Welcome to Medicaid
Medicaid is a joint federal and state government program that pays for medical care for some low income and medically needy individuals and families.
What is Medicaid?
Medicaid helps pay for healthcare services for children, pregnant women, families with children, and individuals who are aged, blind or disabled who qualify based on citizenship, residency, family income, and sometimes resources and healthcare needs
| Who Is Eligible for Medicaid?
Eligibility is generally based on family income and family structure and sometimes resources and/or healthcare needs. Federal regulations define more than fifty groups of individuals that may qualify for Medicaid coverage. If you fit into any of the groups below, you may qualify for Medicaid coverage. |
Families and Children’s Programs
Children
- Children ages 0-18
- Newborns born to Medicaid eligible mothers
- Children with an eligible caretaker relative
- Children in foster care (through Department of Family Services) and children in subsidized adoptions
Pregnant Women
- Pregnant women
- Presumptively eligible pregnant women (allows coverage of outpatient services from the date of application through the last day of the following month)
Family Care Adult
- Adults who are caretaker relatives of an eligible dependent child who is under age 19 living in the home and who meet certain other guidelines
Aged, Blind or Disabled Programs
SSI (Supplemental Security Income) and SSI Related
- SSI – A individual eligible for SSI automatically receives Medicaid
- SSI Related – An individual no longer receiving SSI payments may be eligible for Medicaid using SSI criteria
Institution – Individuals in any of the following types of institutions may be eligible, if they meet other guidelines
- Nursing Home
- Hospital Inpatient
- Hospice
- WyomingLifeResourceCenter
- WyomingStateHospital– age 65 and older
Home and Community Based Waiver – Individuals may qualify for the following programs if they need assistance to stay in the community and meet other guidelines
- Long Term Care Waiver
- Assisted Living Facilities Waiver
- Acquired Brain Injury Waiver
- Children’s Mental Health Waiver
- Developmental Disabilities Waiver
Additional categories of eligibility include:
Breast and Cervical Cancer Treatment Program
- Women who have been diagnosed with breast and/or cervical cancer, are uninsured and meet other guidelines
- Individuals diagnosed withTuberculosis who meet other guidelines
Employed Individuals with Disabilities
- Individuals who have a disability (based on Social Security guidelines), are working and meet other guidelines
Wyoming Department of Health
401 Hathaway Building
Cheyenne, WY 82002
(307) 777-7656
(866) 571-0944
Fax: (307) 777-7439
