apply to Wyoming Medicaid as a provider of skilled nursing or home health services
Step 3: Submit required documentation: licenses, policy manual, staff rosters, and credentials
Step 4: (Optional) Apply for Medicare certification if serving dual-eligible clients
Step 5: Coordinate with waiver case managers (CCW, DD) for waiver-based authorization
Step 6: Begin services once Plan of Care is approved and prior authorization (if required) is issued

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment and credentialing forms

Skilled Nursing Services Policy & Procedure Manual including:

Plan of Care (POC) development and review

Clinical assessment and shift documentation templates

Delegation, supervision, and RN visit logs

Infection control and universal precautions protocols

Emergency response and escalation procedures

HIPAA compliance and confidentiality safeguards

Medication administration logs and safety checklists

Incident reporting and follow-up documentation

Training and credentialing tracking for nurses

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)
Requirements:

Active Wyoming RN license from the Board of Nursing

Develops care plans, conducts assessments, and supervises all clinical staff

Trained in documentation, HIPAA, emergency procedures, and delegation

Role: Licensed Practical Nurse (LPN)
Requirements:

Active Wyoming LPN license

Works under the supervision of an RN

Provides delegated clinical tasks (e.g., injections, catheter care, wound care)

All nursing staff must complete:

CPR/First Aid and infection control training

Annual skills validation and charting audits

Abuse and neglect prevention training

Continuing education as required by BON and Medicaid

7. MEDICAID PROGRAMS THAT COVER SKILLED NURSING SERVICES

Medicaid State Plan: Covers skilled nursing services ordered by a physician for eligible individuals

Community Choices Waiver (CCW): Covers intermittent skilled nursing for adults with physical disabilities or aging-related conditions

Comprehensive and Supports Waivers (for I/DD): Covers skilled nursing for individuals with intensive medical needs

Early and Periodic Screening, Diagnosis and Treatment (EPSDT): May cover pediatric skilled nursing when medically necessary

Katie Beckett Program: Allows coverage of skilled nursing for children with complex medical conditions who do not otherwise qualify for Medicaid

Note: All services must be supported by physician orders, documented within a Plan of Care, and provided by licensed professionals. Certain high-need cases require prior authorization.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Policy Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Credential Verification
Timeline: 30–60 days

Phase: Medicaid Enrollment & Waiver Registration
Timeline: 2–4 months

Phase: Launch of Services
Timeline: Upon Plan of Care approval and credentialing completion

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Board of Nursing
Website: https://wsbn.wyo.gov

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING SKILLED NURSING PROVIDER

WCG supports nurses, home health agencies, and private healthcare companies in launching fully compliant, high-quality skilled nursing services across Wyoming.

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Scope of Work:

Medicaid and waiver program enrollment

Skilled Nursing P&P Manual development

Charting templates, Plan of Care documentation, and visit logs

RN supervision forms and LPN delegation workflows

HIPAA, infection control, and safety protocols

Staff credentialing logs and continuing education trackers

Audit preparation and billing documentation tools

HABILITATION SERVICES PROVIDER IN WYOMING
PROMOTING SKILL DEVELOPMENT, FUNCTIONAL INDEPENDENCE, AND COMMUNITY ENGAGEMENT FOR INDIVIDUALS WITH DISABILITIES

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Habilitation Services in Wyoming are designed to support individuals with intellectual and developmental disabilities (I/DD) in acquiring, maintaining, and improving the skills needed for daily living and community inclusion. These services focus on teaching rather than restoring skills—addressing areas such as self-care, communication, behavior regulation, and independent living.

Habilitation is a core component of Wyoming’s Comprehensive and Supports Waivers, administered by the Developmental Disabilities Division (DDD) of the Wyoming Department of Health. Services must be person-centered and reflect outcomes outlined in each participant’s Individualized Plan of Care (IPC).

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Developmental Disabilities Division (DDD)
Role: Defines habilitation service requirements, oversees provider certification, and monitors quality and compliance.

Agency: Medicaid Provider Services – Division of Healthcare Financing
Role: Handles Medicaid enrollment, reimbursement, and claims processing for waiver services.

Agency: Case Management Agencies
Role: Develop and manage the IPC, coordinate services, monitor progress, and ensure alignment with waiver goals.

2. HABILITATION SERVICES OVERVIEW

Habilitation services aim to help individuals build and maintain life skills that promote self-sufficiency, integration, and personal empowerment.

Covered habilitation services may include:

Daily living skills (e.g., hygiene, cooking, budgeting)

Social and communication skills development

Adaptive behavior support and training

Community participation and inclusion activities

Self-advocacy and decision-making coaching

Household management and mobility training

Pre-vocational and recreational support

Skill-building in emotional regulation and personal boundaries

Habilitation may be delivered in-home, in a provider-owned residential setting, or in the community depending on the service model and participant preference.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your agency with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for certification through DDD as a habilitation services provider

Complete mandatory provider orientation and pre-service training

Develop a Habilitation Services Policy & Procedure Manual

Employ or contract qualified staff trained in person-centered habilitation

Conduct background checks and maintain insurance coverage

Providers must meet specific DDD standards for training, documentation, service environment, and staff supervision.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain EIN/NPI
Step 2: Submit an application for DDD provider certification
Step 3: Complete required provider orientation and submit your Policy & Procedure Manual
Step 4: Enroll with Medicaid via the Provider Portal
Step 5: Receive IPC referrals from case managers and begin service delivery once services are authorized

5. REQUIRED DOCUMENTATION

DDD provider certification documentation

Habilitation Services Policy & Procedure Manual including:

Person-centered planning and skill acquisition strategies

Daily activity and progress tracking forms

Behavioral support protocols (if applicable)

Staff supervision, training, and emergency response plans

Participant rights, grievance procedures, and consent forms

HIPAA and confidentiality compliance

Abuse prevention and incident reporting workflows

Community access and transportation procedures

Staff credentialing records and background check documentation

6. STAFFING REQUIREMENTS

Role: Direct Support Professional (DSP) / Habilitation Specialist
Requirements:

Minimum age 18

High school diploma or GED

Background check and abuse registry clearance

CPR/First Aid certification

Completion of pre-service DDD-required training

Role: Program Supervisor (recommended)
Responsibilities: Staff oversight, documentation audits, and participant outcome tracking

All staff must complete:

Person-centered planning training

Abuse and neglect prevention

HIPAA and confidentiality protocols

Documentation and data collection skills

Emergency and safety training (fire drills, elopement, behavioral incidents)

7. MEDICAID PROGRAMS THAT COVER HABILITATION SERVICES

Comprehensive Waiver (I/DD): Offers a wide range of habilitation services for individuals with high levels of support needs

Supports Waiver (I/DD): Covers habilitation for individuals with moderate needs and limited budgets

Children’s Habilitation Services: Covered under waiver services for youth with developmental disabilities, if functionally and medically justified

Note: All services must be outlined in the participant’s IPC with measurable goals, methods, and staff responsibilities clearly defined. Documentation is critical for billing and quality monitoring.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Policy Manual Creation
Timeline: 2–3 weeks

Phase: Staff Hiring & Pre-Service Training
Timeline: 30–45 days

Phase: DDD Certification & Medicaid Enrollment
Timeline: 2–3 months

Phase: Begin Service Delivery
Timeline: Upon IPC authorization and successful enrollment

9. CONTACT INFORMATION

Developmental Disabilities Division (DDD) – Wyoming Department of Health
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Medicaid Provider Enrollment Portal
Website: https://wymedicaid.portal.conduent.com

Wyoming Secretary of State – Business Registration
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING HABILITATION PROVIDER

WCG supports agencies and solo providers in launching high-quality habilitation services across Wyoming’s Medicaid waiver landscape—helping individuals gain the skills they need to thrive.

