State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
Wyoming
Program Overview
Overview
Wyoming has a Medicaid HCBS system including a Developmental Disabilities Waiver. Wyoming's Department of Health administers disability services.
Katie Beckett or similar pathway
Wyoming has not adopted the Katie Beckett/TEFRA state plan option. Families access services through Wyoming's 1915(c) waivers (such as the Comprehensive and Supports Waivers), which require standard Medicaid financial eligibility plus a level-of-care assessment. Contact Wyoming Department of Health and ask how income is counted for each waiver.
Child-relevant waivers
The Developmental Disabilities (DD) Waiver is the primary route for children with intellectual and developmental disabilities in Wyoming. For adults with physical disabilities or chronic illness who need nursing-facility level of care, Wyoming's Supports for Community Living (SCL) Waiver and the Assisted Living Facility Waiver cover adults with physical disabilities. Wyoming also has a Home- and Community-Based Services waiver for adults needing personal care and community supports as an alternative to nursing facility placement.
Eligibility
Who qualifies
DD Waiver serves individuals with developmental disabilities who meet ICF/ID level of care and financial eligibility.
Financial and income rules
Wyoming Medicaid financial eligibility applies. Waiver-specific rules also apply.
Level of care
ICF/ID level of care is required for the DD Waiver.
Age rules
DD Waiver serves individuals of various ages including children.
Getting Started
How to apply
Contact Wyoming Department of Health Behavioral Health Division for DD Waiver intake.
Documents needed
Disability documentation, level-of-care assessment, and financial information are typically required.
Waitlist information
Wyoming DD Waiver may have limited enrollment. Confirm current status with Wyoming DOH.
Practical next step
Contact Wyoming Department of Health and ask about DD Waiver intake, eligibility, and current availability. For non-Medicaid supports, contact Wyoming VR or Parents Helping Parents of Wyoming.
Services & Support
Services available
DD Waiver can cover residential services, day services, employment supports, and in-home supports.
Parent caregiver pay
In Wyoming's Supports and Comprehensive waivers, legally responsible individuals who are parents of minors may be paid for personal care services deemed extraordinary care, up to 4 hours per day per participant, with additional hours requiring approval from the Extraordinary Care Committee. Qualifying care must exceed what a parent would typically provide for a child of the same age without a disability, or require specialized medical skills.
Equipment exchange & assistive technology
Wyoming Assistive Technology Resources (WATR — uwyo.edu/wind/watr) — free device demonstrations, short-term loans, and AT information statewide.
Mental health and Medicaid coverage
Wyoming Medicaid covers behavioral health services through the fee-for-service program and Medicaid managed care. Covered services include outpatient therapy, psychiatric evaluations, medication management, and crisis services. The Behavioral Health Division (BHD) within the Wyoming Department of Health oversees public behavioral health. Wyoming has some of the greatest rural mental health access challenges in the country. Telehealth mental health services are widely used. Children can access mental health services through the EPSDT benefit. Wyoming has limited community mental health infrastructure compared to larger states.
Additional notes
Wyoming's rural geography and small population mean that community mental health and disability service infrastructure is more limited than in larger states. Families should contact the DOH directly and ask about telehealth options where in-person services are not available.
State-Specific Resources
Wyoming Vocational Rehabilitation (VR) — Employment Services
Wyoming VR (dws.wyo.gov/dws-division/vocational-rehabilitation) helps people with disabilities prepare for, find, and keep good jobs. Services include vocational counseling, job training, assistive technology, supported employment, and job placement. Services are free and available statewide. VR also serves transition-age youth (ages 14+).
Wyoming Assistive Technology Resources (WATR) — Device Loans & Demonstrations
WATR (uwyo.edu/wind/watr) is Wyoming's Assistive Technology Act program offering free device demonstrations, short-term equipment loans for trial, and information on AT funding sources. The program serves all Wyomingans with disabilities. Available statewide with limited in-person services in some rural areas.
Wyoming Early Intervention Program (Birth to Age 3)
Wyoming's Early Intervention services serve families with children birth to age 3 with developmental delays or disabilities. Services are provided in homes and communities and are family-focused. Wyoming's Early Intervention and Education Program coordinates services. Referrals can be made by anyone. Contact the Wyoming Department of Health.
Parents Helping Parents of Wyoming (PHP) — Family Advocacy & Education
PHP (wpic.org) is Wyoming's Parent Training and Information Center serving families of children with disabilities birth to age 26. Services include free parent training, information on IEPs, 504 plans, special education rights, transition planning, and advocacy support. Phone: (307) 638-7713 · Toll-free: (800) 660-9592.
Wyoming Protection and Advocacy System (WY-PANDA) — Legal Advocacy & P&A
WY-PANDA (wypanda.com) is Wyoming's Protection and Advocacy agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, assistive technology access, and abuse/neglect.
Wyoming Family and Medical Leave — Unpaid Leave Only
Wyoming relies on federal FMLA for unpaid family and medical leave (up to 12 weeks annually). Wyoming does not currently have a state-mandated paid family leave or temporary disability insurance program. Some employers may offer private Short-Term Disability or paid leave benefits.
Sources
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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