How to start an adult day care center in Wyoming
Wyoming requires a Adult day care facility license from Wyoming Department of Health, Aging Division — Healthcare Licensing and Surveys to operate an adult day care center. Fee: The licensure fee is set in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees; the amount is not on the checklist.
- License required
- YesAdult day care facility license
- Application fee
- See details
- Processing time
- —
- Personal care / attendant care (hourly)
- $8.25per 15 min · $33.00/hr
- Organizations in the state
- 4NPPES, Sep 13, 2026
On this page
Wyoming adult day care center license
Wyoming requires a Adult day care facility license from Wyoming Department of Health, Aging Division — Healthcare Licensing and Surveys to operate an adult day care center. Fee: The licensure fee is set in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees; the amount is not on the checklist.
- License required
- Yes
- License
- Adult day care facility license
- Fee
- The licensure fee is set in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees; the amount is not on the checklist.
- Insurance and bonds
- Public liability insurance for bodily injury of at least $500,000 per occurrence / $500,000 aggregate.
- Medicaid waiver coverage
- HHS (2014) reported that adult day care is covered under Wyoming's Medicaid 1915(c) waiver for the elderly and physically disabled and the state-funded Wyoming Home Services program; both require a license.
- Regulation
- HLS Rules Ch. 2 (Adult Day Care Programs); Ch. 1 (Health Care Facilities Licensure Fees)
Steps to get licensed in Wyoming
In order, as the licensing agency describes the process.
- Email or mail HLS the completed license application and fee
- Include proof of public liability insurance and the other checklist items
- HLS reviews and issues the license
Enrolling as a Wyoming Medicaid provider
- Program
- Wyoming Medicaid and Kid Care CHIP (Wyoming Department of Health, Division of Healthcare Financing, Office of Medicaid)
- Enrollment portal
- Discover Your Provider (DyP) provider enrollment portal, run by HHS Technology Group (HTG)
- Fiscal agent
- CNSI (operates the Benefits Management System claims processing); provider enrollment is contracted to HHS Technology Group (HTG)
- Application fee
- Under the federal rule (42 CFR 455.460), institutional providers pay the CMS application fee when they first enroll, re-enroll or revalidate. The fee is $750 for calendar year 2026. Individual physicians and non-physician practitioners do not pay it. A fee already paid to Medicare or to another state's Medicaid program counts. WDH's enrollment page does not list a separate state fee.
- Fingerprinting
- WDH says enrolling under a taxonomy considered high-risk can add steps, and a provider specialist will reach out. Under federal rules (42 CFR 455.434 and 455.450), the state places provider types in 'limited', 'moderate' or 'high' risk levels. High-risk providers, and anyone who owns 5% or more of one, must submit fingerprints for a criminal background check.
- Site visit
- Under federal rule (42 CFR 455.432), the state must visit moderate- and high-risk providers before and after enrollment. Every enrolled provider must allow unannounced on-site inspections. WDH's enrollment page does not describe a separate state site visit process.
- Revalidation
- Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled provider at least once every 5 years. After an April 2026 CMS request, WDH sent CMS a two-year off-cycle revalidation plan on June 5, 2026. Under an August 17, 2026 notice, high-risk providers must revalidate in the DyP portal by October 31, 2026. Every enrolled provider must also report an NPI by then; providers without one are treated as high risk. Missing the deadline means payment suspension, then termination on February 1, 2027.
Does Wyoming require a certificate of need?
- CON program
- No
Wyoming wage floor
- State minimum wage
- $7.25 an hour
- Effective
- 2009-07-24
- Scheduled increases
- No scheduled change found in the official sources reviewed.
- HCBS 80/20 rule
- Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.
Wyoming market size
Counts from federal public files: NPPES (active organization NPIs), CMS Care Compare and CMS Medicaid enrollment.
- Adult day care clinics/centers — active organization NPIs (NPPES)
- 4 (as of Sep 13, 2026)
- Total Medicaid and CHIP enrollment (latest reported month)
- 59,335 (as of Jun 1, 2026)
What Wyoming Medicaid pays
Home care & personal care: published Wyoming fee-for-service rates, each linked to its source.
| Service | Code | Wyoming rate | Per hour | Rank |
|---|---|---|---|---|
| Personal care / attendant care (hourly)Agency provider | T1019 | $8.25per 15 min | $33.00 | 12 of 27 |
| Homemaker / housekeeping helpAgency provider | S5130 | $6.62per 15 min | $26.48 | 6 of 9 |
| Companion careAide or attendant | S5135 | $7.35per 15 min | $29.40 | 6 of 20 |
| Respite care (hourly)Agency provider | T1005 | $4.68per 15 min | $18.72 | 31 of 38 |
| Respite care (daily)Agency provider | S5151 | $168.41per day | — | 24 of 34 |
Wyoming HCBS waivers
Medicaid home and community-based services programs that may pay for this service.
- WY Children's Mental Health Waiver (1915(c))
- WY Community Choices Waiver (CCW) (1915(c))
- WY Comprehensive Waiver (1915(c))
- WY Supports Waiver (1915(c))
Frequently asked questions
Do you need a license to start an adult day care center in Wyoming?
Wyoming requires a Adult day care facility license from Wyoming Department of Health, Aging Division — Healthcare Licensing and Surveys to operate an adult day care center. Fee: The licensure fee is set in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees; the amount is not on the checklist.
How much does an adult day care center license cost in Wyoming?
The licensure fee is set in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees; the amount is not on the checklist.
Does Wyoming require a certificate of need for an adult day care center?
No. Wyoming has no certificate of need program.
How do you become a Medicaid provider in Wyoming?
Enroll through Discover Your Provider (DyP) provider enrollment portal, run by HHS Technology Group (HTG) (https://wyoming.dyp.cloud/), run by CNSI (operates the Benefits Management System claims processing); provider enrollment is contracted to HHS Technology Group (HTG).
What does Wyoming Medicaid pay a adult day care center?
Wyoming Medicaid pays $8.25 per 15 min for personal care / attendant care (hourly), effective Jul 22, 2026, ranking 12 of 27 states.