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Scope of Work:

DDD certification and Medicaid enrollment support

Habilitation P&P Manual development

Daily logs, progress tracking, and IPC-aligned forms

Staff onboarding materials and compliance trackers

Community activity planning tools and documentation templates

Audit and documentation readiness checklists

ADULT HEALTH SERVICES PROVIDER IN WYOMING
SUPPORTING HEALTH, FUNCTIONAL ABILITY, AND DAILY WELLNESS FOR ADULTS WITH DISABILITIES OR AGE-RELATED CONDITIONS THROUGH PREVENTIVE AND RESTORATIVE CARE

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Adult Health Services in Wyoming help adults with disabilities, chronic health conditions, or aging-related needs maintain or improve their overall health, functional abilities, and quality of life. These services are typically non-clinical but health-related and are delivered in the home, adult day settings, or community-based programs to support continued independence and community living.

Adult health services are covered under Wyoming Medicaid’s Community Choices Waiver (CCW) and may also be included as supportive components within Developmental Disabilities (DD) Waivers, such as the Comprehensive and Supports Waivers, depending on the participant’s Individualized Plan of Care (IPC) or service plan.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing
Role: Oversees policy, funding, and quality monitoring for Medicaid and waiver-based health support services.

Agency: Public Health Nursing (PHN) / Case Management Agencies
Role: Coordinate assessments and care plans that include adult health supports.

Agency: Medicaid Provider Services
Role: Handles provider enrollment, reimbursement, and prior authorization for services under CCW and other Medicaid-funded programs.

2. ADULT HEALTH SERVICES OVERVIEW

Adult Health Services focus on maintaining wellness, supporting functional ability, and preventing health deterioration through structured, non-invasive, supportive care.

Common service components include:

Health education (nutrition, medication routines, chronic disease self-care)

Supervision and support with ADLs and basic health routines

Monitoring weight, blood pressure, or blood glucose (non-diagnostic)

Cognitive engagement and memory support activities

Safety checks and fall prevention routines

Assistance with health-related tasks under RN delegation (when appropriate)

Coordination with physicians and health providers (non-clinical support)

Services may be provided in-home, in adult day health programs, or via community-based wellness visits.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI (if billing Medicaid directly)

Enroll as a Medicaid waiver provider (CCW or DD Waiver, as applicable)

Develop an Adult Health Services Policy & Procedure Manual

Hire staff with experience in health support, aging services, or disability care

Ensure background checks, abuse registry clearance, and basic health training

If offering delegated health-related supports, partner with or employ an RN

Licensure is generally not required unless providing clinical or skilled nursing services. However, RN oversight is required for delegated care tasks.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for enrollment under the Community Choices Waiver or applicable DD Waiver
Step 3: Submit staff credentials, service descriptions, and Policy & Procedure Manual
Step 4: Complete program-specific training or orientation (if required)
Step 5: Begin services once participant’s service plan includes authorized adult health supports

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment documentation

Adult Health Services Policy & Procedure Manual including:

Participant intake and service assessment process

Daily wellness support plans and task documentation

Health observation logs (e.g., vital sign trends, changes in condition)

HIPAA and client rights protections

RN delegation policies (if applicable)

Grievance and incident reporting procedures

Staff supervision and training records

Transportation and community access safety procedures (if applicable)

Sample care logs, wellness activity checklists, and emergency protocols

6. STAFFING REQUIREMENTS

Role: Adult Health Support Worker / Wellness Aide
Requirements:

High school diploma or GED

Experience with aging populations or adults with disabilities preferred

CPR/First Aid certification

Background check and abuse registry clearance

Onboarding and annual training in HIPAA, safety, and client interaction

Role: Registered Nurse (optional/required for delegated tasks)
Requirements:

Active Wyoming RN license

Provides care oversight and training to support staff

May conduct assessments or assist with documentation of health changes

All staff must complete:

Confidentiality and rights training

Abuse and neglect prevention

Health support and emergency procedures training

Annual performance and competency reviews

7. MEDICAID PROGRAMS THAT COVER ADULT HEALTH SERVICES

Community Choices Waiver (CCW): Covers wellness support and adult day health services for adults age 65+ or with physical disabilities

Comprehensive Waiver (I/DD): May include individualized adult health supports in residential or community habilitation contexts

Supports Waiver (I/DD): Limited availability of adult health-related supports based on functional need

EPSDT (for individuals under 21): Health support services may be available under Early and Periodic Screening, Diagnostic, and Treatment when medically justified

Note: Adult health services must be included in the participant’s IPC and be linked to documented functional limitations or health maintenance goals. Delegated care must follow state nurse delegation rules.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Training Setup
Timeline: 30–45 days

Phase: Medicaid Waiver Enrollment & Approval
Timeline: 1–3 months

Phase: Begin Service Delivery
Timeline: Upon IPC approval and provider credentialing

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING ADULT HEALTH SERVICES PROVIDER

WCG helps agencies design and launch wellness-focused adult health services that bridge the gap between clinical care and daily living support, improving health outcomes and preserving independence.

​

Scope of Work:

Medicaid waiver enrollment support

Adult Health Services P&P Manual development

Daily wellness tracking templates and documentation tools

Staff onboarding checklists and training resources

RN delegation policy assistance (if applicable)

Billing and audit documentation support

ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN WYOMING
ENHANCING INDEPENDENCE, COMMUNICATION, AND SAFETY FOR INDIVIDUALS THROUGH CUSTOMIZED TECHNOLOGY SOLUTIONS

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Assistive Technology (AT) Services in Wyoming empower individuals with disabilities or chronic conditions by providing tools, devices, and services that improve communication, mobility, safety, and daily functioning. These supports are critical for enabling independence and full participation in home and community life.

AT services are available through Wyoming Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the Comprehensive and Supports Waivers administered by the Developmental Disabilities Division (DDD), and the Community Choices Waiver (CCW) for individuals who are elderly or physically disabled. All devices and services must be authorized in the individual’s Individualized Plan of Care (IPC) and demonstrate clear functional necessity.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Developmental Disabilities Division (DDD) and Division of Healthcare Financing
Role: Establishes eligibility, defines covered items, and oversees Medicaid-funded AT services.

Agency: Medicaid Provider Services
Role: Manages enrollment, claims, and payment for AT providers and vendors.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Assess participant needs, coordinate evaluations, and facilitate authorization in IPCs.

2. ASSISTIVE TECHNOLOGY SERVICES OVERVIEW

Assistive Technology includes both devices and services that help individuals perform tasks they would otherwise be unable to do independently due to disability or health limitations.

Covered devices and supports may include:

Communication devices (AAC systems, speech output tools)

Mobility aids (e.g., smart canes, voice-controlled devices)

Environmental control units (e.g., smart home systems, remote door openers)

Adaptive switches and technology for recreation or learning

Sensory regulation and behavioral support devices

Visual and auditory alert systems

Medication dispensers and health monitors

Setup, training, and customization of AT devices

Services must demonstrate medical or functional necessity, and cost-effectiveness. Devices may require professional evaluation from an Occupational Therapist, Physical Therapist, or Assistive Technology Professional (ATP).

