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Wyoming Fax Transmittal Form
Category:
State:
Multi-State
Control #:
US-141-AZ
Format:
Word;
PDF;
Rich Text
Instant download
Description
How to fill out Fax Transmittal Form?
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FAQ
Wyoming Medicaid selected Magellan Healthcare, Inc., as the care management entity (CME) for qualifying children and their families, including children served by the Medicaid Children's Mental Health Waiver (CMHW).
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.
You can contact Provider Services at 1 (888) WYO-MCAD or 1-888-996-6223.
Wyoming Medicaid is a joint federal and state government program that pays for medical care for some low-income and medically needy individuals and families.
Wyoming Medicaid is a joint Federal/state program established to pay for medical services for people with disabilities, people 65 years and older, children and their caretakers, and pregnant women who meet the program's financial requirements.
You can return renewals by completing online at , mailing or dropping off using the address on the renewal notice, faxing it to 1-855-329-5205, emailing it to wesapplications@wyo.gov or calling to complete your renewal over the phone using the number on the notice.
MyHeathPortal ? This is the secure Member Portal maintained by Wyoming Medicaid, whereby members can check their eligibility, request a Wyoming Medicaid Benefits ID card, submit a transportation request, and more.
