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WYOMING MEDICAID CHANGE HEALTHCAREPHARMACY PROVIDER ENROLLMENT PACKET REV. DECEMBER 2016Dear Pharmacy Provider Applicant, Thank you for your interest in becoming a Wyoming Medicaid Pharmacy Provider.
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To fill out the provider enrollment form for the Wyoming Department of Health, follow these steps:
02
Visit the Wyoming Department of Health website.
03
Download the provider enrollment form from the website.
04
Fill out the form with accurate and complete information.
05
Attach any required supporting documents, such as copies of licenses or certifications.
06
Double-check the form for any errors or missing information.
07
Submit the completed form and supporting documents to the Wyoming Department of Health via mail or online submission, as specified in the instructions.
08
Wait for the department to review and process your application.
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If approved, you will receive a notification confirming your provider enrollment with the Wyoming Department of Health.

Who needs provider enrollmentwyoming department of?

01
Healthcare providers, facilities, and organizations who wish to participate and provide services to Medicaid recipients in Wyoming need to complete the provider enrollment process with the Wyoming Department of Health.
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Provider enrollment Wyoming Department of Health is the process healthcare providers must go through to enroll with the state of Wyoming in order to bill for services provided to Medicaid beneficiaries.
All healthcare providers who wish to bill Medicaid for services provided to beneficiaries in Wyoming are required to file provider enrollment with the Wyoming Department of Health.
Providers can fill out the provider enrollment form online through the Wyoming Medicaid website or by contacting the Wyoming Department of Health directly for assistance.
The purpose of provider enrollment with the Wyoming Department of Health is to ensure that healthcare providers meet all state and federal requirements to participate in the Medicaid program and to receive reimbursement for services provided.
Providers must report information such as their contact information, credentials, services offered, billing information, and any other relevant details requested by the Wyoming Department of Health.
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