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for Medicaid enrollment as an AT vendor or Durable Medical Equipment (DME) provider

Partner with licensed professionals (OTs, PTs, SLPs, or ATPs) for evaluations when required

Develop an Assistive Technology Services Policy & Procedure Manual

Maintain liability insurance and establish safety and warranty policies

Ensure compliance with ADA and technology standards

AT providers may also operate as vendors, evaluators, or installers depending on service structure.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain EIN/NPI
Step 2: Apply for Wyoming Medicaid provider enrollment as an AT or DME vendor
Step 3: Submit required documentation (manuals, pricing, service offerings, warranties)
Step 4: Coordinate with evaluators and case managers for participant assessments
Step 5: Deliver services once IPC and, if required, prior authorization are approved

5. REQUIRED DOCUMENTATION

Medicaid enrollment and provider credentialing documentation

Assistive Technology Policy & Procedure Manual including:

Equipment recommendation and assessment workflows

Service delivery and device setup procedures

Warranty, return, and repair policies

HIPAA, confidentiality, and participant rights policies

Staff training and credential tracking

Templates for AT request forms, justification letters, and training logs

Incident reporting and safety tracking for technology failure or misuse

6. STAFFING REQUIREMENTS

Role: AT Technician / Equipment Provider
Requirements:

Knowledge of assistive technology tools and ADA-compliant installation

Training in HIPAA, safety, and participant interaction

Background check and documentation of device delivery training

Role: Licensed Evaluator (OT, PT, SLP, or ATP)
Requirements:

Wyoming state license or national ATP certification (e.g., RESNA)

Conducts functional evaluations and writes recommendation reports

Collaborates with case managers and vendors for authorization and delivery

All staff must complete:

HIPAA and participant confidentiality training

Emergency procedures and usage documentation

Technology setup, maintenance, and participant training

7. MEDICAID PROGRAMS THAT COVER ASSISTIVE TECHNOLOGY SERVICES

Comprehensive Waiver (I/DD): Covers AT devices and services for individuals with developmental disabilities, including assessments, customization, and training

Supports Waiver (I/DD): Includes basic AT with capped budgets and limitations

Community Choices Waiver (CCW): Covers AT for older adults and individuals with physical disabilities to promote aging in place

EPSDT (for individuals under 21): Medicaid covers medically necessary AT under Early and Periodic Screening, Diagnostic, and Treatment

Katie Beckett Program: Offers AT support for children with complex needs not otherwise Medicaid-eligible

Note: All AT devices must be included in the IPC, supported by a recommendation or assessment, and meet cost-effectiveness standards. Some items require prior authorization.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring / Evaluator Partnerships
Timeline: 30–45 days

Phase: Medicaid Enrollment & Approval
Timeline: 1–2 months

Phase: Start of Services
Timeline: Upon participant plan approval and device authorization

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING ASSISTIVE TECHNOLOGY PROVIDER

WCG helps adaptive equipment vendors, evaluators, and care-focused agencies build AT services that meet the highest standards of accessibility, functionality, and Medicaid compliance.

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Scope of Work:

Medicaid and waiver enrollment for AT services

Assistive Technology Policy & Procedure Manual

Device inventory, delivery, and training documentation tools

Evaluation and justification form templates

Warranty, setup, and client education workflows

Billing support and audit readiness documentation

BEHAVIORAL HEALTH SERVICES PROVIDER IN WYOMING
DELIVERING INDIVIDUALIZED SUPPORTS TO PROMOTE MENTAL HEALTH STABILITY, EMOTIONAL WELLNESS, AND POSITIVE BEHAVIORAL OUTCOMES

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Behavioral Health Services in Wyoming provide essential mental health and behavioral interventions to individuals with psychiatric conditions, emotional disorders, developmental disabilities, or behavioral challenges. Services are delivered in homes, clinics, schools, and community settings and are focused on improving daily functioning, emotional regulation, and social participation.

Behavioral health supports are covered under Wyoming Medicaid’s State Plan, the Comprehensive and Supports Waivers, and through Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) for children under 21. Services must be provided by qualified professionals and tied to a diagnosis and Individualized Plan of Care (IPC) or treatment plan.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Behavioral Health Division & Division of Healthcare Financing
Role: Oversees licensing, policy development, funding, and service monitoring for behavioral health programs.

Agency: Wyoming Board of Psychology / Professional Licensing Boards
Role: Licenses clinical professionals such as psychologists, therapists, and counselors.

Agency: Medicaid Provider Services
Role: Handles enrollment and reimbursement for behavioral health providers.

Agency: Case Management Agencies / Mental Health Centers
Role: Coordinate assessments, care planning, and service referrals.

2. BEHAVIORAL HEALTH SERVICES OVERVIEW

Behavioral health services address the psychological, emotional, and behavioral needs of individuals, helping them lead more stable and fulfilling lives.

Covered services may include:

Diagnostic assessments and psychological evaluations

Individual, group, or family therapy

Behavioral therapy (including Applied Behavior Analysis – ABA)

Functional Behavior Assessments (FBAs) and behavior support plans

Crisis intervention and de-escalation support

Skill-building in emotional regulation and coping strategies

Social skills and communication development

Medication management by a licensed provider (separate service)

Trauma-informed therapy and mental health recovery supports

All services must be based on medical necessity, a formal diagnosis, and detailed documentation tied to the individual’s needs and progress.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your agency with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Employ or contract licensed professionals (LCSW, LPC, LMFT, Psychologist, BCBA, etc.)

Enroll with Wyoming Medicaid as a behavioral health provider or outpatient mental health clinic

Develop a Behavioral Health Services Policy & Procedure Manual

Maintain professional liability insurance

Ensure documentation, confidentiality, and supervision systems are in place

All clinical staff must be licensed by their respective state boards and adhere to ethical and documentation standards.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for Medicaid provider enrollment for behavioral health services
Step 3: Submit required documentation (licenses, staff credentials, P&P Manual)
Step 4: If providing waiver services, coordinate with DDD or CCW case managers
Step 5: Complete orientation (if required) and begin providing services upon plan approval

5. REQUIRED DOCUMENTATION

Medicaid enrollment confirmation

Behavioral Health Services Policy & Procedure Manual including:

Assessment, treatment planning, and documentation standards

Therapy session and progress note templates

Supervision policies for interns or unlicensed staff

Safety, crisis response, and suicide prevention protocols

HIPAA, confidentiality, and release of information forms

Behavior support plan development (if offering behavioral therapy)

Consent and participant rights documentation

Outcome tracking and discharge planning protocols

Staff training records and license verification

6. STAFFING REQUIREMENTS

Role: Licensed Mental Health Professional (e.g., LPC, LCSW, LMFT)
Requirements:

Active Wyoming license in the appropriate discipline

Trained in documentation, HIPAA, cultural competency, and ethical service delivery

Must complete continuing education as required by licensure board

Role: Board Certified Behavior Analyst (BCBA)
Requirements:

National BCBA certification + Wyoming license (if required)

Develops and supervises ABA treatment and behavior support plans

Role: Behavioral Technician / Paraprofessional
Requirements:

Works under clinical supervision

Background check, CPR/First Aid, and training in behavior intervention and data collection

All staff must complete:

HIPAA and confidentiality training

Emergency procedures and abuse prevention

Documentation and person-centered care training

7. MEDICAID PROGRAMS THAT COVER BEHAVIORAL HEALTH SERVICES

Wyoming Medicaid State Plan: Covers psychotherapy, diagnostic evaluations, and behavioral interventions

Comprehensive Waiver (I/DD): Behavior support services for individuals with complex behavioral needs

Supports Waiver (I/DD): Limited behavioral services aligned with budget caps

EPSDT (under age 21): Medicaid-entitled mental and behavioral health services for children when medically necessary

Children’s Mental Health Waiver (when active): Wraparound and intensive behavioral supports (limited availability)

Note: All services must be tied to a diagnosis and medical necessity, with treatment plans updated regularly. Certain services may require prior authorization or assessment.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Clinical Staff Hiring & Credentialing
Timeline: 30–60 days

Phase: Medicaid Enrollment & Optional Waiver Certification
Timeline: 2–3 months

Phase: Begin Services
Timeline: Upon treatment plan approval and provider credentialing

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Mental Health Licensing Boards
Website: https://plboards.state.wy.us

Wyoming Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING BEHAVIORAL HEALTH PROVIDER

WCG helps mental health professionals and agencies launch compliant, high-impact behavioral health services that address emotional, developmental, and behavioral challenges across Wyoming.

