BEHAVIORAL HEALTH SERVICES PROVIDER IN WYOMING

DELIVERING INDIVIDUALIZED SUPPORTS TO PROMOTE MENTAL HEALTH STABILITY, EMOTIONAL WELLNESS, AND POSITIVE BEHAVIORAL OUTCOMES

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 an Individualized Plan of Care (IPC) or treatment plan.

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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 an 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 the 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, and treatment plans must be 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

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.