How to apply for Wyoming Medicaid

Last verified: June 2026

Ways to apply for Wyoming Medicaid

Documents you may need

• Proof of identity — Wyoming driver's license, state ID, or birth certificate
• Social Security number for each person applying
• Proof of Wyoming residency
• Proof of citizenship or qualifying immigration status (5-year residency requirement for most non-citizens)
• Proof of income — pay stubs, self-employment records, or SSI/SSDI award letters
• For aged, blind, or disabled groups: proof of disability and asset documentation
• For nursing home eligibility: Long Term Care Eligibility Checklist (available at health.wyo.gov)

Source: Wyoming Department of Health Medicaid Programs and Eligibility page. Note that most non-citizens must have lived in the U.S. for at least 5 years to qualify for Wyoming Medicaid — emergency Medicaid is the exception.

Presumptive eligibility for pregnant women

Wyoming offers Presumptive Eligibility (PE) for pregnant women — a Medicaid option that provides temporary outpatient coverage while the full Medicaid application is being processed. PE covers outpatient services for up to 60 days through any Medicaid provider.

To use PE, a pregnant woman must apply at a local Wyoming public health nursing office. The PE application is processed quickly — coverage begins immediately upon a qualifying determination. The woman must also submit a full Medicaid application within the 60-day PE period to continue coverage.

What documents you'll need

Gather these before starting your application. Having them ready prevents delays caused by missing information requests, which can add weeks to the review.

• Proof of identity — driver's license, state ID, passport, or birth certificate
• Proof of residency in Wyoming — utility bill, lease, or official mail with your address
• Social Security numbers for all household members applying
• Proof of income for the past 30 days — pay stubs, employer letter, or benefit award letters
• Tax filing information if self-employed — prior year return is typically acceptable
• Immigration documents if applicable — green card, visa, or I-94 arrival/departure record
• Health insurance information if you currently have coverage through an employer or other source

Not every document is required for every applicant. The application will specify what Wyoming Medicaid needs based on your household composition.

The application process, step by step

1. 1

   Gather your documents

   Collect proof of identity, residency, income, and household composition before you start. Having everything ready means you can complete the application in one sitting.

2. 2

   Submit the application

   Apply through your preferred method — online is fastest. The application asks about income, household size, citizenship status, and whether anyone in the household has other insurance. Answer completely to avoid requests for more information.

3. 3

   Respond to any follow-up requests

   Wyoming Medicaid may request additional documents or clarification. Respond promptly — delays in providing information can pause or restart the review clock.

4. 4

   Receive your eligibility notice

   The agency will send a written notice of approval or denial. If approved, the notice will state your coverage start date and what benefits you're eligible for.

What to expect after you apply

Under 42 CFR 435.912, states must process most Medicaid applications within 45 days of receipt. Applications based on disability take up to 90 days. If Wyoming hasn't issued a decision by those deadlines, the agency must notify you in writing with the reason for delay.

Medicaid coverage typically starts on the first day of the month in which you applied, assuming you're determined eligible. In some cases — particularly for pregnant women — retroactive coverage going back up to three months may apply if you received qualifying medical services during that period.

Keep your contact information updated while your application is pending. A notice sent to an old address counts as received.

If your application is denied

A denial notice must state the specific reason and your right to appeal. You have the right to request a fair hearing — typically within 90 days of the denial notice — where you can present evidence and contest the decision before an impartial hearing officer.

Common denial reasons include income above the limit, failure to verify documents within the required timeframe, or a missing signature. Many denials can be resolved by reapplying with the correct documentation.