​

Scope of Work:

Medicaid enrollment and waiver integration

Behavioral Health P&P Manual development

Treatment plan and progress note templates

Clinical staff onboarding and credential tracking

Behavior support plan formats and ABA data sheets

Audit readiness, HIPAA, and compliance tools

HOME MODIFICATION SERVICES PROVIDER IN WYOMING
CREATING SAFE, ACCESSIBLE, AND FUNCTIONAL LIVING ENVIRONMENTS TO SUPPORT INDEPENDENCE AND COMMUNITY INTEGRATION

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Home Modification Services in Wyoming assist individuals with disabilities, chronic health conditions, or age-related mobility limitations by making physical changes to their homes. These changes improve accessibility, reduce injury risks, and support independent living. Modifications may range from minor safety enhancements to major structural changes, based on the individual's functional needs.

These services are covered under Wyoming Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the Comprehensive and Supports Waivers for individuals with developmental disabilities, and the Community Choices Waiver (CCW) for elderly or physically disabled adults. All modifications must be identified in the participant’s Individualized Plan of Care (IPC), assessed for necessity, and approved prior to installation.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Developmental Disabilities Division (DDD) & Division of Healthcare Financing
Role: Determines policy, reviews service authorizations, and monitors use of funds under waiver programs.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Coordinate needs assessments, gather documentation, and submit home modification requests within the participant's plan of care.

Agency: Medicaid Provider Services
Role: Manages provider enrollment and reimbursement processes.

2. HOME MODIFICATION SERVICES OVERVIEW

Home modifications involve altering an individual’s primary residence to improve accessibility, mobility, and safety. These changes enable waiver participants to remain in the least restrictive setting.

Covered home modifications may include:

Ramps and grab bars

Widened doorways and hallways

Stair lifts and vertical platform lifts

Roll-in showers and bathroom grab systems

Lowered countertops and accessible sinks

Bed rails and ceiling-mounted lifts

Door openers and smart accessibility controls

Non-slip flooring and threshold changes

Excluded items may include general home repairs, upgrades for cosmetic purposes, or items that are not functionally necessary.

All modifications must:

Be part of the IPC

Meet Medicaid cost-effectiveness standards

Be installed by qualified vendors or contractors

Include necessary permits and follow local building codes

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI (if billing Medicaid directly)

Enroll as a Medicaid waiver provider or partner with one

Partner with licensed contractors familiar with ADA requirements

Develop a Home Modification Policy & Procedure Manual

Carry liability, worker’s compensation, and property damage insurance

Maintain service agreements and warranties on work performed

Contractors must have experience with accessibility standards and provide itemized quotes and documentation for reimbursement approval.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for Medicaid enrollment under HCBS waivers
Step 3: Submit staff credentials, P&P Manual, and service descriptions
Step 4: Collaborate with case managers for modification referrals
Step 5: Perform evaluations, submit cost estimates, and await service plan and prior authorization approval
Step 6: Complete installation and submit documentation for reimbursement

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment confirmation

Home Modification Policy & Procedure Manual including:

Intake and assessment procedures

Coordination with contractors and case managers

Bidding and cost-estimation process

Construction and inspection standards

ADA compliance and safety checklists

Warranty, repair, and maintenance policies

Participant rights and informed consent forms

Incident reporting and documentation procedures

Sample invoices, itemized cost sheets, and pre/post modification photos

Staff/contractor credentials, insurance, and background checks

6. STAFFING REQUIREMENTS

Role: Project Coordinator / Home Modification Specialist
Requirements:

Experience in accessibility, construction, or occupational therapy

Familiarity with ADA guidelines and Medicaid billing

Coordinates contractors, timelines, and documentation

Role: Licensed Contractor or Installer
Requirements:

Wyoming contractor’s license (if required by locality)

Background check and experience with accessibility construction

Must provide liability insurance and comply with building codes

All involved personnel must complete:

HIPAA and confidentiality training

Safety and quality control checklists

Client interaction and accessibility standards training

7. MEDICAID PROGRAMS THAT COVER HOME MODIFICATION SERVICES

Comprehensive Waiver (I/DD): Covers medically and functionally necessary modifications up to a capped amount, with justification

Supports Waiver (I/DD): Covers basic or smaller-scale modifications within budget limits

Community Choices Waiver (CCW): Funds accessibility modifications for aging individuals or those with physical disabilities

EPSDT (under age 21): Medicaid covers necessary modifications for children when functionally required

Note: Requests must be included in the participant’s IPC and include a quote, medical/functional justification, and cost-benefit analysis. Prior authorization is often required.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Contractor Partnerships
Timeline: 2–4 weeks

Phase: Medicaid Waiver Enrollment
Timeline: 1–2 months

Phase: Manual Preparation & Compliance Setup
Timeline: 2–3 weeks

Phase: Begin Accepting Referrals
Timeline: Once authorization is approved and installation is coordinated

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING HOME MODIFICATION PROVIDER

WCG helps accessibility vendors, contractors, and waiver-based providers build home modification services that meet state regulations, ADA standards, and participant safety goals

​

Scope of Work:

Medicaid and waiver enrollment support

Home Modification P&P Manual creation

Quote templates, inspection checklists, and client documentation

Contractor credentialing trackers and liability templates

Warranty, consent, and authorization forms

Reimbursement guidance and compliance documentation

NURSING FACILITY TRANSITION SERVICES PROVIDER IN WYOMING

SUPPORTING INDIVIDUALS TO LEAVE INSTITUTIONS AND THRIVE IN THEIR COMMUNITIES THROUGH COMPREHENSIVE TRANSITION PLANNING AND SUPPORT

Nursing Facility Transition Services (NFTS) in Wyoming help individuals with disabilities or chronic conditions move from institutional settings—such as nursing homes—into homes in their communities. These services are funded through Wyoming Medicaid’s Home and Community-Based Services (HCBS) Waivers, particularly the Comprehensive and Supports Waivers. Oversight is provided by the Wyoming Department of Health and the Division of Healthcare Financing – Developmental Disabilities Section (DDS).

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing (DHCF)
Role: Administers Medicaid HCBS Waiver programs and authorizes Transition Services

Agency: Developmental Disabilities Section (DDS)
Role: Manages provider enrollment, service plans, and quality assurance for transition-related supports

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Wyoming’s HCBS Waiver services align with federal requirements, including community integration and person-centered planning

2. NURSING FACILITY TRANSITION SERVICE OVERVIEW

Nursing Facility Transition Services support eligible individuals as they move from institutional care into private residences or community-based housing. The focus is on providing individualized planning, resource coordination, and tangible supports to ensure a safe, sustainable transition.

Approved providers may deliver:

Individualized transition planning and coordination

Assistance securing housing, furnishings, and household essentials

Life skills training and support during transition

Arranging medical, behavioral, and social services post-discharge

Coordination with case managers, discharge planners, and housing authorities

Community resource education for clients and families

These services are time-limited and focused on preparing and supporting the individual before, during, and shortly after the move.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain an EIN from the IRS and a Type 2 NPI

Enroll as a provider under Wyoming Medicaid’s Supports or Comprehensive Waiver

Demonstrate experience in transition planning, case management, or disability support services

Employ or contract qualified Transition Specialists

Maintain general liability and professional insurance coverage

Implement HIPAA-compliant systems and person-centered documentation processes

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain NPI and EIN
Step 2: Apply for enrollment with Wyoming Medicaid as an HCBS Waiver provider
Step 3: Select service specialties (e.g., Nursing Facility Transition Services) and complete provider training
Step 4: Submit required documentation including policy manuals, staffing plans, and service protocols
Step 5: Begin receiving referrals and coordinating transitions with case managers and facility staff

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate

IRS EIN Letter

NPI confirmation

Wyoming Medicaid Waiver Provider Approval Letter

Service-specific policy & procedure manual including:

Person-centered transition planning templates

Housing resource and vendor coordination protocols

Emergency preparedness and post-move follow-up procedures

Documentation standards for Medicaid audits

HIPAA, consent, and grievance resolution protocols

Staff credentials, training records, and supervision logs

Client satisfaction and service effectiveness tracking tools

6. STAFFING REQUIREMENTS

Role: Transition Specialist / Navigator
Requirements:

