Wyoming - Homemaker Service — Licensing, Medicaid Enrollment and Startup Requirements

Last reviewed: 2026-09-10

The Wyoming Department of Health (WDH) Home and Community-Based Services (HCBS) Section certifies Homemaker Service providers directly through the IMPROV Provider Portal to serve participants on the Community Choices Waiver (CCW). Wyoming does not issue a distinct state facility license for non-medical homemaker agencies, meaning the HCBS certification itself serves as the sole structural gate to market entry.

Applicants must secure this HCBS waiver certification before the state's fiscal agent, HHS Technology Group, will finalize their Medicaid enrollment on the Discover Your Provider (DyP) system. The process requires providers to navigate separate portals for certification, enrollment, and eventual claims billing.

1. Service Definition and Scope

Homemaker services in Wyoming provide general household support to individuals on the Community Choices Waiver (CCW) who are unable to perform these tasks independently.

The service covers routine light housekeeping, meal preparation, laundry, and shopping to maintain a safe and sanitary living environment.

• Target Population: Community Choices Waiver (CCW) participants aged 65 and older, or adults with physical disabilities.
• Covered Tasks: Routine cleaning, laundry, meal planning and preparation, and essential shopping.
• Exclusions: Personal care (hands-on assistance with Activities of Daily Living) is billed separately and is not included in homemaker rates.
• Delivery Setting: The participant's private residence.

2. Regulatory and Oversight Agencies

Oversight is split between the HCBS Section for programmatic certification and the Medicaid fiscal agents for enrollment and billing.

Providers must interact with multiple state-contracted portals to maintain compliance and submit claims.

• Operating Agency: Wyoming Department of Health (WDH) HCBS Section (https://health.wyo.gov/healthcarefin/hcbs).
• Medicaid Enrollment Agent: HHS Technology Group (HTG) via the DyP portal (https://wyoming.dyp.cloud).
• Claims Fiscal Agent: CNSI via the Benefits Management System (BMS) (https://www.wyomingmedicaid.com/portal/).
• Certification Portal: IMPROV Provider Portal (https://www.wyoproviderportal.com/).

3. Gatekeeping Prerequisites: Who Can Even Apply

Wyoming operates an open enrollment model for HCBS Homemaker providers without artificial caps or procurement windows.

There are no Certificate of Need (CON) requirements or mandatory managed care network affiliations for this service.

• Certificate of Need (CON): None required in Wyoming for non-medical homemaker services.
• Procurement Windows: Open continuously; no Request for Proposals (RFP) or closed network restrictions apply.
• Managed Care Affiliation: Not applicable; Wyoming Medicaid operates on a fee-for-service model for HCBS waivers.
• Prior Licensure: No prerequisite state health facility license is required before applying for HCBS certification.

4. Licensure and Certification Requirements

Because Wyoming does not issue a distinct "Homemaker Agency" license through its healthcare facility licensing unit, providers must obtain HCBS Certification directly.

Certification is managed entirely through the state's IMPROV Provider Portal.

• Application System: IMPROV Provider Portal (https://www.wyoproviderportal.com/).
• Application Expiration: Applications not submitted within 90 days are automatically canceled by the system and data is lost.
• Renewal Cycle: HCBS certification and Medicaid provider agreements must be renewed every 5 years.
• Required Policies: Applicants must upload agency policies covering incident reporting, participant rights, and emergency preparedness.

5. Medicaid Provider Enrollment

After or concurrent with HCBS certification, providers must enroll as a Wyoming Medicaid billing provider.

Enrollment is processed by HHS Technology Group (HTG) through a dedicated cloud portal.

• Enrollment Portal: Discover Your Provider (DyP) hosted by HTG (https://wyoming.dyp.cloud).
• Processing Timeframe: The Department or its designated agent reviews applications within 30 calendar days of receiving all documentation (048-3 Wyo. Code R. § 3).
• Required Forms: W-9 form and Electronic Funds Transfer (EFT) authorization for direct deposit.
• Agreement Duration: The fully executed Medicaid Provider Agreement remains in effect for 5 years.

6. Staffing, Training and Background Checks

Direct support professionals providing homemaker services must meet baseline state qualifications before delivering care.

Agencies are responsible for maintaining personnel files that prove compliance with background and training mandates.

• Age Requirement: Staff must be at least 18 years of age.
• Background Checks: Required through the Wyoming Division of Criminal Investigation (DCI) and the Department of Family Services (DFS) Central Registry.
• First Aid/CPR: Staff must hold current CPR and First Aid certification before delivering services independently.
• Abuse and Neglect Training: Mandatory training on identifying and reporting abuse, neglect, and exploitation.

7. Documentation, Policies and Records

Wyoming HCBS rules require strict adherence to person-centered planning and service documentation.

Records must be made available to the WDH HCBS Section or federal auditors upon request.

• Service Plan Alignment: All delivered tasks must map directly to the participant's approved individualized service plan.
• Timesheets: Must include date of service, start and end times, specific tasks performed, and signatures of the worker and participant.
• Record Retention: Medicaid records must typically be retained for a minimum of six years.
• Incident Reporting: Critical incidents must be reported to the state via the IMPROV portal within specified regulatory timeframes.

8. Billing, Rates and Claims

Homemaker services are billed on a fee-for-service basis through the state's Medicaid Management Information System (MMIS).

Wyoming mandates electronic claims submission for all Medicaid providers.

• Billing System: Benefits Management System and Services (BMS) operated by CNSI (https://www.wyomingmedicaid.com/portal/).
• Submission Format: Electronic claims only; paper claims are not accepted.
• Unit of Service: Typically billed in 15-minute increments using standard HCPCS codes.
• Prior Authorization: Services must be prior-authorized by the participant's case manager in the Electronic Medicaid Waiver System (EMWS).

9. Approval Sequence and Timeline

The path to becoming a billable provider involves sequential approvals from the HCBS Section and the Medicaid fiscal agent.

Delays usually stem from incomplete policy uploads or background check processing times.

• Step 1: Register and initiate the HCBS certification application in the IMPROV Provider Portal.
• Step 2: Submit agency policies, procedures, and background check clearances for review.
• Step 3: Register in the DyP portal (https://wyoming.dyp.cloud) to initiate Medicaid enrollment.
• Step 4: Receive final executed Provider Agreement and BMS portal credentials for billing.

10. Common Denials and Survey Findings

Applications and renewals are frequently delayed or denied due to administrative errors.

Post-enrollment, providers face recoupments if documentation fails to support billed claims.

• Application Timeout: Failing to submit the IMPROV application within the 90-day window, resulting in automatic deletion.
• Policy Deficiencies: Submitting generic policies that do not reference specific Wyoming HCBS administrative rules.
• Missing Signatures: Timesheets lacking the participant's signature to verify service delivery.
• Unapproved Tasks: Billing for personal care or hands-on assistance under the homemaker service code.

11. Key Contacts and Resources

Providers should utilize the official state portals and help desks for technical assistance.

The WDH HCBS Section maintains dedicated email addresses for credentialing and policy questions.

• HCBS Credentialing Team: [email protected] for certification questions.
• Medicaid Provider Enrollment (HTG): [email protected] or 1-877-399-0121.
• Medicaid Billing/Claims (CNSI): Provider Services at 1-888-996-6223.
• IMPROV Technical Assistance: https://happyjacksoftware.atlassian.net/servicedesk/customer/portal/35.

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