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Important Update: Payment Reform for Behavioral Health Services in Wyoming

Behavioral Health News, CWCC News
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The Wyoming Department of Health Behavioral Health Division is implementing a significant payment reform starting July 1, 2024, impacting billing rates and eligibility for services. This change is crucial for our clients and all residents of Wyoming to understand. Here’s what you need to know:

What’s Changing?

Starting July 1, 2024, the State will only fund treatment for Behavioral Health Clinic (BHC) clients who meet specific criteria:

  1. Household Income: Clients with household incomes at or below 200% of the Federal Poverty Level (FPL) and without public or private health insurance.
  2. Priority Populations: Clients falling into priority population categories established by State law (W.S. 35-1-613 et. seq).

These changes do not affect services provided until the end of June 2024, Medicaid or private insurance payments, or the ability of BHCs to treat clients as private-pay if they do not meet the new criteria after July 1, 2024.

Immediate Actions Required

  1. Eligibility Screenings: Starting February 1, 2024, every client seeking State-paid services must undergo an eligibility screening by completing a Wyoming Medicaid application.
  2. Notification: After submitting the application, clients will receive notification within 45 days regarding Medicaid or income eligibility for the State BHC benefit.

Additional Considerations

  1. Income is just one aspect of eligibility; clients may still qualify under priority population categories, requiring a behavioral health assessment by the BHC, provided free of charge.
  2. Proposed legislation (House Bill 0005) during the 2024 Wyoming Legislative Budget Session might allow insured residents to qualify based on income until 2026.

Stay Informed

It’s vital to stay updated on these changes to ensure continued access to necessary behavioral health services. Complete eligibility screenings promptly and reach out to local clinics with any questions or for in-person visits. Your well-being is our priority, and we are here to support you through these transitions.

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