Bachelor’s degree in human services, social work, or related field

Experience with institutional discharge, waiver services, or housing support

Skilled in resource coordination and client advocacy

Role: Program Coordinator (if agency-based model)
Requirements:

Manages service delivery, compliance, and staff support

Trained in waiver compliance and HCBS rules

Training Requirements for All Staff:

Person-centered planning and HCBS waiver protocols

Cultural competence and trauma-informed care

HIPAA and documentation compliance

Community resource navigation

Annual continuing education and training updates

7. MEDICAID WAIVER SERVICES

Nursing Facility Transition Services are reimbursable under:

Supports Waiver

Comprehensive Waiver

Approved providers may deliver:

Pre-move planning and barrier mitigation

One-time purchase of household setup items

Limited follow-up services to ensure transition success

Coordination with landlords, case managers, and service providers

Services aligned with Medicaid’s goals of least-restrictive, community-based living

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: Wyoming Medicaid Waiver Provider Enrollment
Timeline: 45–60 days

Phase: Credentialing and Approval
Timeline: 30–45 days

Phase: Staff Hiring, Training, and Community Outreach
Timeline: 2–3 weeks

9. CONTACT INFORMATION

Wyoming Department of Health – Developmental Disabilities Section
Phone: (307) 777-7115
Website: https://health.wyo.gov/ddd

Wyoming Medicaid Provider Enrollment
Phone: (855) 294-2127
Website: https://wymedicaid.portal.conduent.com

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING NURSING FACILITY TRANSITION SERVICES PROVIDER

We support human service professionals and community-based organizations in becoming credentialed Medicaid Waiver providers for Transition Services in Wyoming.

Scope of Work:

Business formation (LLC, EIN, NPI)

Medicaid Waiver provider enrollment under Supports or Comprehensive Waiver

Transition-focused policy and procedure manual

Person-centered plan templates, housing coordination guides, and tracking logs

Staff hiring guidelines and credential tracking tools

HIPAA and waiver compliance documentation

Intake packets, pre-move checklists, and satisfaction surveys

Audit-ready documentation systems and reporting templates

Referral development with facilities, case managers, and support networks

COMMUNITY INTEGRATION SERVICES PROVIDER IN WYOMING
FOSTERING PARTICIPATION, SOCIAL CONNECTIONS, AND INCLUSIVE OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES

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Community Integration Services in Wyoming support individuals with disabilities in building meaningful relationships, participating in public life, and engaging with local resources. These services are designed to help individuals develop social skills, increase independence, and access recreational, educational, and cultural experiences outside the home.

Community integration is a core component of Wyoming’s Comprehensive and Supports Waivers, both of which are administered by the Developmental Disabilities Division (DDD). Services must be individualized and outlined in each participant’s Individualized Plan of Care (IPC), with a focus on person-centered goals and community involvement.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Developmental Disabilities Division (DDD)
Role: Sets program standards, approves providers, and monitors compliance with waiver requirements.

Agency: Medicaid Provider Services – Division of Healthcare Financing
Role: Oversees provider enrollment, billing, and reimbursement for HCBS services.

Agency: Case Management Agencies
Role: Coordinate participant goals, develop the IPC, and authorize community integration supports.

2. COMMUNITY INTEGRATION SERVICES OVERVIEW

These services promote full inclusion in the community by supporting individuals as they engage in social, recreational, volunteer, and educational activities that match their interests and abilities.

Covered activities may include:

Attending community events, art shows, or festivals

Volunteering at a local nonprofit or place of worship

Visiting museums, libraries, or cultural centers

Participating in fitness or wellness classes

Attending continuing education or community college courses

Social skill development in public settings (e.g., ordering food, bus riding)

Recreational outings with peers and community members

Navigating transportation systems and building independence

Developing routines to access community resources

Activities must be goal-directed, inclusive, and appropriate to the individual’s abilities. Integration services are not intended to be repetitive or isolating and must offer exposure to typical life in the community.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your organization with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Enroll with the Wyoming Medicaid system under HCBS waivers

Submit application for certification as a Community Integration provider with DDD

Develop a Community Integration Services Policy & Procedure Manual

Hire staff trained in disability services, safety, and community support

Carry liability insurance and complete staff background checks

Licensure as a health facility is not required, but DDD provider certification and Medicaid enrollment are essential.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain EIN/NPI
Step 2: Complete DDD provider application for community services
Step 3: Develop and submit P&P Manual with safety, supervision, and activity protocols
Step 4: Enroll with Medicaid via the Provider Portal
Step 5: Complete orientation or training as required
Step 6: Begin offering services upon IPC authorization

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment documentation

DDD certification paperwork

Community Integration Services Policy & Procedure Manual including:

Individual activity planning and tracking

Community safety, emergency, and supervision protocols

Transportation procedures and permission documentation

Staff-to-participant ratio standards

Risk management and incident response protocols

HIPAA compliance and confidentiality training

Participant rights and informed consent forms

Monthly progress reports and IPC goal tracking forms

Staff training logs, background checks, and supervision documentation

6. STAFFING REQUIREMENTS

Role: Community Support Specialist / Direct Support Professional (DSP)
Requirements:

Minimum age 18

High school diploma or GED

Valid driver’s license (if transporting participants)

Background check and abuse registry clearance

CPR/First Aid and community safety training

Preferred Qualifications:

Experience in recreation, disability services, or social work

Strong interpersonal skills and ability to promote social interaction

All staff must complete:

HIPAA and confidentiality training

Abuse and neglect prevention

Person-centered support and documentation

Emergency preparedness and community safety procedures

7. MEDICAID PROGRAMS THAT COVER COMMUNITY INTEGRATION SERVICES

Comprehensive Waiver (I/DD): Includes extensive community integration supports for individuals with high needs

Supports Waiver (I/DD): Offers community integration within budget limits and based on the individual’s goals

Children’s Services (under Waiver or EPSDT): Community participation and outings may be supported when tied to functional development or social skill-building

Note: Activities must not be duplicative of other services (e.g., day habilitation), and must be documented with clear purpose and connection to the IPC goals.

8. TIMELINE TO LAUNCH

Phase: Business Setup & Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Safety Training
Timeline: 30–45 days

Phase: DDD Certification & Medicaid Enrollment
Timeline: 2–3 months

Phase: Begin Service Delivery
Timeline: Upon IPC authorization and enrollment confirmation

9. CONTACT INFORMATION

Wyoming Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING COMMUNITY INTEGRATION PROVIDER

WCG helps organizations and sole providers design and deliver high-impact community integration services aligned with waiver goals and compliance standards.

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Scope of Work:

Medicaid and DDD waiver enrollment

Community Integration P&P Manual

Safety protocols, permission slips, and community outing logs

Transportation guidelines and staff supervision forms

IPC goal tracking and documentation templates

Audit prep, billing guidance, and compliance tools

HOMEMAKER SERVICES PROVIDER IN WYOMING
SUPPORTING SAFE, SANITARY, AND ORGANIZED LIVING ENVIRONMENTS TO PROMOTE INDEPENDENCE AND WELL-BEING

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Homemaker Services in Wyoming assist individuals who are unable to manage household tasks due to age, disability, or chronic illness. These services are essential for helping participants maintain a clean, healthy, and safe home environment and are designed to support independent living and prevent institutionalization.

Homemaker Services are available through Wyoming’s Community Choices Waiver (CCW) and the Comprehensive and Supports Waivers under the Developmental Disabilities Division (DDD). All services must be included in a participant’s Individualized Plan of Care (IPC) and reflect a documented need for assistance with household management.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing & Developmental Disabilities Division (DDD)
Role: Establishes homemaker service guidelines, authorizes funding, and monitors provider compliance.

Agency: Medicaid Provider Services
Role: Processes enrollment and reimbursement for homemaker service providers.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Coordinates assessments, identifies homemaker needs, and submits service authorizations in IPCs.

