Wyoming Medicaid Program Overview
Enrollment, funding, and managed care facts for Wyoming Medicaid.
Get Wyoming's Medicaid Fee Schedule →Enrollment
Wyoming Medicaid covered approximately 0.06-0.07M people. Two independent sources give different figures for different reporting periods: KFF's monthly enrollment tracker reports 59,917 for Wyoming as of May 2026, while CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report cites 73,053 total Medicaid enrollees (2024 data). The gap is consistent with the ongoing post-pandemic continuous-enrollment 'unwinding,' not a data-quality problem.
Funding & federal match
Wyoming has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Wyoming's Federal Medical Assistance Percentage (FMAP) is 50%.
Delivery system & managed care
A large share of Wyoming Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 0-0.3% of Medicaid enrollees.
Waivers
Wyoming operates Medicaid managed care under the WY Supports Waiver, a Section 1915(c) demonstration waiver. Waiver number 1060.R02.00/01. Funds home- and community-based supportive services for eligible participants with intellectual and developmental disabilities (ages birth through end of life) and people with an acquired brain injury (ages 21+), enabling community participation rather than institutional care.
Has Wyoming expanded Medicaid under the ACA?
No. Wyoming has not adopted full Medicaid expansion under the Affordable Care Act as of 2026.
How many people are enrolled in Wyoming Medicaid?
Approximately 0.06-0.07M people.
What percentage of the federal Medicaid match does Wyoming receive?
50% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 50 cents of every Wyoming Medicaid dollar, and the state pays the rest.
Is most of Wyoming Medicaid delivered through managed care?
Estimates range from 0-0.3% of Medicaid enrollees in managed care.
What Medicaid waivers does Wyoming operate under?
WY Supports Waiver, a Section 1915(c) demonstration waiver. Waiver number 1060.R02.00/01. Funds home- and community-based supportive services for eligible participants with intellectual and developmental disabilities (ages birth through end of life) and people with an acquired brain injury (ages 21+), enabling community participation rather than institutional care.
Get Wyoming's Free Medicaid Fee Schedule
Request actual Wyoming Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- MACPAC - MACStats: Medicaid and CHIP Data Book, February 2026 (Exhibit 6, compiling HHS Federal Register FMAP notices)
- KFF State Health Facts - Federal Matching Rate (FMAP) and Multiplier
- KFF State Health Facts - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Wyoming
- KFF State Health Facts - Managed Care Penetration Rates by Eligibility Group (KFF analysis of CMS T-MSIS Research Identifiable Files, 2023)
- Medicaid.gov - Section 1115/1915 Demonstration and Waiver List, Wyoming Waiver Factsheet
- Wyoming Department of Health - Application for 1915(c) HCBS Waiver: WY.1060.R02.01
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.