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Medicaid, Kid Care/CHIP Changes Still on Track

posted Sep 13, 2013, 10:55 AM by vfe_dfs_tony.lewis@wyo.gov

Beginning in October, the Wyoming Department of Health (WDH) and DFS are moving eligibility determination and case management from local DFS offices to a centralized customer service center located in Cheyenne. Both departments expect the switch to the new “Wyoming Eligibility System” to result in improved customer service and efficiency.

Eligibility work for Wyoming Medicaid’s Long Term Care programs has al­ready been transferred to WDH. These programs include: Nursing Home, In­patient Hospital, Long Term Care Waiver, Assisted Living Facility Waiver, De­velopmental Disabilities Waivers, Children’s Mental Health Waiver, Acquired Brain Injury Waiver and the Pro­gram of All-Inclusive Care for the Elderly. October 1 will mark the next phase of the transfer. All remaining Wyoming Medicaid cases will be transitioned to the new customer service center at that time.

Some things to know about the change:

  • A new shared online web portal will be available for Wyoming Medi­caid and Kid Care CHIP so individuals can submit applications and renewals, as well as change their cases online 24 hours a day, 7 days a week.

  • A new customer service center will be established to answer questions and take applications online, over the phone, by mail and in person for both Wyo­ming Medicaid and Kid Care CHIP.

  • A new integrated Wyoming Medicaid and Kid Care CHIP eligibility system will allow real-time decisions for most applications.

The new system will also be able to coordinate with the coming federally facili­­tated marketplace, which will also begin October 1, so applicants receive the best available option for their situation. The establishment of these market­­places was included in the law known as the Affordable Care Act.

Stay tuned for more information about the Wyoming Eligibility System in the coming weeks. For more information on the Affordable Care Act, please visit the Wyoming Department of Insurance website  or the the DFSWeb