2. HOMEMAKER SERVICES OVERVIEW

Homemaker services focus on non-medical household assistance that enables the participant to remain in their home and live safely and with dignity.

Covered homemaker tasks may include:

Light housekeeping (dusting, sweeping, mopping, vacuuming)

Dishwashing and kitchen clean-up

Laundry and bed linen changes

Bathroom cleaning and sanitizing

Organizing personal belongings and home spaces

Trash removal and basic safety monitoring

Meal preparation support (if specified in IPC)

Errands and grocery assistance (if included in service plan)

Homemaker services do not include skilled nursing, hands-on personal care, or heavy-duty cleaning.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Enroll with Medicaid as a homemaker service provider under the relevant HCBS waiver

Submit application materials including a Homemaker Services Policy & Procedure Manual

Hire staff with experience in home care, hospitality, or disability services

Maintain liability insurance and complete background checks for staff

No healthcare license is required, but Medicaid certification through DDD or the CCW program is mandatory.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for Medicaid provider enrollment under applicable HCBS waiver
Step 3: Submit P&P Manual and staff documentation to Medicaid and DDD (if needed)
Step 4: Complete any required waiver-specific training or orientation
Step 5: Begin service delivery after IPC and authorization approval

5. REQUIRED DOCUMENTATION

Medicaid enrollment confirmation and waiver certification

Homemaker Services Policy & Procedure Manual including:

Task list templates and service tracking logs

Housekeeping safety protocols

Infection control and basic sanitation guidelines

Participant preferences and cultural sensitivity practices

Emergency protocols and incident reporting

Confidentiality policies and consent documentation

Staff supervision and training policies

Participant rights and complaint procedures

Staff training logs and background check verification

6. STAFFING REQUIREMENTS

Role: Homemaker / Housekeeping Aide
Requirements:

Age 18 or older

High school diploma or GED preferred

Background check and abuse registry clearance

Physical ability to perform household tasks safely

CPR/First Aid certification (recommended, but may be required if working solo)

All staff must complete:

HIPAA and confidentiality training

Abuse and neglect prevention

Cleaning standards and sanitation protocols

Emergency procedures and incident reporting

7. MEDICAID PROGRAMS THAT COVER HOMEMAKER SERVICES

Community Choices Waiver (CCW): For individuals age 65+ or adults with physical disabilities needing home support to prevent institutionalization

Comprehensive Waiver (I/DD): Covers homemaker assistance when participants are unable to perform household tasks independently

Supports Waiver (I/DD): May include homemaker support within individual budgets

EPSDT (under 21): May authorize household support under medical necessity for children with complex needs

Note: Services must be tied to a documented functional limitation or health condition and included in the participant’s IPC. Prior authorization may be required based on the number of hours or frequency.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Policy Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Training Setup
Timeline: 30–45 days

Phase: Medicaid Waiver Enrollment
Timeline: 1–2 months

Phase: Start of Services
Timeline: Upon case manager authorization and participant IPC approval

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING HOMEMAKER SERVICES PROVIDER

WCG guides new and existing providers in building homemaker service programs that meet Wyoming Medicaid standards while improving the daily lives of clients through dependable, supportive home care.

Scope of Work:

Medicaid and waiver enrollment assistance

Homemaker Services P&P Manual development

Cleaning task checklists and service tracking templates

Staff onboarding forms and supervision logs

HIPAA and emergency procedure documentation

Billing compliance and audit preparation tools

CASE MANAGEMENT SERVICES PROVIDER IN WYOMING
COORDINATING COMPREHENSIVE SUPPORTS TO ENSURE INDIVIDUALIZED, PERSON-CENTERED CARE PLANNING AND SERVICE DELIVERY

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Case Management Services in Wyoming help individuals with disabilities, chronic illnesses, or long-term care needs access and coordinate the services required to live safely and independently in the community. Case managers serve as the central point of contact for participants, guiding them through the waiver system, ensuring compliance, and promoting person-centered planning.

Case Management is a required service under Wyoming’s HCBS Waivers, including the Comprehensive and Supports Waivers (Developmental Disabilities Division) and the Community Choices Waiver (CCW) for seniors and physically disabled adults. Services must be delivered by certified or licensed professionals following state-defined protocols.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Developmental Disabilities Division (DDD) & Division of Healthcare Financing
Role: Establishes standards for case management practice, oversees service authorization, and monitors provider compliance.

Agency: Medicaid Provider Services
Role: Handles provider enrollment, billing, and reimbursement for case management services.

Agency: Public Health Nursing (PHN) & Community-Based Case Management Agencies
Role: Deliver case management under CCW and coordinate care across providers and supports.

2. CASE MANAGEMENT SERVICES OVERVIEW

Case managers ensure participants receive the appropriate services and supports to meet their needs. The role involves advocacy, planning, coordination, and monitoring.

Key case management functions include:

Conducting assessments and identifying functional needs

Developing and updating the Individualized Plan of Care (IPC)

Coordinating waiver and non-waiver services

Monitoring service delivery and participant satisfaction

Assisting with provider selection and enrollment

Educating participants on rights, choices, and available supports

Responding to crises and making referrals to appropriate services

Maintaining contact with participants (monthly or quarterly, depending on waiver)

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register as a business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for Medicaid enrollment under applicable waiver programs

Submit a Case Management Policy & Procedure Manual

Hire qualified staff who meet education and experience requirements

Staff must meet the following minimum qualifications:

Bachelor’s degree in social work, human services, nursing, or related field

At least one year of experience working with individuals with disabilities or aging populations

Complete state-mandated case management training

Pass background and abuse registry checks

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply to become a certified case management agency through DDD or PHN
Step 3: Submit staff credentials, manual, and supporting documentation
Step 4: Enroll with Medicaid for waiver-based billing
Step 5: Complete state training and orientation for case managers
Step 6: Begin services upon participant assignment and plan authorization

5. REQUIRED DOCUMENTATION

Medicaid and waiver provider enrollment records

Case Management Policy & Procedure Manual including:

Assessment and IPC development processes

Visit schedules and monitoring documentation

Conflict of interest policies (especially for independent providers)

Participant rights and grievance procedures

HIPAA compliance and confidentiality protocols

Safety planning and emergency response guidelines

Staff supervision and ongoing training protocols

Sample contact notes, review logs, and satisfaction surveys

Staff qualifications, background checks, and training logs

6. STAFFING REQUIREMENTS

Role: Case Manager
Requirements:

Bachelor’s degree in social work, nursing, psychology, or related field

Completion of state training (e.g., person-centered planning, HCBS policies)

Demonstrated experience working with disability or aging populations

Valid driver’s license and reliable transportation (for home visits)

All staff must complete:

HIPAA and participant confidentiality training

Abuse, neglect, and exploitation prevention

Crisis response and documentation standards

Ongoing continuing education and policy refreshers

7. MEDICAID PROGRAMS THAT COVER CASE MANAGEMENT SERVICES

Comprehensive Waiver (I/DD): Provides ongoing case management as a required service

Supports Waiver (I/DD): Also includes required case management tied to IPC updates

Community Choices Waiver (CCW): Case management is provided by Public Health Nursing or contracted agencies

Katie Beckett & EPSDT Programs (Under 21): May include coordination supports when medically necessary

Note: Case managers cannot provide direct services to avoid conflicts of interest. Monitoring visits and documentation must occur as scheduled, with all contact notes maintained for audit purposes.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Manual Development
Timeline: 2–3 weeks

Phase: Staff Hiring & Training
Timeline: 30–60 days

Phase: DDD/CCW Certification & Medicaid Enrollment
Timeline: 1–2 months

Phase: Begin Case Assignments & Billing
Timeline: Once certification is approved and participants are assigned

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING CASE MANAGEMENT PROVIDER

WCG helps human services professionals and agencies build strong, person-centered case management programs that meet Wyoming Medicaid requirements and support whole-person care.

