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

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Wyoming program

Nursing and care at home

Wyoming Medicaid can arrange personal care at home through a home health agency.

What it is

Wyoming Medicaid can arrange personal care at home through a home health agency.

Coming home can mean more hands-on care than one parent can manage. Wyoming Medicaid covers personal care through home health agencies. Its handbook lists shift nursing as not covered, but a child under 21 can still request medically necessary care under federal children’s rules.

Eligibility rules
  • Your child needs Wyoming Medicaid and a review of the medical need for services.
  • EPSDT covers medically necessary services within federal Medicaid benefit categories for people under 21; it does not guarantee every requested service.
  • Medicaid does not pay a parent to stay home. Paid parent care exists only on the developmental-disability waiver, for extraordinary care set out in an approved plan.
What you get
  • Personal care through a home health agency when approved.
  • Help coordinating the move from hospital to home.
  • Paid care by a relative on a qualifying waiver, under additional rules.
Coverage and costs
  • On the developmental-disability waiver, a relative can be paid for up to four hours a day of ordinary care, and more only with the extraordinary-care committee's approval. That waiver does not fit leukemia on its own.
  • There is no charge for services Wyoming Medicaid approves.
If you decide to apply
  1. Ask the oncology team and discharge planner to describe the tasks and hours of care your child needs.
  2. You can discuss the move home with the discharge team. Medicaid Member Services at 1-855-294-2127 can identify the team that handles the nursing request.
  3. Ask for the decision in writing so the team can explain any refusal and appeal options.

Wyoming Medicaid Member Services · 1-855-294-2127; ask which clinical review team handles the child’s home-nursing request · Official page ↗

After you apply
  • Medicaid should answer a nursing request within seven days, or within 72 hours when urgent.
  • For a child under 21, the social worker can help the oncology team request an individualized EPSDT review of the nursing tasks and hours needed at home. Medicaid must identify the current request form and clinical reviewer. A written denial should explain the review and fair-hearing route, the deadlines and any way to keep existing services during review.
  • If nursing is refused, the appeal deadline is 20 business days from the letter, the same as on the Medicaid card. Ask before the change date to keep existing hours running during the appeal.
Good to know

Ordinary personal care does not simply pay a parent to stay home. Paid relative care has separate waiver and care-plan requirements.

Other details
  • The clinical assessment and availability of a home health agency matter separately from the income screen.
Official sources
Ask your social worker

“What nursing or personal care could help us manage at home, and what would still fall to us? Could you help the team request the hours you think our child needs?”

Why I’m asking: I need to understand how we can safely manage care after discharge.

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

Raise it before discharge and ask for any refusal in writing.

Your social worker

The discharge planner and the care management line set up what is approved.

The care team

Writes the order and says how many hours of care the child needs.

Who decides
Wyoming Medicaid and its review partner.
Ask your social worker
“My child needs care at home after discharge. Can the team request nursing hours, and if the answer is no, can I have that in writing so I can appeal?”

How to apply

First step: Ask the oncology team to make the request before discharge, and call 1-888-545-1710, option 4.

  1. Ask for the request to be made before discharge, not after.
  2. Call the care management line on 1-888-545-1710, option 4, and ask about the move home.
  3. If it is refused, ask for the refusal in writing and appeal it.

Official application / program page ↗

Where it starts: Ask the oncology team to make the request, and call the care management line about the move home.

What to gather

  • The discharge plan and the list of what care is needed
  • The doctor's order
  • Any written refusal

How long: Wyoming publishes seven calendar days for a standard decision and 72 hours for an urgent one in 2026. Its 2025 figures averaged three days across all requests, which is not a promise for this one.

What a yes looks like

An approval naming the hours and the agency.

What a no looks like, and the next move

A written refusal naming the reason. Appeal it, and ask about the outside review if the plan is private.

Watch out

  • The handbook's not-covered list is not the end of it for a child under 21; ask anyway and appeal a refusal.
  • Wyoming's personal care has to come through a home health agency, so a parent cannot simply be paid.
  • On a waiver a relative is capped at four hours a day unless a committee approves more.

The numbers and the rules

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

What it is worth

Personal care through a home health agency. A relative can be paid on a waiver only for extraordinary care, capped at four hours a day unless a committee approves more.

  • $4 — Hours a day a relative can be paid for personal care on a waiver, before a committee must approve more
  • $5,840 — Units a year for a relative provider on a waiver
  • $7 — Calendar days Wyoming publishes for a standard prior-authorization decision in 2026
  • $72 — Hours Wyoming publishes for an urgent prior-authorization decision in 2026

Covers: Personal care through a home health agency · Paid relative care on a waiver, for extraordinary care only · Care transitions and complex care support from the Wyoming Medicaid care management line

What it costs the family: None for services Wyoming Medicaid approves.

The eligibility facts, as published

Coverage
Wyoming Medicaid
Personal care
through a home health agency under the state plan
Relative paid care
on a waiver, for assessed extraordinary care written into the plan of care, through a certified provider
Age
a child under 21 can ask for what is medically necessary

The trap: Do not read the handbook's noncovered list as the end of it. Ask for the request to be made on the child's own medical need, and ask for the refusal in writing so it can be appealed. Wyoming's care-management line can help with the move home.

Where I read this

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