Written by a parent, not a doctor. Nothing here is medical advice.

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Wyoming program

Wyoming's home-care waivers

Wyoming's home-care waivers offer extra support for people who meet specific disability and care tests.

What it is

Wyoming's home-care waivers offer extra support for people who meet specific disability and care tests.

Wyoming has Comprehensive, Supports and Community Choices waivers. The developmental waivers require an intellectual or developmental disability or a related condition. A cancer diagnosis alone does not establish that your child meets these tests.

Eligibility rules
  • Supports and Comprehensive require an intellectual or developmental disability or a related condition. Their separate acquired-brain-injury branch is for adults age 21 or older. A child's leukemia diagnosis alone does not establish these tests.
  • Community Choices requires nursing-facility level of care. It serves people age 65 or older, or ages 19–64 on its qualifying disability route.
  • The eligibility unit checks the financial category that applies to the named waiver. Some waiver routes leave out parental income, but the child's income and resource tests still matter.
What you get
  • A review that can leave out a parent's income when the waiver's other rules fit.
  • Home and community services under an approved care plan.
Coverage and costs
  • Services depend on the named waiver, an approved care plan and a funded place. The waiver office confirms current emergency and reserved-place rules; a cancer diagnosis alone does not establish priority.
If you decide to apply
  1. Ask the hospital social worker whether a lasting condition or disability makes a waiver review useful.
  2. Discuss the clinical test with the Wyoming waiver office before deciding about the application. Have the relevant medical history ready.

Wyoming HCBS Section · 1-800-510-0280; Long-Term Care Eligibility Unit for financial eligibility · 1-855-203-2936 · Official page ↗

After you apply
  • If you choose to pursue a waiver, the office confirms the assessment steps and filing deadline after choosing a case manager.
  • The waiver office can explain the current waiting list and how a funded offer is made. A place on a waiting list does not mean services can start.
Good to know

A waiver is not a general cancer coverage route. Ordinary Medicaid and requests for care at home are separate options.

Other details
  • On the Supports waiver only the child's own income counts, up to $2,982 a month. Having Medicaid already does not rule out separate waiver services.

Federal background: Medicaid home-care programs (waivers).

Official sources
Ask your social worker

“Could any of these waivers fit our child’s actual care needs? Would the assessment and wait be worthwhile, and could you help us start if you think so?”

Why I’m asking: I want to understand whether a waiver could help without spending weeks on a route that cannot fit.

More background and detailed requirements
Additional program information and published rules

Who does what

The three parts, side by side. The agency decides; nobody on this page does.

You

Ask whether the diagnosis fits before you apply, so you do not lose weeks.

Your social worker

The social worker says whether this is worth the paperwork for your child.

The care team

Describes any lasting condition, if one exists, for the assessment.

Who decides
The Wyoming Department of Health, after a level-of-care assessment.
Ask the agency
“My child has leukemia. Does that fit the clinical test for any Wyoming waiver, and does Wyoming have a category for a child with a serious illness whose parents earn too much?”

How to apply

First step: Call 1-800-510-0280 and ask whether your child's diagnosis fits, before filling in any form.

  1. Call 1-800-510-0280 and ask plainly whether leukemia alone fits the clinical test.
  2. In the same call, ask whether Wyoming has a Katie Beckett or comparable category for a child with a serious illness.
  3. If a long admission is planned, ask about the thirty-day rule instead, which is on this page.

Official application / program page ↗

Where it starts: Call the waiver line first and ask whether the diagnosis fits before filling anything in.

What to gather

  • The full diagnosis list, not just the leukemia
  • Any assessment the school or clinic has already done

How long: The state's own guide says the determination may take several months, and that is before funding.

What a yes looks like

A screening appointment and a case manager, then a level-of-care assessment within thirty days of choosing one.

What a no looks like, and the next move

A clinical refusal. Ask in the same conversation about the thirty-day institutional rule and about a Katie Beckett category.

Watch out

  • Leukemia alone is not established as fitting the clinical test; ask before you apply.
  • The waiting list on the one waiver that reports one stood at 587 people, 442 of them children.
  • The reserved places are for children leaving state custody, emergencies, institution moves and military dependants, not for cancer.

The numbers and the rules

The arcane layer, kept on purpose. Checked September 11, 2026.

What it is worth

Three waivers that look only at the child's income. The one with a waiting list had 587 people on it, 442 of them children, at August 31, 2026.

  • $587 — People waiting for the Supports waiver at the August 31, 2026 snapshot
  • $442 — Children among them
  • $25 — Places a year the Comprehensive waiver holds for emergencies
  • $30 — Days after a case manager is chosen in which the level-of-care assessment must be filed

Covers: Home and community services once approved · Eligibility decided on the child's own income

What it costs the family: No waiver premium was published; the record says unknown rather than naming one.

The eligibility facts, as published

Clinical
an intellectual disability, a developmental disability or a related condition for the two developmental waivers; a nursing-home level of care for Community Choices
Age
Community Choices reaches ages 19 to 64 on its disability route
Income
the child's own income and resources
Residency
Wyoming

Decisions this site cannot make: Level of care assessment for the developmental-disability route · Financial determination by the Long-Term Care Eligibility Unit

The trap: Do not spend the first month of treatment on a waiver application that the clinical gate will not pass. Ask first whether the diagnosis fits, and ask in the same call whether Wyoming has a Katie Beckett category, which we could not confirm either way.

Where I read this

← Back to your options