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Scope of Work:

Medicaid and waiver enrollment for case management

Case Management Policy & Procedure Manual development

IPC templates, contact note formats, and monitoring tools

Staff credentialing logs and supervision documentation

Participant rights forms and service satisfaction checklists

Audit readiness and compliance tracking resources

TRANSPORTATION SERVICES PROVIDER IN WYOMING
ENSURING ACCESS TO ESSENTIAL SERVICES THROUGH SAFE, RELIABLE, AND MEDICAID-COVERED TRANSPORTATION SUPPORT

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Transportation Services in Wyoming help individuals with disabilities, chronic health conditions, or aging-related limitations reach medical appointments, community programs, work sites, and other essential destinations. These services reduce barriers to care, promote independence, and enable active participation in daily life.

Transportation is a covered benefit under Wyoming Medicaid and the state’s Home and Community-Based Services (HCBS) Waivers, including the Comprehensive Waiver, Supports Waiver, and the Community Choices Waiver (CCW). All services must be tied to a participant’s Individualized Plan of Care (IPC) and align with documented goals and functional needs.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing & Developmental Disabilities Division (DDD)
Role: Defines transportation coverage, oversees waiver policies, and ensures provider compliance.

Agency: Medicaid Provider Services
Role: Handles enrollment, claims submission, and reimbursement for transportation providers.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Identifies transportation needs and includes services in each participant’s IPC.

Agency: Wyoming Department of Transportation (WYDOT)
Role: Oversees public transit regulations and coordinates with Medicaid non-emergency medical transportation (NEMT) brokers.

2. TRANSPORTATION SERVICES OVERVIEW

Transportation services ensure that eligible Medicaid waiver participants can access the community and critical services safely and reliably.

Covered transportation services include:

Non-Medical Transportation (NMT): Rides to community-based services, job sites, waiver-related activities, and recreational or educational programs

Non-Emergency Medical Transportation (NEMT): Rides to doctor’s appointments, hospitals, clinics, and therapy providers

Escort services (if the participant needs staff assistance during transport)

Mileage reimbursement (for self-directed participants or families, when authorized)

Services must be cost-effective, documented in the IPC, and comply with state Medicaid transportation guidelines.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Apply for enrollment with Wyoming Medicaid for waiver transportation services

Maintain a fleet of safe, insured vehicles (or contract with accessible transportation providers)

Hire trained drivers with valid licenses, clean driving records, and background checks

Develop a Transportation Services Policy & Procedure Manual

Carry commercial auto, general liability, and workers’ compensation insurance

Accessible vehicles must meet ADA compliance if transporting individuals who use wheelchairs or have mobility impairments.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your transportation company and obtain EIN/NPI
Step 2: Apply for Medicaid provider enrollment as a waiver transportation service
Step 3: Submit documentation including vehicle safety inspections, driver credentials, and P&P Manual
Step 4: Collaborate with case managers to receive service referrals and IPC authorizations
Step 5: Begin services upon approval and plan authorization

5. REQUIRED DOCUMENTATION

Medicaid provider enrollment approval

Transportation Services Policy & Procedure Manual including:

Trip logs and documentation templates

Safety protocols and driver training requirements

Vehicle inspection, maintenance, and sanitation standards

HIPAA and passenger confidentiality protocols

Emergency and incident response plans

Consent forms and travel policies

Participant transport logs and billing sheets

Driver credentialing, background checks, and supervision procedures

6. STAFFING REQUIREMENTS

Role: Driver / Transportation Assistant
Requirements:

Valid Wyoming driver’s license and clean driving record

Background check and abuse registry clearance

CPR/First Aid certification

Defensive driving and passenger assistance training

Preferred Qualifications:

Experience transporting individuals with disabilities or older adults

Familiarity with lift-equipped vans or mobility safety equipment

All staff must complete:

HIPAA and confidentiality training

Vehicle safety and passenger handling procedures

Emergency response and documentation training

7. MEDICAID PROGRAMS THAT COVER TRANSPORTATION SERVICES

Comprehensive Waiver (I/DD): Covers NMT for community integration, employment, and other non-medical waiver-related services

Supports Waiver (I/DD): Includes NMT within the participant’s individual budget

Community Choices Waiver (CCW): Covers medical and non-medical transportation needs based on participant assessment

Non-Emergency Medical Transportation (NEMT): Covered by Medicaid’s transportation broker for medical visits

EPSDT (under age 21): Transportation to medical appointments, therapies, and approved waiver services

Note: All rides must be documented with trip logs and align with participant plans. Mileage reimbursement must be pre-approved when not using a contracted provider.

8. TIMELINE TO LAUNCH

Phase: Business Setup & Fleet Preparation
Timeline: 2–3 weeks

Phase: Staff Hiring & Compliance Training
Timeline: 30–45 days

Phase: Medicaid Enrollment & Vehicle Inspections
Timeline: 1–2 months

Phase: Start of Service Delivery
Timeline: Upon IPC approval and plan authorization

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Developmental Disabilities Division (DDD)
Website: https://health.wyo.gov/behavioralhealth/dd/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Department of Transportation (WYDOT)
Website: https://www.dot.state.wy.us

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING TRANSPORTATION PROVIDER

WCG helps new transportation companies and home care agencies build compliant, reliable Medicaid-funded transportation programs that support safe access to healthcare and community life.

Scope of Work:

Medicaid waiver and transportation enrollment

Transportation Services P&P Manual

Driver credentialing templates and inspection logs

Trip documentation tools and billing forms

Emergency and safety protocol development

Audit prep and compliance documentation

HOME HEALTH SERVICES PROVIDER IN WYOMING
DELIVERING MEDICALLY NECESSARY CARE AT HOME TO SUPPORT RECOVERY, INDEPENDENCE, AND QUALITY OF LIFE

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Home Health Services in Wyoming provide short-term, medically necessary clinical care to individuals recovering from illness, injury, surgery, or managing chronic conditions. Services are delivered by licensed professionals—such as nurses and therapists—in the participant’s residence, and are intended to prevent hospitalization or institutionalization.

These services are covered under Wyoming Medicaid’s State Plan and may also be authorized through HCBS Waivers, including the Community Choices Waiver (CCW) and certain pediatric programs like EPSDT. All services must be ordered by a physician and documented in a Plan of Care (POC).

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing
Role: Establishes policy and monitors compliance for Medicaid-funded home health services.

Agency: Medicaid Provider Services
Role: Manages provider enrollment, billing, and prior authorization processes.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Sets federal requirements for home health service delivery and documentation.

Agency: Wyoming State Survey Agency
Role: Licenses and surveys home health agencies for quality and safety compliance.

2. HOME HEALTH SERVICES OVERVIEW

Home health services focus on clinical interventions provided in the home to treat, stabilize, or manage a participant’s health condition.

Covered home health services may include:

Skilled nursing (e.g., medication administration, wound care)

Physical therapy, occupational therapy, or speech therapy

Medical social work

Home health aide support (e.g., bathing, basic care under supervision)

Patient and caregiver education

Chronic disease management and monitoring

Post-surgical care and IV therapy

Health status reassessment and care coordination

All services must be medically necessary and ordered by a physician as part of a comprehensive Plan of Care reviewed every 60 days.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Wyoming Secretary of State

Obtain a Federal EIN and Type 2 NPI

Obtain a Home Health Agency license from the State Survey Agency

Hire or contract with RNs, therapists, aides, and social workers

Enroll with Wyoming Medicaid as a Home Health provider

Develop a Home Health Services Policy & Procedure Manual

Obtain accreditation (e.g., CHAP, ACHC, or Joint Commission) if seeking Medicare certification

Maintain liability, malpractice, and workers’ compensation insurance

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain EIN/NPI
Step 2: Apply for home health agency licensure from Wyoming state survey authority
Step 3: Enroll with Medicaid under the Home Health provider category
Step 4: Submit required documents including license, staff credentials, P&P Manual, and accreditation (if applicable)
Step 5: Complete site visit or survey, if required
Step 6: Begin services after Plan of Care approval and physician order submission

