How to start a home care agency in Wyoming
Wyoming does not require a state license for a home care agency, according to Wyoming Department of Health, Healthcare Licensing and Surveys (licenses home health agencies). No separate state license for non-medical home care agencies (home health agency license covers licensed health care services).
- License required
- No
- Application fee
- —
- Processing time
- —
- Personal care / attendant care (hourly)
- $8.25per 15 min · $33.00/hr
- Organizations in the state
- 55NPPES, Sep 13, 2026
On this page
Wyoming home care agency license
Wyoming does not require a state license for a home care agency, according to Wyoming Department of Health, Healthcare Licensing and Surveys (licenses home health agencies). No separate state license for non-medical home care agencies (home health agency license covers licensed health care services).
- License required
- No
- Issuing agency
- Wyoming Department of Health, Healthcare Licensing and Surveys (licenses home health agencies)
- Regulation
- Wyoming Dept. of Health Rules, Health Quality, Chapter 10 (Licensure of Home Health Agency)
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
Electronic visit verification in Wyoming
- Model
- hybrid
- State vendor
- CareBridge
- Services in scope
- personal care
- companion
- personal support
- respite
- home health aide
- skilled nursing
- Alternate EVV allowed
- Yes
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.
- Personal care / in-home supportive care organizations — active organization NPIs (NPPES)
- 55 (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 a home care agency in Wyoming?
Wyoming does not require a state license for a home care agency, according to Wyoming Department of Health, Healthcare Licensing and Surveys (licenses home health agencies). No separate state license for non-medical home care agencies (home health agency license covers licensed health care services).
Does Wyoming require a certificate of need for a home care agency?
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 home care agency?
Wyoming Medicaid pays $8.25 per 15 min for personal care / attendant care (hourly), effective Jul 22, 2026, ranking 12 of 27 states.