5. REQUIRED DOCUMENTATION

Home Health license and Medicaid enrollment approval

Home Health Services Policy & Procedure Manual including:

POC creation, review, and update processes

Clinical documentation standards

Medication administration and safety protocols

Infection control and universal precautions

Staff credentialing and supervision policies

HIPAA and participant confidentiality practices

Emergency procedures and risk mitigation

Discharge planning and progress monitoring templates

Sample nursing visit notes, therapy logs, and supervisory reports

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)
Requirements:

Licensed by the Wyoming Board of Nursing

Responsible for assessments, care plans, clinical oversight

Must complete training in HIPAA, emergency procedures, documentation

Role: Licensed Therapist (PT, OT, SLP)
Requirements:

Wyoming license in respective field

Provides therapy under physician order and POC

Documents treatment plans and progress toward goals

Role: Home Health Aide
Requirements:

Supervised by RN or therapist

Trained in ADLs, personal hygiene, and safety support

Certified nurse aide (CNA) credentials may be required

All staff must complete:

Universal precautions and infection control

HIPAA and abuse prevention

Ongoing competency assessments and charting audits

7. MEDICAID PROGRAMS THAT COVER HOME HEALTH SERVICES

Wyoming Medicaid State Plan: Covers medically necessary home health nursing, therapy, and aide services

Community Choices Waiver (CCW): May cover extended home health aide support based on functional need

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT): Authorizes pediatric home health for eligible children under age 21

Katie Beckett Program: Home health for medically fragile children who qualify based on disability and need

Note: All services require prior authorization, documentation of medical necessity, and regular review of the POC. Duplicate services under different categories (e.g., personal care and home health aide) may not be permitted simultaneously.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Licensing Preparation
Timeline: 2–4 weeks

Phase: Staffing & Manual Development
Timeline: 30–60 days

Phase: Medicaid Enrollment & Licensing Approval
Timeline: 2–3 months

Phase: Begin Services
Timeline: Upon completion of physician orders, POC, and participant authorization

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Wyoming Department of Health – Home Health Information
Website: https://health.wyo.gov/aging/hha/

Wyoming State Survey Agency (Licensing)
Website: https://health.wyo.gov/aging/

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING HOME HEALTH PROVIDER

WCG supports home health agencies and entrepreneurs with launching fully compliant, patient-focused care services in Wyoming through comprehensive start-up consulting and documentation solutions.

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Scope of Work:

State licensing and Medicaid enrollment

Home Health P&P Manual development

POC and nursing documentation templates

Staff onboarding, tracking, and supervision forms

HIPAA, infection control, and safety protocols

Reimbursement guides and audit readiness support

MEAL & NUTRITION SERVICES PROVIDER IN WYOMING
PROMOTING HEALTH, WELLNESS, AND INDEPENDENCE THROUGH ACCESS TO BALANCED NUTRITIONAL SUPPORT

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Meal & Nutrition Services in Wyoming support individuals who are unable to safely prepare or access adequate meals due to disability, aging, or chronic health conditions. These services are essential for maintaining health, managing medical conditions, and supporting independent living in the home or community setting.

Meal and nutrition support is available through Wyoming’s Medicaid Home and Community-Based Services (HCBS) Waivers, including the Community Choices Waiver (CCW) for seniors and adults with physical disabilities and, in some cases, through the Comprehensive and Supports Waivers for individuals with developmental disabilities. Services must be included in the participant’s Individualized Plan of Care (IPC) and tied to functional needs.

1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing & Aging Division
Role: Defines meal service policies, approves providers, and monitors nutrition-related outcomes under Medicaid waiver programs.

Agency: Medicaid Provider Services
Role: Manages enrollment, claims processing, and reimbursement for meal service providers.

Agency: Case Management Agencies / Public Health Nursing (PHN)
Role: Determines individual meal support needs and integrates them into the participant’s IPC.

2. MEAL & NUTRITION SERVICES OVERVIEW

Meal and nutrition services ensure participants have access to healthy, appropriate meals to support dietary needs and promote safety at home. Services vary based on waiver and participant condition.

Covered services may include:

Home-delivered meals (e.g., frozen or fresh, medically tailored)

Congregate meals (at senior centers or adult day programs)

Grocery or meal kit delivery (when preparing food independently is a challenge)

Specialized diets (diabetic, low-sodium, allergen-free, etc.)

Nutritional counseling provided by a licensed dietitian (if authorized)

Meal preparation in the home (if part of personal care or homemaker services)

Services must align with dietary needs, be cost-effective, and avoid duplication with other services like SNAP or in-home supports unless medically justified.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register with the Wyoming Secretary of State

Obtain Federal EIN and Type 2 NPI

Apply for Medicaid waiver provider enrollment for meal services

Have or partner with a licensed kitchen or meal vendor that meets food safety standards

Develop a Meal Services Policy & Procedure Manual

Carry liability insurance and ensure compliance with local health codes

If providing nutritional counseling, a licensed registered dietitian must be employed or contracted.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI
Step 2: Apply for Medicaid waiver enrollment as a meal and nutrition provider
Step 3: Submit required documentation, including vendor licenses, dietitian credentials, and P&P Manual
Step 4: Work with case managers to begin meal referrals and plan authorizations
Step 5: Deliver meals and track documentation in alignment with IPC goals

5. REQUIRED DOCUMENTATION

Medicaid enrollment approval

Meal Services Policy & Procedure Manual including:

Food handling, packaging, and delivery protocols

Meal selection, nutritional labeling, and special diet options

Delivery logs and client meal records

Infection control, storage, and temperature management policies

Participant satisfaction and complaint process

HIPAA and confidentiality safeguards

Licensed kitchen documentation (if preparing meals in-house)

RD credentialing and assessment forms (if offering nutrition education)

6. STAFFING REQUIREMENTS

Role: Meal Delivery Driver / Food Service Assistant
Requirements:

Valid driver’s license and clean background check

Training in safe food handling and basic emergency procedures

Knowledge of client-specific meal delivery protocols

Role: Registered Dietitian (if offering counseling)
Requirements:

Wyoming RD license

Experience in clinical or community nutrition

Ability to develop individualized meal plans and monitor outcomes

All staff must complete:

HIPAA and confidentiality training

Food safety and infection control training

Client communication and risk awareness

7. MEDICAID PROGRAMS THAT COVER MEAL & NUTRITION SERVICES

Community Choices Waiver (CCW): Covers home-delivered meals for individuals unable to shop or prepare meals

Comprehensive Waiver (I/DD): May authorize meals if tied to health management or provider-based day supports

Supports Waiver (I/DD): Meals may be included within budget limits for qualifying participants

EPSDT (under 21): Nutritional education and support services may be authorized for medically fragile children

Note: Meals must be documented in the IPC and supported by a physician or case manager's assessment. Services cannot replace general household meals unless justified by clinical need.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Kitchen Partnerships
Timeline: 2–3 weeks

Phase: Manual Development & Staff Setup
Timeline: 30–45 days

Phase: Medicaid Enrollment & Health Dept. Clearance
Timeline: 1–2 months

Phase: Begin Delivering Meals
Timeline: Once services are included in IPC and plan is authorized

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services
Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Community Choices Waiver Info
Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Wyoming Department of Agriculture – Food Safety
Website: https://agriculture.wy.gov/divisions/chs/food-safety

Wyoming Secretary of State – Business Portal
Website: https://sos.wyo.gov

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — WYOMING MEAL & NUTRITION SERVICES PROVIDER

WCG equips food vendors, nutrition experts, and care agencies with the tools to build compliant, scalable Medicaid meal delivery and counseling programs tailored to participant needs.

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Scope of Work:

Medicaid waiver enrollment support

Meal Services P&P Manual and food safety documentation

Sample menus, dietary tracking forms, and delivery logs

RD credentialing documentation (if applicable)

Partnership development with local commercial kitchens

Compliance prep and billing support for home-delivered meals